Abstract
Myelination of axons facilitates the rapid propagation of electrical signals and the long-term integrity of axons. The ubiquitin-proteasome system is essential for proper protein homeostasis, which is particularly crucial for interactions of postmitotic cells. In our study, we examined how the E3 ubiquitin ligase FBXO7-SCF (SKP1, Cul1, F-box protein) expressed in myelinating cells affects the axon-myelin unit. Deletion of Fbxo7 in oligodendrocytes and Schwann cells in mice using the Cnp1-Cre driver line led to motor impairment due to hindlimb paresis. It did not result in apoptosis of myelinating cells, nor did it affect the proper myelination of axons or lead to demyelination. It however triggered axonal degeneration in the CNS and resulted in the severe degeneration of axons in the PNS, inducing a full-blown neuropathy. Both the CNS and PNS displayed inflammation, while the PNS was also characterized by fibrosis, massive infiltration of macrophages, and edema. Tamoxifen-induced deletion of Fbxo7, after myelination using the Plp1-CreERT2 line, led to a small number of degenerated axons and hence a very mild peripheral neuropathy. Interestingly, loss of Fbxo7 also resulted in reduced proteasome activity in Schwann cells but not in cerebellar granule neurons, indicating a specific sensitivity of the former cell type. Together, our results demonstrate an essential role for FBXO7 in myelinating cells to support associated axons, which is fundamental to the proper developmental establishment and the long-term integrity of the axon-myelin unit.
SIGNIFICANCE STATEMENT The myelination of axons facilitates the fast propagation of electrical signals and the trophic support of the myelin-axon unit. Here, we report that deletion of Fbxo7 in myelinating cells in mice triggered motor impairment but had no effect on myelin biogenesis. Loss of Fbxo7 in myelinating glia, however, led to axonal degeneration in the CNS and peripheral neuropathy of the axonal type. In addition, we found that Schwann cells were particularly sensitive to Fbxo7 deficiency reflected by reduced proteasome activity. Based on these findings, we conclude that Fbxo7 is essential for the support of the axon-myelin unit and long-term axonal health.
Introduction
Oligodendrocytes and Schwann cells are the myelinating cells of the CNS and PNS, respectively. They engage in a unique cell–cell interaction with axons and facilitate the rapid propagation of action potentials. A new line of research also established the trophic support of axons by myelinating cells. This idea was sparked by mouse models that lack the major myelin proteins myelin proteolipid protein (PLP) or CNP (CNPase). Both mutant mouse lines show axonal pathology with little or no demyelination (Griffiths et al., 1998; Lappe-Siefke et al., 2003).
Mechanistic insight came from Fünfschilling et al. (2012) who demonstrated the absence of the mitochondrial complex IV protein COX10 in myelinating cells; thus, the abolishment of their respiration leads to a peripheral neuropathy but no considerable axonal damage in the brain. These experiments indicate that oligodendrocytes provide an energy source to support axons, but Schwann cells apparently fail to do so. Lee et al. (2012) showed evidence that the monocarboxylate transporter MCT1, which is predominantly expressed by oligodendrocytes and responsible for lactate transport, may provide the metabolic connection as Mct1+/− mice display axonopathy without loss of myelin. Hence, the integrity of axons is critically dependent on the metabolic support of interacting myelinating cells.
In addition to energy support, it remains elusive whether further mechanisms in myelinating cells are crucial for the proper support of the axon-myelin unit. There are indications that the ubiquitin proteasome system may play such a role: The Trembler mouse, expressing a mutant myelin protein PMP22, models Charcot-Marie-Tooth (CMT) disease Type 1, which is characterized by hypomyelination and secondary axonal damage. In this mouse, however, Schwann cells show reduced proteasome activity and fail to degrade mutant, aggregation-prone PMP22 (Fortun et al., 2005, 2006).
Peripheral neuropathy is also triggered by systemic proteasome inhibition using bortezomib, a drug typically applied in cancer treatment of multiple myeloma (Cavaletti and Jakubowiak, 2010). In a rat model exposed to bortezomib, both damage to Schwann cells and axonal degeneration was observed (Cavaletti et al., 2007). This raises the question to which extent axons depend on the proper functioning of the ubiquitin-proteasome system (UPS) in myelinating cells?
We have recently identified the F-box protein FBXO7 as a regulator of proteasome activity. FBXO7-SCF (Skp1, Cul1, F-box protein) is a multisubunit E3 ubiquitin ligase that binds to the proteasome holoenzyme by directly interacting with the proteasomal subunit α2 (PSMA2) (Vingill et al., 2016). Here, FBXO7 supports the assembly of core particle and regulatory particles. Consequently, FBXO7 KO mice show reduced proteasome activity in the brain (Vingill et al., 2016). In addition to FBXO7's role as a proliferation factor in cancer cells (Laman et al., 2005), which is negligible in postmitotic cells, FBXO7 is instrumental in the initiation of mitochondrial turnover, an event referred to as mitophagy (Burchell et al., 2013). Collectively, FBXO7 is biochemically connected with both mitochondria and proteasomes, and the functioning of these multiprotein complexes is intimately intertwined (Joseph et al., 2018).
Deletion of Fbxo7 in neurons leads to a parkinsonism-related phenotype characterized by mild to severe motor impairment but no cell death or axonal pathology in mice (Vingill et al., 2016). Interestingly, FBXO7 shows also a prominent expression in white matter (Zhang et al., 2014; Zeisel et al., 2015; Vingill et al., 2016) and in Schwann cells (current study). These findings prompted us to test the hypothesis that deletion of Fbxo7 from myelinating cells negatively affects proteasome activity and may affect the integrity of myelinating cells and potentially interfere with the axon-myelin interaction.
In this study, we show that deletion of Fbxo7 in myelinating cells causes motor impairment. Interestingly, in the CNS, Fbxo7 deletion does not affect myelination but causes mild axonal degeneration and inflammation. In the PNS, deletion of Fbxo7 in Schwann cells also does not impair myelination, but, strikingly, it induces a marked, progressive peripheral neuropathy of the axonal type.
Materials and Methods
Mouse experiments
All mice used for this study had a pure C57BL/6N background. The Cnp1-Cre/+ and Plp1-CreERT2/+ mouse lines were strictly kept heterozygous. The mice were housed under standard 12 h light-dark cycle with sufficient food and water in the mouse facility of the Max Planck Institute for Experimental Medicine in Göttingen or the mouse facility of the RWTH University Hospital (Aachen, Germany). Experiments were performed according to the guidelines for German animal welfare and were approved by the “Landesamt für Verbraucherschutz und Lebensmittelsicherheit” of Lower Saxony, Germany and the “Landesamt für Natur, Umwelt und Verbraucherschutz Nordrhein-Westfalen,” Germany.
Generation of conditional Fbxo7-KO mouse lines
The conventional Fbxo7 KO mouse line was generated as described previously (Vingill et al., 2016). To establish new conditional mouse lines, homozygous Fbxo7fl/fl mice, in which exon 4 was flanked by loxP sites, were either mated with heterozygous Cnp1-Cre/+ mice (Lappe-Siefke et al., 2003) or with heterozygous tamoxifen-inducible Plp1-CreERT2/+ mice (Leone et al., 2003). In these conditional KO mice, FBXO7 was deleted from myelinating cells. For further reference, Cnp1-Cre/+;Fbxo7fl/fl and Plp1-CreERT2/+;Fbxo7fl/fl mice are referred to as Cnp1-Cre;fl/fl and Plp1-CreERT2;fl/fl, respectively. For the genotyping of male and female mice, the following primers were used: LacZ cassette (forward): 5′-attccagctgagcgccggtcgc-3′, (reverse): 5′-gcgagctcagaccataacttcgtata-3′; Fbxo7 floxed (forward): 5′-tcagcatgggtttgttaagcatctacta-3′, (reverse): 5′-ggtctagatatctcgacataacttcgtata-3′; Fbxo7 WT (forward): 5′-gggctgtatgaaggaagtgctatt-3′, (reverse): 5′-ccctgagagtgaagggtgctgttc-3′; and Cre allele (forward): 5′-cagggtgttataagcaatccc-3′, (reverse): 5′-cctggaaaatgcttctgtccg-3′.
