Literature DB >> 29507183

AMPK Inhibits ULK1-Dependent Autophagosome Formation and Lysosomal Acidification via Distinct Mechanisms.

Chinwendu Nwadike1, Leon E Williamson1, Laura E Gallagher1, Jun-Lin Guan2, Edmond Y W Chan3,4,5.   

Abstract

Autophagy maintains metabolism in response to starvation, but each nutrient is sensed distinctly. Amino acid deficiency suppresses mechanistic target of rapamycin complex 1 (MTORC1), while glucose deficiency promotes AMP-activated protein kinase (AMPK). The MTORC1 and AMPK signaling pathways converge onto the ULK1/2 autophagy initiation complex. Here, we show that amino acid starvation promoted formation of ULK1- and sequestosome 1/p62-positive early autophagosomes. Autophagosome initiation was controlled by MTORC1 sensing glutamine, leucine, and arginine levels together. In contrast, glucose starvation promoted AMPK activity, phosphorylation of ULK1 Ser555, and LC3-II accumulation, but with dynamics consistent with a block in autophagy flux. We studied the flux pathway and found that starvation of amino acid but not of glucose activated lysosomal acidification, which occurred independently of autophagy and ULK1. In addition to lack of activation, glucose starvation inhibited the ability of amino acid starvation to activate both autophagosome formation and the lysosome. Activation of AMPK and phosphorylation of ULK1 were determined to specifically inhibit autophagosome formation. AMPK activation also was sufficient to prevent lysosome acidification. These results indicate concerted but distinct AMPK-dependent mechanisms to suppress early and late phases of autophagy.
Copyright © 2018 Nwadike et al.

Entities:  

Keywords:  AMPK; MTORC1; ULK1; amino acid starvation; arginine; autophagy; glucose starvation; glutamine; leucine; lysosome acidification

Mesh:

Substances:

Year:  2018        PMID: 29507183      PMCID: PMC5954193          DOI: 10.1128/MCB.00023-18

Source DB:  PubMed          Journal:  Mol Cell Biol        ISSN: 0270-7306            Impact factor:   4.272


INTRODUCTION

During macroautophagy (here called autophagy), cellular components are sequestered into double-bilayer membrane vesicles termed autophagosomes. Autophagosomes are transported to lysosomes, followed by organellar fusion to allow content degradation and recycling of metabolic building blocks for cell viability (1, 2). A fundamental feature of autophagy is that it is potently induced following nutrient starvation, for example, in Saccharomyces cerevisiae deprived of nitrogen (amino acids and ammonia) (3). Autophagy is widely acknowledged to be a central hub for maintaining metabolic homeostasis, which plays roles in the larger context, controlling cell fate during normal ageing and cancer cell survival (4). As such, we and others have been interested in how the mammalian ULK1/2 complex coordinates multiple nutrient-dependent signals at the top of the autophagy regulatory cascade. In one prominent model, mechanistic target of rapamycin complex 1 (MTORC1) phosphorylates ULK1 on Ser757 (Ser758 in humans), which has the effect of disrupting interaction between ULK1 and AMP-activated protein kinase (AMPK) (5). This direct binding allows AMPK to phosphorylate ULK1 on sites Ser317 and Ser777, which stimulates ULK1 activity for autophagy. Amino acid starvation would suppress MTORC1 activity, facilitating positive autophagy regulation from AMPK. Glucose starvation would in turn activate AMPK to promote autophagy via ULK1-mediated phosphorylation of factors such as beclin1, ATG13, and FIP200 (6, 7). This single model, however, cannot account for the full complexity of autophagy, which involves other modifications of ULK1. AMPK phosphorylates ULK1 on other sites, such as Ser467, Ser555, Ser574, and Ser637 (Ser467, Ser556, Ser575, and Ser638 in humans), which may function for mitophagy in response to cell energy signals (8, 9). Other patterns of nutrient-sensitive phosphorylation on ULK1 have been reported, and the Ser637 site appears to be controlled by both MTORC1 and AMPK, highlighting interconnections not yet fully understood (10). Autophagy induction following amino acid starvation is widely prevalent, robust, and rapid (11–13). Autophagy following glucose starvation has also been reported, but this response appears to be more complex, requiring more prolonged stress to produce effects (5, 14–19). Interestingly, the MTORC1-AMPK-ULK1 interplay model predicts that autophagy following amino acid withdrawal still requires AMPK function. Regarding this issue, the precise roles of glucose starvation and AMPK in autophagy remain controversial. Low cellular energy levels and AMPK activation were initially proposed to block autophagy, based on biochemical approaches (20, 21). Other reports have shown glucose starvation to inhibit autophagy responses (22, 23, 24). Previously, we approached this area by studying nutrient-dependent autophagy in fibroblasts derived from ULK1/2 double-knockout (DKO) mice (11). We showed that ULK1/2 DKO clearly blocked the rapid autophagy response stimulated by amino acid starvation. In that work, we noted that prolonged (overnight) glucose starvation produced a distinct autophagy phenotype that was independent of canonical phosphatidylinositol 3-phosphate (PtdIns3P) signals. Here, we further investigated how amino acid and glucose starvation signals control autophagy. We found, in a wide range of cells, that only amino acid starvation stimulated robust bona fide autophagy degradative flux. In contrast, glucose starvation produced phenotypes resembling a reduction of flux and halted autophagy. Surprisingly, amino acid starvation and glucose starvation showed differential control of autophagy gene expression, early autophagosome formation, and activation of the lysosome. Furthermore, glucose starvation and the resulting AMPK activation could override and suppress amino acid starvation signals that normally trigger autophagy. These findings highlight the opposing mechanisms that allow MTOR and AMPK to balance the functions of both early and late stages of autophagy.

RESULTS

Glucose starvation fails to activate autophagy flux.

We have previously shown how amino acid starvation robustly activated autophagy in mouse embryonic fibroblasts (MEF) and how this response was fully blocked upon ULK1/2 DKO (11). Here, we explored alternate forms of nutrient stress. Surprisingly, we found that starving MEF of glucose did not strongly activate autophagy, as detected by conversion of inactive LC3-I to activated (lipid-modified) LC3-II (Fig. 1A). Glucose starvation led to only relatively small increases in LC3-II that did not further accumulate when lysosomal activity was blocked by bafilomycin (Baf) A1, which clearly contrasted with our previous observations following amino acid starvation using the same cell system (11). Glucose starvation failed to activate Baf A1-dependent LC3-II accumulation in both short (2-h) and prolonged (18-h) starvation experiments. Furthermore, the mild changes in LC3-II following glucose starvation still occurred in ULK1/2 DKO MEF lines.
FIG 1

Glucose starvation does not activate autophagy flux. (A) Wild-type or ULK1/2 DKO MEF were exposed (+) or not exposed (−) to glucose starvation (−Glc), in the presence (+) or absence (−) of Baf A1, as indicated, for 2 or 18 h. Starvation conditions included 10% dialyzed FBS. FM, full-nutrient control medium. The cell lysates were analyzed for LC3B lipidation and quantified as LC3-II/LC3-I (n = 3 experiments; the error bars indicate standard errors of the mean [SEM]). Two different lines of ULK1/2 DKO MEF were analyzed. (B) Cells were exposed to amino acid (−AA) or glucose starvation for the indicated times. Starvation conditions included 10% dialyzed FBS. The cell lysates were analyzed for LC3B, phospho- or total ACC, and phospho- or total ribosomal S6 (S6). Quantification was based on 3 experiments; the error bars indicate SEM. *, P < 0.05; **, P < 0.01; ***, P < 0.001; ****, P < 0.0001; t test.

Glucose starvation does not activate autophagy flux. (A) Wild-type or ULK1/2 DKO MEF were exposed (+) or not exposed (−) to glucose starvation (−Glc), in the presence (+) or absence (−) of Baf A1, as indicated, for 2 or 18 h. Starvation conditions included 10% dialyzed FBS. FM, full-nutrient control medium. The cell lysates were analyzed for LC3B lipidation and quantified as LC3-II/LC3-I (n = 3 experiments; the error bars indicate standard errors of the mean [SEM]). Two different lines of ULK1/2 DKO MEF were analyzed. (B) Cells were exposed to amino acid (−AA) or glucose starvation for the indicated times. Starvation conditions included 10% dialyzed FBS. The cell lysates were analyzed for LC3B, phospho- or total ACC, and phospho- or total ribosomal S6 (S6). Quantification was based on 3 experiments; the error bars indicate SEM. *, P < 0.05; **, P < 0.01; ***, P < 0.001; ****, P < 0.0001; t test. We confirmed that amino acid starvation within 2 h led to clear MTORC1 suppression (S6 phosphorylation levels) and LC3 conversion (Fig. 1B). Amino acid starvation was properly sensed as MTORC1 suppression in ULK1/2 DKO MEF, although LC3 conversion was not activated. In contrast, 2 h of glucose starvation promoted AMPK activation (acetyl coenzyme A [acetyl-CoA] carboxylase [ACC] phosphorylation) in wild-type (WT) MEF but little change in MTORC1 activation. LC3-II was indeed formed following glucose starvation, but independently of ULK1/2 function. We interpret this change to represent a block in lysosomal flux, as discussed below (see Fig. 10).
FIG 10

Glucose starvation and AMPK inhibit lysosomal acidification. (A and B) HEK293A cells were starved of amino acids for 2 h and stained using Lysotracker Red DND-99. Starvation conditions included 0.1% dialyzed FBS. Where indicated, starvation included CQ or bafilomycin A1. Lysotracker staining intensity per cell was quantified from confocal images (arbitrary units). Each box represents 60 cells, representative of the results of 4 experiments. (C) HeLa cells were starved of serum, amino acids, or glucose for 2 h and analyzed for Lysotracker staining. Amino acid and glucose starvation conditions included 0.1% dialyzed FBS. (D) Quantification of the data in panel C. Each box represents 50 to 60 cells, representative of the results of 4 experiments. (E) The experiment shown in panels C and D was repeated in HEK293A cells. Each box represents 50 to 60 cells, representative of the results of 4 experiments. (F and G) Wild-type or ATG5 knockout MEF were starved and analyzed as for panel C. Each box represents 40 to 50 cells, representative of the results of 5 experiments. (H) ULK1/2 DKO or FIP200 KO MEF were starved of amino acids and analyzed as for panels C and D. Each box represents 270 to 320 cells from 3 experiments. (I) HEK293A cells were starved of amino acids, or amino acid and glucose together, for 2 h as for panel C. Where indicated, the double-starvation conditions included adding back d-glucose (1 g/liter). Each box represents 60 cells, representative of the results of 4 experiments. (J to L) Wild-type MEF (or HEK293A cells [L]) were starved of amino acids in the presence or absence of A769662 (50 μM) for 2 h and analyzed as for panels C and D. Each box represents 120 cells from 2 experiments. In box-and-whisker plots, the boxes show the 25th and 75th percentiles and means, and the whiskers show standard deviations. ×, 1st and 99th percentiles; ****, P < 0.0001; unpaired t test. Scale bars, 20 μm.

For further clarification, we studied longer-term effects. MTORC1 activity recovered after overnight amino acid starvation, and cells showed dramatically low total LC3 protein levels in both WT and ULK1/2 DKO MEF (Fig. 1B). In contrast, overnight glucose starvation led to mild AMPK activation and MTORC1 suppression in both WT and ULK1/2 DKO cells. As such, the cells appear to shut down MTORC1, albeit slowly, following glucose starvation, which may reflect the AMPK- or RagA-dependent glucose-sensing mechanisms previously reported (25, 26). LC3-II accumulated similarly in both cell types following prolonged glucose starvation. Together, these data suggest that only amino acid starvation activates a ULK1/2-dependent immediate autophagy response. Prolonged amino acid starvation activates a further, ULK1/2-independent degradative pathway that leads to LC3 clearance, ultimately leading to MTORC1 reactivation (27). As we show below (see Fig. 10), this likely represents amino acid starvation-based activation of the lysosome. Glucose starvation failed to robustly activate immediate or long-term autophagy degradative flux. Since MEF generally showed a strong requirement for survival growth factors, particularly during prolonged starvation, these incubation mixtures all contained dialyzed serum, and only effects from glucose or amino acid starvation were studied. The complex regulatory effects of amino acid versus glucose starvation required further clarification, so we tested autophagy membrane flux in MEF expressing tandem monomeric red fluorescent protein (mRFP)-green fluorescent protein (GFP)-tagged LC3 (28) (Fig. 2A). We confirmed that 2 h of addition of Baf A1 alone under full-nutrient conditions deacidified and revealed all the basal autophagosomes in resting cells. Amino acid starvation of MEF for 2 h produced mild increases in GFP-detectable (i.e., early) and RFP-detectable (i.e., total) autophagosomes. Notably, amino acid starvation produced RFP+-only membranes, which represent autophagosomes that acidify and mature into late degradative compartments. Glucose starvation also led to mild changes in GFP- and RFP-visible membranes, but the level of response was significantly less than that of amino acid starvation upon quantification of cell populations (Fig. 2B) and did not produce RFP+-only autophagosomes arising from flux.
FIG 2

Amino acid starvation activates rapid beclin1-dependent autophagy flux. (A) Wild-type MEF expressing mRFP-EGFP-LC3B were exposed to FM or amino acid (−AA) or glucose (−Glc) starvation in the presence of Baf A1, as indicated, for 2 h. Starvation conditions included 10% dialyzed FBS. Autophagy membranes visible in the GFP and RFP channels are shown. The arrowheads show RFP+-only (i.e., GFP-quenched, late) autophagosomes. Scale bar, 10 μm. (B) GFP- and RFP-positive autophagy membranes were quantified in wild-type or ULK1/2 DKO MEF expressing mRFP-EGFP-LC3B following starvation conditions 1 to 6 (as in panel A) for 2 or 18 h. Quantification was done using 30 to 40 cells from three 2-h experiments or 20 to 32 cells from two 18-h experiment; the error bars indicate SEM. *, P < 0.05; ***, P < 0.001; unpaired t test comparing conditions 3 versus 4 and 5 versus 6. (C) MEF (wild type or with stable beclin1 knockdown [shBecl1]) were starved as indicated with Baf A1 for 2 h. Starvation conditions included 10% dialyzed FBS. Endogenous LC3B-positive autophagy membranes were detected and quantified in 120 cells (from 2 experiments). Beclin1 knockdown efficiency was confirmed. Boxes show the 25th and 75th percentiles and means, and the whiskers show standard deviations. ×, 1st and 99th percentiles; ***, P < 0.001; ANOVA with Tukey's posttest.

Amino acid starvation activates rapid beclin1-dependent autophagy flux. (A) Wild-type MEF expressing mRFP-EGFP-LC3B were exposed to FM or amino acid (−AA) or glucose (−Glc) starvation in the presence of Baf A1, as indicated, for 2 h. Starvation conditions included 10% dialyzed FBS. Autophagy membranes visible in the GFP and RFP channels are shown. The arrowheads show RFP+-only (i.e., GFP-quenched, late) autophagosomes. Scale bar, 10 μm. (B) GFP- and RFP-positive autophagy membranes were quantified in wild-type or ULK1/2 DKO MEF expressing mRFP-EGFP-LC3B following starvation conditions 1 to 6 (as in panel A) for 2 or 18 h. Quantification was done using 30 to 40 cells from three 2-h experiments or 20 to 32 cells from two 18-h experiment; the error bars indicate SEM. *, P < 0.05; ***, P < 0.001; unpaired t test comparing conditions 3 versus 4 and 5 versus 6. (C) MEF (wild type or with stable beclin1 knockdown [shBecl1]) were starved as indicated with Baf A1 for 2 h. Starvation conditions included 10% dialyzed FBS. Endogenous LC3B-positive autophagy membranes were detected and quantified in 120 cells (from 2 experiments). Beclin1 knockdown efficiency was confirmed. Boxes show the 25th and 75th percentiles and means, and the whiskers show standard deviations. ×, 1st and 99th percentiles; ***, P < 0.001; ANOVA with Tukey's posttest. In the presence of Baf A1, amino acid starvation for 2 h led to strong accumulation of autophagosomes (visible with GFP and RFP due to global deacidification). In contrast, glucose starvation plus Baf A1 produced a markedly lower level of autophagosome formation. Moreover, the amino acid starvation and Baf A1 responses at 2 h were clearly blocked upon ULK1/2 DKO. When the experiment was performed following 18-h starvations, we detected a distinct pattern (Fig. 2B). Baf A1 alone or both starvation conditions (plus Baf A1) all led to similar accumulation of GFP+ and RFP+ membranes. Furthermore, the accumulations took place similarly, even with ULK1/2 DKO. These results suggested that only amino acid starvation (in the short term) stimulated canonical autophagy flux and that this response was strictly dependent on the ULK1/2 complex. Upon prolonged (e.g., overnight) starvation, other, lower-rate autophagy-related processes become more apparent, but they did not display differential sensitivity to amino acid versus glucose starvation and were ULK1/2 independent. We further validated our findings using another imaging approach, detecting endogenous LC3-positive autophagosomes in starved WT MEF (Fig. 2C). Baf A1 alone (under control conditions) led to only small accumulation of basally forming autophagosomes. LC3-positive autophagosome formation was strongly promoted by amino acid, but not glucose, starvation. Since activated ULK1/2 promotes autophagy by phosphorylating downstream signaling partners, such as beclin1 (6), we further confirmed that the short-term amino acid-dependent autophagy response was blocked upon Beclin1 silencing.

