Abstract
Loss-of-function mutations in the PRKN, PINK1 and PARK7 genes (encoding parkin, PINK1 and DJ-1, respectively) cause autosomal recessive forms of Parkinson’s disease. PINK1 and parkin jointly mediate selective autophagy of damaged mitochondria (mitophagy), but the mechanisms by which loss of DJ-1 induces Parkinson’s disease are not well understood. Here, we investigated PINK1/parkin-mediated mitophagy in cultured human fibroblasts and induced pluripotent stem cell-derived neurons with homozygous PARK7 mutations. We found that DJ-1 is essential for PINK1/parkin-mediated mitophagy. Loss of DJ-1 did not interfere with PINK1 or parkin activation after mitochondrial depolarization but blocked mitophagy further downstream by inhibiting recruitment of the selective autophagy receptor optineurin to depolarized mitochondria. By contrast, starvation-induced, non-selective autophagy was not affected by loss of DJ-1. In wild-type fibroblasts and induced pluripotent stem cell-derived dopaminergic neurons, endogenous DJ-1 translocated to depolarized mitochondria in close proximity to optineurin. DJ-1 translocation to depolarized mitochondria was dependent on PINK1 and parkin and did not require oxidation of cysteine residue 106 of DJ-1. Overexpression of DJ-1 did not rescue the mitophagy defect of PINK1- or parkin-deficient cells. These findings position DJ-1 downstream of PINK1 and parkin in the same pathway and suggest that disruption of PINK1/parkin/DJ-1-mediated mitophagy is a common pathogenic mechanism in autosomal recessive Parkinson’s disease.
Keywords: DJ-1, optineurin, mitophagy, autophagy, Parkinson’s disease
Loss of function of parkin, PINK1 or DJ-1 causes recessive forms of Parkinson’s disease. Imberechts et al. show that DJ-1 plays an essential role in mitophagy—a mitochondrial quality control pathway—downstream of PINK1 and parkin, indicating that the known causes of recessive Parkinson’s disease converge on the same pathway.
See Ganley (https://doi.org/10.1093/brain/awac405) for a scientific commentary on this article.
See Ganley (https://doi.org/10.1093/brain/awac405) for a scientific commentary on this article.
Introduction
Parkinson’s disease (PD), the fastest growing of all neurological disorders,1 is a neurodegenerative condition characterized clinically by a wide range of disabling motor and non-motor symptoms.2 Disease-modifying treatments for PD are still lacking. A minority of cases show a Mendelian inheritance pattern. Loss-of-function mutations in PRKN, PINK1 and PARK7 cause autosomal recessive PD, while autosomal dominant forms can be caused by LRRK2 and VPS35 mutations and by missense mutations or multiplications of SNCA.3 In addition, multiple genes (e.g. FBXO7, ATP13A2, VPS13C) have been linked to atypical parkinsonism syndromes that are clinically distinct from PD.4
PINK1 and parkin, the gene products of PINK1 and PRKN, respectively, together orchestrate mitophagy, a form of selective autophagy that specifically eliminates damaged mitochondria.5,6,7 PINK1 is a ubiquitin kinase that is imported into healthy mitochondria and constitutively degraded. Mitochondrial damage, typically manifesting as reduced mitochondrial membrane potential, arrests mitochondrial PINK1 import and stabilizes active PINK1 on the outer mitochondrial membrane (OMM). PINK1 then phosphorylates serine 65 (Ser65) of ubiquitin that is present in small amounts on the OMM. Phospho-ubiquitin serves as the mitochondrial receptor for the E3 ubiquitin ligase parkin. After translocating from the cytosol to the OMM, parkin is itself phosphorylated by PINK1 on the homologous Ser65 residue of its ubiquitin-like domain.5,6,7 Binding of parkin to phospho-ubiquitin in combination with parkin phosphorylation induces a conformational change in parkin, resulting in its activation as an E3 ubiquitin ligase. Active parkin then ubiquitinates a large number of OMM substrates (e.g. mitofusin 1 and 2, VDAC and Miro1), thus creating more substrate for PINK1-mediated ubiquitin phosphorylation, which in turn leads to further parkin recruitment.5,6,7 Some of these ubiquitinated OMM substrates are extracted from the OMM and degraded by the proteasome. Proteasomal degradation of mitofusins enhances mitochondrial fission, thus isolating defective areas of the mitochondrial network, while proteasomal degradation of Miro1 arrests mitochondrial motility.5,6,7 Mitochondrial ubiquitin chains are also recognized by the autophagy receptors optineurin and NDP528,9,10 (of which only optineurin is expressed in neural tissue),8,11,12 which simultaneously bind to ubiquitin and to LC3 present on growing phagophores. Closure of the autophagosome around the damaged mitochondrion eventually allows fusion with a lysosome and degradation. Loss of function of parkin or PINK1 as a result of PD-linked mutations disrupts mitophagy, leading to accumulation of dysfunctional mitochondria and cell death.5,6,7 Mitophagy-independent functions of PINK1 and parkin have also been described.13,14
PARK7 mutations are the rarest known cause of autosomal recessive PD.15,16 Clinically, PD caused by PARK7 mutations is indistinguishable from disease resulting from PRKN or PINK1 mutations. PARK7 encodes DJ-1, a 19.9-kDa protein whose physiological function has remained largely enigmatic despite intensive research.17 Many different roles for DJ-1 have been reported. For example, DJ-1 has been proposed to function as a transcriptional regulator,18 a scavenger of reactive oxygen species,19,20 a glyoxalase,21 a protease,22 an aldehyde-adduct hydrolase,23 a regulator of the 20S proteasome,24 a chaperone for α-synuclein,25 an adaptor for complexes involved in regulation of catecholamine homeostasis,26 a promotor of synaptic vesicle endocytosis27 and an RNA-binding protein,28 but a clear picture of its molecular function has not emerged yet. DJ-1-deficient cells contain dysfunctional mitochondria, and it has been suggested that DJ-1 may control autophagy and mitochondrial homeostasis.29,30 However, the underlying mechanisms are not clear. Here, we investigated whether DJ-1 is involved in PINK1/parkin-dependent mitophagy in human fibroblasts and neurons.
Materials and methods
Antibodies
The following primary antibodies were used for western blot (WB), immunofluorescence (IF) and proximity ligation assays (PLA): mouse anti-β-actin (WB, 1:5000; Sigma, A5441), rabbit anti-HSP60 (WB, 1:1000; IF, 1:1000; Abcam, ab53109), goat anti-HSP60 (IF, 1/500; MyBioSource, MBS423631), mouse anti-ATP5F1B (WB, 1:1000, IF, 1:500; Abcam, ab14730), mouse antimitofusin 2 (WB, 1:1000; Abcam, ab56889), mouse anti-LC3B (WB, 1:2000; Novus Biologicals, NB100-2220), rabbit anti-RAB10 (WB, 1:1000; Cell Signaling Technology, 8127S), rabbit antiphospho-RAB10T73 (WB, 1:500; Abcam, ab230261), rabbit anti-PINK1 (WB, 1:1000; Novus Biologicals, BC100-494), rabbit anti-optineurin (WB, 1:1000; IF, 1:200; Abcam, ab23666), mouse anti-optineurin (IF and PLA, 1:50; Santa Cruz, sc-166576), rabbit anti-DJ-1 (WB, 1:1000; IF and PLA, 1/250; Abcam, ab18257), rabbit antityrosine hydroxylase (TH) (WB, 1:500; IF, 1:500; Sigma, AB152), mouse anti-TH (IF, 1:500; Sigma, MAB318), sheep anti-TH (IF, 1:500; Thermo Fisher, PA1-4679), mouse anti-MAP2 (IF, 1:500; Sigma, M1406), mouse anti-PSD95 (IF, 1:500; Cell Signaling, 36233), rabbit antisynaptophysin (IF, 1:500; Thermo Fisher, MA5-14532), mouse anti-ubiquitin (WB, 1:50; Santa Cruz, sc-8017), rabbit antiphospho-ubiquitinS65 (WB, 1:1000; IF, 1:250; Sigma, ABS1513-I), mouse anti-FLAG (WB, 1:1000; IF, 1:500; Sigma, F3165), rabbit anti-FLAG (WB, 1:1000; IF, 1:500 Sigma, F7425), goat anti-FLAG (IF, 1/500; Origene, TA150080), mouse anti-GTP cyclohydrolase 1 (PLA, 1:50; Abnova, H00002643-M01), mouse antiprotein disulphide isomerase (PLA, 1:500; Enzo Life Sciences, ADI-SPA-891), mouse anti-EEA1 (PLA, 1/500; BD Biosciences, 610456), rabbit anti-calnexin (PLA, 1/500; Enzo, ADI-SPA-860), mouse anti-GM130 (PLA, 1/200; BD Biosciences, 610822), rabbit anti-GOLGA5 (PLA, 1/500; Sigma, HPA000992), mouse anti-COPB1 (WB, 1:1000; Sigma, G6160), rabbit anti-TBK1 (WB, 1:1000; Cell Signaling, 3504S), rabbit antiphospho-TBK1S172 (WB, 1:1000; Cell Signaling, 5483S), rabbit anti-NDP52 (WB, 1:1000; Cell Signaling, 60732S), rabbit anti-GFAP (ICC, 1:500; Agilent Dako, Z0334) and mouse anti-TOMM20 (ICC, 1:500; Santa Cruz, sc-17764). Peroxidase-linked secondary antibodies for WB were from Sigma (SAB3700934 and SAB3701095). Secondary antibodies for IF were donkey antimouse Alexa Fluor-488, −555 and −647 (Thermo Fisher, a21202, a21206, a31571), antirabbit Alexa Fluor-488, −555 and −647 (Thermo Fisher, a31570, a31572, a31573) and antisheep Alexa Fluor-488, −555 and −647 (Thermo Fisher, a11015, a21436, a21448).