Mice were killed at 4 months of age as they reached the underweight criteria (weight loss ≥20%) established in the animal protocol.
Tamoxifen-induced knockdown of Fbxo7
In the inducible conditional Plp1-CreERT2;fl/fl mouse line, Cre recombinase expression is only activated upon tamoxifen injection. Hence, 100 μl of 20 mg/ml tamoxifen dissolved in corn oil was intraperitoneally injected in mice for 5 consecutive days. The total amount of injected tamoxifen was 10 mg. The mice were injected with tamoxifen at 2 months of age, when myelination was completed. Control mice lacking the Plp1-CreERT2 insertion were also injected with the same amount of tamoxifen.
Electrophysiological measurement
Electrophysiology was performed on 2-month-old, male and female Cnp1-Cre;fl/fl and control mice. Mice were anesthetized with ketamine hydrochloride/xylazine hydrochloride (100 mg/kg body weight/8 mg/kg body weight, Medistar). A pair of steel needle electrodes (Schuler Medizintechnik) was placed subcutaneously along the nerve at sciatic notch (proximal stimulation). A second pair of electrodes was placed along the tibial nerve above the ankle (distal stimulation). Supramaximal square wave pulses lasting 100 ms were delivered using a Toennies Neuroscreen (Jaeger). Compound muscle action potential (CMAP) was recorded from the intrinsic foot muscles using steel electrodes. Both amplitudes and latencies of CMAP were determined. The distance between the two sites of stimulation was measured alongside the skin surface with fully extended legs, and nerve conduction velocities (NCVs) were calculated automatically from sciatic nerve latency measurements. The distal motor latency (DML) was measured from the delay between initiating a stimulus and the evoked potential. Statistical analyses were performed by applying the Student's t test. The collaborating researchers were given the mice unaware of genotype to perform analyses in a blinded manner.
Behavioral analyses
Only male mice were used for behavioral analyses. Male Cnp1-Cre;fl/fl and control mice were tested at 6 weeks of age, whereas male Plp1-CreERT2;fl/fl and control mice were tested at 5, 7, and 9 months of age. All tests were conducted under standardized conditions, at fixed light intensity of 90 lux and protected from disturbance. Before each session, mice were allowed to acclimate for 30 min in the test room. Afterward, the weight of the animals was determined and the behavioral tests were performed in a distinct order: first elevated plus maze for assessing anxiety, then open field test for ambulation and exploratory behavior, followed by hindlimb clasping test, inverted grid, pole test, wire hang, balance beam, and Rotarod for motor endurance and coordination. For sensory assessment, the hot plate test was performed. The animals were monitored using the software Viewer from Biobserve, and obtained data were analyzed using Microsoft Excel and GraphPad Prism. The researcher tested the mice's behavior in a blinded manner. No genotypes were written on cage cards. Ear tag numbers were matched with genotypes following the behavior tests and statistical analyses.
Elevated plus maze
To evaluate the anxiety of mice, an elevated plus maze test was conducted according to the published protocol (Pellow et al., 1985). Mice were placed in the center of the plus maze (5 × 30 cm, 15 cm wall height, 40 cm elevated from ground) facing an open arm, and both activity and exploratory behavior were recorded for 5 min with the Viewer software. The time spent in open and closed arms was analyzed, as intensive time spent in an open arm indicates reduced anxiety.
Open field
General locomotion and exploratory behavior was measured in an open field test, as previously demonstrated (Hall and Ballachey, 1932). The round arena had a diameter of 60 cm and was surrounded by a 20-cm-high wall. The mice were placed in the center, and movement was monitored for 7 min with the Viewer animal tracking system. The traveled distance and time spent in different zones were analyzed.
Hindlimb clasping test
To assess signs of neurological deficits and neurodegenerative disease progression, a modified form of the tail suspension test described by Steru et al. (1985) was performed. Mice were lifted by the proximal tail for 10 s. The position of the hind limbs was scored from 0 to 3: with 3 representing normal, splayed hind limbs and 0 indicating strong clasping of hindpaws. The average of 3 trials represents the final score. In-between repeated measurements, a 30 s pause was given.
Inverted grid
Muscle strength was assessed by the inverted grid test. Therefore, mice were placed onto the grid of their home cage, and the grid was inverted. The time mice could hold on to the inverted grid was measured with a cutoff time at 60 s. Three repeated measurements were performed with a break of 1 min in between, and the average of all measurements was calculated.
Pole test
The pole test has been previously described as an assessment for basal ganglia-related motor function (Ogawa et al., 1985; Matsuura et al., 1997). Mice were placed onto a vertical pole (50 cm long, 1 cm diameter) facing upward and had to turn around to climb down the pole. The time needed to reach the bottom of the pole was measured. Three trials with a 1 min break were performed. The average of all trials was calculated.
Wire hang
Another test for muscle strength is the wire hang test, as previously described (Aartsma-Rus and van Putten, 2014). Mice were placed with their front paws in the middle of a wire (80 cm long, 1 mm diameter, and 30 cm above surface) suspended between two poles. The time needed to reach one of the poles was measured. Three repeats were performed with an interval of 1 min, and the average time was calculated.
Balance beam
For testing balance and coordination, a balance beam test was conducted as previously described (Luong et al., 2011). The mice were placed on a 6-mm- or a 12-mm-wide and 80-cm-long beam. The beam is located 50 cm above the ground, with a black box (15 × 15 × 15 cm) attached on one end. Once the mice were placed on the opposite end of the beam, time as well as numbers of slips were counted until the black box was reached. For each beam, 3 repetitions were performed, with 1 min break in between and 10 min resting time in between beams. The average time required to cross the beam as well as average number of slips were calculated.
Rotarod
While subjecting the mice to a Rotarod test, motor coordination and endurance were tested. The accelerating protocol of the Rotarod (Ugo Basile) was set to 4–40 rpm in 3 min. The average time spent on the rotating rod was measured, and each mouse was tested 3 times, with a 10 min break in between. The cutoff time was set for 5 min. The test was performed at 3 time points (0, 3, and 24 h).
Hot plate
To assess sensory deficits, a hot plate test was conducted (Eddy and Leimbach, 1953). Mice were placed in a 1000 ml round glass beaker on a 55°C metal plate. Once the animals showed any sign of irritation due to the heat, the time was stopped and the mice were immediately removed from the plate. A cutoff time of 30 s was set. Three repeated measurements were taken with a 10 min break in between. The average time was calculated.
Transcardial perfusion and fixation
Mice were anesthetized by intraperitoneal injection of 10% ketamine (CP Pharma) and 5% xylazine (Medistar Arzneimittelvertrieb). The animals were then transcardially perfused with sterile PBS, followed by 4% PFA/PBS or Karlsson and Schultz buffer (Karlsson and Schultz, 1965; Schultz and Karlsson, 1965). The tissue of interest was dissected and incubated in 4% PFA/4% sucrose in PBS or Karlsson and Schultz buffer overnight at 4°C and then further processed, depending on the experimental procedure.