Differential nutrient responses in cancer cells.

The failure of glucose starvation to activate autophagy was puzzling, so we investigated if this trend was conserved, particularly in cancer cells that exhibit high glucose catabolism. We found, in a range of breast, ovarian, and melanoma cancer cell lines, that glucose starvation generally led to LC3-II accumulation, similar to cells with lysosomal inhibition via chloroquine (CQ) (Fig. 3A). This similarity was most obvious in 4T1, SKOV3, and OVCAR3 cells but was generally displayed in the other cell types. In contrast, amino acid starvation over the same time frame led to patterns of LC3 conversion and clearance. MCF7 and A431 were further studied as representative cell models showing clear nutrient-dependent differences. In both cell types, overnight amino acid starvation led to strong flux and clearance of total LC3 and the sequestosome 1/p62 autophagy adaptor protein (Fig. 3B). In contrast, overnight glucose starvation did not produce strong LC3 and p62 degradation.
FIG 3

Lack of autophagy flux following glucose starvation is conserved in cancer cells. (A) The indicated cell types were incubated with glucose or amino acid starvation for 3 h. As a control, CQ (25 μM) was added to cells under full-nutrient conditions. UT, untreated. (B) MCF7 or A431 cells were treated with prolonged starvation (24 h) as indicated. Starvation conditions included 10% dialyzed FBS. Cell lysates were analyzed for LC3B, sequestosome 1/p62 protein levels, and S6 protein phosphorylation. The data are representative of the results of 3 experiments. (C) MCF7 or A431 cells were starved as indicated for 3 or 24 h. Transcript levels for LC3B and p62 were quantified (expressed as fold change normalized to GAPDH; n = 3; the error bars indicate SEM). *, P < 0.05; ***, P < 0.001; ****, P < 0.0001; ANOVA with Tukey's posttest. (D and E) A431 cells stably expressing mCherry-EGFP-LC3B were starved as indicated with Baf A1 for 2 h. Starvation conditions included 10% dialyzed FBS. GFP- and RFP-positive autophagy membranes were quantified in 120 cells from 3 experiments; the error bars indicate SEM. ****, P < 0.0001; unpaired t test comparing –AA and –Glc conditions. Scale bar, 10 μm.

Lack of autophagy flux following glucose starvation is conserved in cancer cells. (A) The indicated cell types were incubated with glucose or amino acid starvation for 3 h. As a control, CQ (25 μM) was added to cells under full-nutrient conditions. UT, untreated. (B) MCF7 or A431 cells were treated with prolonged starvation (24 h) as indicated. Starvation conditions included 10% dialyzed FBS. Cell lysates were analyzed for LC3B, sequestosome 1/p62 protein levels, and S6 protein phosphorylation. The data are representative of the results of 3 experiments. (C) MCF7 or A431 cells were starved as indicated for 3 or 24 h. Transcript levels for LC3B and p62 were quantified (expressed as fold change normalized to GAPDH; n = 3; the error bars indicate SEM). *, P < 0.05; ***, P < 0.001; ****, P < 0.0001; ANOVA with Tukey's posttest. (D and E) A431 cells stably expressing mCherry-EGFP-LC3B were starved as indicated with Baf A1 for 2 h. Starvation conditions included 10% dialyzed FBS. GFP- and RFP-positive autophagy membranes were quantified in 120 cells from 3 experiments; the error bars indicate SEM. ****, P < 0.0001; unpaired t test comparing –AA and –Glc conditions. Scale bar, 10 μm. These results in cancer cells support our model for differential responses to amino acid versus glucose starvation. Since changes in levels of LC3 or p62 protein can arise from both autophagy and gene expression mechanisms, particularly in prolonged starvation (29), we further tested LC3B and p62/SQSTM1 transcript levels (Fig. 3C). Under short-term starvation, only glucose (and not amino acid) starvation led to mild LC3B and p62 upregulation in MCF7 cells. A431 displayed a mild but distinct nutrient-dependent response. Under prolonged starvation, there was clearer upregulation of LC3B and p62, particularly upon glucose starvation. The nutrient-dependent difference was especially apparent in MCF7 cells. These data suggest that in the short term, amino acid starvation activates autophagy flux, leading to loss of LC3 and p62 proteins (although there is no gene downregulation). Under prolonged time frames, amino acid starvation produces some upregulation, but LC3 and p62 degradation rates appear to overwhelm this response. In contrast, prolonged glucose starvation does not produce degradative flux and further stimulates LC3 and p62 upregulation. Lastly, we confirmed the differential autophagy flux by imaging A431 cells expressing mRFP-GFP-LC3 (Fig. 3D and E). Similar profiles were observed, with Baf A1 (alone under control conditions) revealing basal autophagosome levels. In the short term only amino acid, but not glucose, starvation promoted strong autophagosome formation.

Amino acid starvation activates autophagy flux.

We further investigated the nutrient-dependent regulation of autophagy using HEK293 cells, which we previously used extensively to study ULK1 signaling (30, 31). HEK293 cells possess a high rate of basal autophagy, even under full nutrient conditions, as shown via clear LC3-II accumulation following lysosomal block with Baf A1 (Fig. 4A, lane 2). Amino acid (and serum) starvation led to increased LC3-II (Fig. 4A, lane 1 versus 3), and this effect was further apparent when Baf A1 was used to block autophagic flux (Fig. 4A, lane 4). Addition of dialyzed serum did not alter LC3-II accumulation (Fig. 4A, lane 3 versus 5), suggesting that the cells were primarily sensing amino acid withdrawal. Amino acid starvation (with or without serum) strongly inhibited MTORC1. As observed (see above) in multiple cell types, glucose (and serum) starvation led to some LC3-II formation, but it was not as robust as with amino acid starvation (Fig. 4A, lane 3 versus 6). Furthermore, glucose starvation (Fig. 4A, +Baf A1) did not produce more LC3-II than Baf A1 treatment alone (also shown by quantitation [Fig. 4B]). Glucose (and serum) starvation led to AMPK activation and also MTORC1 suppression. However, supplementation with dialyzed serum under glucose starvation restored MTORC1 activity and prevented LC3-II generation (Fig. 4A, lane 6 versus 8). Therefore, starvation of glucose alone produces minimal autophagy responses, consistent with our other data. Serum starvation can activate autophagy to a certain extent, but its contribution is weak when directly compared with amino acid starvation.
FIG 4

Amino acid starvation triggers dephosphorylation of ULK1 serine 555 and autophagy. (A) HEK293A cells were incubated under amino acid or glucose starvation conditions for 2 h. Where indicated, bafilomycin A1 or 10% dialyzed FBS was added. Immunoblotting detected LC3B lipidation, P-ACC, and P-S6 levels in lysates. (B) Quantification of LC3B lipidation ratios was based on 3 experiments; the error bars indicate SEM. **, P < 0.01; unpaired t test. (C) HEK293A cells were starved of amino acid or glucose for the indicated times. All conditions were with bafilomycin A1. Quantification was based on 3 experiments; the error bars indicate SEM. *, P < 0.05; **, P < 0.01; ANOVA with Tukey's posttest comparing UT and –AA conditions. (D) HEK293A cells were incubated under amino acid or glucose starvation for the indicated times. Starvation conditions included 10% dialyzed FBS. Parallel wells of control cells were replenished with full-nutrient medium at the start of incubation. The cell lysates were analyzed for ULK1 serine 555 phosphorylation, P-ACC, LC3B, and p62 levels. Representative quantification is shown below the phosphoblots. Quantification of p62 degradation and LC3B ratios was based on 3 experiments; the error bars indicate SEM. ***, P < 0.001; ANOVA with Tukey's posttest. (E) HEK293A stably expressing mCherry-EGFP-LC3B were incubated under the indicated starvation conditions (1 to 6) for 2 h. Starvation conditions included 0.1% dialyzed FBS. **, P < 0.01; ****, P < 0.0001; unpaired t test comparing conditions 3 versus 4 and 5 versus 6. Scale bar, 10 μm.

Amino acid starvation triggers dephosphorylation of ULK1 serine 555 and autophagy. (A) HEK293A cells were incubated under amino acid or glucose starvation conditions for 2 h. Where indicated, bafilomycin A1 or 10% dialyzed FBS was added. Immunoblotting detected LC3B lipidation, P-ACC, and P-S6 levels in lysates. (B) Quantification of LC3B lipidation ratios was based on 3 experiments; the error bars indicate SEM. **, P < 0.01; unpaired t test. (C) HEK293A cells were starved of amino acid or glucose for the indicated times. All conditions were with bafilomycin A1. Quantification was based on 3 experiments; the error bars indicate SEM. *, P < 0.05; **, P < 0.01; ANOVA with Tukey's posttest comparing UT and –AA conditions. (D) HEK293A cells were incubated under amino acid or glucose starvation for the indicated times. Starvation conditions included 10% dialyzed FBS. Parallel wells of control cells were replenished with full-nutrient medium at the start of incubation. The cell lysates were analyzed for ULK1 serine 555 phosphorylation, P-ACC, LC3B, and p62 levels. Representative quantification is shown below the phosphoblots. Quantification of p62 degradation and LC3B ratios was based on 3 experiments; the error bars indicate SEM. ***, P < 0.001; ANOVA with Tukey's posttest. (E) HEK293A stably expressing mCherry-EGFP-LC3B were incubated under the indicated starvation conditions (1 to 6) for 2 h. Starvation conditions included 0.1% dialyzed FBS. **, P < 0.01; ****, P < 0.0001; unpaired t test comparing conditions 3 versus 4 and 5 versus 6. Scale bar, 10 μm. We and others have noted glucose-dependent autophagy effects, particularly following prolonged starvation (5, 11, 14, 19); therefore, here, we investigated details in the time course of nutrient sensing. In HEK293 cells, inhibition of the lysosome led to a gradual accumulation of LC3-II over 1 to 4 h (Fig. 4C). Further amino acid starvation led to rapid formation of significantly higher levels of LC3-II. Glucose starvation failed to activate LC3-II formation above the low level caused by a lysosomal block alone. In these prolonged experiments, we noted mild LC3 and ACC accumulation upon overnight incubation of control cells maintained with full nutrients (Fig. 4D). In contrast, amino acid starvation triggered LC3 conversion within 2 h, becoming clearer by 4 h, which is consistent with other data. By 18 h of amino acid starvation, total LC3 levels markedly decreased due to continued degradation (also reflected by p62 reduction). AMPK activity remained low during amino acid starvation. The parallel time course from glucose starvation was distinct, with less LC3 conversion and clearance, no p62 loss, and rapid AMPK activation. Although different cell types display slightly varying responses, nutrient-dependent autophagy flux, as detected by RFP-GFP-LC3, has been consistent. In HEK293 cells (Fig. 4E), 2 h of Baf A1 treatment alone showed the basal autophagosome levels. Amino acid starvation produced significantly more GFP+ and RFP+ autophagosomes under conditions of both Baf A1 presence and absence.

Amino acid starvation stimulates autophagosome formation in a glucose-dependent manner.

As we established the nutrient-specific effects on autophagy flux, we further studied regulation of autophagosome formation. We first investigated early autophagy factor recruitment by detecting the ULK1 complex, which translocates to initial endoplasmic reticulum (ER)-associated assembly sites. We and others have previously reported clear formation of membranes using exogenous tagged ULK1 complex members (30, 32). Here, we observed that cells maintained under full nutrients contained virtually no membranes staining for endogenous ULK1 (Fig. 5A). Amino acid starvation stimulated assembly of ULK1-positive membranes within 15 min, which further increased over time (Fig. 5B). In contrast, glucose starvation did not stimulate ULK1-positive puncta.
FIG 5

Glucose starvation inhibits autophagosome formation. (A) HEK293A cells were incubated under amino acid or glucose starvation for 2 h. Starvation conditions included 0.1% dialyzed FBS. Cells were stained for endogenous ULK1- or p62-labeled autophagosomes. Scale bars, 10 μm. (B) HEK293A cells were starved as for panel A for the times indicated, and ULK1 and p62 puncta/cell were quantified. Each box represents 38 cells, representative of the results of 2 experiments. (C) Wild-type MEF expressing GFP-DFCP1 were starved of amino acids as for panel A for 2 h. The cells were stained for endogenous p62 puncta. The arrowheads point to the autophagosome shown enlarged in the insets. Scale bar, 10 μm. (D) HEK293A cells were starved of amino acids for 2 h. Starvation conditions included 0.1 or 5% dialyzed FBS or addition of MRT68921 (10 μM), as indicated. Each box represents 40 cells, representative of the results of 2 experiments. (E) HEK293A cells were starved of amino acids, glucose, or both together for 2 h. Dialyzed serum concentrations were also varied during starvation, as indicated. Each box represents 40 to 50 cells, representative of the results of 2 experiments. In box-and-whisker plots, the boxes show the 25th and 75th percentiles and means, and the whiskers show standard deviations. ×, 1st and 99th percentiles; ****, P < 0.0001; ANOVA with Tukey's posttest.