cDNAs, siRNAs and lentivirus
pCMV6-Entry vectors containing cDNA for FLAG-tagged human DJ-1 and RAB10 were purchased from Origene (RC201645 and RC201464, respectively). A pCMV6-AC-GFP empty vector and pCMV6-AC-GFP vector containing cDNA for human DJ-1 were purchased from Origene (PS100010 and RG201645, respectively). The construct encoding parkin with an N-terminal FLAG tag was described previously.31 The mito-Keima construct (mt/mKeima/pIND[SP1]) was a gift from Dr A. Miyawaki (RIKEN Brain Science Institute, Japan32) and the Keima construct (mKeima-Red-N1) was a gift from Dr M. Davidson (Addgene, 54597). The GFP-LC3 construct was a gift from Dr J. Debnath (Harvard Medical School, USA). Optineurin-EGFP was a gift from Dr B. Yue (Addgene, 27052). YFP-Parkin was a gift from Dr Richard Youle (Addgene, 23955). The FLAG-tagged-DJ-1 C106A construct was generated using the QuikChange Lightning Site-Directed Mutagenesis Kit (Agilent, 210518) with the following primers: 5′-GGCCTGATAGCCGCCATCGCAGCAGGTCCTACTGCTCTG-3′ and 5′-CAGAGCAGTAGGACCTGCTGCGATGGCGGCTATCAGGCC-3′. Mutagenesis was verified by sequencing. To generate OMM-targeted DJ-1-FLAG (OMM-DJ-1-FLAG), the coding sequence for the N-terminal 49 amino acids of TOMM20 (gBlock purchased from IDT) was inserted into the BamHI/SgfI sites of the pCMV6-Entry vector containing cDNA for human DJ-1-FLAG using Gibson Assembly (NEB, E2611S). The sequence of the gBlock was: CGGCCGGGAATTCGTCGACTGATGGTGGGTCGGAACAGCGCCATCGCCGCCGGTGTATGCGGGGCCCTTTTCATTGGGTACTGCATCTACTTCGACCGCAAAAGACGAAGTGACCCCAACTTCAAGAACAGGCTTCGAGAACGAAGAAAGAAACAGAAGCTTGCCAAGGGTGGTGGAGGCAGTGGAGGTGGAGGAAGCGGAGGTGGTGGCAGCATCGCCATGGCTTCCAAAAGAGC. DJ-1 siRNA1 was from Santa Cruz (sc-37080) and is a pool of three siRNAs with the following target sequences: 5′-CTCCACTTGTTCTTAAAGA-3′, 5′-CGACGATCACTTAGAGAAA-3′ and 5′-GGAAGTATGGAAGTCACAA-3′. The target sequence of DJ-1 siRNA2 (Thermo Fisher, S22304) was 5′-GGTTTTGGAAGTAAAGTTATT-3′. The target sequence of OPTN siRNA1 (Thermo Fisher, S19720) was 5′-GACTTGAAGTTGCACTCAATT-3′. OPTN siRNA2 was from Santa Cruz (sc-39054) and is a pool of three siRNAs with the following target sequences: 5′-CCAAGAATTACTTCGAACATT-3′, 5′-CCATCAGAGTTGAATGAAATT-3′ and 5′-GTAGAATCCTTACCTACTATT-3′. The target sequence of control siRNA (Qiagen) was 5′-AATTCTCCGAACGTGTCACGT-3′. pLenti-C-mGFP-P2A-Puro lentiviral particles encoding human DJ-1 and lentiviral pLenti-C-mGFP-P2A-Puro control particles were purchased from Origene (RC201645L4V and PS100093V, respectively). Keima and mito-Keima DNA were cloned into the XbaI and BamHI sites of the PCDH-CMV-MCS-EF1-PURO lentiviral transfer vector (Addgene, 46970), followed by production of lentiviral particles by cotransfecting human embryonic kidney 293T cells with packaging plasmids psPAX2 (Addgene, 12260) and pMD2.G (Addgene, 12259) and with PCDH-CMV-MCS-EF1-PURO lentiviral transfer vector (Addgene, 46970) containing mito-Keima or Keima DNA using X-treme GENE™ 9 DNA Transfection Reagent (Sigma, 6365809001). After 12 h, transfection medium was changed with fresh medium [DMEM (Thermo Fisher, 41965) supplemented with foetal bovine serum (10%; Greiner Bio-One, 10270106), penicillin (100 U/ml; Thermo Fisher, 15140112), streptomycin (100 µg/ml; Thermo Fisher, 15140112) and sodium pyruvate (1 mM; Thermo Fisher, 11360070)] and recombinant lentiviruses were harvested 72 h after transfection. The culture medium containing virus particles was collected and filtered through 0.45-µm polyvinyl difluoride membrane filters (Merck, SLHV033R). Particles were concentrated with a filter device (Amicon Ultra-15 Centrifuge Filters, Merck, UFC910096), aliquoted and stored at −80°C.
Cultures of fibroblasts from Parkinson’s disease patients and healthy controls
Fibroblasts were obtained from PD patients and age-matched healthy controls via skin biopsy from the medial aspect of the upper limb after written informed consent. All procedures were approved by the local ethics committee and were in accordance with the latest version of the World Medical Association Declaration of Helsinki. The clinical history of the PD patient with homozygous PARK7 mutations has been described.33 The PD patient with compound heterozygous PRKN mutations (deletion of exon 2 and duplication of exon 6) was a female who developed rest tremor of the upper limbs at the age of 39 years. She had no significant non-motor symptoms. Clinical exam at the age of 41 showed mild bilateral hypokinesia, rigidity and rest tremor with left-sided predominance. Brain MRI was normal. 123I-FP-CIT SPECT showed severely, symmetrically reduced uptake in the putamina and to a lesser extent the caudate nuclei. She had an excellent response to pramipexole. Disease progression was very slow. After 11 years of disease progression, she was still on monotherapy with pramipexole extended release 3.15 mg q.d. Skin biopsy was obtained at the age of 46. The clinical history of the PD patient with homozygous W437G mutations in PINK1 was described before.34 Healthy controls included a 40-year-old female (Ctrl1) and a 28-year-old male (Ctrl2), who both had a normal clinical neurological exam. Fibroblasts were cultured as described35 in DMEM F12 (Invitrogen, 31331093) supplemented with foetal bovine serum (10%; Greiner Bio-One, 10270106), non-essential amino acids (1%; Thermo Fisher, 11140035), penicillin (100 U/ml; Thermo Fisher, 15140112), streptomycin (100 µg/ml; Thermo Fisher, 15140112) and sodium bicarbonate (0.12%; Sigma, S8761) at 37°C in a 5% CO2 humidified atmosphere. Cultures were repeatedly tested for Mycoplasma and tests were always negative. Fibroblast experiments were performed at passage numbers 5–14. Within the same experiment, control and mutant fibroblasts were used at similar passage numbers.
iPSC generation
Fibroblasts from the PD patient with PARK7 mutations, the PD patient with PRKN mutations and healthy control Ctrl1 were reprogrammed to induced pluripotent stem cells (iPSCs) via Sendai virus-mediated overexpression of Yamanaka transcription factors OCT4, SOX2, KLF4 and C-MYC.36 Three iPSC clones were generated per patient and checked for clearance of the Sendai virus. All iPSC clones underwent state-of-the-art quality controls: immunofluorescent staining for pluripotency markers, analysis of expression of self-renewal genes and trilineage differentiation potential, SNP analysis to confirm genomic identity with the initial fibroblasts and array comparative genomic hybridization to exclude chromosomal defects (Supplementary Methods; Supplementary Figs 1–5). A second healthy control iPSC line from a 24-year-old female (Ctrl3) was obtained from Sigma (IPSC0028).
Figure 5.
Parkin activation is intact in PARK7 mutant cells. (A and B) Control and PARK7 mutant fibroblasts were transfected with FLAG-parkin. After 24 h cells were treated with DMSO or Val. (1 µM) for the indicated time and immunostained for FLAG and the mitochondrial marker ATP5F1B. Nuclei were stained with TOTO-3. Arrowheads indicate parkin puncta on mitochondria. Scale bar = 10 µm. (B) Quantification (n = 3). *P < 0.0001 compared with all Val. conditions in the same subject. (C and D) Control, PRKN mutant and PARK7 mutant fibroblasts were treated with DMSO or valinomycin (Val., 1 µM) for 3 h, followed by western for mitofusin 2 (MFN2). Red arrowheads indicate ubiquitinated MFN2. (D) Quantification (n = 3). *P < 0.05 compared with DMSO in the same subject. #P < 0.05 compared with Val. in Ctrl1, Ctrl2 and PARK7.