Immunohistochemistry of cryosections
The PFA-fixated samples of Cnp1-Cre;fl/fl mice and controls were incubated in 30% sucrose/PBS overnight at 4°C, embedded it OCT (Tissue Tek, Sakura), and cut in 20 μm thin cross sections (spinal cord) or longitudinal sections (sciatic nerve) using a cryostat (CM3050 S, Leica Microsystems). For fluorescent staining, free-floating cryosections were washed twice with PBST, permeabilized with 0.5% Triton X-100/PBS for 30 min, and blocked for 1 h in blocking solution (10% goat serum, 2% BSA, 0.5% Triton X-100 in PBS). After washing the samples with PBST, they were incubated overnight at 4°C in antibody solution (10% goat serum, 2% BSA in PBS) containing the respective dilution of the primary antibody. The samples were washed 3 times with PBST and incubated for 1 h at room temperature in a secondary antibody diluted in antibody solution and DAPI. The samples were washed three times with PBST. Finally, the sections were mounted onto a glass slide and mounted with Mowiol mounting medium (6 g glycerol, 2.4 g Mowiol 4–88, 6 ml H2O, 12 ml 0.2 m Tris-HCl, pH 8.5, 25 mg/ml 1,4-diazabicyclo(2.2.2)octane). Pictures were taken using the Olympus BX51 and analyzed using ImageJ or Fiji (Schindelin et al., 2012; Schneider et al., 2012). The pictures were quantified using a customized macro written by Dr. Miso Mitkovski, which quantified the area stained in pixels, as well as the total area, to calculate the percentage of area stained. To minimize bias, several immunostained sections of each brain were blinded and subjected to analyses. For statistical analyses, GraphPad Prism was used.
Immunohistochemistry of paraffin sections
PFA-fixated brains of male Cnp1-Cre;fl/fl mice and controls were embedded in paraffin using the standard protocol. Brains were cut into 5 μm sagittal sections using a microtome (HM 430, Thermo Fischer Scientific), mounted on glass slides, and stained using the LSAB2 detection system. After deparaffinization, the sections were boiled in citrate buffer for antigen retrieval for 10 min, cooled down, and incubated in Tris buffer + 2% milk for 5 min. The slides were incubated for 5 min in 3% H2O2 to inactivate endogenous peroxidase. After rinsing with Tris-buffer + milk, the sections were blocked in blocking buffer (20% goat serum in BSA/PBS) for 10 min and incubated in primary antibody diluted in BSA/PBS at 4°C overnight. The slides were rinsed with Tris buffer + milk and subjected to DAB staining using the LSAB2 kit (Dako). Following DAB staining, the sections were counterstained with hematoxylin and Scott's solution (Thermo Fisher Scientific). The sections were dehydrated and mounted using Eukitt mounting medium (Kindler). Images were taken with the Axiophot microscope (Carl Zeiss), and pictures were analyzed using ImageJ and a custom-made macro provided by Dr. Miso Mitkovski. Here, the DAB-positive areas were converted into a distinct signal to measure the percentage of DAB-positive area, with regard to the total area of interest. To minimize bias, several stained sections of each brain were blinded and subjected to analyses. Graphs and statistical analyses were performed using GraphPad Prism.
TUNEL assays
Sagittal brain sections of 5 μm thickness from Cnp1-Cre;fl/fl mice and controls were stained for apoptotic cells using the DeadEnd Colorimetric TUNEL System kit (Promega). The sections were mounted with Aqua-Poly/Mount (Polysciences) and quantified with the same ImageJ macro by Dr. Mitkovski as described earlier.
Gallyas silver impregnation
Myelin fibers were stained using the Gallyas protocol (Gallyas, 1979); 5 μm sagittal brain sections of male Cnp-Cre;fl/fl and control mice were deparaffinized and incubated in a 2:1 mixture of pyridine and acetic anhydride for 30 min. The samples were rinsed 3 times with H2O and incubated in incubating solution (12.5 mm NH4NO3, 5.9 mm AgNO3, 3 mm NaOH) for 10 min. Slides were washed 3 times with 0.5% acetic acid and incubated in developing solution (50% of [472 mm Na2CO3], 35% of [25 mm NH4NO3, 11.8 mm AgNO3, 3.5 mm silicotungstic acid], 15% of [25 mm NH4NO3, 11.8 mm AgNO3, 3.5 mm silicotungstic acid, 1.89% formaldehyde]) for 3–15 min until the desired intensity of staining was reached. The reaction was stopped by applying 1% acetic acid. The samples were washed twice with H2O and incubated in 2% sodium thiosulfate solution for 5 min. After rinsing twice with water, the samples were dehydrated and mounted using Eukitt (Kindler).
Electron microscopic analysis
The optic and sciatic nerves of male and female Cnp1-Cre;fl/fl and control mice, respectively, as well as the sciatic nerve of male Plp1-CreERT2;fl/fl and control mice were dissected and postfixed in Karlsson-Schulz fixative. The tissue was embedded in Epon according to a modified method described by Luft (1961). Staining of semithin sections: The embedded samples were sectioned using a microtome (Ultracut S, Leica Microsystems) while cutting with a diamond knife (Diatome Ultra 45°) semithin section of 500 nm thickness. The semithin sections were stained using methylene blue and Azure II staining solution (1:1) for 1 min at 60°C. Semithin sections were observed under a light microscope. Contrasting of ultrathin sections: 50 nm ultrathin sections were cut. The samples were placed onto formvar-polyvinyl-coated cupper grids (2 mm-1 mm, Agar Scientific) and contrasted with a 1% uranyl acetate solution and Reynolds lead citrate (Reynolds, 1963). Images were taken with the CM10 electron microscope by Philips combined with a wide-angle dual-speed 2K-CCD camera Veleta by Olympus. ImageJ, Microsoft Excel, and GraphPad Prism were used for further analyses. For g-ratio measurement, 100 axons of 10 images (3000× magnification) per animal were analyzed in a blinded manner using ImageJ. The g-ratio is defined by the inner to the outer diameter of the myelin sheath. The g-ratio was determined by measuring the outer circumference of the myelin sheath, as well as the inner circumference (c) from which the respective diameter (d) was derived (d = c/π). A baseline g-ratio value is ∼0.77 in the CNS and 0.6 in the PNS. Higher values indicate hypomyelination, whereas smaller values indicate hypermyelination. For analyses, electron micrographs were blinded and pathological abnormalities were assessed.
Plasmids and antibodies
For generating short hairpin RNA, the pSUPER RNAi System was used. Target sequences against homologous sequences of human, mouse, and rat were used: Fbxo7 shRNA #1 (functional): 5′-gaagagaccttggcttcata-3′; and Fbxo7 shRNA ctrl (nonfunctional): 5′-gaaactacgcatcttccgac-3′.
Antibodies used for immunoblot analysis included the following: ms α-pan 14-3-3 (Santa Cruz Biotechnology, sc-1657, 1:1000 dilution), ms α-FBXO7 (Santa Cruz Biotechnology, sc-271763, 1:50 dilution), ms α-glutathione S-transferase π 1 (GSTπ1) (BD Biosciences, 610719, 1:250 dilution), ms α-NF-M (Santa Cruz Biotechnology, sc-51683, 1:200 dilution), ms α-PLP (kindly provided by Prof. Dr. Mikael Simons, 1:50 dilution), ms α-Sox10 (Santa Cruz Biotechnology, sc-365692, 1:200 dilution), and HRP-coupled secondary goat α-mouse IgG (Dianova, 113-035-146, 1:10,000 dilution).