Glucose starvation inhibits autophagosome formation. (A) HEK293A cells were incubated under amino acid or glucose starvation for 2 h. Starvation conditions included 0.1% dialyzed FBS. Cells were stained for endogenous ULK1- or p62-labeled autophagosomes. Scale bars, 10 μm. (B) HEK293A cells were starved as for panel A for the times indicated, and ULK1 and p62 puncta/cell were quantified. Each box represents 38 cells, representative of the results of 2 experiments. (C) Wild-type MEF expressing GFP-DFCP1 were starved of amino acids as for panel A for 2 h. The cells were stained for endogenous p62 puncta. The arrowheads point to the autophagosome shown enlarged in the insets. Scale bar, 10 μm. (D) HEK293A cells were starved of amino acids for 2 h. Starvation conditions included 0.1 or 5% dialyzed FBS or addition of MRT68921 (10 μM), as indicated. Each box represents 40 cells, representative of the results of 2 experiments. (E) HEK293A cells were starved of amino acids, glucose, or both together for 2 h. Dialyzed serum concentrations were also varied during starvation, as indicated. Each box represents 40 to 50 cells, representative of the results of 2 experiments. In box-and-whisker plots, the boxes show the 25th and 75th percentiles and means, and the whiskers show standard deviations. ×, 1st and 99th percentiles; ****, P < 0.0001; ANOVA with Tukey's posttest. To study a later stage of autophagosome assembly, we detected endogenous patterns of p62/sequestosome 1, which is recruited to form autophagy membranes via both LC3-dependent and -independent mechanisms (33, 34). Amino acid starvation induced p62-positive membranes in a robust, rapid, and time-dependent manner (Fig. 5A and B). In contrast, glucose starvation did not induce p62 membranes. To confirm the p62 staining, we detected colocalization with GFP-DFCP1. In WT MEF, amino acid starvation stimulated the formation of DFCP1-positive autophagosomes with concentrated patches of PtdIns3P (Fig. 5C). p62 puncta colocalized with GFP-DFCP1, intermingling with the patches of PtdIns3P on autophagosomes, suggestive of cargo recruitment. The amino acid-dependent induction of p62 puncta could be blocked with the ULK1 inhibitor MRT68921 (35) (Fig. 5D). Therefore, the data suggest that amino acid starvation rapidly promotes ULK1 activation and translocation, thereby promoting downstream p62 recruitment and autophagosome formation. We further explored nutrient dependency during autophagosome formation using p62 puncta as a readout. We and others have long used Earle's balanced salt solution (EBSS) as a standard autophagy starvation medium (11, 30, 31). Notably, EBSS lacks both amino acids and serum. During the course of this study, we further clarified that serum starvation itself can mildly stimulate autophagy by suppressing MTORC1 activity (Fig. 5A). In HEK293 cells, we also observed that serum deprivation led to cytoskeletal changes but determined that supplementation with trace amounts of serum (0.1%) maintained cell morphology and prevented cell detachment. We confirmed that serum deprivation alone (from 10% to 0.1%) only mildly induces formation of p62 puncta (Fig. 5E). In comparison, further starvation of amino acid (but not of glucose) strongly induced p62 puncta. This difference between amino acid starvation and glucose starvation was observed even when starvation was performed in the context of 10% dialyzed serum. Importantly, while amino acid starvation promoted p62 membranes, further removal of glucose (double starvation) significantly blocked the formation of p62 puncta. We further confirmed biochemically that glucose starvation inhibited the amino acid starvation signal from promoting LC3 lipidation (Fig. 6A). Therefore, glucose starvation blocked the otherwise strong induction by amino acid starvation of autophagosome formation.
FIG 6

Differential effects of glucose and amino acids (glutamine, leucine, and arginine) on autophagy signaling. (A) HEK293A cells were starved of amino acids, glucose, or both together for 2 h. Starvation conditions included 10% dialyzed FBS. Bafilomycin A1 was included as indicated. The cell lysates were analyzed for LC3B lipidation and quantified based on 3 experiments; the error bars indicate SEM. *, P < 0.05; unpaired t test. (B) HEK293A cells were starved as for panel A and analyzed for P-ACC, P-S6, and phosphorylation at the indicated ULK1 sites. Representative quantification is shown below the phosphoblots. (C) HEK293A cells were starved of amino acids (in the presence of 10% dialyzed FBS). Where indicated, starvation media contained bafilomycin A1 with the amino acids glutamine (Q), leucine (L), and/or arginine (R) added back. The data are representative of the results of 3 experiments. (D and E) HeLa cells were starved of amino acids (in the presence of 5% dialyzed FBS), with amino acids added back as indicated. Endogenous p62 puncta were analyzed. Scale bar, 10 μm. (D) Each plot represents 40 cells, representative of the results of 2 experiments. Boxes show the 25th and 75th percentiles and means, and the whiskers show standard deviations. ×, 1st and 99th percentiles; ****, P < 0.0001; unpaired t test.

Differential effects of glucose and amino acids (glutamine, leucine, and arginine) on autophagy signaling. (A) HEK293A cells were starved of amino acids, glucose, or both together for 2 h. Starvation conditions included 10% dialyzed FBS. Bafilomycin A1 was included as indicated. The cell lysates were analyzed for LC3B lipidation and quantified based on 3 experiments; the error bars indicate SEM. *, P < 0.05; unpaired t test. (B) HEK293A cells were starved as for panel A and analyzed for P-ACC, P-S6, and phosphorylation at the indicated ULK1 sites. Representative quantification is shown below the phosphoblots. (C) HEK293A cells were starved of amino acids (in the presence of 10% dialyzed FBS). Where indicated, starvation media contained bafilomycin A1 with the amino acids glutamine (Q), leucine (L), and/or arginine (R) added back. The data are representative of the results of 3 experiments. (D and E) HeLa cells were starved of amino acids (in the presence of 5% dialyzed FBS), with amino acids added back as indicated. Endogenous p62 puncta were analyzed. Scale bar, 10 μm. (D) Each plot represents 40 cells, representative of the results of 2 experiments. Boxes show the 25th and 75th percentiles and means, and the whiskers show standard deviations. ×, 1st and 99th percentiles; ****, P < 0.0001; unpaired t test. Since amino acid starvation and glucose starvation had opposite effects on autophagy, we asked how these nutrients were being sensed. As expected, glucose starvation led to AMPK activation and strong phosphorylation of ACC (Fig. 6B). This condition also increased phosphorylation of ULK1-Ser555. In contrast, amino acid starvation led to suppression of MTORC1 signaling without strong AMPK activation (P-ACC). Under amino acid starvation, we observed, as expected, decreased phosphorylation on ULK1-Ser757 but also decreased phospho-ULK1-Ser555. Interestingly, double starvation of both amino acid and glucose led to MTORC1 inhibition, together with AMPK activation, restoring ULK1-Ser555 phosphorylation. The other AMPK-regulated site, ULK1-Ser317 (5), showed generally steady levels throughout these starvation conditions. Altogether, these data show that maximal autophagy activation is associated with dephosphorylation on both the ULK1-Ser555 and -Ser757 sites.

Glutamine, leucine, and arginine activate MTORC1 to inhibit autophagosome formation.

All the above-described data highlighted the primacy of amino acids for autophagy regulation. Certain amino acids, such as glutamine, leucine, and arginine play key regulatory roles by interacting with specific cellular nutrient sensors to activate MTORC1 (36–39). Here, we further tested the role of each of these key regulatory amino acids. In control samples, HEK293 cells starved of all 20 amino acids showed MTORC1 suppression and LC3 lipidation (Fig. 6C). However, adding back glutamine, leucine, and arginine to the starvation mixture prevented both MTORC1 inactivation and LC3 lipidation. Interestingly, adding back glutamine, leucine, or arginine singly did not have a strong reversal effect compared to all three regulatory amino acids added together. Adding back a combination of leucine and arginine did reduce autophagy, but not as clearly as the three combined regulatory amino acids. Adding back these regulatory amino acids required the presence of serum to activate MTORC1 and suppress autophagy (data not shown), revealing involvement of the growth factor-TSC1/2-Rheb pathway in combination with amino acids for MTORC1 activation. We confirmed that adding back glutamine, leucine, and arginine to the amino acid deprivation medium also suppressed formation of p62-positive autophagosomes (Fig. 6D and E). To further test the abilities of these 3 regulatory amino acids to control autophagy, we studied membrane translocation. We confirmed that adding back glutamine, leucine, and arginine (in the presence of serum) stimulated, within 10 min, the translocation of MTORC1 onto lysosomal compartments (Fig. 7A). To study the regulation of initiation, we monitored ULK1/2 complex localization. We confirmed the translocation of endogenous ULK1 onto membrane puncta within ∼2 h (Fig. 7B). Sites of initiation, likely connected to the ER, were generally juxtaposed but not colocalized to the lysosomal compartments. Adding back glutamine, leucine, and arginine caused ULK1 translocation of membrane puncta within 10 min, suggestive of rapid inactivation by the addition of regulatory amino acids. Staining for endogenous ATG13 showed identical results (Fig. 7C).
FIG 7

Glutamine, leucine, and arginine activate MTORC1 and inhibit ULK1 complex translocation to autophagosome assembly sites. HEK293A cells stably expressing LAMP1-mRFP were starved of amino acids for 2 h or starved for 110 min, followed by 10 min resupplementation with glutamine, leucine, and arginine (in the presence of 5% dialyzed FBS). The fixed cells were stained for endogenous MTOR (A), ULK1 (B), or ATG13 (C). The arrows in the enlarged insets indicate MTOR localized on lysosomal membranes in response to glutamine, leucine, and arginine (A) and localization of the ULK1 complex on autophagosome assembly sites juxtaposed to lysosomal membranes in response to amino acid starvation (B and C). Scale bars, 10 μm.

Glutamine, leucine, and arginine activate MTORC1 and inhibit ULK1 complex translocation to autophagosome assembly sites. HEK293A cells stably expressing LAMP1-mRFP were starved of amino acids for 2 h or starved for 110 min, followed by 10 min resupplementation with glutamine, leucine, and arginine (in the presence of 5% dialyzed FBS). The fixed cells were stained for endogenous MTOR (A), ULK1 (B), or ATG13 (C). The arrows in the enlarged insets indicate MTOR localized on lysosomal membranes in response to glutamine, leucine, and arginine (A) and localization of the ULK1 complex on autophagosome assembly sites juxtaposed to lysosomal membranes in response to amino acid starvation (B and C). Scale bars, 10 μm.

AMPK phosphorylates and inhibits ULK1.

We determined that glucose starvation has the ability to suppress autophagy, even in the context of amino acid starvation cues, which promote the process. To investigate this mechanism further, we focused on AMPK, which is activated by glucose starvation. For a different approach, we used the compound A769662 to activate AMPK (40). A769662 clearly activated AMPK under both full-nutrient and amino acid starvation conditions (Fig. 8A). There were no adverse effects of A769662 on the MTORC1 pathway. We next tested the effect of AMPK activation on amino acid starvation-driven autophagy flux using the RFP-GFP-LC3 assay in HEK293 cells. The addition of A769662 significantly inhibited both basal autophagosome formation under full nutrients and autophagy stimulation by amino acid starvation (Fig. 8B and C). The effect of the AMPK activator was nearly identical to the effect of glucose withdrawal on amino acid starvation (i.e., double starvation) (Fig. 8D). The addition of A769662 similarly inhibited the ability of amino acid starvation to promote formation of puncta by ULK1 and p62 (Fig. 9A). These results support the notion that AMPK inhibits autophagy.
FIG 8

Inhibition of autophagosome formation by AMPK. (A) HEK293A cells were starved of amino acids in the presence or absence of A769662 (50 μM) for 2 h. Starvation conditions included 5% dialyzed FBS. The cell lysates were analyzed for phosphorylation of ACC and S6. (B) HEK293A cells stably expressing mCherry-EGFP-LC3B were incubated under starvation conditions (1 to 5) for 2 h. Starvation conditions included 0.1% dialyzed FBS. Scale bar, 10 μm. (C) Quantification of the data in panel B. Each plot represents 135 cells from 3 experiments; the error bars indicate SEM. ****, P < 0.0001; unpaired t test comparing conditions 2 versus 3 and 4 versus 5 (for both GFP and RFP quantifications). (D) HEK/mCherry-EGFP-LC3B cells as in panel B were starved of amino acids, or amino acid and glucose together, for 2 h. Starvation conditions included 0.1% dialyzed FBS. Each plot represents 45 cells representative of 3 experiments; the error bars indicate SEM. ****, P < 0.0001; unpaired t test comparing –AA versus double-starved conditions (for both GFP and RFP quantifications).

FIG 9

Phosphorylation of ULK1 by AMPK inhibits autophagosome formation. (A) HEK293A cells were starved of amino acids in the presence or absence of A769662 (50 μM) for 2 h. Starvation conditions included 0.1% dialyzed FBS. The fixed cells were stained for endogenous p62- or ULK1-labeled autophagosomes and quantified. Each plot represents 135 cells from 3 experiments. ****, P < 0.0001; unpaired t test. (B) ULK1/2 DKO cells were reconstituted with Myc-ULK1, wild type or 4SA (S467A, S555A, T574A, and S637A). Expression levels were confirmed by immunoblotting with anti-ULK1 antibody. (C) ULK1/2 DKO cells reconstituted with wild-type or 4SA Myc-ULK1 were starved of amino acids in the presence or absence of A769662 for 2 h. Starvation conditions included 10% dialyzed FBS. The fixed cells were stained for endogenous p62 puncta. Scale bar, 10 μm. (D) The experiment shown in panel C was quantified. Each plot represents 90 to 135 cells from 3 experiments. ***, P < 0.001; ANOVA with Tukey's posttest. (E) Cells as in panel C were starved of amino acids, or amino acid and glucose together, for 2 h. Starvation conditions included 10% dialyzed FBS. Each plot represents 135 cells from 3 experiments. In box-and-whisker plots, the boxes show the 25th and 75th percentiles and means, and the whiskers show standard deviations. ×, 1st and 99th percentiles; ***, P < 0.001; ANOVA with Tukey's posttest.

Inhibition of autophagosome formation by AMPK. (A) HEK293A cells were starved of amino acids in the presence or absence of A769662 (50 μM) for 2 h. Starvation conditions included 5% dialyzed FBS. The cell lysates were analyzed for phosphorylation of ACC and S6. (B) HEK293A cells stably expressing mCherry-EGFP-LC3B were incubated under starvation conditions (1 to 5) for 2 h. Starvation conditions included 0.1% dialyzed FBS. Scale bar, 10 μm. (C) Quantification of the data in panel B. Each plot represents 135 cells from 3 experiments; the error bars indicate SEM. ****, P < 0.0001; unpaired t test comparing conditions 2 versus 3 and 4 versus 5 (for both GFP and RFP quantifications). (D) HEK/mCherry-EGFP-LC3B cells as in panel B were starved of amino acids, or amino acid and glucose together, for 2 h. Starvation conditions included 0.1% dialyzed FBS. Each plot represents 45 cells representative of 3 experiments; the error bars indicate SEM. ****, P < 0.0001; unpaired t test comparing –AA versus double-starved conditions (for both GFP and RFP quantifications). Phosphorylation of ULK1 by AMPK inhibits autophagosome formation. (A) HEK293A cells were starved of amino acids in the presence or absence of A769662 (50 μM) for 2 h. Starvation conditions included 0.1% dialyzed FBS. The fixed cells were stained for endogenous p62- or ULK1-labeled autophagosomes and quantified. Each plot represents 135 cells from 3 experiments. ****, P < 0.0001; unpaired t test. (B) ULK1/2 DKO cells were reconstituted with Myc-ULK1, wild type or 4SA (S467A, S555A, T574A, and S637A). Expression levels were confirmed by immunoblotting with anti-ULK1 antibody. (C) ULK1/2 DKO cells reconstituted with wild-type or 4SA Myc-ULK1 were starved of amino acids in the presence or absence of A769662 for 2 h. Starvation conditions included 10% dialyzed FBS. The fixed cells were stained for endogenous p62 puncta. Scale bar, 10 μm. (D) The experiment shown in panel C was quantified. Each plot represents 90 to 135 cells from 3 experiments. ***, P < 0.001; ANOVA with Tukey's posttest. (E) Cells as in panel C were starved of amino acids, or amino acid and glucose together, for 2 h. Starvation conditions included 10% dialyzed FBS. Each plot represents 135 cells from 3 experiments. In box-and-whisker plots, the boxes show the 25th and 75th percentiles and means, and the whiskers show standard deviations. ×, 1st and 99th percentiles; ***, P < 0.001; ANOVA with Tukey's posttest. AMPK regulates autophagy by directly phosphorylating ULK1 on multiple sites. One set of highly conserved sites (mouse ULK1 S467, S555, T574, and S637) has been implicated in autophagy-related mitochondrial homeostasis and cell survival (9). To test the roles of these AMPK-dependent sites, we reconstituted ULK1/2 DKO MEF with either ULK1 WT or the 4SA (S467A, S555A, T574A, and S637A) mutant (Fig. 9B). We next treated the reconstituted MEF by amino acid starvation with and without AMPK activation via A769662 and monitored p62-labeled autophagosome formation (Fig. 9C and D). Reconstitution with WT-ULK1 rescued the formation of starvation-induced p62 puncta. This autophagy response in WT-ULK1-reconstituted MEF was significantly inhibited by A769662. Interestingly, MEF reconstituted with 4SA-ULK1 showed a significantly inhibited response to amino acid starvation. A pattern consistent with this was also observed when studying WT- versus 4SA-reconstituted MEF in the context of single (amino acid) versus double (amino acid-Glc) starvation (Fig. 9E). Therefore, phosphorylation of these 4 sites on ULK1 was required for AMPK to inhibit the autophagy response. However, loss of these sites also impaired the normal function of ULK1 during amino acid starvation-induced autophagy.

AMPK and glucose starvation inhibit lysosome activity.