Differentiation of iPSCs to dopaminergic neurons
iPSCs were expanded until confluent on Matrigel (VWR, BDAA356277)-coated six-well plates (VWR, 734–2323) in mTeSR basal medium supplemented with mTeSR 5 × supplement (StemCell Technologies, 85850), penicillin (10 U/ml; Thermo Fisher, 15140112) and streptomycin (10 µg/ml; Thermo Fisher, 15140112). For splitting, cells were washed briefly with PBS, incubated with ReLeSR (Stemcell Technologies, 5873) at room temperature for 4 min, collected in mTeSR medium and seeded. iPSCs were differentiated to dopaminergic neurons as described.37 To dissociate cells, iPSCs were incubated with 1 ml/well accutase (400–600 U/ml, Sigma, A6964) for 4 min at 37°C. Cells were suspended in accutase and the plate was rinsed with 2 ml/well of mTeSR to collect remaining cells. After centrifugation for 5 min at 300g, supernatant was discarded and cells were resuspended in mTeSR containing 2 µl/ml Y-27632 ROCK inhibitor (Sigma, 688001) and seeded on Matrigel-coated six-well plates. To induce neuronal differentiation, medium was switched on the next day (day 0 of induction) to KSR [KnockOut DMEM medium (Life Technologies, 10829018) containing 15% KnockOut Serum Replacement (Life Technologies, 10828010), 2 mM L-glutamine, 10 mM β-mercaptoethanol, 1% non-essential amino acids, 10 U/ml penicillin and 10 µg/ml streptomycin] supplemented with LDN-193189 (100 nM, Miltenyi Biotec, 130-106-540) and SB-431542 (10 µM, R&D systems, 1614). Medium was replaced on day 1 by KSR supplemented with LDN-193189 (100 nM), SB-431542 (10 µM), FGF8b (100 ng/ml, R&D systems, 423-F8), SHH (C25II) (100 ng/ml, R&D systems, 464-SH) and purmorphamine (2 µM, Merck Millipore, 540223). On day 3, CHIR-99021 (3 µM, Tocris, 4423) was added. From day 5 onwards, KSR medium was gradually shifted (¼ NB + ¾ KSR on day 5, ½ NB + ½ KSR on day 7, ¾ NB + ¼ KSR on day 9) to NB medium [Neurobasal medium (Life Technologies, 21103049) supplemented with B27 (Life Technologies, 12587010) and N2 (Life Technologies, 17502048), 2 mM L-glutamine, 10 U/ml penicillin and 10 µg/ml streptomycin]. On day 11, medium was completely replaced by NB medium containing CHIR-99021 (3 µM), BDNF (20 ng/ml, Peprotech, AF-450–02), ascorbic acid (0.2 mM, A4544, Sigma), GDNF (20 ng/ml, Peprotech, AF-450-10), TGFβ3 (1 ng/ml, Peprotech, 100-36E), dibutyryl cAMP (0.5 mM, Sigma, D0627) and DAPT (10 µM, Tocris, 2634). On day 13, cells were dissociated using accutase and replated 1:1 on Matrigel-coated plates in differentiation medium (same composition as day 11 NB medium but without CHIR-99021) and medium was replaced every other day. On day 20, cells were dissociated again using accutase and replated at high cell density (±15 0000 cells/well for a 12-well plate, ± 350 000 cells/well for a six-well plate) on plates precoated with poly-L-ornithine (50 µg/ml, Sigma, P3655) and laminin (10 µg/ml, Sigma, L2020) and maintained in differentiation medium until day 50 by replacing medium three times a week. Once a week, the fresh medium contained 10 µg/ml laminin. HeLa cells (for comparison of autophagy receptor expression levels with fibroblasts and iPSC-derived neurons) were cultured as described.31
Transfection and lentiviral transduction
Fibroblasts were transiently transfected with 50 nM siRNA or 0.3 µg/µl cDNA (final concentrations) using the Neon Transfection System (Invitrogen, MPK1096) according to the manufacturer’s instructions. Neurons were transduced with lentivirus on day 48–50 after neuronal induction.
Western blot, mitochondrial isolation and coimmunoprecipitation
WB was performed as described.35 In brief, cells were washed with ice-cold PBS, removed with a scraper and resuspended in PBS (350 mM NaCl, 2.7 mM KCl, 10.2 mM Na2PO4, 1.75 mM KH2PO4, pH 7.4) with 1% Triton X-100 (Sigma, 93443). After solubilization on ice for 30 min, insoluble material was removed by centrifugation at 20 000g for 5 min. Protein concentrations were determined using Bio-Rad Protein assay. Sodium dodecyl-sulphate loading dye was added to the samples, followed by denaturation at 99°C for 10 min, sodium dodecyl-sulphate–polyacrylamide gel electrophoresis, blotting onto polyvinyl difluoride membranes and incubation with blocking solution, primary and secondary antibodies. Immunoreaction was visualized with Luminata Classico (Thermo Fisher, wbluc0100) or Amersham ECL Select (VWR, RPN2235) on a Fujifilm LAS-3000 Imager. The density of scanned signals was measured with UN-SCAN-IT gel 7.1 (Silk Scientific). Mitochondria were isolated as previously described.34 For coimmunoprecipitation, fibroblasts transfected with FLAG-tagged DJ-1 were washed with ice-cold PBS, removed with a scraper and resuspended in lysis buffer (20 mM Tris-HCl, 500 mM NaCl and 1% Triton X-100, pH 7.4). After solubilization for 30 min at 4°C, insoluble material was removed by centrifugation at 20 000g for 5 min. Equal protein amounts were incubated with anti-FLAG M2 Affinity Gel (Sigma, A2220) for 2 h at 4°C after which beads were washed three times with lysis buffer. Bound proteins were eluted in lysis buffer containing FLAG peptides (0.1 µg/µl; Sigma, F3290) for 30 min at 4°C, followed by WB.
Immunofluorescence, confocal microscopy and image analysis
Immunostaining of cultured cells was performed as described.35 TOTO-3 for nuclear staining was purchased from Thermo Fisher (T3604). Confocal images with 0.5 µm slice thicknesses were acquired at room temperature with a Leica TCS SP5 II confocal microscope equipped with a ×63 or ×100 objective lens (HC PL APO ×63 or ×100/1.4 CS2), a multi-argon laser (458, 476, 488 nm) and a He/Ne laser (543 nm). Random images were captured and analysed by an investigator blinded to genotype and experimental condition. A minimum of 200 cells per condition was analysed per experiment.
Structured illumination microscopy
Cells were grown on 1.5H High Performance coverslips (Marienfeld). Coverslips were mounted with ProLong Glass Antifade Mountant (P36984, Thermo Fisher). For image acquisition, a Nikon Ti2 N-structured illumination microscopy (SIM) S microscope equipped with a Hamamatsu ORCA-Flash 4.0 [(C13440) slow, no binning] was used in combination with a ×100 SR Apo TIRF AC objective lens (NA 1.49). The setup was controlled by NIS-Elements 5.21.02 (build 1487). 0.5 µm z-stacks were acquired in 3D-SIM mode (0.03 µm steps) at room temperature. Alexa 488 fluorophore was excited at 488 nm and collected at 525/30. Alexa 555 fluorophore was excited at 543 nm and collected at 595/30. Alexa 647 fluorophore was excited at 633 nm and collected at 720/100 in widefield mode to check for TH- or FLAG-positive cells. Image visualization was done using Arivis vision x54, v.3.3 (Arivis AG). NIS-Elements AR 5.40 (Nikon) was used to analyse 3D-SIM stacks. The analysis of the images included background subtraction by constant, thresholds in 3D and measurement of overlapping volumes and total volumes. All conditions were processed in batch. Ten cells per condition were analysed per experiment.
Proximity ligation assay
Cells were fixed and permeabilized as described for immunostaining. Antibody incubation and probe amplification were performed according to the manufacturer’s instructions (Duolink In Situ Red Starter Kit Mouse/Rabbit, Sigma, DUO 92101). For combination of PLA with immunostaining of mitochondria, cells were incubated simultaneously with goat anti-HSP60 antibody and primary antibodies used for PLA. Following the washing steps, cells were incubated with secondary antibody for immunofluorescence together with the PLA probes. Samples were covered with the Duolink detection solution, washed and mounted according to the PLA protocol. Confocal images with 0.5-µm slice thicknesses were acquired at room temperature with a Leica TCS SP5 II confocal microscope and analysed as described before.
Electrophysiology
Neurons were initially whole-cell voltage clamped at −70 mV using a double EPC-10 amplifier (HEKA Elektronik, Lambrecht/Pfalz, Germany) under the control of Patchmaster v.2x32 software (HEKA Elektronik). The intracellular pipette solution contained (in mM): 136 KCl, 18 HEPES, 4 Na-ATP, 4.6 MgCl2, 4 K2-ATP, 15 creatine phosphate, 1 EGTA and 50 U/ml phosphocreatine kinase (300 mOsm, pH 7.30). The extracellular solution contained (in mM): 140 NaCl, 2.4 KCl, 2 CaCl2, 2 MgCl2, 10 HEPES, 14 glucose (300 mOsm, pH 7.30). Currents were recorded at 20 Hz and low-pass filtered at 3 kHz when stored. Pipettes were pulled using a Sutter P-1000 and resistance ranged from 3 to 5 MΩ. The series resistance was compensated to 70–75%. Cells with series resistances above 15 MΩ were excluded. Spontaneous synaptic events were recorded in whole-cell voltage clamp configuration [holding potential (Vholding) = −70 mV]. Resting membrane potential Vrest and endogenous firing activity were measured in current clamp (Iholding = 0 pA). Recordings were performed at room temperature.