Antibodies used for immunohistochemistry are as follows: ms α-APP 6E10 (Biolegend, 803004, 1:200 dilution), ms α-GFAP (Nova Castra, NCL-GFAP-GA5, 1:200), ms α-GSTπ1 (BD Biosciences, 610719, 1:200 dilution), rb α-Iba1 (Wako, 019–19741, 1:1000 dilution), rb α-MBP (Cell Signaling Technology, 78896T, 1:200 dilution), ms α-PLP (kindly provided by Prof. Dr. Mikael Simons, 1:000 dilution), Cy3/Alexa-555 coupled secondary antibodies goat α-mouse IgG and goat α-rabbit IgG (Dianova, 1:1000 dilution), and Cy2/Alexa 488 coupled secondary antibodies goat α-mouse IgG and goat α-rabbit IgG (Dianova, 1:1000 dilution).
qRT-PCR
To measure the relative expression of different mRNA levels, first RNA was isolated from male Cnp-Cre;fl/fl and control cerebella using the TRIZOL reagent (Invitrogen). The respective cDNA was synthesized using the SuperScript III First-strand Synthesis System (Invitrogen). A qRT-PCR was performed using the Power SYBR Green system and PCR thermo cycler (Thermo Fischer Scientific). Microsoft Excel was used for analysis, applying the Livak-δ-δ CT method for quantification. β-Actin was used as a reference gene, in addition to the average of all control samples. The following primers were used for qRT-PCR: IL-10 (forward): 5′-atgcaggactttaagggttacttg-3′, (reverse): 5′-tagacaccttggtcttggagctta-3′; IL-1RA (forward): 5′-cagttccaccctgggaaggt-3′, (reverse): 5′-gagcggatgaaggtaaagcg-3′; IL-1β (forward): 5′-cctgcagctggagagtgtgga-3′, (reverse): 5′-cccatcagaggcaaggaggaa-3′; IL-6 (forward): 5′-cggagaggagacttcacagagga-3′, (reverse): 5′-ggagagcattggaaattgggg-3′; Tnf-α (forward): 5′-gcggtgcctatgtctcagcc-3′, (reverse): 5′-tgaggagcacgtagtcgggg-3′; Ip-10 (forward): 5′-ctgcctcatcctgctgggtctg-3′, (reverse): 5′-ataggctcgcagggatgatttcaagc-3′; Mcp1 (forward): 5′-ggtccctgtcatgcttctgggc-3′, (reverse): 5′-agcaggtgtcccaaagaagctgtagt-3′; β-actin (forward): 5′-cgtgcgtgacatcaaagagaagctg-3′, (reverse): 5′-ggatgccacaggattccatacccaag-3′; Fbxo7 (forward): 5′-tggaagtcaagtggtgtatac-3′, (reverse): 5′-tactccagcagcaacgtagga-3′.
Transduction of MSC80 cell line
To generate a stable cell line expression of the Fbxo7 shRNAs, an adeno-associated viral transduction was performed. HEK293T cells were transfected with the pLentiLox 3.7 system (pll3.7/fbxo7 puro, pVSVG, pREV-REV, and pRRE), (Rubinson et al., 2003). Three days after transfection, the supernatant, containing lentiviral particles, was collected and added to cultured MSC80 cells for transduction. Transduced MSC80 cells were treated with 0.75 μg/ml puromycin for selection. Cells resistant to puromycin incorporated the construct of interest and showed a stable expression of the Fbxo7 shRNAs. These cells were cultured and passaged like normal immortalized cell lines.
Primary cell culture
Primary Schwann cell and cerebellar granule neurons (CGNs) were cultured from male and female postnatal day 5 (P5) mouse sciatic nerves and brachial plexus or cerebella as previously described (Dong et al., 1999; Holubowska et al., 2014).
Proteasome activity assay
The proteasome activity assay was performed as described by Kisselev and Goldberg (2005). The assay was performed with lysates of transduced MSC80 cells, primary Schwann cells, and primary CGNs. Cells were lysed in proteasome lysis buffer (50 mm Tris-HCl, pH 7.5, 250 mm sucrose, 5 mm MgCl2, 0.5 mm EDTA, 2 mm ATP, 1 mm DTT, 0.025% digitonin); 100 μg BSA and 100 μm of fluorogenic peptide substrate Suc-LLVY-AMC were added to the proteasome assay buffer (50 mm Tris-HCl, pH 7.5, 40 mm KCl, 5 mm MgCl2, 0.5 mm ATP, 1 mm DTT) and were incubated for 10 min at 37°C; 12 μg of cell lysate was added per well. The fluorescent signal was measured at 355/460 nm and at 0, 30, 60, 90, and 120 min using the Tecan microplate reader. To verify the reduction of FBXO7 induced by shRNA or FBXO7 KO, part of the cell lysate was set aside and subjected to Western blot analysis.
Myelin purification
Myelin was purified from female brain samples by density centrifugation using a sucrose gradient. According to Norton and Poduslo's previously described method (Norton and Poduslo, 1973; Larocca and Norton, 2007), the samples were homogenized in 0.32 m sucrose containing protease inhibitors and using the ULTRA-TURRAX (IKA). The homogenate was carefully pipetted onto 0.85 m sucrose, supplemented with protease inhibitors, and transferred in an Ultra-Clear Tube (Beckman, #344060). The sucrose gradient was centrifuged for 30 min at 75,000 × g in the Beckman XL-70 ultracentrifuge, using a swingout rotor (SW40Ti Beckman rotor, 24,400 rpm). The interphase was transferred into a new tube and washed with water. After centrifugation at 75,000 × g for 15 min, an osmotic shock was induced by resuspending the pellet in H2O, incubated for 15 min, and centrifuged at 12,000 × g for 15 min (SW40Ti Beckman rotor, 9700 rpm). This osmotic shock procedure was repeated once. Subsequently, the pellet was resuspended in 0.32 m sucrose and transferred onto 0.85 m sucrose layer, which represents the second sucrose gradient. After centrifugation for 30 min at 75,000 × g, the interphase was collected in a new tube, H2O was added and centrifuged at 75,000 × g for 15 min. This final pellet consisted of enriched myelin and was resuspended in 200 μl of TBS containing protease inhibitors and was stored at −80°C.
For myelin purification, sciatic nerve isolated from male and female animals was homogenized in 0.29 m sucrose containing protease inhibitors using an ULTRA-TURRAX (IKA). The lysate was added onto 0.85 m sucrose in an Ultra-Clear Tube (Beckman, #344062). The samples were centrifuged for 30 min at 75,000 × g (26,900 rpm) in a TH660 Beckman rotor. The interphase was washed with water as described before, and only one osmotic shock procedure was performed. The pellet was resuspended in 100 μl of TBS containing protease inhibitors and stored at −80°C.
Label-free quantitative mass spectrometry
Protein quantification.