Our data described above highlighted how amino acid starvation was best at activating autophagy-lysosomal flux, as seen through eventual clearance of LC3 and p62 proteins. Since MTORC1-dependent activation of lysosomal activity has been reported (41), we investigated the differential nutrient dependency on this late-stage of autophagy. We confirmed that amino acid starvation led to robust lysosomal activation in HEK293 and HeLa cells, as detected by Lysotracker Red staining for acidified vesicles (Fig. 10A). Quantification of staining indicated starvation-induced lysosomal acidification, which could be effectively quenched by treatment with the weak base CQ or, more strongly, with the vacuolar ATPase (vATPase) inhibitor Baf A1 (Fig. 10B), as seen previously (29). Glucose starvation and AMPK inhibit lysosomal acidification. (A and B) HEK293A cells were starved of amino acids for 2 h and stained using Lysotracker Red DND-99. Starvation conditions included 0.1% dialyzed FBS. Where indicated, starvation included CQ or bafilomycin A1. Lysotracker staining intensity per cell was quantified from confocal images (arbitrary units). Each box represents 60 cells, representative of the results of 4 experiments. (C) HeLa cells were starved of serum, amino acids, or glucose for 2 h and analyzed for Lysotracker staining. Amino acid and glucose starvation conditions included 0.1% dialyzed FBS. (D) Quantification of the data in panel C. Each box represents 50 to 60 cells, representative of the results of 4 experiments. (E) The experiment shown in panels C and D was repeated in HEK293A cells. Each box represents 50 to 60 cells, representative of the results of 4 experiments. (F and G) Wild-type or ATG5 knockout MEF were starved and analyzed as for panel C. Each box represents 40 to 50 cells, representative of the results of 5 experiments. (H) ULK1/2 DKO or FIP200 KO MEF were starved of amino acids and analyzed as for panels C and D. Each box represents 270 to 320 cells from 3 experiments. (I) HEK293A cells were starved of amino acids, or amino acid and glucose together, for 2 h as for panel C. Where indicated, the double-starvation conditions included adding back d-glucose (1 g/liter). Each box represents 60 cells, representative of the results of 4 experiments. (J to L) Wild-type MEF (or HEK293A cells [L]) were starved of amino acids in the presence or absence of A769662 (50 μM) for 2 h and analyzed as for panels C and D. Each box represents 120 cells from 2 experiments. In box-and-whisker plots, the boxes show the 25th and 75th percentiles and means, and the whiskers show standard deviations. ×, 1st and 99th percentiles; ****, P < 0.0001; unpaired t test. Scale bars, 20 μm. In testing the different nutrients, we found that serum starvation alone led to mild acidification of the lysosome, for example, in both HeLa (Fig. 10C and D) and HEK293 (Fig. 10E) cells. However, further withdrawal of amino acids markedly led to strong lysosomal acidification. In contrast, glucose starvation did not promote acidification. We found that the preferential lysosomal activation from amino acid starvation was independent of autophagy, showing similar robust effects in WT and ATG5 KO MEF (Fig. 10F and G). Lysosomes in ATG5 KO MEF appeared swollen compared to those in WT MEF. However, even these swollen vesicles markedly increased Lysotracker staining following amino acid starvation. The ability of amino acid starvation to activate lysosomal acidification was also independent of ULK1 signaling, as seen in ULK1/2D KO and FIP200 KO MEF (Fig. 10H). Our data described above also highlighted how glucose starvation inhibited amino acid-dependent cues that drive autophagosome formation. We tested this relationship for lysosomal acidification. Indeed, we found that while amino acid starvation stimulated lysosomes, acidification was blocked when glucose was further removed by using double-starvation medium (Fig. 10I). Adding back glucose to the double-starvation medium (to typical levels, i.e., 1 g/liter) restored acidification, indicating that cellular glucose levels promote lysosomal function. As one main effect, glucose starvation activates AMPK. To test if this pathway regulates the lysosome, we used the AMPK activator drug. Addition of A769662 had little effect on basal signals but significantly inhibited the ability of amino acid starvation to promote lysosome acidification (Fig. 10J to L). These results suggest that glucose starvation also inhibits lysosomal/late-stage autophagy via AMPK.

DISCUSSION

Mammalian cells need to rapidly adapt when extracellular nutrients change, and a part of this metabolic homeostasis is autophagy (1, 42). Cancer cells are particularly distinct for their reconfigured metabolic profile that features high consumption of glucose and amino acids, such as glutamine (43, 44). We have long been intrigued by the mechanisms linking amino acid and glucose sensing to autophagy, particularly in cancer contexts. ULK1 appears to be a key hub receiving phosphorylation signals from MTORC1 and AMPK (5, 10). We previously investigated the different features of noncanonical ULK1/2-independent autophagy in the context of prolonged glucose starvation (11, 14). Here, upon further exploration, we found, surprisingly, that only amino acid starvation activates rapid and robust autophagy flux. In contrast, glucose starvation produced autophagy readouts more closelyresembling a lysosomal block, which was prevalent in a wide range of normal and cancer cell types.

Amino acid and glucose differentially control autophagosome formation.

Differences in nutrient sensing could be traced to the level of autophagy initiation. Only amino acid starvation promptly promoted the translocation of ULK1 to membrane assembly sites. This is likely the key early regulatory event that allows phosphorylation of downstream substrates, such as ATG4B, ATG9, and ATG13 (35, 45–48). This is clearly a partial list of all the ULK1 substrates so far identified (as previously highlighted [7, 49]). However, this translocation critically allows the ULK1/2 complex to phosphorylate beclin1, thereby directing VPS34 activity and localized PtdIns3P generation at autophagosome assembly sites (6). Previously, we found only amino acid starvation stimulated translocation of PtdIns3P-binding WIPI-2 to autophagy membranes (11). In further agreement, here, we found that amino acid (but not glucose) starvation rapidly promoted high numbers of autophagosomes containing LC3 and p62. Consistent with established thinking, MTORC1 played the predominant role in autophagosome regulation. Readdition of the key regulatory amino acids glutamine, leucine, and arginine to starved cells reactivated MTORC1 and blocked the autophagy. Thus, the 3 main regulatory amino acids are sufficient to control autophagosome assembly. When considering autophagy and the different nutrients, our data highlighted the fact that time was a key variable. The clearest differences between amino acid starvation and glucose starvation were observed during the immediate rapid autophagy response (e.g., up to 2 h). Therefore, amino acid-dependent MTORC1-ULK1 signaling primarily serves to promote high rates of LC3 conversion and autophagosome assembly. During prolonged starvation experiments, we observed other ULK1/2-independent pathways, which we interpret to function at lower rates, becoming apparent in longer time frames. Cellular LC3 levels are effectively cleared upon prolonged amino acid starvation, likely reflecting sustained activation of lysosomal function. Basal autophagosome formation was seen to be ULK1/2 independent after prolonged blocking of flux (i.e., Baf A1). Serum starvation also produced mild effects on autophagosome formation, MTORC1 activity, and lysosomal acidification. We suggest that considerations of time frame and serum levels may explain some of the observations of glucose starvation-induced, noncanonical, ULK1/2-independent autophagy (5, 14, 17, 19). Overall, amino acid and glucose starvation produced clearly different effects across many cell types.

AMPK and glucose starvation signals can dominate and block autophagy.

Interestingly, while amino acid starvation stimulated autophagy, further removal of glucose under amino acid-free conditions blocked autophagosome formation. Previously, it had been proposed that autophagy initiation in both mammalian and yeast cells requires threshold levels of cellular energy (20, 23, 50). Glucose starvation in our experiments clearly reduced the energy charge in cells, as reflected by AMPK activation and phosphorylation of the ULK1-Ser555 site. Altogether, the highest levels of autophagy were associated with amino acid deprivation and hypophosphorylation of ULK1 at Ser555 and Ser757. As such, canonical rapid autophagy seems to be driven by suppression of MTORC1 in association with low AMPK activity. We were next able to show that activation of AMPK by using a drug was able to suppress the otherwise positive signal of amino acid starvation for autophagosome formation. This brake mechanism on autophagy appears to require the set of 4 conserved AMPK phosphorylation sites on ULK1 (including Ser555), which had been previously validated functionally (9). Therefore, high levels of AMPK-mediated phosphorylation on these sites may serve to inhibit ULK1. However, the relationship is not binary, since 4SA mutation of these sites also prevented ULK1 from promoting normal autophagy. One possibility is that transient or subthreshold levels of AMPK phosphorylation on these sites are needed for proper dynamic regulation of ULK1. Sustained high levels of modification may serve as a signal to block ULK1. Alternatively, one of the sites in this set may function as the brake, but the 4SA substitutions together may inhibit other positive roles, although this will require more mapping. Indeed, one of the sites in 4SA is Ser637 (638 in humans), which is also coordinately regulated by MTORC1 and PP2A in response to nutrients (10, 51). ULK1-Ser555 phosphorylation may provide a switch from canonical autophagy to mitophagy-specific pathways following AMPK activation (8, 9).

Amino acid and glucose differentially control the lysosome.

We consistently saw that amino acid starvation, especially when prolonged, generated LC3 conversion, LC3 breakdown, and MTORC1 reactivation. In contrast, glucose starvation led to only slow accumulation of lipidated LC3-II and never restimulated MTORC1, which we interpreted to reflect overall lysosomal suppression. This model suggests further considerations that may explain the LC3 accumulation observed in other examples of glucose starvation (5, 14, 17, 19). Autophagy flux depends on fusion with the lysosome to enable content degradation. Lysosomal function can be upregulated following gene expression reprogramming and organelle biogenesis driven by TFEB family transcription factors (52). Alternatively, existing lysosomes can be activated by promoting lumenal acidification, which has been reported to occur via both MTORC1-dependent and -independent mechanisms (41, 53). Here, we found that serum starvation promoted some acidification but that the strongest lysosomal activation occurred when both serum and amino acids were withdrawn. This lysosomal response occurred rapidly and independently of the ATG5 and ULK1/2 autophagy pathways. Glucose starvation did not stimulate lysosomal acidification, consistent with the other data suggesting low autophagic flux. Looking at nutrient combinations, removal of glucose prevented amino acid and serum starvation from promoting lysosome acidification. Furthermore, activation of AMPK was sufficient to suppress lysosomal activation. Therefore, AMPK has ULK1-dependent pathways to control early autophagy steps and distinct pathways to control the lysosome. Lysosomal acidification is driven by vATPase, which, interestingly, displays nutrient-dependent assembly of its V0 and V1 domains (54). Amino acid starvation has been shown to promote vATPase assembly, although the role of MTORC1 in this mechanism remains controversial (41, 53, 55). Conversely, vATPase assembly has been shown in yeast and mammals to require glucose (56, 57). Here, we identified an additional pathway involving AMPK activity to suppress lysosomal function. Therefore, vATPase may be blocked via multiple mechanisms to produce a reduction in autophagy-lysosomal flux upon glucose starvation. In conclusion, our studies provide an integrated view of how serum, amino acid and glucose independently control early and late stages of autophagy. For both autophagosome formation and lysosomal acidification, amino acid starvation provided the strongest activating signal. Surprisingly, both early and late stages of autophagy were not activated by glucose starvation, and moreover, glucose starvation had overall inhibitory effects on both pathways. The inhibitory effects of glucose starvation were determined to take place via distinct AMPK-dependent mechanisms on autophagy initiation and lysosomal activity. The mechanisms characterized here may help coordinate the physiological homeostasis of amino acids, glucose, and autophagy, as seen in neonatal mice (26). Our findings here also illustrate that starvation of different nutrients cannot be generalized to activate autophagy.

MATERIALS AND METHODS

Cell culture and treatments.

ULK1/2 DKO MEF (11), WT MEF expressing GFP-DFCP1 (ZFYVE1) (11), and FIP200 KO (58) and ATG5 KO MEF (and matched WT MEF) (59) have been described previously. HEK293A cells were maintained as previously described (31). MEF and HEK293A, HeLa, 4T1, SKOV3, OVCAR, B16-F0, and A431 cells were all maintained in DMEM with 4.5 g/liter glucose (Lonza; BE12-614F) supplemented with 10% fetal bovine serum (FBS) (Labtech; FCS-SA), 4 mM l-glutamine (Lonza; BE17-605E), and 100 U/ml penicillin-streptomycin (Lonza; DE17-602E) (full-nutrient medium). MCF7 cells were cultured in full-nutrient medium supplemented with 0.015 mg/ml insulin. Where indicated, WT and ULK1/2 DKO MEF were transiently transfected with tandem-tagged mRFP-enhanced GFP (EGFP)-LC3 reporter (28). Alternatively, HEK293A and A431 cell lines stably expressing pBABE-puro mCherry-EGFP-LC3B (Addgene plasmid 22418) were generated (60). A HEK293A stable cell line expressing LAMP1-mRFP-FLAG (Addgene plasmid 34611) was generated (61). MEF with stable knockdown of beclin1 were generated using the pLKO.1 construct for a mouse BECN1 clone (Broad Institute Genetic Perturbation Platform construct number TRCN0000087290). In reconstitution experiments, ULK1/2 DKO MEF were stably transduced using pLPC puro-Myc-ULK1 WT or 4SA (S467A, S555A, T574A, and S637A) (subcloned from Addgene plasmids 27626 and 27628) (9). Cells were washed once with phosphate-buffered saline (PBS) and exchanged into starvation medium. For amino acid (and serum) starvation, we used EBSS (Sigma; E2888). For glucose (and serum) starvation, we used glucose-free DMEM containing 4 mM l-glutamine (Thermo Fisher; 11966-025). For serum starvation, we used full-nutrient DMEM as described above but lacking FBS. For amino acid and glucose (double) starvation, we used PBS (Lonza; BE17-513F) supplemented with 0.22% sodium bicarbonate (Sigma; S8761) and phenol red. To study adding back glucose, we used PBS containing 1 g/liter glucose (Lonza; 04-479Q) supplemented with 0.22% sodium bicarbonate and phenol red. Where indicated, media were supplemented with dialyzed FBS (Sigma; F0392) or with 4 mM glutamine (Lonza; BE17-605E), 0.8 mM leucine (Sigma; L8912), and 0.4 mM arginine (Sigma; A8094). Some experiments used 10 nM bafilomycin A1 (Tocris Bioscience) or 25 μM chloroquine (Sigma) to inhibit the lysosome. AMPK was activated using 50 μM A769662 (Tocris Bioscience). MRT68921 (35) was a kind gift from B. Saxty (LifeArc, formerly MRC Technology).

Immunoblot analysis.

Cell lysates were prepared as described previously (11) and analyzed using 4% to 12% or 10% NuPAGE gels resolved in MES (morpholineethanesulfonic acid) running buffer (Thermo Fisher Scientific). Membranes were stained using the following antibodies: LC3B, clone 5F10 (Nanotools; 0231-100); p62/SQSTM1 (BD Bioscience; 610832); phospho-S6 Ser240/Ser244 (Cell Signaling; 2215); total S6 (54D2) mouse monoclonal antibody (MAb) (Cell Signaling; 2317); phospho-ACC Ser79 (Cell Signaling; 3661); total ACC (Cell Signaling; 3662); phospho-ULK1 Ser757 (Cell Signaling; 6888); phospho-ULK1 Ser555-D1H4 (Cell Signaling; 5869); phospho-ULK1 Ser317-D2B6Y (Cell Signaling; 12753); total ULK1-D8H5 (Cell Signaling; 8054); and actin, Ab-5 (BD Bioscience; 612656). Detection was via anti-mouse or anti-rabbit Dylight-coupled secondary antibodies and LiCor Odyssey infrared scanning.

Microscopy.

After treatments, cells were fixed and stained using the following antibodies: anti-human p62/SQSTM1 (BD Bioscience; 610832), anti-mouse p62/SQSTM1 guinea pig polyclonal (Progen; GP62-C), LC3B (Cell Signaling; 2775), MTOR-7C10 (Cell Signaling; 2983), ATG13-E1Y9V (Cell Signaling; 13468), and ULK1-D8H5. Cell images were captured by confocal microscopy (Leica; TCS SP5; HCX PL APO CS-63×-1.4-numerical-aperture [NA] objective and HyD GaAsP detection). The number of puncta per cell was determined from confocal scans or directly by epifluorescent imaging, depending on the stain. To detect lysosomal acidification, cells were treated as indicated with 50 nM Lysotracker Red DND-99 (Thermo Fisher; L7528) added during the final 30 min of incubation. The cells were fixed with paraformaldehyde, stored overnight, and imaged by confocal microscopy. The staining intensity was quantified from cytoplasmic regions of interest from multiple cells per field from multiple fields per sample. Quantification of autophagosome puncta and Lysotracker staining were representative of multiple experiments, as detailed in the figure legends.