Live mito-Keima and Keima imaging
Fibroblasts were transiently transfected with mito-Keima or Keima cDNA. When cotransfecting fibroblasts with mito-Keima and FLAG-tagged DJ-1, a 1:3 molar ratio for mito-Keima cDNA relative to FLAG-DJ-1 cDNA was used, and immunostaining showed that all mito-Keima-positive cells were also FLAG-positive under these conditions (not shown). Neurons were transduced on day 48 after neuronal induction with lentivirus containing mito-Keima or Keima. Cells were treated with valinomycin, oligomycin, antimycin A, 3-methyladenine, Mito-TEMPO (Sigma, V3639, 495455, A8674, M9281, SML0737), bafilomycin A1 (Abcam, ab120497), PF-064475 and MLi-2 (Tocris, 5716, 5756) and Torin1 (Tocris, 4247). Starvation-induced autophagy was triggered by incubation in Earle’s balanced salt solution (EBSS) (Sigma, E2888). For live mito-Keima or Keima imaging, random images were captured and analysed by an investigator blinded to genotype and experimental condition. Images were analysed on the Leica TCS SP5 II confocal microscope with ×63 objective lens described previously. Keima and mito-Keima were imaged in two channels via two sequential excitations (458 nm, green; 543 nm, red) and using a 600- to 695-nm emission range. Ratio (543:458) images were created using the Ratio Plus plugin in ImageJ, and high (543:458) ratio areas were segmented. The parameter [high (543:458) ratio area:total cell area] was used as an index of autophagy and the parameter [high (543:458) ratio area:total mitochondrial area] as an index of mitophagy, as described.32,35 Approximately 15 cells were analysed per condition per experiment, and at least 10 z-stacks with 0.5-µm slice thicknesses were acquired per cell.
Statistics
The significance of differences was analysed with two-tailed Student’s t-test for comparison between two groups and with one-way ANOVA and post hoc Tukey’s test for comparison between more than two groups (GraphPad prism 9, GraphPad Software, Inc.). Data were presented as mean ± SEM. A P-value of <0.05 was considered statistically significant.
Data availability
The data that support the findings of this study are available from the corresponding author upon reasonable request.
Results
Mitophagy is impaired in DJ-1-deficient human skin fibroblasts
We recently identified a homozygous PARK7 mutation (c.471_473delGCC; p.Pro158del) in a 30-year-old man with juvenile PD.33 DJ-1 protein levels in cultured skin fibroblasts from this patient were only 3.8 ± 1.1% (P < 0.001; n = 3) and 4.5 ± 1.5% (P < 0.001; n = 3) of the levels in fibroblasts from a 40-year-old female healthy control (Ctrl1) and a 28-year-old male healthy control (Ctrl2), respectively (Fig. 1A). This is consistent with previous work showing that the Pro158 deletion drastically impairs the stability of DJ-1.38
Figure 1.
Impaired mitophagy in DJ-1-deficient human fibroblasts. (A) WB for endogenous DJ-1 in fibroblasts from healthy controls (Ctrl1, Ctrl2) and a PD patient with homozygous PARK7 mutations. (B and C) Fibroblasts from healthy controls and PD patients with homozygous PINK1, compound heterozygous PRKN and homozygous PARK7 mutations were transfected with mito-Keima and treated for 48 h with DMSO, valinomycin (Val., 1 µM) and bafilomycin A1 (Baf., 100 nM), followed by live ratiometric imaging. High (543:458) ratio signal corresponds to mito-Keima present in lysosomes. (C) High (543:458) ratio area/total mitochondrial area was quantified as an index of mitophagy (n = 3–5). *P < 0.001 compared with all conditions other than Ctrl Val. (D and E) Fibroblasts from healthy controls and patients with PRKN or PARK7 mutations were treated for 48 h with DMSO or Val., followed by western. (E) Quantification (n = 5). *P < 0.05 compared with PRKN and PARK7. (F and G) Fibroblasts were treated as indicated for 48 h and immunostained for mitochondrial marker HSP60. Nuclei were stained with TOTO-3. Arrows indicate examples of cells without detectable HSP60 staining. (G) Quantification of percentage cells without detectable HSP60 (n = 3, with at least 200 cells analysed per condition in each of the three experiments). *P < 0.0001 compared with all conditions other than Ctrl Val. (H) WB of Ctrl1 fibroblasts transfected with empty vector (EV) or FLAG-tagged wild-type (WT) or C106A DJ-1. (I and J) PARK7 mutant fibroblasts were cotransfected with mito-Keima and either EV or FLAG-tagged WT or C106A DJ-1. After 24 h, cells were treated with DMSO or Val. (1 µM) for 48 h, followed by mito-Keima imaging. (J) Quantification (n = 3). *P < 0.0001 compared with EV Val. and all DMSO conditions. (K and L) Control fibroblasts were transfected with the indicated siRNAs for 72 h, followed by western. (L) Quantification (n = 3). *P < 0.05 compared with all other conditions in the same subject. (M) Control fibroblasts were transfected with mito-Keima and the indicated siRNAs. After 72 h, cells were treated with DMSO or Val. (1 µM) for 48 h, followed by mito-Keima imaging and quantification (n = 3). *P < 0.005 compared with all other conditions in the same subject. Scale bars = 10 µm. Illustrations of mito-Keima imaging in the siRNA-transfected cells are shown in Supplementary Fig. 6.
To induce mitophagy we exposed the fibroblasts to the mitochondrial uncoupler valinomycin. We previously showed that valinomycin-induced mitophagy in human skin fibroblasts is PINK1- and parkin-dependent.34,35 We first used live mito-Keima imaging to measure mitophagic flux.35 Mito-Keima is a mitochondrially targeted form of Keima, a fluorescent protein that is resistant to lysosomal proteases and exhibits pH-dependent excitation.32 The peak of the excitation spectrum of mito-Keima shifts when mitochondria are delivered to acidic lysosomes, allowing live dual-excitation ratiometric quantification of mitophagy.32 In fibroblasts from healthy controls, mito-Keima imaging showed that valinomycin-induced mitophagy, which was suppressed by the lysosomal vacuolar-type H+-ATPase inhibitor bafilomycin A1, consistent with previous work 35 (Fig. 1B and C). Interestingly, valinomycin-induced mitophagy was severely suppressed in PARK7 mutant fibroblasts, to a similar extent as in cells from PD patients with compound heterozygous PRKN or homozygous PINK1 mutations (Fig. 1B and C). We confirmed the mitophagy defect in the PARK7 mutant fibroblasts by measurement of valinomycin-induced clearance of the mitochondrial matrix protein HSP60 by WB (Fig. 1D and E) and immunostaining (Fig. 1F and G). The mitophagy defect of PARK7 mutant fibroblasts was rescued by overexpression of wild-type DJ-1 (Fig. 1H–J). Finally, knockdown of DJ-1 in control fibroblasts with two different siRNAs also suppressed mitophagy (Fig. 1K–M and Supplementary Fig. 6).
Taken together, these data indicated that valinomycin-induced mitophagy in human fibroblasts requires DJ-1.
Previous work has shown that cysteine residue 106 (C106) of DJ-1 is highly sensitive to oxidation by H2O2 and that C106 oxidation is required for some of the cellular effects of DJ-1.20,39 We generated a DJ-1 construct in which C106 was replaced by alanine (C106A). DJ-1C106A rescued mitophagy in PARK7 mutant fibroblasts as efficiently as wild-type DJ-1 (Fig. 1H–J), indicating that the function of DJ-1 in mitophagy did not require C106 oxidation.
DJ-1 has been reported to protect against oxidative stress.19,20 We tested whether Mito-TEMPO, a scavenger of reactive oxygen species (ROS), could rescue the mitophagy defect of PARK7 mutant fibroblasts, but this was not the case (Supplementary Fig. 7), suggesting that the mitophagy defect of the mutant cells was not caused by oxidative stress.
Mitophagy is impaired in DJ-1-deficient iPSC-derived human neurons
We reprogrammed the PARK7 mutant, PRKN mutant and Ctrl1 fibroblasts to iPSCs. We differentiated two iPSC clones from the PARK7 patient, two iPSC clones from the PRKN patient, one iPSC clone from Ctrl1 and a commercially available iPSC clone from a healthy 24-year-old female (Ctrl3) to dopaminergic neurons. This yielded cultures in which ∼80% of all cells on day 50 after neuronal induction were neurons based on labelling for the neuronal marker MAP2 and ∼55% of all cells were dopaminergic based on staining for TH (Fig. 2A and B and Supplementary Fig. 8). These percentages were not significantly different between control, PARK7 and PRKN cultures (Fig. 2B). Percentages of GFAP-positive cells (astrocytes) on day 50 after neuronal induction were 2.0 ± 0.5% in Ctrl1 cultures, 2.9 ± 0.6% in Ctrl2 cultures, 3.0 ± 0.8% in PRKN mutant (clone 1) cultures and 2.0 ± 0.6% in PARK7 mutant (clone 1) cultures (P = 0.54; n = 3). The iPSC-derived neurons formed synapses, as shown by colocalization of the presynaptic marker synaptophysin and the postsynaptic marker PSD-95 (Fig. 2C) and recording of spontaneous excitatory postsynaptic currents (Fig. 2D and E), and generated spontaneous action potentials, confirming their neuronal identity (Fig. 2F). As in the PARK7 mutant fibroblasts, DJ-1 protein levels were nearly undetectable in the PARK7 neurons (Fig. 2G). DJ-1 protein levels in neurons derived from PARK7 iPSC clone 1 were only 11.3 ± 1.2% (P < 0.01; n = 3) and 9.8 ± 0.7% (P < 0.01; n = 3) of the levels in Ctrl1 and Ctrl3, respectively. DJ-1 levels in neurons from PARK7 iPSC clone 2 were 11.8 ± 1.2% (P < 0.01; n = 3) and 8.5 ± 1.2% (P < 0.01; n = 3) of the levels in Ctrl1 and Ctrl3, respectively.