Proteolytic digestion. Protein fractions corresponding to 10 μg myelin protein were processed according to a filter-aided sample preparation protocol modified essentially as described by Distler et al. (2014, 2016). Myelin protein samples were lysed and reduced in lysis buffer (7 m urea, 2 m thiourea, 10 mm DTT, 0.1 m Tris, pH 8.5) containing 1% ASB-14 by shaking for 30 min at 37°C. Subsequently, the sample was diluted with 10 volumes lysis buffer containing 2% CHAPS to reduce the ASB-14 concentration and loaded on centrifugal filter units (30 kDa MWCO, Millipore). Unless stated otherwise, all steps were automated on a liquid-handling workstation equipped with a vacuum manifold (Freedom EVO 150, Tecan) by using an adaptor device constructed in-house. After removal of the detergents by washing twice with wash buffer (8 m urea, 10 mm DTT, 0.1 m Tris, pH 8.5), proteins were alkylated with 50 mm iodoacetamide in 8 m urea/0.1 m Tris, pH 8.5 (20 min at room temperature), followed by two washes with wash buffer to remove excess reagent. Buffer was exchanged by washing three times with 50 mm ammonium bicarbonate (ABC) containing 10% acetonitrile. After three additional washes with 50 mm ABC/10% acetonitrile, which were performed by centrifugation to ensure quantitative removal of liquids, proteins were digested overnight at 37°C with 500 ng trypsin in 40 μl of the same buffer. Tryptic peptides were recovered by centrifugation followed by two additional extraction steps with 40 μl of 50 mm ABC and 40 μl of 1% trifluoroacetic acid, respectively. Aliquots of the combined flow-throughs were spiked with 10 fmol/μl of yeast enolase 1 tryptic digest standard (Waters) for quantification purposes (Silva et al., 2006) and directly subjected to analysis by liquid chromatography coupled to electrospray mass spectrometry (LC-MS).
LC-MS analysis.
Nanoscale reversed-phase UPLC separation of tryptic peptides was performed with a nanoAcquity UPLC system equipped with a Symmetry C18 5 μm, 180 μm × 20 mm trap column and an HSS T3 C18 1.8 μm, 75 μm × 250 mm analytical column maintained at 45°C (Waters). Injected peptides were trapped for 4 min at a flow rate of 8 μl/min 0.1% trifluoroacetic acid and then separated over 120 min at a flow rate of 300 nl/min with a gradient comprising two linear steps of 3%–35% mobile Phase B in 105 min and 35%–60% mobile Phase B in 15 min, respectively. Mobile Phase A was water containing 0.1% formic acid, whereas mobile Phase B was acetonitrile containing 0.1% formic acid. Mass spectrometric analysis of tryptic peptides was performed using a Synapt G2-S quadruple time-of-flight mass spectrometer equipped with ion mobility option (Waters). Positive ions in the mass range m/z 50–2000 were acquired with a typical resolution of at least 20,000 FWHM, and data were lock mass corrected after acquisition. Analyses were performed in the ion mobility-enhanced data-independent acquisition mode drift time-specific collision energies as described in detail by Distler et al. (2014, 2016). Specifically, a novel data acquisition strategy with dynamic range enhancement was used, in which a deflection lens cycles between full and reduced ion transmission during one scan. This method provides an optimal trade-off between identification rate (i.e., proteome depth) and dynamic range for correct quantification of high-abundant myelin proteins. Continuum LC-MS data were processed for signal detection, peak picking, and isotope and charge state deconvolution using Waters ProteinLynx Global Server (PLGS) version 3.0.2 (Li et al., 2009). For protein identification, a custom database was compiled by adding the sequence information for yeast enolase 1 and porcine trypsin to the UniProtKB/Swiss-Prot mouse proteome and by appending the reversed sequence of each entry to enable the determination of false discovery rate (FDR). Precursor and fragment ion mass tolerances were automatically determined by PLGS 3.0.2 and were typically <5 ppm for precursor ions and <10 ppm (root mean square) for fragment ions. Carbamidomethylation of cysteine was specified as fixed and oxidation of methionine as variable modification. One missed trypsin cleavage was allowed. Minimal ion matching requirements were two fragments per peptide, five fragments per protein, and one peptide per protein. The FDR for protein identification was set to 1% threshold.
Experimental design and data analysis.
Myelin was purified from the CNS and PNS of Cnp1-Cre;fl/fl and control mice. Myelin protein fractions from the CNS of 5 animals per condition (Ctrl, KO) and from the PNS of 9 animals per condition, each pooled into 3 samples, were processed with replicate digestion, resulting in two technical replicates per biological replicate and thus in a total of 20 (CNS)/12 (PNS) LC-MS runs to be compared, respectively. The freely available software ISOQuant (http://www.isoquant.net) was used for postidentification analysis, including retention time alignment, exact mass and retention time, and ion mobility clustering, data normalization, isoform/homology filtering, and calculation of absolute in-sample amounts for each detected protein according to the TOP3 quantification approach (Distler et al., 2014, 2016; Kuharev et al., 2015). Only peptides with a minimum length of seven amino acids, which were identified with PLGS scores ≥5.5 in at least two runs, were considered. FDR for both peptides and proteins was set to 1% threshold, and only proteins reported by at least two peptides were quantified using the TOP3 method. The parts per million (ppm) abundance values, that is, the relative amount (w/w) of each protein in respect to the sum over all detected proteins, were log2-transformed and normalized by subtraction of the median derived from all data points for the given protein. Significant changes in protein abundance were detected by moderated t statistics with an empirical Bayes approach and FDR-based correction for multiple comparisons (Kammers et al., 2015). For this purpose, the Bioconductor packages “limma” (Ritchie et al., 2015) and “q value” (Storey and Tibshirani, 2003) were used in RStudio, an integrated development environment for the open source programming language R. Detected proteins were displayed in a volcano plot, highlighting those candidates that showed a significance of q < 0.01 and a 25% upregulation and downregulation compared with control.
ImageJ and Microsoft Excel were used to quantify data. For statistical analyses, GraphPad Prism was used. Depending on the experimental designs and requirements, Student's unpaired t test; one- or two-way ANOVA, followed by Bonferroni test multiple comparison test; Kruskal–Wallis, followed by Dunn's multiple comparison test, or χ2 test was applied. Statistical differences were considered significant if p < 0.05. Whenever possible, the exact p value was indicated. All data were displayed as SEM. Each figure legend contains elaborate information on experiments (gender, number of animals or independent experiments included in the analyses, statistics, p values).
Results
In our previous study (Vingill et al., 2016), we generated a reporter mouse line, in which the lacZ cassette was controlled by the endogenous FBXO7 promoter. β-Galactosidase expression revealed a prominent expression of FBXO7 in the corpus callosum and in the cerebellar white matter. To examine the functional relevance of FBXO7 in myelinating cells in vivo, we mated Fbxo7fl/fl mice with the Cnp1-Cre driver line (Lappe-Siefke et al., 2003) to delete Fbxo7 in predominantly myelinating cells of the CNS and PNS.
Genotyping of these animals revealed living conditional KO mice at the time of weaning (Fig. 1a). A reduction in mRNA was clearly detectable in cerebellar tissue with large areas of white matter (Fig. 1b). At 6 weeks of age, the conditional KO mice (Cnp1-Cre;Fbxo7fl/fl, short: Cnp1-Cre;fl/fl) were visibly different from control mice (Cnp1-Cre). The mice were characterized by kyphosis (Fig. 1c), reduced weight (Fig. 1d), and a slightly reduced hindlimb clasping score (Fig. 1e). At 4 months of age, the KO mice deteriorated quickly as the hindlimb weakness progressed to a more severe hindlimb paresis. Autopsies revealed atrophy of the muscles in the hind limbs (Fig. 1f) and atrophic lungs (Fig. 1g). The mice also became very emaciated and had to be killed.
To characterize the motor phenotype, we subjected 6-week-old Cnp1-Cre;fl/fl and control mice to motor tests and found that KO mice were significantly impaired in holding on to an inverted grid compared with control groups (Fbxo7fl/fl or Cnp1-Cre) (Fig. 1h). In addition, the track length of the KO mice in the open field arena was significantly reduced compared with control groups (Fig. 1i). We also analyzed the motor learning and coordination using the rotarod and the balance beam, respectively. We found that Cnp1-Cre;fl/fl mice were unable to improve their performance on the rotarod (Fig. 1j) and lacked the proper motor coordination to keep up with control mice on the balance beam both with respect to the time and the coordination while traversing the beam (Fig. 1k). These results demonstrate that loss of Fbxo7 in myelinating cells negatively affects the overall morphology and posture of the mice in addition to their motor performance.