Transcript analysis.

RNA was extracted from cells using Isolate II RNA minicolumns (Bioline). Expression analysis was carried out using the Luna one-step reverse transcription-quantitative PCR (RT-qPCR) kit and the following primers: Hs LC3B, forward, ACG CAT TTG CCA TCA CAG TTG, and reverse, TCT CTT AGG AGT CAG GGA CCT TCA G; Hs p62/SQSTM1, forward, CCG TGA AGG CCT ACC TTC TG, and reverse, TCC TCG TCA CTG GAA AAG GC; Hs GAPDH, forward, CTA TAA ATT GAG CCC GCA GCC, and reverse, ACC AAA TCC GTT GAC TCC GA. The gene fold change normalized to GAPDH was calculated using ΔΔC analysis.

Statistics.

Quantitative data were managed using GraphPad Prism and Origin Pro and analyzed using an unpaired t test (for 2-way comparisons) or one-way analysis of variance (ANOVA) with the Tukey posttest (for multiple comparisons), as appropriate.
  61 in total

1.  Raised intracellular glucose concentrations reduce aggregation and cell death caused by mutant huntingtin exon 1 by decreasing mTOR phosphorylation and inducing autophagy.

Authors:  Brinda Ravikumar; Abigail Stewart; Hiroko Kita; Kikuya Kato; Rainer Duden; David C Rubinsztein
Journal:  Hum Mol Genet       Date:  2003-05-01       Impact factor: 6.150

2.  AMPK-Dependent Phosphorylation of GAPDH Triggers Sirt1 Activation and Is Necessary for Autophagy upon Glucose Starvation.

Authors:  Chunmei Chang; Hua Su; Danhong Zhang; Yusha Wang; Qiuhong Shen; Bo Liu; Rui Huang; Tianhua Zhou; Chao Peng; Catherine C L Wong; Han-Ming Shen; Jennifer Lippincott-Schwartz; Wei Liu
Journal:  Mol Cell       Date:  2015-11-25       Impact factor: 17.970

3.  Phosphatidylinositol 3-kinase-mediated effects of glucose on vacuolar H+-ATPase assembly, translocation, and acidification of intracellular compartments in renal epithelial cells.

Authors:  Yuri Y Sautin; Ming Lu; Andrew Gaugler; Li Zhang; Stephen L Gluck
Journal:  Mol Cell Biol       Date:  2005-01       Impact factor: 4.272

4.  Inhibition of hepatocytic autophagy by adenosine, aminoimidazole-4-carboxamide riboside, and N6-mercaptopurine riboside. Evidence for involvement of amp-activated protein kinase.

Authors:  H R Samari; P O Seglen
Journal:  J Biol Chem       Date:  1998-09-11       Impact factor: 5.157

5.  Activation of lysosomal function in the course of autophagy via mTORC1 suppression and autophagosome-lysosome fusion.

Authors:  Jing Zhou; Shi-Hao Tan; Valérie Nicolas; Chantal Bauvy; Nai-Di Yang; Jianbin Zhang; Yuan Xue; Patrice Codogno; Han-Ming Shen
Journal:  Cell Res       Date:  2013-01-22       Impact factor: 25.617

6.  p62/SQSTM1 binds directly to Atg8/LC3 to facilitate degradation of ubiquitinated protein aggregates by autophagy.

Authors:  Serhiy Pankiv; Terje Høyvarde Clausen; Trond Lamark; Andreas Brech; Jack-Ansgar Bruun; Heidi Outzen; Aud Øvervatn; Geir Bjørkøy; Terje Johansen
Journal:  J Biol Chem       Date:  2007-06-19       Impact factor: 5.157

7.  Glucose induces autophagy under starvation conditions by a p38 MAPK-dependent pathway.

Authors:  Jose Félix Moruno-Manchón; Eva Pérez-Jiménez; Erwin Knecht
Journal:  Biochem J       Date:  2013-01-15       Impact factor: 3.857

8.  Role of FIP200 in cardiac and liver development and its regulation of TNFalpha and TSC-mTOR signaling pathways.

Authors:  Boyi Gan; Xu Peng; Tamas Nagy; Ana Alcaraz; Hua Gu; Jun-Lin Guan
Journal:  J Cell Biol       Date:  2006-10-02       Impact factor: 10.539

9.  ULK1 induces autophagy by phosphorylating Beclin-1 and activating VPS34 lipid kinase.

Authors:  Ryan C Russell; Ye Tian; Haixin Yuan; Hyun Woo Park; Yu-Yun Chang; Joungmok Kim; Haerin Kim; Thomas P Neufeld; Andrew Dillin; Kun-Liang Guan
Journal:  Nat Cell Biol       Date:  2013-05-19       Impact factor: 28.824

Review 10.  The lysosome as a command-and-control center for cellular metabolism.

Authors:  Chun-Yan Lim; Roberto Zoncu
Journal:  J Cell Biol       Date:  2016-09-12       Impact factor: 10.539

View more
  22 in total

Review 1.  Lysosome biology in autophagy.

Authors:  Willa Wen-You Yim; Noboru Mizushima
Journal:  Cell Discov       Date:  2020-02-11       Impact factor: 10.849

Review 2.  So Many Roads: the Multifaceted Regulation of Autophagy Induction.

Authors:  Angel F Corona Velazquez; William T Jackson
Journal:  Mol Cell Biol       Date:  2018-10-15       Impact factor: 4.272

Review 3.  Metabolic Communication and Healthy Aging: Where Should We Focus Our Energy?

Authors:  Hannah J Smith; Arpit Sharma; William B Mair
Journal:  Dev Cell       Date:  2020-07-02       Impact factor: 12.270

4.  Inhibition of the ULK1 protein complex suppresses Staphylococcus-induced autophagy and cell death.

Authors:  Ohood A Radhi; Scott Davidson; Fiona Scott; Run X Zeng; D Heulyn Jones; Nicholas C O Tomkinson; Jun Yu; Edmond Y W Chan
Journal:  J Biol Chem       Date:  2019-08-06       Impact factor: 5.157

Review 5.  Understanding sex differences in the regulation of cancer-induced muscle wasting.

Authors:  Ryan N Montalvo; Brittany R Counts; James A Carson
Journal:  Curr Opin Support Palliat Care       Date:  2018-12       Impact factor: 2.302

6.  Kidney disease genetic risk variants alter lysosomal beta-mannosidase (MANBA) expression and disease severity.

Authors:  Xiangchen Gu; Hongliu Yang; Xin Sheng; Yi-An Ko; Chengxiang Qiu; Jihwan Park; Shizheng Huang; Rachel Kember; Renae L Judy; Joseph Park; Scott M Damrauer; Girish Nadkarni; Ruth J F Loos; Vy Thi Ha My; Kumardeep Chaudhary; Erwin P Bottinger; Ishan Paranjpe; Aparna Saha; Christopher Brown; Shreeram Akilesh; Adriana M Hung; Matthew Palmer; Aris Baras; John D Overton; Jeffrey Reid; Marylyn Ritchie; Daniel J Rader; Katalin Susztak
Journal:  Sci Transl Med       Date:  2021-01-13       Impact factor: 17.956

7.  A Potential Role for SerpinA3N in Acetaminophen-Induced Hepatotoxicity.

Authors:  Melanie Tran; Jianguo Wu; Li Wang; Dong-Ju Shin
Journal:  Mol Pharmacol       Date:  2021-01-12       Impact factor: 4.436