Figure 2.
Impaired mitophagy in DJ-1-deficient iPSC-derived human neurons. (A and B) On Day 50 after neuronal induction, iPSC-derived neuronal cultures from healthy controls (Ctrl1, Ctrl3) and PD patients with PRKN (clones 1 and 2) and PARK7 mutations (clones 1 and 2) were immunostained for MAP2 and tyrosine hydroxylase (TH). Nuclei were stained with TOTO-3. Scale bar = 20 μm. TH and MAP2 immunostainings of neuronal cultures derived from Ctrl3, PRKN mutant (clones 1 and 2) and PARK7 mutant (clone 2) iPSCs are shown in Supplementary Fig. 8. (B) Quantification of percentage of TH- and MAP2-positive cells (n = 3–6). (C) Immunostaining for PSD-95, synaptophysin (Syn) and TH in neurites from Ctrl3. Arrows indicate colocalization of PSD-95 and Syn. Scale bar = 2 μm. (D) Phase contrast image of iPSC-derived neuron (Ctrl3) during patch-clamp recording. (E) Whole-cell voltage clamp recording of iPSC-derived neuron (Ctrl3) showing spontaneous excitatory postsynaptic currents (Vholding = −70 mV). (F) Current-clamp recording of iPSC-derived neuron (Ctrl3) showing spontaneous action potentials and irregular bursting behaviour. Vrest = −64 mV. (G) WB for endogenous DJ-1 in iPSC-derived neuronal cultures from healthy controls and PD patient with PARK7 mutations (clones 1 and 2). (H–J) On Day 48 after neuronal induction, neurons from healthy controls and PD patients with PRKN (clones 1 and 2) and PARK7 mutations (clones 1 and 2) were transduced with mito-Keima lentivirus. After 48 h, cells were treated for 24 h with DMSO, valinomycin (Val., 1 μM), a combination of oligomycin (10 µM) and antimycin (4 µM) (O/A), bafilomycin A1 (Baf., 100 nM) or 3-methyladenine (3-MA, 10 mM), as indicated, followed by live ratiometric mito-Keima imaging. Scale bar = 10 μm. (J) High (543:458) ratio area:total mitochondrial area was quantified as an index of mitophagy (n = 3–4). *P < 0.005 compared with all conditions other than Ctrl Val. and Ctrl O/A. (K and L) On day 46 after neuronal induction, PARK7 mutant neurons (clones 1 and 2) were transduced with either GFP-tagged empty vector (EV) or GFP-tagged WT DJ-1 lentivirus. On day 48, cells were transduced with mito-Keima lentivirus. After 24 h, cells were treated as indicated for 24 h, followed by mito-Keima imaging. Scale bar = 10 μm. (L) Quantification (n = 3). *P < 0.0001 compared with all other conditions in the same clone.
We used lentiviral transduction to express mito-Keima in the iPSC-derived neurons. To depolarize mitochondria, we exposed neurons to the electron transport chain complex III inhibitor antimycin A in combination with the ATP synthase inhibitor oligomycin, which prevents mitochondrial repolarization, or to valinomycin. In wild-type neurons, this induced substantial mitophagy, which was suppressed by bafilomycin A1 and by 3-methyladenine, an inhibitor of macro-autophagy induction (Fig. 2H–J). Importantly, mitophagy was abrogated both in PRKN and PARK7 mutant neurons (Fig. 2I and J). As in the fibroblasts, overexpression of wild-type DJ-1 in PARK7 mutant neurons restored mitophagy (Fig. 2K and L).
DJ-1 is dispensable for non-selective autophagy
Mitophagy is a form of selective autophagy in which autophagy receptors, such as optineurin, link ubiquitinated cargo to LC3 that is present on autophagosomal membranes. In addition to selective autophagy, cells are also capable of non-selective (bulk) autophagy in which cytosolic components and organelles are degraded indiscriminately via mechanisms that are independent of autophagy receptors.40 To assess whether DJ-1 was also required for non-selective autophagy, we transfected fibroblasts with Keima (the same probe as used for mitophagy imaging except that it lacked the mitochondrial targeting sequence32,35) and exposed fibroblasts to amino acid starvation, a classical trigger for non-selective autophagy. There was no significant difference in starvation-induced autophagy between wild-type, PARK7, PINK1 and PRKN mutant fibroblasts (Fig. 3A and B), suggesting that non-selective autophagy occurs independently of DJ-1, PINK1 and parkin. Measurement of lipidated LC3 (LC3-II):β-actin ratios on WB also showed no difference in starvation-induced autophagy between control and DJ-1-deficient fibroblasts (Fig. 3C and D).
Figure 3.
Non-selective autophagy is preserved in PARK7 mutant fibroblasts and neurons. (A and B) Fibroblasts from healthy controls (Ctrl1, Ctrl2) and PD patients with homozygous PINK1, compound heterozygous PRKN or homozygous PARK7 mutations were transfected with Keima and incubated either in standard culture medium (DMEM) or in EBSS for 4 h to trigger starvation-induced autophagy, in the presence or absence of bafilomycin A1 (Baf., 100 nM), followed by live ratiometric Keima imaging. High (543:458) ratio signal corresponds to Keima present inside lysosomes. (B) Quantification (n = 3). *P < 0.0001 compared with all other conditions in the same subject. (C and D) Ctrl1 and PARK7 mutant fibroblasts were incubated for 4 h in DMEM or EBSS in the presence or absence of Baf. (100 nM), followed by WB for LC3. (D) Quantification (n = 8). *P < 0.0001 compared with all other conditions in the same subject. (E and F) Neurons from Ctrl1 and a PD patient with PARK7 mutations (clone 1) were transduced with Keima lentivirus and incubated in EBSS for 4 h or treated with the mTOR inhibitor Torin1 (1 µM), Baf. (100 nM) or 3-methyladenine (3-MA, 10 mM) for 24 h, followed by live Keima imaging. (F) Quantification (n = 3–6). *P < 0.001 compared with the basal, EBSS and Torin1 conditions in the same subject. Scale bars = 10 μm.
We also performed live Keima imaging in control and PARK7 mutant iPSC-derived neurons. Basal autophagy levels were high and similar in control and PARK7 neurons, and were significantly suppressed by bafilomycin A1 and 3-methyladenine (Fig. 3E and F). In contrast to fibroblasts, amino acid starvation did not further upregulate autophagy in neurons, consistent with previous findings in cultured mouse hippocampal neurons.41 As an alternative way to augment non-selective autophagy, we treated the neurons for 24 h with Torin1, a potent inhibitor of the negative autophagy regulators mTORC1 and mTORC2. Torin1 also failed to significantly upregulate autophagy in control and PARK7 neurons, in line with previous work in neurons.41
Collectively, these findings showed that DJ-1 is required for PINK1/parkin-mediated mitophagy, but not for starvation-induced non-selective autophagy.
Optineurin recruitment to mitochondria is impaired in DJ-1-deficient fibroblasts and neurons
We then interrogated the sequential steps of PINK1/parkin-mediated mitophagy in PARK7 mutant cells to determine which step was disrupted. Valinomycin-induced accumulation of endogenous PINK1 was intact in PARK7 mutant fibroblasts (Fig. 4A and B) and neurons (Fig. 4C and D). Next, we assessed PINK1-mediated ubiquitin phosphorylation. In PINK1 mutant cells, phospho-ubiquitin formation was completely abolished, as expected (Fig. 4E, F, I and J). In PRKN mutant cells, phospho-ubiquitin formation on depolarized mitochondria was detectable but severely reduced compared with control cells (Fig. 4I–L), probably because loss of parkin-mediated ubiquitin chain formation on mitochondria resulted in reduced amounts of substrate for PINK1-mediated ubiquitin phosphorylation.5,6,7,12 By contrast, PARK7 mutant fibroblasts and dopaminergic neurons showed fully preserved phospho-ubiquitin formation and accumulation on depolarized mitochondria (Fig. 4E–L). Translocation of parkin to depolarized mitochondria (Fig. 5A and B) and ubiquitination and degradation of mitofusin 2, a substrate of parkin on the OMM, also occurred normally in PARK7 mutant cells (Fig. 5C and D). Thus, DJ-1 was not required for the enzymatic activity of PINK1 or parkin.
Figure 4.