To investigate whether deletion of Fbxo7 has any effects on myelination in the CNS and PNS in 3-month-old mice, we first examined whether there are any gross morphological changes in the myelinated regions in the brain upon Gallyas staining, but we did not detect any obvious difference in the pattern of the tracts (Fig. 2a). In addition, we did not observe an increase in TUNEL+ or APP+ cells in the white matter of the cerebellum or the corpus callosum, indicating no cell death or axonal impairment in white matter areas at the time of analysis (Fig. 2b–e).
Next, we turned to a more in-depth histological analysis of the CNS and performed electron microscopy of the optic nerve of control (Cnp1-Cre) and Cnp1-Cre;fl/fl mice. We first examined semithin sections of the nerve, which did not reveal any gross morphological changes (Fig. 3a). Using higher-magnification electron micrographs (Fig. 3b), we determined the g-ratio, which is defined by the inner to the outer diameter of the myelin sheath, of control and KO mice and found a similar distribution of the values on the scatter plot (Fig. 3c). Consequently, there was no significant difference in the average g-ratio in both groups (Fig. 3d). We did, however, observe a redistribution of axon size. Interestingly, we found a significantly lower number of small-diameter axons (<1 μm) and an increase in large-diameter axons (>1 μm) (Fig. 3e). On counting oligodendrocyte nuclei, we did not find any significant change in the KO optic nerve (Fig. 3f). We also did not observe any significant difference in the number of axons in the optic nerve (Fig. 3g). We did, however, find a significant increase in degenerated axons in the KO optic nerve (Fig. 3h). Because of the humane endpoint, we could not examine whether or not the degeneration of axons would progress in older animals.
With further histological analyses of the white matter in the cerebellum and the corpus callosum, we found a significantly larger number of Iba+ microglial and GFAP+ astroglial cells in the former but not in the latter (Fig. 4a–d). The lumbar section of the spinal cord, however, displayed a strong increase in Iba+ and GFAP+ cells (Fig. 4e,f). Of note, neither microglia nor astrocytes accumulated in a focal manner in the spinal cord. In addition, we performed qPCR on cerebellar mRNA transcribed into cDNA to investigate the presence of anti-inflammatory and proinflammatory markers. Among the factors examined, we found an increase of both anti-inflammatory and proinflammatory indicators, but only the proinflammatory cytokine Ip-10/Cxcl10 (interferon gamma-induced protein 10) was significantly upregulated (Fig. 4g,h).
To get an insight into the global changes of the myelin proteome in the CNS upon loss of Fbxo7, we isolated myelin from brain and subjected the material to quantitative mass spectrometry and determined the upregulated and downregulated proteins. Mitochondrial structural proteins and metabolism-associated proteins, in particular those that are responsible for mitochondrial functions, were the largest groups of the significantly downregulated proteins (Fig. 5a,b; Fig. 5-1). Among the top score upregulated proteins, we identified GSTπ1 (Fig. 5c; Fig. 5-1). GSTπ1 is a detoxification enzyme for ROS that is exclusively expressed by oligodendrocytes (Tansey and Cammer, 1991). With immunostainings of the spinal cord, we confirmed the upregulation of GSTπ1 in the CNS of KO mice compared with control animals (Fig. 5d). In contrast, we did not find any change in the level of major myelin proteins, such as PLP (Fig. 5e). In summary, we found that, while deletion of Fbxo7 in oligodendrocytes did not affect myelination or triggered the demise of these cells, it led to subliminal cell stress indicated by microgliosis and astrogliosis, the upregulation of proinflammatory markers, and detoxifying enzymes in oligodendrocytes.
Figure 5-1
Because the KO mouse was characterized by a progressive paresis of the hind limbs, we focused our analyses on the PNS. We first turned to electron microscopy to examine the integrity of the sciatic nerve of control and KO mice. Semithin sections already revealed a dramatic pathology with large areas void of healthy sciatic nerve components (Fig. 6a), whereas other regions were seemingly unaffected. With higher-magnification electron micrographs, we discovered obvious pathologies, which are described in the following analyses (Fig. 6b). We first determined whether the pathology included defects in myelination, but we did not find any change in the distribution of the g-ratio on the scatter plot (Fig. 6c) or any significant difference in the average g-ratio of control (Cnp1-Cre) and Cnp1-Cre;fl/fl mice (Fig. 6d), indicating that myelination per se was not affected. The scatter plot, however, revealed a smaller population of large-diameter axons in the KO mice compared with control animals. Analysis of the distribution showed a significant reduction of axons >4 μm (Fig. 6e).
While we discovered only a downward trend in the average number of Schwann cell nuclei in the KO sciatic nerve compared with control (Fig. 6f), we found a significant decrease in the number of myelinated axons (Fig. 6g), reflected in the loss of sciatic nerve components in the severely affected areas. The electron micrographs also displayed a significant increase in degenerated axons of the sciatic nerve of Cnp1-Cre;fl/fl mice (Fig. 6h). In contrast to the healthy axons, we find accumulations of organelles, such as mitochondria, in the degenerated axons. The affected areas also displayed a significantly increased number of degenerated Remak bundles at various stages of demise (Fig. 6i). Consistently, the number of intact Remak bundles was slightly reduced (Fig. 6j). We did not observe any onion bulb formations that would indicate degeneration of Schwann cells.
In line with the increase in degenerated axons, we found a clear and significant increase in APP+ accumulations in immunohistochemical analyses of the sciatic nerve (Fig. 7a), underscoring the compromised axonal health. In contrast, our analyses revealed little or no difference in the major myelin protein MBP in the sciatic nerve (Fig. 7b). The axonal degeneration was also accompanied by an increase in Iba1 reactivity, indicating the presence of peripheral immune cells (Fig. 7c). We then tested the idea that Schwann cells respond to the axonal degeneration by the upregulation of the cytoskeletal protein GFAP, typically expressed by nonmyelinating Schwann cell and by cells, which have lost axonal contact (Jessen et al., 1990; Jessen and Mirsky, 2016). While there was little to no GFAP reactivity in control mice, Cnp1-Cre;fl/fl sciatic nerves showed a significant upregulation of GFAP (Fig. 7d).
Consistent with the Iba1 reactivity, electron micrographs of the sciatic nerve of Cnp1-Cre;fl/fl mice confirmed the significant invasion of macrophages (Fig. 7e), which entered through blood vessels (Fig. 7f). We found macrophages that endocytosed entire axon-myelin units (Fig. 7g) as well as foamy macrophages that were packed with endocytosed material (Fig. 7h). Furthermore, we detected fibrosis (Fig. 7i), a close contact between endocytosing macrophages and fibroblasts (Fig. 7j), and edema (Fig. 7k). Interestingly, we also found macrophages and fibroblasts mingling with healthy myelinated axons and Remak bundles in the seemingly unaffected areas of the sciatic nerve. Together, although loss of FBXO7 in Schwann cells had no effect on myelination, it resulted in a peripheral neuropathy characterized by the focal degeneration of axons and Remak bundles and fibrosis together with the invasion of macrophages.
With electrophysiological examinations of the sciatic nerve in the living KO mice, we measured a dramatic reduction in CMAP (Fig. 8a) and a moderate yet significant reduction of the NCV (Fig. 8b), but no difference in DML (Fig. 8c), suggesting an axonal defect without major damage to the myelin. These results are consistent with an axonal, but not demyelinating phenotype, and in line with the mild changes in NCV of CMT Types 2 versus Type 1 patients or in respective animal models (Sereda and Nave, 2006).