8.  Guidelines for the use and interpretation of assays for monitoring autophagy (4th edition)1.

Authors:  Daniel J Klionsky; Amal Kamal Abdel-Aziz; Sara Abdelfatah; Mahmoud Abdellatif; Asghar Abdoli; Steffen Abel; Hagai Abeliovich; Marie H Abildgaard; Yakubu Princely Abudu; Abraham Acevedo-Arozena; Iannis E Adamopoulos; Khosrow Adeli; Timon E Adolph; Annagrazia Adornetto; Elma Aflaki; Galila Agam; Anupam Agarwal; Bharat B Aggarwal; Maria Agnello; Patrizia Agostinis; Javed N Agrewala; Alexander Agrotis; Patricia V Aguilar; S Tariq Ahmad; Zubair M Ahmed; Ulises Ahumada-Castro; Sonja Aits; Shu Aizawa; Yunus Akkoc; Tonia Akoumianaki; Hafize Aysin Akpinar; Ahmed M Al-Abd; Lina Al-Akra; Abeer Al-Gharaibeh; Moulay A Alaoui-Jamali; Simon Alberti; Elísabet Alcocer-Gómez; Cristiano Alessandri; Muhammad Ali; M Abdul Alim Al-Bari; Saeb Aliwaini; Javad Alizadeh; Eugènia Almacellas; Alexandru Almasan; Alicia Alonso; Guillermo D Alonso; Nihal Altan-Bonnet; Dario C Altieri; Élida M C Álvarez; Sara Alves; Cristine Alves da Costa; Mazen M Alzaharna; Marialaura Amadio; Consuelo Amantini; Cristina Amaral; Susanna Ambrosio; Amal O Amer; Veena Ammanathan; Zhenyi An; Stig U Andersen; Shaida A Andrabi; Magaiver Andrade-Silva; Allen M Andres; Sabrina Angelini; David Ann; Uche C Anozie; Mohammad Y Ansari; Pedro Antas; Adam Antebi; Zuriñe Antón; Tahira Anwar; Lionel Apetoh; Nadezda Apostolova; Toshiyuki Araki; Yasuhiro Araki; Kohei Arasaki; Wagner L Araújo; Jun Araya; Catherine Arden; Maria-Angeles Arévalo; Sandro Arguelles; Esperanza Arias; Jyothi Arikkath; Hirokazu Arimoto; Aileen R Ariosa; Darius Armstrong-James; Laetitia Arnauné-Pelloquin; Angeles Aroca; Daniela S Arroyo; Ivica Arsov; Rubén Artero; Dalia Maria Lucia Asaro; Michael Aschner; Milad Ashrafizadeh; Osnat Ashur-Fabian; Atanas G Atanasov; Alicia K Au; Patrick Auberger; Holger W Auner; Laure Aurelian; Riccardo Autelli; Laura Avagliano; Yenniffer Ávalos; Sanja Aveic; Célia Alexandra Aveleira; Tamar Avin-Wittenberg; Yucel Aydin; Scott Ayton; Srinivas Ayyadevara; Maria Azzopardi; Misuzu Baba; Jonathan M Backer; Steven K Backues; Dong-Hun Bae; Ok-Nam Bae; Soo Han Bae; Eric H Baehrecke; Ahruem Baek; Seung-Hoon Baek; Sung Hee Baek; Giacinto Bagetta; Agnieszka Bagniewska-Zadworna; Hua Bai; Jie Bai; Xiyuan Bai; Yidong Bai; Nandadulal Bairagi; Shounak Baksi; Teresa Balbi; Cosima T Baldari; Walter Balduini; Andrea Ballabio; Maria Ballester; Salma Balazadeh; Rena Balzan; Rina Bandopadhyay; Sreeparna Banerjee; Sulagna Banerjee; Ágnes Bánréti; Yan Bao; Mauricio S Baptista; Alessandra Baracca; Cristiana Barbati; Ariadna Bargiela; Daniela Barilà; Peter G Barlow; Sami J Barmada; Esther Barreiro; George E Barreto; Jiri Bartek; Bonnie Bartel; Alberto Bartolome; Gaurav R Barve; Suresh H Basagoudanavar; Diane C Bassham; Robert C Bast; Alakananda Basu; Henri Batoko; Isabella Batten; Etienne E Baulieu; Bradley L Baumgarner; Jagadeesh Bayry; Rupert Beale; Isabelle Beau; Florian Beaumatin; Luiz R G Bechara; George R Beck; Michael F Beers; Jakob Begun; Christian Behrends; Georg M N Behrens; Roberto Bei; Eloy Bejarano; Shai Bel; Christian Behl; Amine Belaid; Naïma Belgareh-Touzé; Cristina Bellarosa; Francesca Belleudi; Melissa Belló Pérez; Raquel Bello-Morales; Jackeline Soares de Oliveira Beltran; Sebastián Beltran; Doris Mangiaracina Benbrook; Mykolas Bendorius; Bruno A Benitez; Irene Benito-Cuesta; Julien Bensalem; Martin W Berchtold; Sabina Berezowska; Daniele Bergamaschi; Matteo Bergami; Andreas Bergmann; Laura Berliocchi; Clarisse Berlioz-Torrent; Amélie Bernard; Lionel Berthoux; Cagri G Besirli; Sebastien Besteiro; Virginie M Betin; Rudi Beyaert; Jelena S Bezbradica; Kiran Bhaskar; Ingrid Bhatia-Kissova; Resham Bhattacharya; Sujoy Bhattacharya; Shalmoli Bhattacharyya; Md Shenuarin Bhuiyan; Sujit Kumar Bhutia; Lanrong Bi; Xiaolin Bi; Trevor J Biden; Krikor Bijian; Viktor A Billes; Nadine Binart; Claudia Bincoletto; Asa B Birgisdottir; Geir Bjorkoy; Gonzalo Blanco; Ana Blas-Garcia; Janusz Blasiak; Robert Blomgran; Klas Blomgren; Janice S Blum; Emilio Boada-Romero; Mirta Boban; Kathleen Boesze-Battaglia; Philippe Boeuf; Barry Boland; Pascale Bomont; Paolo Bonaldo; Srinivasa Reddy Bonam; Laura Bonfili; Juan S Bonifacino; Brian A Boone; Martin D Bootman; Matteo Bordi; Christoph Borner; Beat C Bornhauser; Gautam Borthakur; Jürgen Bosch; Santanu Bose; Luis M Botana; Juan Botas; Chantal M Boulanger; Michael E Boulton; Mathieu Bourdenx; Benjamin Bourgeois; Nollaig M Bourke; Guilhem Bousquet; Patricia Boya; Peter V Bozhkov; Luiz H M Bozi; Tolga O Bozkurt; Doug E Brackney; Christian H Brandts; Ralf J Braun; Gerhard H Braus; Roberto Bravo-Sagua; José M Bravo-San Pedro; Patrick Brest; Marie-Agnès Bringer; Alfredo Briones-Herrera; V Courtney Broaddus; Peter Brodersen; Jeffrey L Brodsky; Steven L Brody; Paola G Bronson; Jeff M Bronstein; Carolyn N Brown; Rhoderick E Brown; Patricia C Brum; John H Brumell; Nicola Brunetti-Pierri; Daniele Bruno; Robert J Bryson-Richardson; Cecilia Bucci; Carmen Buchrieser; Marta Bueno; Laura Elisa Buitrago-Molina; Simone Buraschi; Shilpa Buch; J Ross Buchan; Erin M Buckingham; Hikmet Budak; Mauricio Budini; Geert Bultynck; Florin Burada; Joseph R Burgoyne; M Isabel Burón; Victor Bustos; Sabrina Büttner; Elena Butturini; Aaron Byrd; Isabel Cabas; Sandra Cabrera-Benitez; Ken Cadwell; Jingjing Cai; Lu Cai; Qian Cai; Montserrat Cairó; Jose A Calbet; Guy A Caldwell; Kim A Caldwell; Jarrod A Call; Riccardo Calvani; Ana C Calvo; Miguel Calvo-Rubio Barrera; Niels Os Camara; Jacques H Camonis; Nadine Camougrand; Michelangelo Campanella; Edward M Campbell; François-Xavier Campbell-Valois; Silvia Campello; Ilaria Campesi; Juliane C Campos; Olivier Camuzard; Jorge Cancino; Danilo Candido de Almeida; Laura Canesi; Isabella Caniggia; Barbara Canonico; Carles Cantí; Bin Cao; Michele Caraglia; Beatriz Caramés; Evie H Carchman; Elena Cardenal-Muñoz; Cesar Cardenas; Luis Cardenas; Sandra M Cardoso; Jennifer S Carew; Georges F Carle; Gillian Carleton; Silvia Carloni; Didac Carmona-Gutierrez; Leticia A Carneiro; Oliana Carnevali; Julian M Carosi; Serena Carra; Alice Carrier; Lucie Carrier; Bernadette Carroll; A Brent Carter; Andreia Neves Carvalho; Magali Casanova; Caty Casas; Josefina Casas; Chiara Cassioli; Eliseo F Castillo; Karen Castillo; Sonia Castillo-Lluva; Francesca Castoldi; Marco Castori; Ariel F Castro; Margarida Castro-Caldas; Javier Castro-Hernandez; Susana Castro-Obregon; Sergio D Catz; Claudia Cavadas; Federica Cavaliere; Gabriella Cavallini; Maria Cavinato; Maria L Cayuela; Paula Cebollada Rica; Valentina Cecarini; Francesco Cecconi; Marzanna Cechowska-Pasko; Simone Cenci; Victòria Ceperuelo-Mallafré; João J Cerqueira; Janete M Cerutti; Davide Cervia; Vildan Bozok Cetintas; Silvia Cetrullo; Han-Jung Chae; Andrei S Chagin; Chee-Yin Chai; Gopal Chakrabarti; Oishee Chakrabarti; Tapas Chakraborty; Trinad Chakraborty; Mounia Chami; Georgios Chamilos; David W Chan; Edmond Y W Chan; Edward D Chan; H Y Edwin Chan; Helen H Chan; Hung Chan; Matthew T V Chan; Yau Sang Chan; Partha K Chandra; Chih-Peng Chang; Chunmei Chang; Hao-Chun Chang; Kai Chang; Jie Chao; Tracey Chapman; Nicolas Charlet-Berguerand; Samrat Chatterjee; Shail K Chaube; Anu Chaudhary; Santosh Chauhan; Edward Chaum; Frédéric Checler; Michael E Cheetham; Chang-Shi Chen; Guang-Chao Chen; Jian-Fu Chen; Liam L Chen; Leilei Chen; Lin Chen; Mingliang Chen; Mu-Kuan Chen; Ning Chen; Quan Chen; Ruey-Hwa Chen; Shi Chen; Wei Chen; Weiqiang Chen; Xin-Ming Chen; Xiong-Wen Chen; Xu Chen; Yan Chen; Ye-Guang Chen; Yingyu Chen; Yongqiang Chen; Yu-Jen Chen; Yue-Qin Chen; Zhefan Stephen Chen; Zhi Chen; Zhi-Hua Chen; Zhijian J Chen; Zhixiang Chen; Hanhua Cheng; Jun Cheng; Shi-Yuan Cheng; Wei Cheng; Xiaodong Cheng; Xiu-Tang Cheng; Yiyun Cheng; Zhiyong Cheng; Zhong Chen; Heesun Cheong; Jit Kong Cheong; Boris V Chernyak; Sara Cherry; Chi Fai Randy Cheung; Chun Hei Antonio Cheung; King-Ho Cheung; Eric Chevet; Richard J Chi; Alan Kwok Shing Chiang; Ferdinando Chiaradonna; Roberto Chiarelli; Mario Chiariello; Nathalia Chica; Susanna Chiocca; Mario Chiong; Shih-Hwa Chiou; Abhilash I Chiramel; Valerio Chiurchiù; Dong-Hyung Cho; Seong-Kyu Choe; Augustine M K Choi; Mary E Choi; Kamalika Roy Choudhury; Norman S Chow; Charleen T Chu; Jason P Chua; John Jia En Chua; Hyewon Chung; Kin Pan Chung; Seockhoon Chung; So-Hyang Chung; Yuen-Li Chung; Valentina Cianfanelli; Iwona A Ciechomska; Mariana Cifuentes; Laura Cinque; Sebahattin Cirak; Mara Cirone; Michael J Clague; Robert Clarke; Emilio Clementi; Eliana M Coccia; Patrice Codogno; Ehud Cohen; Mickael M Cohen; Tania Colasanti; Fiorella Colasuonno; Robert A Colbert; Anna Colell; Miodrag Čolić; Nuria S Coll; Mark O Collins; María I Colombo; Daniel A Colón-Ramos; Lydie Combaret; Sergio Comincini; Márcia R Cominetti; Antonella Consiglio; Andrea Conte; Fabrizio Conti; Viorica Raluca Contu; Mark R Cookson; Kevin M Coombs; Isabelle Coppens; Maria Tiziana Corasaniti; Dale P Corkery; Nils Cordes; Katia Cortese; Maria do Carmo Costa; Sarah Costantino; Paola Costelli; Ana Coto-Montes; Peter J Crack; Jose L Crespo; Alfredo Criollo; Valeria Crippa; Riccardo Cristofani; Tamas Csizmadia; Antonio Cuadrado; Bing Cui; Jun Cui; Yixian Cui; Yong Cui; Emmanuel Culetto; Andrea C Cumino; Andrey V Cybulsky; Mark J Czaja; Stanislaw J Czuczwar; Stefania D'Adamo; Marcello D'Amelio; Daniela D'Arcangelo; Andrew C D'Lugos; Gabriella D'Orazi; James A da Silva; Hormos Salimi Dafsari; Ruben K Dagda; Yasin Dagdas; Maria Daglia; Xiaoxia Dai; Yun Dai; Yuyuan Dai; Jessica Dal Col; Paul Dalhaimer; Luisa Dalla Valle; Tobias Dallenga; Guillaume Dalmasso; Markus Damme; Ilaria Dando; Nico P Dantuma; April L Darling; Hiranmoy Das; Srinivasan Dasarathy; Santosh K Dasari; Srikanta Dash; Oliver Daumke; Adrian N Dauphinee; Jeffrey S Davies; Valeria A Dávila; Roger J Davis; Tanja Davis; Sharadha Dayalan Naidu; Francesca De Amicis; Karolien De Bosscher; Francesca De Felice; Lucia De Franceschi; Chiara De Leonibus; Mayara G de Mattos Barbosa; Guido R Y De Meyer; Angelo De Milito; Cosimo De Nunzio; Clara De Palma; Mauro De Santi; Claudio De Virgilio; Daniela De Zio; Jayanta Debnath; Brian J DeBosch; Jean-Paul Decuypere; Mark A Deehan; Gianluca Deflorian; James DeGregori; Benjamin Dehay; Gabriel Del Rio; Joe R Delaney; Lea M D Delbridge; Elizabeth Delorme-Axford; M Victoria Delpino; Francesca Demarchi; Vilma Dembitz; Nicholas D Demers; Hongbin Deng; Zhiqiang Deng; Joern Dengjel; Paul Dent; Donna Denton; Melvin L DePamphilis; Channing J Der; Vojo Deretic; Albert Descoteaux; Laura Devis; Sushil Devkota; Olivier Devuyst; Grant Dewson; Mahendiran Dharmasivam; Rohan Dhiman; Diego di Bernardo; Manlio Di Cristina; Fabio Di Domenico; Pietro Di Fazio; Alessio Di Fonzo; Giovanni Di Guardo; Gianni M Di Guglielmo; Luca Di Leo; Chiara Di Malta; Alessia Di Nardo; Martina Di Rienzo; Federica Di Sano; George Diallinas; Jiajie Diao; Guillermo Diaz-Araya; Inés Díaz-Laviada; Jared M Dickinson; Marc Diederich; Mélanie Dieudé; Ivan Dikic; Shiping Ding; Wen-Xing Ding; Luciana Dini; Jelena Dinić; Miroslav Dinic; Albena T Dinkova-Kostova; Marc S Dionne; Jörg H W Distler; Abhinav Diwan; Ian M C Dixon; Mojgan Djavaheri-Mergny; Ina Dobrinski; Oxana Dobrovinskaya; Radek Dobrowolski; Renwick C J Dobson; Jelena Đokić; Serap Dokmeci Emre; Massimo Donadelli; Bo Dong; Xiaonan Dong; Zhiwu Dong; Gerald W Dorn Ii; Volker Dotsch; Huan Dou; Juan Dou; Moataz Dowaidar; Sami Dridi; Liat Drucker; Ailian Du; Caigan Du; Guangwei Du; Hai-Ning Du; Li-Lin Du; André du Toit; Shao-Bin Duan; Xiaoqiong Duan; Sónia P Duarte; Anna Dubrovska; Elaine A Dunlop; Nicolas Dupont; Raúl V Durán; Bilikere S Dwarakanath; Sergey A Dyshlovoy; Darius Ebrahimi-Fakhari; Leopold Eckhart; Charles L Edelstein; Thomas Efferth; Eftekhar Eftekharpour; Ludwig Eichinger; Nabil Eid; Tobias Eisenberg; N Tony Eissa; Sanaa Eissa; Miriam Ejarque; Abdeljabar El Andaloussi; Nazira El-Hage; Shahenda El-Naggar; Anna Maria Eleuteri; Eman S El-Shafey; Mohamed Elgendy; Aristides G Eliopoulos; María M Elizalde; Philip M Elks; Hans-Peter Elsasser; Eslam S Elsherbiny; Brooke M Emerling; N C Tolga Emre; Christina H Eng; Nikolai Engedal; Anna-Mart Engelbrecht; Agnete S T Engelsen; Jorrit M Enserink; Ricardo Escalante; Audrey Esclatine; Mafalda Escobar-Henriques; Eeva-Liisa Eskelinen; Lucile Espert; Makandjou-Ola Eusebio; Gemma Fabrias; Cinzia Fabrizi; Antonio Facchiano; Francesco Facchiano; Bengt Fadeel; Claudio Fader; Alex C Faesen; W Douglas Fairlie; Alberto Falcó; Bjorn H Falkenburger; Daping Fan; Jie Fan; Yanbo Fan; Evandro F Fang; Yanshan Fang; Yognqi Fang; Manolis Fanto; Tamar Farfel-Becker; Mathias Faure; Gholamreza Fazeli; Anthony O Fedele; Arthur M Feldman; Du Feng; Jiachun Feng; Lifeng Feng; Yibin Feng; Yuchen Feng; Wei Feng; Thais Fenz Araujo; Thomas A Ferguson; Álvaro F Fernández; Jose C Fernandez-Checa; Sonia Fernández-Veledo; Alisdair R Fernie; Anthony W Ferrante; Alessandra Ferraresi; Merari F Ferrari; Julio C B Ferreira; Susan Ferro-Novick; Antonio Figueras; Riccardo Filadi; Nicoletta