PINK1 accumulation and activity is intact in PARK7 mutant cells. (A and B) Healthy control (Ctrl1, Ctrl2) and PARK7 mutant fibroblasts were treated with valinomycin (Val., 1 µM) for the indicated time, followed by WB for endogenous PINK1. (B) Quantification (n = 4). *P < 0.05 compared with DMSO in the same subject. (C and D) Ctrl1 and PARK7 mutant (clone 1) iPSC-derived neurons were treated with Val. (1 µM) for the indicated time, followed by western for endogenous PINK1. (D) Quantification (n = 6). *P < 0.05 compared with DMSO in the same subject. (E and F) Ctrl1, Ctrl2, PINK1 mutant and PARK7 mutant fibroblasts were treated with Val., followed by western for endogenous phospho-ubiquitin (p-Ub) and total Ub. (F) Quantification (n = 4–5). *P < 0.05 compared with DMSO in the same subject. #P < 0.05 compared with Ctrl1, Ctrl2 and PARK7 after the same duration of Val. exposure. (G and H) Ctrl1 and PARK7 mutant (clone 1) neurons were treated with Val. (1 µM) as indicated, followed by western for endogenous p-Ub and total Ub. (H) Quantification (n = 4). *P < 0.05 compared with DMSO in the same subject. (I and J) Ctrl1, Ctrl2, PINK1, PRKN and PARK7 mutant fibroblasts were treated with DMSO or valinomycin (Val., 1 µM) for the indicated time and immunostained for endogenous phospho-ubiquitin (p-Ub) and the mitochondrial marker ATP5F1B. Nuclei were stained with TOTO-3. Arrowheads in I indicate examples of p-Ub puncta that colocalize with mitochondria. (J) Quantification of the percentage of cells with p-Ub/ATP5F1B colocalization (n = 3). *P < 0.05 compared with Ctrl1, Ctrl2 and PARK7 after the same duration of Val. exposure. #P < 0.005 compared with Val. 1, 3, 6 and 12 h in the same subject. (K and L) On day 50 after neuronal induction, Ctrl1, PRKN (clone 1) and PARK7 (clone 1) mutant neurons were treated with DMSO or Val. (1 µM) for the indicated time and immunostained for endogenous p-Ub, ATP5F1B and tyrosine hydroxylase (TH). Arrowheads in K indicate examples of p-Ub puncta that colocalize with mitochondria. (L) Quantification of the percentage of TH-positive cells with p-Ub/ATP5F1B colocalization (n = 3). *P < 0.0001 compared with Ctrl1 and PARK7 after the same duration of Val. exposure. #P < 0.0001 compared with all Val. conditions in the same subject. Scale bars = 10 µm.
However, recruitment of the autophagy receptor optineurin to damaged mitochondria was severely impaired in PARK7 mutant fibroblasts (Fig. 6A and C and Supplementary Fig. 9A) and dopaminergic neurons (Fig. 6D and E), to a similar degree as in PINK1 and PRKN mutant cells, as shown by immunostaining and confocal microscopy. Super-resolution microscopy (SIM) confirmed colocalization of endogenous optineurin with mitochondria in valinomycin-treated control, but not PARK7 mutant, dopaminergic neurons (Supplementary Fig. 10A and B and Supplementary Videos 1 and 2). Moreover, subcellular fractionation and western blotting revealed that valinomycin treatment of control neurons induced an ∼2.5-fold increase in the amount of endogenous optineurin in the mitochondrial fraction, while this translocation was abrogated in PARK7 mutant neurons (Fig. 6F–I).
Figure 6.
Optineurin recruitment to depolarized mitochondria is impaired in PARK7 mutant fibroblasts and neurons. (A–C) Control (Ctrl1, Ctrl2), PINK1, PRKN and PARK7 mutant fibroblasts were transfected with GFP-tagged optineurin (GFP-OPTN). (B and C) PARK7 mutant fibroblasts were cotransfected with GFP-OPTN and either empty vector (EV) or DJ-1-FLAG. (A–C) After 24 h cells were treated with DMSO or valinomycin (Val., 1 µM) for the indicated time, and immunostained for the mitochondrial marker ATP5F1B and FLAG. Nuclei in A were stained with TOTO-3. Arrowheads indicate GFP-OPTN puncta on mitochondria. Immunostaining images for Ctrl2 and for PARK7 + EV are shown in Supplementary Fig. 9A and B , respectively. (C) Quantification of the percentage of cells showing GFP-OPTN/ATP5F1B colocalization (n = 3). #P < 0.0001 compared with DMSO in the same subject. *P < 0.0001 compared with Ctrl1, Ctrl2 and PARK7 + DJ-1 after the same duration of Val. exposure. (D and E) iPSC-derived control, PRKN (clone 1) and PARK7 (clone 1) mutant neurons were treated with DMSO or Val. (1 µM) for the indicated time and immunostained for endogenous OPTN, ATP5F1B and tyrosine hydroxylase (TH). Arrowheads indicate colocalization of OPTN with mitochondria. (E) Quantification of the percentage of TH-positive cells showing OPTN/ATP5F1B colocalization (n = 3). *P < 0.0001 compared with all Val. conditions in the same subject. #P < 0.001 compared with Ctrl1 and Ctrl3 after the same duration of Val. exposure. Scale bars = 10 µm. (F–I) Ctrl1 neurons (F and G) and PARK7 mutant neurons (H and I) were treated with DMSO or Val. for 6 h, followed by subcellular fractionation and western blotting of total (Tot.), cytosolic (Cyt.) and mitochondrial (Mit.) fractions for endogenous OPTN, ATP5F1B and the non-mitochondrial protein COPB1. Equal amounts of protein (15 µg) were loaded for all fractions. This amount of 15 µg corresponded to nearly the entire mitochondrial fraction and to only ∼5% of the cytosolic fraction, explaining why the ∼2.5-fold increase in mitochondrial optineurin after valinomycin treatment in Ctrl1 cells (F and G) did not result in a visible decrease of optineurin in the cytosolic fraction. (G and I) Quantification of OPTN/ATP5F1B (normalized to DMSO) in the mitochondrial fraction (n = 4). *P < 0.001 compared with DMSO (G).
Overexpression of wild-type DJ-1 in PARK7 mutant cells rescued valinomycin-induced mitochondrial optineurin accumulation (Fig. 6B and C and Supplementary Fig. 9B). The optineurin binding partners LC3 (Supplementary Fig. 11) and RAB1035 (Supplementary Fig. 12) also showed diminished accumulation on depolarized mitochondria in PARK7 mutant cells.
We previously found that increased phosphorylation of RAB10 at threonine 73 (T73) by mutant LRRK2 impaired translocation of RAB10 and optineurin to depolarized mitochondria.35 WB with an antibody against RAB10 phosphorylated at T73 showed no difference between PARK7 mutant and wild-type fibroblasts (Supplementary Fig. 13), indicating that the deficit in RAB10 and optineurin translocation in DJ-1-deficient cells was not due to increased RAB10 phosphorylation.
Phosphorylation of serine residues S473 and S513 of optineurin by activated TANK binding kinase 1 (TBK1) promotes binding of optineurin to ubiquitin chains.10,42 TBK1 is activated on mitochondrial depolarization in a PINK1/parkin-dependent manner.10,42 Consistent with previous work,10,42,43 we found that TBK1 activation, as measured by phosphorylation on its activation loop site S172, was clearly induced by 1 h of valinomycin exposure and declined thereafter (Supplementary Fig. 14A and B). There was no difference in phospho-TBK1S172:TBK1 ratios after valinomycin treatment between wild-type and PARK7 mutant fibroblasts, indicating that DJ-1 deficiency did not interfere with TBK1 activation (Supplementary Fig. 14C and D ).
Besides optineurin, the autophagy receptor NDP52 has also been found to mediate PINK1/parkin-dependent mitophagy in some,8,10 but not all,44 studies. We found that fibroblasts expressed both optineurin and NDP52 (Supplementary Fig. 15A). To assess potential redundancy of these autophagy receptors,8,44 we knocked down optineurin with two different siRNAs (Supplementary Fig. 16A and B). Optineurin knockdown drastically reduced valinomycin-induced mitophagy, indicating that NDP52 did not compensate for loss of optineurin in this pathway in this cell type (Supplementary Fig. 16C and D ). In brain and human iPSC-derived dopaminergic neurons, NDP52 is not expressed, in contrast to optineurin.8,11,12 We confirmed with WB that iPSC-derived dopaminergic neuronal cultures strongly expressed optineurin, but not NDP52 (Supplementary Fig. 15B).
DJ-1 translocates with optineurin to depolarized mitochondria in a PINK1/parkin-dependent manner
To better understand the role of DJ-1 in PINK1/parkin-mediated mitophagy, we analysed its subcellular localization. In control fibroblasts and dopaminergic neurons, endogenous DJ-1 was mostly cytosolic in basal conditions (Fig. 7A–D). However, after valinomycin exposure, endogenous DJ-1 showed puncta that strongly colocalized with mitochondria, both in fibroblasts (Fig. 7A and B) and dopaminergic neurons (Fig. 7C and D). This was confirmed for endogenous DJ-1 in neurons by SIM (Supplementary Fig. 10C and D and Supplementary Video 3) and by mitochondrial fractionation and western blotting (Fig. 7E and F).
Figure 7.