Figure 8-1
To determine the global protein changes in the KO sciatic nerve, we performed a quantitative mass spectrometry analysis of purified myelin isolated from control (Cnp1-Cre;fl/+) and Cnp1-Cre;fl/fl sciatic nerves. Among the significantly downregulated proteins, we found mostly a similar change in mitochondrial and metabolism-associated in addition to cytoskeletal proteins and protein modification enzymes (Fig. 8d,e), consistent with the loss of myelinated axons. The results of the upregulated proteins, such as immunoglobulins, showed a massive increase in immune response (Fig. 8f; Fig. 8-1), which supports the inflammation signs detected in the sciatic nerve upon loss of Fbxo7.
In our previous study, we learned that loss of FBXO7 affects proteasome activity in the brain and in heterologous HEK293T cells (Vingill et al., 2016), but we did not further dissect the activity of the proteasome in different cell types of the nervous system. To determine whether loss of FBXO7 in Schwann cells affects their proteasome activity, we first generated an FBXO7 RNAi cell line based on the murine Schwann cell line MSC80 (Boutry et al., 1992), and validated the efficient knockdown of FBXO7 (Fig. 9a). Using the control and FBXO7 knockdown cell line, we performed proteasome activity assays. Here, cell lysates are mixed with an artificial substrate conjugated to a fluorophore. The measured fluorescence reflects the chymotrypsin-like activity of the 20S core subunit PSMB5. We found a 40% reduction in the knockdown cell line compared with control cell lines (Fig. 9b). Having the Fbxo7−/− mouse line available, we cultured primary Schwann cells from Fbxo7−/−, Fbxo7+/− and Fbxo7+/+ mice. With immunoblotting, we subsequently confirmed the loss or reduction of FBXO7 in homozygous and heterozygous cells, respectively, (Fig. 9c). Additionally, we detected the expression of the Schwann cell marker SOX10 but no expression of non-Schwann cell cytoskeletal proteins (Fig. 9c). In Fbxo7−/− Schwann cells, we found a significantly reduced proteasome activity compared with Fbxo7+/− and Fbxo7+/+ cells (Fig. 9d). Because the time window of the Schwann cell culture protocol allowed us to isolate cerebella from the same animals, we simultaneously cultured CGNs and subjected them to the proteasome activity assay. Interestingly, we found that loss of Fbxo7 had little or no effect on their proteasome activity (Fig. 9e), suggesting that, in contrast to CGNs, Schwann cells are sensitive to FBXO7 loss.
Having identified FBXO7 as a critical factor for axon-glia interaction in the PNS, we examined the loss of Fbxo7 on the axon-glia interaction after development in the adult animal. Here, we used an inducible system to breed Fbxo7fl/fl mice with the Plp1-CreERT2 driver line. We injected these mice and the control group with tamoxifen at 2 months of age when myelination was completed and assessed the motor skills at 5, 7, and 9 months of age (Fig. 10a), followed by histological analyses. Genotyping was performed to identify the KO and control group (Fig. 10b). In addition, we performed immunoblotting analysis to establish a reduction in FBXO7 levels. Here, cortical tissue with little or no white matter contamination or cerebellar tissue that harbors large white matter areas were lysed and examined using the FBXO7 antibody. FBXO7 reactivity was reduced in cerebellar lysates but not in cortical lysates of PLP-CreERT2;fl/fl mice (Fig. 10c), indicating the successful tamoxifen-triggered recombination. We also determined the weight of control and Plp1-CreERT2;fl/fl mice and found that, starting at 5 months of age, the KO mice were significantly lighter compared with 3-month-old mice (Fig. 10d). We first tested the control and KO group for hindlimb clasping, which showed a slight decrease of the score at the latest time point of analysis (Fig. 10e). The KO mice showed no difference in their performance on the balance beam, in the open field arena or in the wire hang test (Fig. 10f–j), suggesting that the mice are fully ambulant and with proper forelimb/hindlimb coordination. In addition, the KO mice showed no deficit in the pole test or on the inverted grid (Fig. 11a,b), nor did they show any signs of anxiety in the elevated plus maze or sensory deficits on the hot plate (Fig. 11c,d). Plp1-CreERT2;fl/fl mice did, however, perform significantly worse on the rotarod compared with control mice at every time point tested (Fig. 11e), suggesting a persisting impairment that affects the motor endurance.
To determine whether the sciatic nerve revealed a similar pathology compared with the Cnp1-Cre;fl/fl mice, we examined electron micrographs. The overall integrity of the sciatic nerve was not compromised (Fig. 12a). The analysis of the g-ratio revealed no difference between KO and control mice (Fig. 12b,c) and no redistribution of axonal diameters as observed in the Cnp1-Cre;fl/fl mice (Fig. 12d). We also did not observe an increase in fibrosis (Fig. 12e) or degenerated Remak bundles (Fig. 12f). We did, however, observe a slight increase in infiltrating macrophages into the sciatic nerve in the Plp1-CreERT2;fl/fl mice (Fig. 12g) and a significant increase in degenerated axons (Fig. 12h), although to a less severe degree compared with Cnp1-Cre;fl/fl mice. These data indicate that the disruption of Fbxo7 expression in Schwann cells of the mature PNS leads to a mild, late-onset neuropathy.
Discussion
Myelinating cells are fundamental for the fast saltatory conduction and for the trophic support of axons (Saab et al., 2013; Saab and Nave, 2017). In this study, we described a critical role for the F-box protein FBXO7 in the axon-myelin unit. FBXO7 is widely expressed in the nervous system, including myelinating cells. While deletion of Fbxo7 in the oligodendrocytes or Schwann cells does not affect myelin biogenesis, we observe signs of degeneration and inflammation in the CNS and an even more dramatic phenotype in the PNS. Here, loss of Fbxo7 triggers peripheral neuropathy characterized by axonal degeneration and macrophage invasion. This phenotype is particularly severe if Fbxo7 is ablated early on and thus in contrast to a mild version of neuropathy caused by the postmyelination deficiency of Fbxo7.
FBXO7 is a subunit of the SCF E3 ubiquitin ligase, encoded by PARK15 and has been implicated in an atypical form of Parkinson's disease. This movement disorder was termed Parkinsonian-pyramidal syndrome and is characterized by juvenile onset and a spectrum of symptoms and signs, which include, among others, bradykinesia, rigidity, Babinski sign, and cognitive deficits (Shojaee et al., 2008; Di Fonzo et al., 2009; Gündüz et al., 2014; Yalcin-Cakmakli et al., 2014; Lohmann et al., 2015). A peripheral neuropathy accompanying this particular syndrome has not been reported yet, but other reports have suggested that axonal neuropathy correlates with idiopathic Parkinson disease to a much higher extent compared with control individuals (Manca et al., 2009; Toth et al., 2010; Rajabally and Martey, 2011). Further genetic studies investigated the prevalence of asymptomatic peripheral neuropathy in patients suffering from juvenile parkinsonism. Here, peripheral neuropathy characterized by denervation, abnormalities in motor conduction of peroneal nerve, in sural sensory conduction and sympathetic skin response, was diagnosed in >50% of the Parkinson's disease patients with juvenile onset (Taly and Muthane, 1992). Individuals with Parkin mutations also showed an asymptomatic sensory axonal neuropathy (Ohsawa et al., 2005), supporting the view of peripheral neuropathy as a coexisting disorder of Parkinson's disease. Hence, it might be interesting to examine PARK15 patients for clinical features of peripheral neuropathy.