Filigheddu; Eduardo Filippi-Chiela; Giuseppe Filomeni; Gian Maria Fimia; Vittorio Fineschi; Francesca Finetti; Steven Finkbeiner; Edward A Fisher; Paul B Fisher; Flavio Flamigni; Steven J Fliesler; Trude H Flo; Ida Florance; Oliver Florey; Tullio Florio; Erika Fodor; Carlo Follo; Edward A Fon; Antonella Forlino; Francesco Fornai; Paola Fortini; Anna Fracassi; Alessandro Fraldi; Brunella Franco; Rodrigo Franco; Flavia Franconi; Lisa B Frankel; Scott L Friedman; Leopold F Fröhlich; Gema Frühbeck; Jose M Fuentes; Yukio Fujiki; Naonobu Fujita; Yuuki Fujiwara; Mitsunori Fukuda; Simone Fulda; Luc Furic; Norihiko Furuya; Carmela Fusco; Michaela U Gack; Lidia Gaffke; Sehamuddin Galadari; Alessia Galasso; Maria F Galindo; Sachith Gallolu Kankanamalage; Lorenzo Galluzzi; Vincent Galy; Noor Gammoh; Boyi Gan; Ian G Ganley; Feng Gao; Hui Gao; Minghui Gao; Ping Gao; Shou-Jiang Gao; Wentao Gao; Xiaobo Gao; Ana Garcera; Maria Noé Garcia; Verónica E Garcia; Francisco García-Del Portillo; Vega Garcia-Escudero; Aracely Garcia-Garcia; Marina Garcia-Macia; Diana García-Moreno; Carmen Garcia-Ruiz; Patricia García-Sanz; Abhishek D Garg; Ricardo Gargini; Tina Garofalo; Robert F Garry; Nils C Gassen; Damian Gatica; Liang Ge; Wanzhong Ge; Ruth Geiss-Friedlander; Cecilia Gelfi; Pascal Genschik; Ian E Gentle; Valeria Gerbino; Christoph Gerhardt; Kyla Germain; Marc Germain; David A Gewirtz; Elham Ghasemipour Afshar; Saeid Ghavami; Alessandra Ghigo; Manosij Ghosh; Georgios Giamas; Claudia Giampietri; Alexandra Giatromanolaki; Gary E Gibson; Spencer B Gibson; Vanessa Ginet; Edward Giniger; Carlotta Giorgi; Henrique Girao; Stephen E Girardin; Mridhula Giridharan; Sandy Giuliano; Cecilia Giulivi; Sylvie Giuriato; Julien Giustiniani; Alexander Gluschko; Veit Goder; Alexander Goginashvili; Jakub Golab; David C Goldstone; Anna Golebiewska; Luciana R Gomes; Rodrigo Gomez; Rubén Gómez-Sánchez; Maria Catalina Gomez-Puerto; Raquel Gomez-Sintes; Qingqiu Gong; Felix M Goni; Javier González-Gallego; Tomas Gonzalez-Hernandez; Rosa A Gonzalez-Polo; Jose A Gonzalez-Reyes; Patricia González-Rodríguez; Ing Swie Goping; Marina S Gorbatyuk; Nikolai V Gorbunov; Kıvanç Görgülü; Roxana M Gorojod; Sharon M Gorski; Sandro Goruppi; Cecilia Gotor; Roberta A Gottlieb; Illana Gozes; Devrim Gozuacik; Martin Graef; Markus H Gräler; Veronica Granatiero; Daniel Grasso; Joshua P Gray; Douglas R Green; Alexander Greenhough; Stephen L Gregory; Edward F Griffin; Mark W Grinstaff; Frederic Gros; Charles Grose; Angelina S Gross; Florian Gruber; Paolo Grumati; Tilman Grune; Xueyan Gu; Jun-Lin Guan; Carlos M Guardia; Kishore Guda; Flora Guerra; Consuelo Guerri; Prasun Guha; Carlos Guillén; Shashi Gujar; Anna Gukovskaya; Ilya Gukovsky; Jan Gunst; Andreas Günther; Anyonya R Guntur; Chuanyong Guo; Chun Guo; Hongqing Guo; Lian-Wang Guo; Ming Guo; Pawan Gupta; Shashi Kumar Gupta; Swapnil Gupta; Veer Bala Gupta; Vivek Gupta; Asa B Gustafsson; David D Gutterman; Ranjitha H B; Annakaisa Haapasalo; James E Haber; Aleksandra Hać; Shinji Hadano; Anders J Hafrén; Mansour Haidar; Belinda S Hall; Gunnel Halldén; Anne Hamacher-Brady; Andrea Hamann; Maho Hamasaki; Weidong Han; Malene Hansen; Phyllis I Hanson; Zijian Hao; Masaru Harada; Ljubica Harhaji-Trajkovic; Nirmala Hariharan; Nigil Haroon; James Harris; Takafumi Hasegawa; Noor Hasima Nagoor; Jeffrey A Haspel; Volker Haucke; Wayne D Hawkins; Bruce A Hay; Cole M Haynes; Soren B Hayrabedyan; Thomas S Hays; Congcong He; Qin He; Rong-Rong He; You-Wen He; Yu-Ying He; Yasser Heakal; Alexander M Heberle; J Fielding Hejtmancik; Gudmundur Vignir Helgason; Vanessa Henkel; Marc Herb; Alexander Hergovich; Anna Herman-Antosiewicz; Agustín Hernández; Carlos Hernandez; Sergio Hernandez-Diaz; Virginia Hernandez-Gea; Amaury Herpin; Judit Herreros; Javier H Hervás; Daniel Hesselson; Claudio Hetz; Volker T Heussler; Yujiro Higuchi; Sabine Hilfiker; Joseph A Hill; William S Hlavacek; Emmanuel A Ho; Idy H T Ho; Philip Wing-Lok Ho; Shu-Leong Ho; Wan Yun Ho; G Aaron Hobbs; Mark Hochstrasser; Peter H M Hoet; Daniel Hofius; Paul Hofman; Annika Höhn; Carina I Holmberg; Jose R Hombrebueno; Chang-Won Hong Yi-Ren Hong; Lora V Hooper; Thorsten Hoppe; Rastislav Horos; Yujin Hoshida; I-Lun Hsin; Hsin-Yun Hsu; Bing Hu; Dong Hu; Li-Fang Hu; Ming Chang Hu; Ronggui Hu; Wei Hu; Yu-Chen Hu; Zhuo-Wei Hu; Fang Hua; Jinlian Hua; Yingqi Hua; Chongmin Huan; Canhua Huang; Chuanshu Huang; Chuanxin Huang; Chunling Huang; Haishan Huang; Kun Huang; Michael L H Huang; Rui Huang; Shan Huang; Tianzhi Huang; Xing Huang; Yuxiang Jack Huang; Tobias B Huber; Virginie Hubert; Christian A Hubner; Stephanie M Hughes; William E Hughes; Magali Humbert; Gerhard Hummer; James H Hurley; Sabah Hussain; Salik Hussain; Patrick J Hussey; Martina Hutabarat; Hui-Yun Hwang; Seungmin Hwang; Antonio Ieni; Fumiyo Ikeda; Yusuke Imagawa; Yuzuru Imai; Carol Imbriano; Masaya Imoto; Denise M Inman; Ken Inoki; Juan Iovanna; Renato V Iozzo; Giuseppe Ippolito; Javier E Irazoqui; Pablo Iribarren; Mohd Ishaq; Makoto Ishikawa; Nestor Ishimwe; Ciro Isidoro; Nahed Ismail; Shohreh Issazadeh-Navikas; Eisuke Itakura; Daisuke Ito; Davor Ivankovic; Saška Ivanova; Anand Krishnan V Iyer; José M Izquierdo; Masanori Izumi; Marja Jäättelä; Majid Sakhi Jabir; William T Jackson; Nadia Jacobo-Herrera; Anne-Claire Jacomin; Elise Jacquin; Pooja Jadiya; Hartmut Jaeschke; Chinnaswamy Jagannath; Arjen J Jakobi; Johan Jakobsson; Bassam Janji; Pidder Jansen-Dürr; Patric J Jansson; Jonathan Jantsch; Sławomir Januszewski; Alagie Jassey; Steve Jean; Hélène Jeltsch-David; Pavla Jendelova; Andreas Jenny; Thomas E Jensen; Niels Jessen; Jenna L Jewell; Jing Ji; Lijun Jia; Rui Jia; Liwen Jiang; Qing Jiang; Richeng Jiang; Teng Jiang; Xuejun Jiang; Yu Jiang; Maria Jimenez-Sanchez; Eun-Jung Jin; Fengyan Jin; Hongchuan Jin; Li Jin; Luqi Jin; Meiyan Jin; Si Jin; Eun-Kyeong Jo; Carine Joffre; Terje Johansen; Gail V W Johnson; Simon A Johnston; Eija Jokitalo; Mohit Kumar Jolly; Leo A B Joosten; Joaquin Jordan; Bertrand Joseph; Dianwen Ju; Jeong-Sun Ju; Jingfang Ju; Esmeralda Juárez; Delphine Judith; Gábor Juhász; Youngsoo Jun; Chang Hwa Jung; Sung-Chul Jung; Yong Keun Jung; Heinz Jungbluth; Johannes Jungverdorben; Steffen Just; Kai Kaarniranta; Allen Kaasik; Tomohiro Kabuta; Daniel Kaganovich; Alon Kahana; Renate Kain; Shinjo Kajimura; Maria Kalamvoki; Manjula Kalia; Danuta S Kalinowski; Nina Kaludercic; Ioanna Kalvari; Joanna Kaminska; Vitaliy O Kaminskyy; Hiromitsu Kanamori; Keizo Kanasaki; Chanhee Kang; Rui Kang; Sang Sun Kang; Senthilvelrajan Kaniyappan; Tomotake Kanki; Thirumala-Devi Kanneganti; Anumantha G Kanthasamy; Arthi Kanthasamy; Marc Kantorow; Orsolya Kapuy; Michalis V Karamouzis; Md Razaul Karim; Parimal Karmakar; Rajesh G Katare; Masaru Kato; Stefan H E Kaufmann; Anu Kauppinen; Gur P Kaushal; Susmita Kaushik; Kiyoshi Kawasaki; Kemal Kazan; Po-Yuan Ke; Damien J Keating; Ursula Keber; John H Kehrl; Kate E Keller; Christian W Keller; Jongsook Kim Kemper; Candia M Kenific; Oliver Kepp; Stephanie Kermorgant; Andreas Kern; Robin Ketteler; Tom G Keulers; Boris Khalfin; Hany Khalil; Bilon Khambu; Shahid Y Khan; Vinoth Kumar Megraj Khandelwal; Rekha Khandia; Widuri Kho; Noopur V Khobrekar; Sataree Khuansuwan; Mukhran Khundadze; Samuel A Killackey; Dasol Kim; Deok Ryong Kim; Do-Hyung Kim; Dong-Eun Kim; Eun Young Kim; Eun-Kyoung Kim; Hak-Rim Kim; Hee-Sik Kim; Jeong Hun Kim; Jin Kyung Kim; Jin-Hoi Kim; Joungmok Kim; Ju Hwan Kim; Keun Il Kim; Peter K Kim; Seong-Jun Kim; Scot R Kimball; Adi Kimchi; Alec C Kimmelman; Tomonori Kimura; Matthew A King; Kerri J Kinghorn; Conan G Kinsey; Vladimir Kirkin; Lorrie A Kirshenbaum; Sergey L Kiselev; Shuji Kishi; Katsuhiko Kitamoto; Yasushi Kitaoka; Kaio Kitazato; Richard N Kitsis; Josef T Kittler; Ole Kjaerulff; Peter S Klein; Thomas Klopstock; Jochen Klucken; Helene Knævelsrud; Roland L Knorr; Ben C B Ko; Fred Ko; Jiunn-Liang Ko; Hotaka Kobayashi; Satoru Kobayashi; Ina Koch; Jan C Koch; Ulrich Koenig; Donat Kögel; Young Ho Koh; Masato Koike; Sepp D Kohlwein; Nur M Kocaturk; Masaaki Komatsu; Jeannette König; Toru Kono; Benjamin T Kopp; Tamas Korcsmaros; Gözde Korkmaz; Viktor I Korolchuk; Mónica Suárez Korsnes; Ali Koskela; Janaiah Kota; Yaichiro Kotake; Monica L Kotler; Yanjun Kou; Michael I Koukourakis; Evangelos Koustas; Attila L Kovacs; Tibor Kovács; Daisuke Koya; Tomohiro Kozako; Claudine Kraft; Dimitri Krainc; Helmut Krämer; Anna D Krasnodembskaya; Carole Kretz-Remy; Guido Kroemer; Nicholas T Ktistakis; Kazuyuki Kuchitsu; Sabine Kuenen; Lars Kuerschner; Thomas Kukar; Ajay Kumar; Ashok Kumar; Deepak Kumar; Dhiraj Kumar; Sharad Kumar; Shinji Kume; Caroline Kumsta; Chanakya N Kundu; Mondira Kundu; Ajaikumar B Kunnumakkara; Lukasz Kurgan; Tatiana G Kutateladze; Ozlem Kutlu; SeongAe Kwak; Ho Jeong Kwon; Taeg Kyu Kwon; Yong Tae Kwon; Irene Kyrmizi; Albert La Spada; Patrick Labonté; Sylvain Ladoire; Ilaria Laface; Frank Lafont; Diane C Lagace; Vikramjit Lahiri; Zhibing Lai; Angela S Laird; Aparna Lakkaraju; Trond Lamark; Sheng-Hui Lan; Ane Landajuela; Darius J R Lane; Jon D Lane; Charles H Lang; Carsten Lange; Ülo Langel; Rupert Langer; Pierre Lapaquette; Jocelyn Laporte; Nicholas F LaRusso; Isabel Lastres-Becker; Wilson Chun Yu Lau; Gordon W Laurie; Sergio Lavandero; Betty Yuen Kwan Law; Helen Ka-Wai Law; Rob Layfield; Weidong Le; Herve Le Stunff; Alexandre Y Leary; Jean-Jacques Lebrun; Lionel Y W Leck; Jean-Philippe Leduc-Gaudet; Changwook Lee; Chung-Pei Lee; Da-Hye Lee; Edward B Lee; Erinna F Lee; Gyun Min Lee; He-Jin Lee; Heung Kyu Lee; Jae Man Lee; Jason S Lee; Jin-A Lee; Joo-Yong Lee; Jun Hee Lee; Michael Lee; Min Goo Lee; Min Jae Lee; Myung-Shik Lee; Sang Yoon Lee; Seung-Jae Lee; Stella Y Lee; Sung Bae Lee; Won Hee Lee; Ying-Ray Lee; Yong-Ho Lee; Youngil Lee; Christophe Lefebvre; Renaud Legouis; Yu L Lei; Yuchen Lei; Sergey Leikin; Gerd Leitinger; Leticia Lemus; Shuilong Leng; Olivia Lenoir; Guido Lenz; Heinz Josef Lenz; Paola Lenzi; Yolanda León; Andréia M Leopoldino; Christoph Leschczyk; Stina Leskelä; Elisabeth Letellier; Chi-Ting Leung; Po Sing Leung; Jeremy S Leventhal; Beth Levine; Patrick A Lewis; Klaus Ley; Bin Li; Da-Qiang Li; Jianming Li; Jing Li; Jiong Li; Ke Li; Liwu Li; Mei Li; Min Li; Min Li; Ming Li; Mingchuan Li; Pin-Lan Li; Ming-Qing Li; Qing Li; Sheng Li; Tiangang Li; Wei Li; Wenming Li; Xue Li; Yi-Ping Li; Yuan Li; Zhiqiang Li; Zhiyong Li; Zhiyuan Li; Jiqin Lian; Chengyu Liang; Qiangrong Liang; Weicheng Liang; Yongheng Liang; YongTian Liang; Guanghong Liao; Lujian Liao; Mingzhi Liao; Yung-Feng Liao; Mariangela Librizzi; Pearl P Y Lie; Mary A Lilly; Hyunjung J Lim; Thania R R Lima; Federica Limana; Chao Lin; Chih-Wen Lin; Dar-Shong Lin; Fu-Cheng Lin; Jiandie D Lin; Kurt M Lin; Kwang-Huei Lin; Liang-Tzung Lin; Pei-Hui Lin; Qiong Lin; Shaofeng Lin; Su-Ju Lin; Wenyu Lin; Xueying Lin; Yao-Xin Lin; Yee-Shin Lin; Rafael Linden; Paula Lindner; Shuo-Chien Ling; Paul Lingor; Amelia K Linnemann; Yih-Cherng Liou; Marta M Lipinski; Saška Lipovšek; Vitor A Lira; Natalia Lisiak; Paloma B Liton; Chao Liu; Ching-Hsuan Liu; Chun-Feng Liu; Cui Hua Liu; Fang Liu; Hao Liu; Hsiao-Sheng Liu; Hua-Feng Liu; Huifang Liu; Jia Liu; Jing Liu; Julia Liu; Leyuan Liu; Longhua Liu; Meilian Liu; Qin Liu; Wei Liu; Wende Liu; Xiao-Hong Liu; Xiaodong Liu; Xingguo Liu; Xu Liu; Xuedong Liu; Yanfen Liu; Yang Liu; Yang Liu; Yueyang Liu; Yule Liu; J Andrew Livingston; Gerard Lizard; Jose M Lizcano; Senka Ljubojevic-Holzer; Matilde E LLeonart; David Llobet-Navàs; Alicia Llorente; Chih Hung Lo; Damián Lobato-Márquez; Qi Long; Yun Chau Long; Ben Loos; Julia A Loos; Manuela G López; Guillermo López-Doménech; José Antonio López-Guerrero; Ana T López-Jiménez; Óscar López-Pérez; Israel López-Valero; Magdalena J Lorenowicz; Mar Lorente; Peter Lorincz; Laura Lossi; Sophie Lotersztajn; Penny E Lovat; Jonathan F Lovell; Alenka Lovy; Péter Lőw; Guang Lu; Haocheng Lu; Jia-Hong Lu; Jin-Jian Lu; Mengji Lu; Shuyan Lu; Alessandro Luciani; John M Lucocq; Paula Ludovico; Micah A Luftig; Morten Luhr; Diego Luis-Ravelo; Julian J Lum; Liany Luna-Dulcey; Anders H Lund; Viktor K Lund; Jan D Lünemann; Patrick Lüningschrör; Honglin Luo; Rongcan Luo; Shouqing Luo; Zhi Luo; Claudio Luparello; Bernhard Lüscher; Luan Luu; Alex Lyakhovich; Konstantin G Lyamzaev; Alf Håkon Lystad; Lyubomyr Lytvynchuk; Alvin C Ma; Changle Ma; Mengxiao Ma; Ning-Fang Ma; Quan-Hong Ma; Xinliang Ma; Yueyun Ma; Zhenyi Ma; Ormond A MacDougald; Fernando Macian; Gustavo C MacIntosh; Jeffrey P MacKeigan; Kay F Macleod; Sandra Maday; Frank Madeo; Muniswamy Madesh; Tobias Madl; Julio Madrigal-Matute; Akiko Maeda; Yasuhiro Maejima; Marta Magarinos; Poornima Mahavadi; Emiliano Maiani; Kenneth Maiese; Panchanan Maiti; Maria Chiara Maiuri; Barbara Majello; Michael B Major; Elena Makareeva; Fayaz Malik; Karthik Mallilankaraman; Walter Malorni; Alina Maloyan; Najiba Mammadova; Gene Chi Wai Man; Federico Manai; Joseph D Mancias; Eva-Maria Mandelkow; Michael A Mandell; Angelo A Manfredi; Masoud H Manjili; Ravi Manjithaya; Patricio Manque; Bella B Manshian; Raquel