DJ-1 translocates to depolarized mitochondria in close proximity with optineurin in wild-type fibroblasts and neurons. (A and B) Control (Ctrl1) fibroblasts were treated with DMSO or valinomycin (Val., 1 µM) for the indicated time and immunostained for endogenous DJ-1 and the mitochondrial marker ATP5F1B. Nuclei were stained with TOTO-3. Arrowheads indicate examples of DJ-1 puncta that colocalize with mitochondria. (B) Quantification of the percentage cells with DJ-1/ATP5F1B colocalization (n = 3). For comparison, the time course of GFP-optineurin (GFP-OPTN)/ATP5F1B colocalization is also shown (n = 3). *P < 0.005 compared with the 3, 6, 12 and 24 h Val. condition for DJ-1/ATP5F1B colocalization. $P < 0.0001 compared with the 3 and 6 h Val. condition for GFP-OPTN/ATP5F1B colocalization. (C and D) Ctrl1 neurons were treated with Val. (1 µM) for the indicated time and immunostained for endogenous DJ-1, ATP5F1B and tyrosine hydroxylase (TH). Arrowheads indicate examples of DJ-1 puncta that colocalize with mitochondria. (D) Quantification of the percentage of TH-positive cells with DJ-1/ATP5F1B colocalization (n = 3). *P < 0.05 compared with the 3 and 12 h Val. condition. (E and F) Ctrl1 neurons were treated with DMSO or Val. for 6 h, followed by subcellular fractionation and western blotting of total (Tot.), cytosolic (Cyt.) and mitochondrial (Mit.) fractions for endogenous DJ-1, ATP5F1B and the non-mitochondrial protein COPB1. Equal amounts of protein (15 μg) were loaded for all fractions. This amount of 15 µg corresponded to nearly the entire mitochondrial fraction and to only ∼5% of the cytosolic fraction, explaining why the ∼2-fold increase in mitochondrial DJ-1 after valinomycin treatment in Ctrl1 cells (E and F) did not result in a visible decrease of DJ-1 in the cytosolic fraction. (F) Quantification of DJ-1/ATP5F1B (normalized to DMSO) in the mitochondrial fraction (n = 6). *P < 0.0001 compared with DMSO. (G and H) Ctrl1 fibroblasts were transfected with GFP-OPTN and after 24 h cells were treated with DMSO or Val. (1 µM) for the indicated time and immunostained as indicated. Arrowheads indicate examples of colocalization. (H) Percentages were quantified of cells with colocalization of DJ-1/GFP-OPTN/ATP5F1B. *P < 0.0001 compared with the 3 and 6 h Val. condition. (I and J) Ctrl1 fibroblasts were treated with DMSO or Val. for 6 h, followed by proximity ligation (PLA) with antibodies against endogenous OPTN and DJ-1 and immunostaining for the mitochondrial marker HSP60. Arrowheads indicate examples of PLA dots that colocalize with mitochondria. (J) Quantification (n = 3). *P < 0.0001 compared with DMSO. Scale bars = 5 µm. (K) Ctrl1 fibroblasts were transfected (Transf.) with empty vector (EV) of FLAG-tagged DJ-1, as indicated, and treated with DMSO or Val. for 6 h. After coimmunoprecipitation with anti-FLAG beads, the input and immunoprecipitate (IP) were analysed by sodium dodecyl-sulphate–polyacrylamide gel electrophoresis and western blotting using the indicated antibodies. The shown example is representative of six experiments.
DJ-1 translocated to depolarized mitochondria with slower kinetics than parkin: DJ-1 did not yet show significant translocation after 1 h of valinomycin exposure (Fig. 7B), whereas parkin translocation at that time point was already nearly maximal (Fig. 5B). However, the translocation time course of DJ-1 closely resembled that of optineurin (Fig. 7B). The mitochondrial DJ-1 puncta after valinomycin treatment strongly colocalized with optineurin (Fig. 7G and H) and also with parkin, phospho-ubiquitin and LC3 (Supplementary Fig. 17).
Overexpressed FLAG-tagged DJ-1C106A translocated as efficiently to depolarized mitochondria as wild-type FLAG-tagged DJ-1, indicating that oxidation of C106 was not required for DJ-1 translocation (Supplementary Fig. 18).
Figure 8.
DJ-1 translocation to depolarized mitochondria depends on PINK1 and parkin. (A and B) Control (Ctrl1), PINK1 and PRKN mutant fibroblasts were treated with DMSO or valinomycin (Val., 1 µM) for the indicated time and immunostained for endogenous DJ-1 and ATP5F1B. Nuclei were stained with TOTO-3. Arrows indicate DJ-1 puncta on mitochondria. (B) Quantification (n = 3). #P < 0.05 compared with the 3, 6, 12 and 24 h Val. conditions in the same subject. *P < 0.0001 compared with Ctrl1 after the same duration of Val. exposure. (C and D) Control (Ctrl1) and PRKN mutant (clone 1) neurons were treated with DMSO or Val. (1 µM) for the indicated time and immunostained for endogenous DJ-1, ATP5F1B and tyrosine hydroxylase (TH). Arrowheads indicate DJ-1 puncta that colocalize with mitochondria. (D) Quantification (n = 3). #P < 0.005 compared with Ctrl1 after the same duration of Val. exposure. *P < 0.0001 compared with DMSO in the same subject. §P < 0.001 compared with DMSO in the same subject. (E and F) PRKN mutant neurons were treated with DMSO or Val. for 6 h, followed by subcellular fractionation and western blotting of total (Tot.), cytosolic (Cyt.) and mitochondrial (Mit.) fractions for endogenous DJ-1, the mitochondrial protein ATP5F1B and the non-mitochondrial protein COPB1. Equal amounts of protein (15 μg) were loaded for all fractions. (F) Quantification of DJ-1/ATP5F1B (normalized to DMSO) in the mitochondrial fraction (n = 4; P = 0.92 for DMSO versus Val.). (G and H) Ctrl1, PINK1, PRKN and PARK7 mutant fibroblasts were transfected with mito-Keima and either GFP empty vector (EV) or GFP-tagged wild-type DJ-1. After 24 h, cells were treated for 48 h with DMSO or Val. (1 µM), followed by live mito-Keima imaging. (H) Quantification (n = 3). *P < 0.0001 compared with DMSO in the same subject. #P < 0.0001 compared with Val. in Ctrl1 + GFP-EV. $P < 0.001 compared with Val. in Ctrl1 + GFP-DJ-1 and with Val. in PARK7 + GFP-DJ-1. Scale bars = 10 µm. (I) Model (drawn with Biorender.com). After mitochondrial depolarization PINK1 activates parkin by phosphorylating ubiquitin and parkin. Activated parkin catalyses formation of ubiquitin (Ub) chains on mitochondria. DJ-1 facilitates recruitment of optineurin (OPTN) to mitochondrial ubiquitin chains and interacts with OPTN either directly or indirectly via an unknown (indicated by ?) binding partner. PINK1, PRKN and PARK7 mutations interfere with three successive steps in the pathway. P = phosphate; ΔΨm = mitochondrial depolarization.
To assess whether DJ-1 and optineurin are physically close to each other, we performed in situ PLA for the endogenous proteins. A positive PLA signal for two proteins indicates that they are in close proximity (<40 nm distance), typically implying that they are direct or indirect interactors.45,46 Specificity of the PLA signal was demonstrated using technical negative controls, in which we omitted either the DJ-1 or the optineurin primary antibody (Supplementary Fig. 19A), as well as biological negative controls, in which we performed PLA for DJ-1 or optineurin and proteins not known to interact with DJ-1 or optineurin (cytosolic protein GTP cyclohydrolase 1, endoplasmic reticulum markers PDI and calnexin, Golgi markers GM-130 and GOLGA5, and early endosome marker EEA1) (Supplementary Fig. 19B). We observed abundant positive PLA signals for endogenous DJ-1 and optineurin, both in basal conditions and after mitochondrial depolarization (Fig. 7I and J). The total number of DJ-1/optineurin PLA dots did not change significantly after mitochondrial depolarization, but the percentage of DJ-1/optineurin PLA dots that colocalized with mitochondria strongly increased after valinomycin exposure (Fig. 7I and J). Taken together, the PLA data indicated that DJ-1 and optineurin were localized in intimate proximity in the cytosol in basal conditions and migrated together to mitochondria after mitochondrial depolarization.
Furthermore, endogenous optineurin coimmunoprecipitated with DJ-1-FLAG in control fibroblasts (Fig. 7K). Mitochondrial depolarization had no significant effect on the interaction between optineurin and DJ-1: after 6 h treatment with valinomycin, the amount of optineurin coimmunoprecipitated with DJ-1-FLAG, divided by the amount of optineurin present in the input, was 98.3 ± 22.1% of the value after DMSO treatment (n = 6; P = 0.94).
Importantly, translocation of endogenous DJ-1 to depolarized mitochondria was severely impaired in PINK1 mutant and PRKN mutant fibroblasts (Fig. 8A and B) and in PRKN mutant dopaminergic neurons (Fig. 8C and D). This was confirmed for endogenous DJ-1 in PRKN mutant neurons by SIM (Supplementary Fig. 10C and D and Supplementary Video 4) and by western blotting of mitochondrial fractions (Fig. 8E and F).
Overexpressed DJ-1 also failed to translocate to depolarized mitochondria in PINK1 and PRKN mutant fibroblasts (Supplementary Fig. 20 ) and did not rescue the mitophagy defect of these cells (Fig. 8G and H). Thus, DJ-1 depends on PINK1 and parkin for its translocation to mitochondria and does not compensate for loss of the upstream effects of PINK1 or parkin in this pathway.
Overexpression of parkin is known to strongly increase ubiquitination and clearance of depolarized mitochondria in various cell types.34,47 Parkin overexpression also enhanced valinomycin-induced mitophagy in PARK7 mutant fibroblasts (Supplementary Figs 21 and 22). However, valinomycin induced much less mitophagy in parkin-overexpressing PARK7 mutant fibroblasts than in parkin-overexpressing wild-type fibroblasts, indicating that DJ-1 deficiency negatively affected mitophagy even under conditions of parkin overexpression (Supplementary Figs 21 and 22). Similarly, valinomycin-induced optineurin recruitment to mitochondria was severely reduced in parkin-overexpressing PARK7 mutant fibroblasts compared to parkin-overexpressing wild-type fibroblasts (Supplementary Fig. 23).