The milder pathology in the CNS stands in contrast to the strong pathology in the PNS. Increased axonal degeneration in the optic nerve together with the inflammation and astrogliosis in the brain and spinal cord upon FBXO7 deletion may, however, reflect the initial phase of a progressive degeneration of CNS axons. Because of the humane endpoint dictated by the peripheral neuropathy, we can only speculate about the pathological course in older mice. Whether or not the axon-myelin unit in the CNS will ever be as severely affected as in the PNS requires a more specific genetic approach. What is obvious, though, is that the loss of Fbxo7 during development contributes strongly to peripheral neuropathy, given that the conditional deletion of Fbxo7 in adult mice triggers a milder phenotype. Deletion of Fbxo7 in Schwann cells causes a full-blown neuropathy with degenerated axons but no apparent effect on myelin biogenesis. However, what can be observed is that myelin together with degenerating axons is cophagocytosed by macrophages, which contributes to the secondary loss of myelin. Furthermore, our findings led to the conclusion that the loss of contact with axons likely results in Schwann cells adopting a nonmyelinating state, indicated by the upregulation of GFAP in the sciatic nerve. GFAP is typically expressed by nonmyelinating Schwann cells and upregulated in Schwann cells that are deprived of axonal contact (Jessen et al., 1990). In conclusion, this sign of Schwann cell dedifferentiation is in line with observations in CMT mouse models characterized by damaged nerve fibers (Fledrich et al., 2014; Klein et al., 2014; Groh et al., 2015).
The neuropathology of the PNS displays a quite striking phenotype. We find a focal destruction of the sciatic nerve that is characterized by degenerated axons and Remak bundles, which are in turn characterized by empty collagen pockets or reduced to Remak cells only (Weis et al., 2012). We further observe an increase in fibroblasts, which are in close proximity with infiltrating macrophages, a scenario that has been previously found in CMT models (Groh et al., 2012). The macrophages are clearly responsible for the removal of the degenerating axons together with the myelin, which subsequently leaves edema in the inflammation foci. Other parts of the sciatic nerve appear completely normal with healthy myelinated axons and Remak bundles, but the impending infiltration of macrophages can already be observed. As we do not observe lymphocytes at the time of analysis, the macrophage invasion should foremost be viewed as a cleanup action following Wallerian degeneration of the axons. Focal inflammatory mechanisms that include colony stimulating factor-1-induced increase in macrophage number may also amplify the devastating clearance of myelinated fibers (Groh et al., 2012, 2015).
The focal breakdown of the myelin-axon units in the sciatic nerve is a remarkable feature that may induce the focal activation of the innate immune response. Focal inflammation is however rather atypical for genetic neuropathies. For example, while CMT disease Type 2 (CMT2), harboring certain MPZ mutations, is characterized by a prominent axonal degeneration, mild or no demyelination, and only moderate reduction of nerve conduction velocity (Chapon et al., 1999; Shy et al., 2004; Finsterer et al., 2006), peripheral nerve biopsies of these CMT2 patients show a rather uniform pathology (Chapon et al., 1999; Senderek et al., 2000). Consistent with CMT2, we also find the depletion of large myelinated fibers.
FBXO7 plays also an important role in neurons for regulating motor functions (Vingill et al., 2016). In contrast to myelinating cells, loss of Fbxo7 in neurons does not lead to any obvious signs of axonal degeneration (Vingill et al., 2016). These findings suggest that, while absence of Fbxo7 in neurons has no effect on axonal health, its loss in myelinating cells is detrimental to axonal integrity. This raises the question of which mechanism in myelinating cells is dispensable for myelination but indispensable for the support of the axon-myelin unit. As of now, this is quite challenging to answer as E3 ubiquitin ligases, such as FBXO7-SCF, are versatile enzymes implicated in multiple pathways. Our current understanding of FBXO7 is its regulatory role in proteasome assembly and activity (Vingill et al., 2016). As a consequence, systemic deletion of Fbxo7 in the brain results in a decrease in proteasome activity. Interestingly, we found that loss of Fbxo7 affects different cell types to a variable extent. Schwann cells appear to be very sensitive to proteasome inhibition. In line with this finding, the use of bortezomib, a reversible inhibitor of the catalytic proteasomal subunit PSMB5, has been applied to experimentally induce neuropathy in rats that display Schwann cells pathology and axonal damage (Cavaletti et al., 2007). Multiple myeloma patients treated with bortezomib develop a peripheral neuropathy, which has emerged as dose-limiting toxicity (Cavaletti and Jakubowiak, 2010; Cavaletti, 2011). Based on these reports, it is conceivable that reduced proteasome activity in Schwann cells caused by loss of Fbxo7 contributes to or even triggers peripheral neuropathy. Also, these findings suggest that it is not just the mere presence of Schwann cells that stimulates the survival of peripheral neurons as shown, for example, in ErbB3-deficient mice (Riethmacher et al., 1997), but likely the intact UPS in Schwann cells that is required to fully support axonal health. Our proteome analyses of the PNS also revealed the downregulation of E2 ubiquitin-conjugating enzymes, indicating that the UPS in the sciatic nerve is compromised beyond the loss of Fbxo7.
FBXO7 also is required for mitophagy, a clearance mechanism that is essential for mitochondrial homeostasis (Burchell et al., 2013). Whether or not mitophagy is impaired in oligodendrocytes or in Schwann cells of CNP1-Cre;fl/fl mice remains to be determined. The proteome analyses, however, show the significant downregulation of enzymes required for glycolysis and mitochondrial proteins involved in oxidative phosphorylation in the CNS of these mice. Along with the mitochondrial changes, we observed the increase in GSTπ1. This is consistent with the increased levels of GSTπ1 in MPTP-induced Parkinson model exhibiting oxidative stress (Castro-Caldas et al., 2009). Oligodendrocytes appear to be rather resistant to mitochondrial dysfunction. Ablation of mitochondrial respiration has little or no effect of oligodendrocyte and their associated axons in CNP1-Cre;Cox10fl/fl mice. However, Fünfschilling et al. (2012) demonstrated that loss of respiration in Schwann cells leads to peripheral neuropathy, indicating a sensitivity of Schwann cells to mitochondrial dysfunction. The authors described a progressive loss of myelinated axons in the PNS but no effect on myelination itself, which is comparable with the phenotype we have discovered in our conditional KO mice.
Together, we show that myelination is entirely independent of FBXO7; the support of axons by myelinating cells, however, is not. This dependence is particularly striking when Fbxo7 is already ablated during development. The loss of Fbxo7 triggers a peripheral neuropathy and signs of degeneration in the CNS. The global assessment of protein changes in myelinating cells also supports the notion that FBXO7's role in UPS regulation and mitochondrial function contributes to the inability of these cells to support axonal health, identifying FBXO7 as an essential factor of the axon-myelin unit.
Footnotes
This work was supported by Deutsche Forschungsgemeinschaft Grant STE1117/10-1 to J.S. We thank Hannelore Mader, Claudia Krude, Dr. Anand Goswami (Department of Neuropathology, RWTH Aachen University Hospital), Boguscha Sadowski, Torben Ruhwedel (Electron Microscopy, MPI of Experimental Medicine, Göttingen), Dörte Hesse (Proteomics, MPI of Experimental Medicine, Göttingen), and Ramona Jung, Katja Lüders (Department of Neurogenetics, MPI of Experimental Medicine, Göttingen) for excellent technical support; and Prof. Dr. Ueli Suter for providing the PLP1-Cre-ERT2 mouse driver line.
The authors declare no competing financial interests.
- Correspondence should be addressed to Judith Stegmüller at jstegmueller{at}ukaachen.de