Finally, we wondered whether artificial targeting of DJ-1 to the OMM would be sufficient to recruit optineurin to mitochondria. We fused the N-terminal transmembrane segment (amino acids 1-49) of the OMM protein TOMM20 to DJ-1 carrying a C-terminal FLAG tag (OMM-DJ-1-FLAG). Immunostaining and confocal imaging of transfected control fibroblasts showed that OMM-DJ-1-FLAG strongly colocalized with mitochondria, in contrast to the diffuse cytosolic distribution of DJ-1-FLAG (Supplementary Fig. 24A). This was confirmed by SIM (Supplementary Fig. 24B and C ). Subcellular fractionation followed by western blotting also confirmed that OMM-DJ-1-FLAG was predominantly mitochondrial and DJ-1-FLAG mostly cytosolic (Supplementary Fig. 24D). Interestingly, expression of OMM-DJ-1-FLAG induced optineurin recruitment to mitochondria in the absence of valinomycin treatment in control fibroblasts and even in PINK1 and PRKN mutant cells, as shown by confocal imaging (Supplementary Fig. 24E and F ) and by SIM (Supplementary Fig. 24G and H ). Thus, DJ-1 artificially anchored to the OMM was able to recruit optineurin to mitochondria independently of PINK1/parkin pathway activation.
Discussion
PRKN, PINK1 and PARK7 have been unequivocally identified as causative genes for autosomal recessive early-onset PD. PARK7 mutations are the rarest known cause of recessive PD, accounting for only ∼0.4% of early-onset PD cases.16 Mechanistic studies in cells from PD patients with PARK7 mutations have been scarce,29,48,49 probably due to the rarity of these mutations, and the pathogenic mechanisms of DJ-1 deficiency remain poorly understood. In the present study, we demonstrate in patient-derived fibroblasts and neurons that endogenous DJ-1 is essential for PINK1/parkin-mediated mitophagy. Loss of DJ-1 does not impair PINK1 or parkin activation, but blocks mitophagy further downstream at the level of mitochondrial recruitment of optineurin. These findings position DJ-1 downstream of PINK1 and parkin in the same pathway (Fig. 8I) and suggest closely related pathogenic mechanisms for the different forms of autosomal recessive PD.
We found that endogenous DJ-1 translocated from the cytosol to depolarized mitochondria in primary human fibroblasts and dopaminergic neurons. Two previous studies showed that DJ-1 can relocate to mitochondria after exposure to the oxidants H2O2 or paraquat in neuroblastoma cell lines.39,50 One of these studies reported that oxidant-induced mitochondrial translocation of DJ-1 was driven by oxidation of C10639 while the other study found that mutating C106 had no effect on DJ-1 translocation.50 In our current study, depolarization-induced mitochondrial translocation of DJ-1 did not require C106 oxidation, but, importantly, depended on PINK1 and parkin.
Our data reveal a close spatial and functional relationship of DJ-1 with optineurin. In situ PLA showed intimate proximity of endogenous DJ-1 and optineurin in the cytosol in basal conditions as well as on mitochondria after depolarization. Interestingly, a recent study using APEX2 proximity proteomics, a strategy for unbiased identification of proteins present within 20 nm of a bait protein, identified DJ-1 as a proximity partner of optineurin, but not of other autophagy receptors, further supporting the idea that DJ-1 and optineurin are closely adjacent.51 Furthermore, we were able to coimmunoprecipitate optineurin with DJ-1-FLAG, suggesting that optineurin and DJ-1 are direct or indirect binding partners. DJ-1 and optineurin translocated to depolarized mitochondria with similar kinetics, and more slowly than parkin. Moreover, optineurin accumulation on damaged mitochondria was abrogated in DJ-1-deficient fibroblasts and dopaminergic neurons, indicating a critical role for DJ-1 in mitochondrial optineurin recruitment. By contrast, non-selective autophagy, which does not require optineurin or other autophagy receptors, was preserved in PARK7 mutant fibroblasts and neurons. DJ-1 artificially anchored to the OMM enhanced mitochondrial localization of optineurin independently of PINK1/parkin activation, providing further evidence that mitochondrial translocation of DJ-1 contributed to mitochondrial optineurin recruitment.
Optineurin and NDP52 are the main selective autophagy receptors involved in PINK1/parkin-mediated mitophagy.8 We confirmed the previous finding that optineurin is expressed in neurons, unlike NDP52.8,11,12 Optineurin is a scaffold protein that drives selective autophagy through interaction with multiple partners.52 In addition to linking ubiquitinated cargo to autophagosomal membranes via binding to ubiquitin and LC3, optineurin also promotes local phagophore biogenesis via recruitment of ULK1 and ATG9.8,53 The optineurin complex appears to be a hotspot for mutations causative of neurodegeneration. Mutations in the genes for optineurin and its interactor TBK1 cause amyotrophic lateral sclerosis (ALS) and frontotemporal dementia.54 Interestingly, although most patients with PARK7 mutations have typical early-onset PD, some develop ALS and dementia in addition to parkinsonism.55,56 PD-linked LRRK2 mutations also interfere with mitochondrial optineurin accumulation during PINK1/parkin-mediated mitophagy.35 In wild-type cells, the LRRK2 substrate RAB10 binds with optineurin and promotes optineurin accumulation on depolarized mitochondria. Pathogenic LRRK2 mutations enhance phosphorylation of RAB10 at T73, which disrupts RAB10 interaction with optineurin and mitochondrial optineurin recruitment.35 Here, we found no change in RAB10 T73 phosphorylation levels in DJ-1-deficient cells compared with wild-type, indicating that PARK7 and LRRK2 mutations interfere with mitochondrial optineurin recruitment via different mechanisms. Future studies will need to further unravel how DJ-1 facilitates optineurin recruitment to damaged mitochondria.
The essential role for DJ-1 in PINK1/parkin-dependent mitochondrial quality control may explain several previous observations in DJ-1-deficient cells, such as their reduced average mitochondrial membrane potential,29,30,57 increased mitochondrial fragmentation29,30,49 and elevated mitochondrial ROS production.29,48,57 DJ-1-mediated removal of dysfunctional mitochondria probably contributes to the ability of DJ-1 to reduce oxidative stress, along with other reported mechanisms such as direct ROS scavenging by DJ-1 via C106 oxidation20 and DJ-1-induced activation of Nrf2, a regulator of anti-oxidant transcriptional responses.58
In HeLa cells, DJ-1 overexpression did not rescue the mitochondrial morphological phenotype caused by PINK1 knockdown.59 In Drosophila, one study found that DJ-1 ameliorated the phenotype of pink1 mutant, but not parkin mutant flies,60 while another study found no rescuing effect of DJ-1 in pink1 deficient flies.61 In the current study, we found that DJ-1 did not rescue the mitophagy defect of PINK1 or PRKN mutant fibroblasts, indicating that DJ-1 cannot compensate for loss of the kinase activity of PINK1 or the E3 ubiquitin ligase activity of parkin that occur upstream in this pathway.
A limitation of our study is that we did not use isogenic control fibroblasts or neurons. However, overexpression of DJ-1 rescued mitophagy in PARK7 mutant fibroblasts and neurons, and siRNA-mediated DJ-1 knockdown induced a mitophagy defect in fibroblasts from healthy controls, indicating that the mitophagy defect in PARK7 mutant cells was indeed due to loss of DJ-1.
In conclusion, we show that DJ-1 is an essential downstream mediator in PINK1/parkin-dependent mitophagy. On the basis of this, we propose that disruption of PINK1/parkin/DJ-1-mediated mitophagy may be a common pathogenic mechanism in autosomal recessive PD. This convergence further enhances the attractiveness of this pathway as a target for disease modification for autosomal recessive and early-onset PD.
Supplementary Material
Acknowledgements
We are grateful to Atsushi Miyawaki, Michael Davidson, Jayanta Debnath, Beatrice Yue and Richard Youle for providing constructs, to Hongli Li, Marc Fransen, Nils Schoovaerts, Valérie Race and Abril Escamilla-Ayala for discussion, and to participating patients and healthy control participants for donating fibroblasts.
Contributor Information
Dorien Imberechts, Laboratory for Parkinson Research, KU Leuven, 3000 Leuven, Belgium.
Inge Kinnart, Laboratory for Parkinson Research, KU Leuven, 3000 Leuven, Belgium.
Fieke Wauters, Laboratory for Parkinson Research, KU Leuven, 3000 Leuven, Belgium.
Joanne Terbeek, Laboratory for Parkinson Research, KU Leuven, 3000 Leuven, Belgium.
Liselot Manders, Laboratory for Parkinson Research, KU Leuven, 3000 Leuven, Belgium.
Keimpe Wierda, Electrophysiology Expertise Unit, VIB-KU Leuven Center for Brain and Disease Research, 3000 Leuven, Belgium.
Kristel Eggermont, Stem Cell and Developmental Biology, KU Leuven, 3000 Leuven, Belgium.
Rodrigo Furtado Madeiro, Stem Cell and Developmental Biology, KU Leuven, 3000 Leuven, Belgium.
Carolyn Sue, Department of Neurogenetics, Kolling Institute of Medical Research, Royal North Shore Hospital and University of Sydney, St. Leonards 2065, Australia.
Catherine Verfaillie, Stem Cell and Developmental Biology, KU Leuven, 3000 Leuven, Belgium.
Wim Vandenberghe, Laboratory for Parkinson Research, KU Leuven, 3000 Leuven, Belgium; Department of Neurology, University Hospitals Leuven, 3000 Leuven, Belgium.
Funding
D.I. and I.K. are supported by PhD Fellowships of the Research Foundation Flanders (FWO). This work was supported by FWO grant G072821N to W.V. The N-SIM microscope is property of Professor Thierry Voet and funded by FWO research infrastructure grant number I001818N.
Competing interests
The authors report no competing interests.
Supplementary material
Supplementary material is available at Brain online.
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Supplementary Materials
Data Availability Statement
The data that support the findings of this study are available from the corresponding author upon reasonable request.