Manzano; Claudia Manzoni; Kai Mao; Cinzia Marchese; Sandrine Marchetti; Anna Maria Marconi; Fabrizio Marcucci; Stefania Mardente; Olga A Mareninova; Marta Margeta; Muriel Mari; Sara Marinelli; Oliviero Marinelli; Guillermo Mariño; Sofia Mariotto; Richard S Marshall; Mark R Marten; Sascha Martens; Alexandre P J Martin; Katie R Martin; Sara Martin; Shaun Martin; Adrián Martín-Segura; Miguel A Martín-Acebes; Inmaculada Martin-Burriel; Marcos Martin-Rincon; Paloma Martin-Sanz; José A Martina; Wim Martinet; Aitor Martinez; Ana Martinez; Jennifer Martinez; Moises Martinez Velazquez; Nuria Martinez-Lopez; Marta Martinez-Vicente; Daniel O Martins; Joilson O Martins; Waleska K Martins; Tania Martins-Marques; Emanuele Marzetti; Shashank Masaldan; Celine Masclaux-Daubresse; Douglas G Mashek; Valentina Massa; Lourdes Massieu; Glenn R Masson; Laura Masuelli; Anatoliy I Masyuk; Tetyana V Masyuk; Paola Matarrese; Ander Matheu; Satoaki Matoba; Sachiko Matsuzaki; Pamela Mattar; Alessandro Matte; Domenico Mattoscio; José L Mauriz; Mario Mauthe; Caroline Mauvezin; Emanual Maverakis; Paola Maycotte; Johanna Mayer; Gianluigi Mazzoccoli; Cristina Mazzoni; Joseph R Mazzulli; Nami McCarty; Christine McDonald; Mitchell R McGill; Sharon L McKenna; BethAnn McLaughlin; Fionn McLoughlin; Mark A McNiven; Thomas G McWilliams; Fatima Mechta-Grigoriou; Tania Catarina Medeiros; Diego L Medina; Lynn A Megeney; Klara Megyeri; Maryam Mehrpour; Jawahar L Mehta; Alfred J Meijer; Annemarie H Meijer; Jakob Mejlvang; Alicia Meléndez; Annette Melk; Gonen Memisoglu; Alexandrina F Mendes; Delong Meng; Fei Meng; Tian Meng; Rubem Menna-Barreto; Manoj B Menon; Carol Mercer; Anne E Mercier; Jean-Louis Mergny; Adalberto Merighi; Seth D Merkley; Giuseppe Merla; Volker Meske; Ana Cecilia Mestre; Shree Padma Metur; Christian Meyer; Hemmo Meyer; Wenyi Mi; Jeanne Mialet-Perez; Junying Miao; Lucia Micale; Yasuo Miki; Enrico Milan; Małgorzata Milczarek; Dana L Miller; Samuel I Miller; Silke Miller; Steven W Millward; Ira Milosevic; Elena A Minina; Hamed Mirzaei; Hamid Reza Mirzaei; Mehdi Mirzaei; Amit Mishra; Nandita Mishra; Paras Kumar Mishra; Maja Misirkic Marjanovic; Roberta Misasi; Amit Misra; Gabriella Misso; Claire Mitchell; Geraldine Mitou; Tetsuji Miura; Shigeki Miyamoto; Makoto Miyazaki; Mitsunori Miyazaki; Taiga Miyazaki; Keisuke Miyazawa; Noboru Mizushima; Trine H Mogensen; Baharia Mograbi; Reza Mohammadinejad; Yasir Mohamud; Abhishek Mohanty; Sipra Mohapatra; Torsten Möhlmann; Asif Mohmmed; Anna Moles; Kelle H Moley; Maurizio Molinari; Vincenzo Mollace; Andreas Buch Møller; Bertrand Mollereau; Faustino Mollinedo; Costanza Montagna; Mervyn J Monteiro; Andrea Montella; L Ruth Montes; Barbara Montico; Vinod K Mony; Giacomo Monzio Compagnoni; Michael N Moore; Mohammad A Moosavi; Ana L Mora; Marina Mora; David Morales-Alamo; Rosario Moratalla; Paula I Moreira; Elena Morelli; Sandra Moreno; Daniel Moreno-Blas; Viviana Moresi; Benjamin Morga; Alwena H Morgan; Fabrice Morin; Hideaki Morishita; Orson L Moritz; Mariko Moriyama; Yuji Moriyasu; Manuela Morleo; Eugenia Morselli; Jose F Moruno-Manchon; Jorge Moscat; Serge Mostowy; Elisa Motori; Andrea Felinto Moura; Naima Moustaid-Moussa; Maria Mrakovcic; Gabriel Muciño-Hernández; Anupam Mukherjee; Subhadip Mukhopadhyay; Jean M Mulcahy Levy; Victoriano Mulero; Sylviane Muller; Christian Münch; Ashok Munjal; Pura Munoz-Canoves; Teresa Muñoz-Galdeano; Christian Münz; Tomokazu Murakawa; Claudia Muratori; Brona M Murphy; J Patrick Murphy; Aditya Murthy; Timo T Myöhänen; Indira U Mysorekar; Jennifer Mytych; Seyed Mohammad Nabavi; Massimo Nabissi; Péter Nagy; Jihoon Nah; Aimable Nahimana; Ichiro Nakagawa; Ken Nakamura; Hitoshi Nakatogawa; Shyam S Nandi; Meera Nanjundan; Monica Nanni; Gennaro Napolitano; Roberta Nardacci; Masashi Narita; Melissa Nassif; Ilana Nathan; Manabu Natsumeda; Ryno J Naude; Christin Naumann; Olaia Naveiras; Fatemeh Navid; Steffan T Nawrocki; Taras Y Nazarko; Francesca Nazio; Florentina Negoita; Thomas Neill; Amanda L Neisch; Luca M Neri; Mihai G Netea; Patrick Neubert; Thomas P Neufeld; Dietbert Neumann; Albert Neutzner; Phillip T Newton; Paul A Ney; Ioannis P Nezis; Charlene C W Ng; Tzi Bun Ng; Hang T T Nguyen; Long T Nguyen; Hong-Min Ni; Clíona Ní Cheallaigh; Zhenhong Ni; M Celeste Nicolao; Francesco Nicoli; Manuel Nieto-Diaz; Per Nilsson; Shunbin Ning; Rituraj Niranjan; Hiroshi Nishimune; Mireia Niso-Santano; Ralph A Nixon; Annalisa Nobili; Clevio Nobrega; Takeshi Noda; Uxía Nogueira-Recalde; Trevor M Nolan; Ivan Nombela; Ivana Novak; Beatriz Novoa; Takashi Nozawa; Nobuyuki Nukina; Carmen Nussbaum-Krammer; Jesper Nylandsted; Tracey R O'Donovan; Seónadh M O'Leary; Eyleen J O'Rourke; Mary P O'Sullivan; Timothy E O'Sullivan; Salvatore Oddo; Ina Oehme; Michinaga Ogawa; Eric Ogier-Denis; Margret H Ogmundsdottir; Besim Ogretmen; Goo Taeg Oh; Seon-Hee Oh; Young J Oh; Takashi Ohama; Yohei Ohashi; Masaki Ohmuraya; Vasileios Oikonomou; Rani Ojha; Koji Okamoto; Hitoshi Okazawa; Masahide Oku; Sara Oliván; Jorge M A Oliveira; Michael Ollmann; James A Olzmann; Shakib Omari; M Bishr Omary; Gizem Önal; Martin Ondrej; Sang-Bing Ong; Sang-Ging Ong; Anna Onnis; Juan A Orellana; Sara Orellana-Muñoz; Maria Del Mar Ortega-Villaizan; Xilma R Ortiz-Gonzalez; Elena Ortona; Heinz D Osiewacz; Abdel-Hamid K Osman; Rosario Osta; Marisa S Otegui; Kinya Otsu; Christiane Ott; Luisa Ottobrini; Jing-Hsiung James Ou; Tiago F Outeiro; Inger Oynebraten; Melek Ozturk; Gilles Pagès; Susanta Pahari; Marta Pajares; Utpal B Pajvani; Rituraj Pal; Simona Paladino; Nicolas Pallet; Michela Palmieri; Giuseppe Palmisano; Camilla Palumbo; Francesco Pampaloni; Lifeng Pan; Qingjun Pan; Wenliang Pan; Xin Pan; Ganna Panasyuk; Rahul Pandey; Udai B Pandey; Vrajesh Pandya; Francesco Paneni; Shirley Y Pang; Elisa Panzarini; Daniela L Papademetrio; Elena Papaleo; Daniel Papinski; Diana Papp; Eun Chan Park; Hwan Tae Park; Ji-Man Park; Jong-In Park; Joon Tae Park; Junsoo Park; Sang Chul Park; Sang-Youel Park; Abraham H Parola; Jan B Parys; Adrien Pasquier; Benoit Pasquier; João F Passos; Nunzia Pastore; Hemal H Patel; Daniel Patschan; Sophie Pattingre; Gustavo Pedraza-Alva; Jose Pedraza-Chaverri; Zully Pedrozo; Gang Pei; Jianming Pei; Hadas Peled-Zehavi; Joaquín M Pellegrini; Joffrey Pelletier; Miguel A Peñalva; Di Peng; Ying Peng; Fabio Penna; Maria Pennuto; Francesca Pentimalli; Cláudia Mf Pereira; Gustavo J S Pereira; Lilian C Pereira; Luis Pereira de Almeida; Nirma D Perera; Ángel Pérez-Lara; Ana B Perez-Oliva; María Esther Pérez-Pérez; Palsamy Periyasamy; Andras Perl; Cristiana Perrotta; Ida Perrotta; Richard G Pestell; Morten Petersen; Irina Petrache; Goran Petrovski; Thorsten Pfirrmann; Astrid S Pfister; Jennifer A Philips; Huifeng Pi; Anna Picca; Alicia M Pickrell; Sandy Picot; Giovanna M Pierantoni; Marina Pierdominici; Philippe Pierre; Valérie Pierrefite-Carle; Karolina Pierzynowska; Federico Pietrocola; Miroslawa Pietruczuk; Claudio Pignata; Felipe X Pimentel-Muiños; Mario Pinar; Roberta O Pinheiro; Ronit Pinkas-Kramarski; Paolo Pinton; Karolina Pircs; Sujan Piya; Paola Pizzo; Theo S Plantinga; Harald W Platta; Ainhoa Plaza-Zabala; Markus Plomann; Egor Y Plotnikov; Helene Plun-Favreau; Ryszard Pluta; Roger Pocock; Stefanie Pöggeler; Christian Pohl; Marc Poirot; Angelo Poletti; Marisa Ponpuak; Hana Popelka; Blagovesta Popova; Helena Porta; Soledad Porte Alcon; Eliana Portilla-Fernandez; Martin Post; Malia B Potts; Joanna Poulton; Ted Powers; Veena Prahlad; Tomasz K Prajsnar; Domenico Praticò; Rosaria Prencipe; Muriel Priault; Tassula Proikas-Cezanne; Vasilis J Promponas; Christopher G Proud; Rosa Puertollano; Luigi Puglielli; Thomas Pulinilkunnil; Deepika Puri; Rajat Puri; Julien Puyal; Xiaopeng Qi; Yongmei Qi; Wenbin Qian; Lei Qiang; Yu Qiu; Joe Quadrilatero; Jorge Quarleri; Nina Raben; Hannah Rabinowich; Debora Ragona; Michael J Ragusa; Nader Rahimi; Marveh Rahmati; Valeria Raia; Nuno Raimundo; Namakkal-Soorappan Rajasekaran; Sriganesh Ramachandra Rao; Abdelhaq Rami; Ignacio Ramírez-Pardo; David B Ramsden; Felix Randow; Pundi N Rangarajan; Danilo Ranieri; Hai Rao; Lang Rao; Rekha Rao; Sumit Rathore; J Arjuna Ratnayaka; Edward A Ratovitski; Palaniyandi Ravanan; Gloria Ravegnini; Swapan K Ray; Babak Razani; Vito Rebecca; Fulvio Reggiori; Anne Régnier-Vigouroux; Andreas S Reichert; David Reigada; Jan H Reiling; Theo Rein; Siegfried Reipert; Rokeya Sultana Rekha; Hongmei Ren; Jun Ren; Weichao Ren; Tristan Renault; Giorgia Renga; Karen Reue; Kim Rewitz; Bruna Ribeiro de Andrade Ramos; S Amer Riazuddin; Teresa M Ribeiro-Rodrigues; Jean-Ehrland Ricci; Romeo Ricci; Victoria Riccio; Des R Richardson; Yasuko Rikihisa; Makarand V Risbud; Ruth M Risueño; Konstantinos Ritis; Salvatore Rizza; Rosario Rizzuto; Helen C Roberts; Luke D Roberts; Katherine J Robinson; Maria Carmela Roccheri; Stephane Rocchi; George G Rodney; Tiago Rodrigues; Vagner Ramon Rodrigues Silva; Amaia Rodriguez; Ruth Rodriguez-Barrueco; Nieves Rodriguez-Henche; Humberto Rodriguez-Rocha; Jeroen Roelofs; Robert S Rogers; Vladimir V Rogov; Ana I Rojo; Krzysztof Rolka; Vanina Romanello; Luigina Romani; Alessandra Romano; Patricia S Romano; David Romeo-Guitart; Luis C Romero; Montserrat Romero; Joseph C Roney; Christopher Rongo; Sante Roperto; Mathias T Rosenfeldt; Philip Rosenstiel; Anne G Rosenwald; Kevin A Roth; Lynn Roth; Steven Roth; Kasper M A Rouschop; Benoit D Roussel; Sophie Roux; Patrizia Rovere-Querini; Ajit Roy; Aurore Rozieres; Diego Ruano; David C Rubinsztein; Maria P Rubtsova; Klaus Ruckdeschel; Christoph Ruckenstuhl; Emil Rudolf; Rüdiger Rudolf; Alessandra Ruggieri; Avnika Ashok Ruparelia; Paola Rusmini; Ryan R Russell; Gian Luigi Russo; Maria Russo; Rossella Russo; Oxana O Ryabaya; Kevin M Ryan; Kwon-Yul Ryu; Maria Sabater-Arcis; Ulka Sachdev; Michael Sacher; Carsten Sachse; Abhishek Sadhu; Junichi Sadoshima; Nathaniel Safren; Paul Saftig; Antonia P Sagona; Gaurav Sahay; Amirhossein Sahebkar; Mustafa Sahin; Ozgur Sahin; Sumit Sahni; Nayuta Saito; Shigeru Saito; Tsunenori Saito; Ryohei Sakai; Yasuyoshi Sakai; Jun-Ichi Sakamaki; Kalle Saksela; Gloria Salazar; Anna Salazar-Degracia; Ghasem H Salekdeh; Ashok K Saluja; Belém Sampaio-Marques; Maria Cecilia Sanchez; Jose A Sanchez-Alcazar; Victoria Sanchez-Vera; Vanessa Sancho-Shimizu; J Thomas Sanderson; Marco Sandri; Stefano Santaguida; Laura Santambrogio; Magda M Santana; Giorgio Santoni; Alberto Sanz; Pascual Sanz; Shweta Saran; Marco Sardiello; Timothy J Sargeant; Apurva Sarin; Chinmoy Sarkar; Sovan Sarkar; Maria-Rosa Sarrias; Surajit Sarkar; Dipanka Tanu Sarmah; Jaakko Sarparanta; Aishwarya Sathyanarayan; Ranganayaki Sathyanarayanan; K Matthew Scaglione; Francesca Scatozza; Liliana Schaefer; Zachary T Schafer; Ulrich E Schaible; Anthony H V Schapira; Michael Scharl; Hermann M Schatzl; Catherine H Schein; Wiep Scheper; David Scheuring; Maria Vittoria Schiaffino; Monica Schiappacassi; Rainer Schindl; Uwe Schlattner; Oliver Schmidt; Roland Schmitt; Stephen D Schmidt; Ingo Schmitz; Eran Schmukler; Anja Schneider; Bianca E Schneider; Romana Schober; Alejandra C Schoijet; Micah B Schott; Michael Schramm; Bernd Schröder; Kai Schuh; Christoph Schüller; Ryan J Schulze; Lea Schürmanns; Jens C Schwamborn; Melanie Schwarten; Filippo Scialo; Sebastiano Sciarretta; Melanie J Scott; Kathleen W Scotto; A Ivana Scovassi; Andrea Scrima; Aurora Scrivo; David Sebastian; Salwa Sebti; Simon Sedej; Laura Segatori; Nava Segev; Per O Seglen; Iban Seiliez; Ekihiro Seki; Scott B Selleck; Frank W Sellke; Joshua T Selsby; Michael Sendtner; Serif Senturk; Elena Seranova; Consolato Sergi; Ruth Serra-Moreno; Hiromi Sesaki; Carmine Settembre; Subba Rao Gangi Setty; Gianluca Sgarbi; Ou Sha; John J Shacka; Javeed A Shah; Dantong Shang; Changshun Shao; Feng Shao; Soroush Sharbati; Lisa M Sharkey; Dipali Sharma; Gaurav Sharma; Kulbhushan Sharma; Pawan Sharma; Surendra Sharma; Han-Ming Shen; Hongtao Shen; Jiangang Shen; Ming Shen; Weili Shen; Zheni Shen; Rui Sheng; Zhi Sheng; Zu-Hang Sheng; Jianjian Shi; Xiaobing Shi; Ying-Hong Shi; Kahori Shiba-Fukushima; Jeng-Jer Shieh; Yohta Shimada; Shigeomi Shimizu; Makoto Shimozawa; Takahiro Shintani; Christopher J Shoemaker; Shahla Shojaei; Ikuo Shoji; Bhupendra V Shravage; Viji Shridhar; Chih-Wen Shu; Hong-Bing Shu; Ke Shui; Arvind K Shukla; Timothy E Shutt; Valentina Sica; Aleem Siddiqui; Amanda Sierra; Virginia Sierra-Torre; Santiago Signorelli; Payel Sil; Bruno J de Andrade Silva; Johnatas D Silva; Eduardo Silva-Pavez; Sandrine Silvente-Poirot; Rachel E Simmonds; Anna Katharina Simon; Hans-Uwe Simon; Matias Simons; Anurag Singh; Lalit P Singh; Rajat Singh; Shivendra V Singh; Shrawan K Singh; Sudha B Singh; Sunaina Singh; Surinder Pal Singh; Debasish Sinha; Rohit Anthony Sinha; Sangita Sinha; Agnieszka Sirko; Kapil Sirohi; Efthimios L Sivridis; Panagiotis Skendros; Aleksandra Skirycz; Iva Slaninová; Soraya S Smaili; Andrei Smertenko; Matthew D Smith; Stefaan J Soenen; Eun Jung Sohn; Sophia P M Sok; Giancarlo Solaini; Thierry Soldati; Scott A Soleimanpour; Rosa M Soler; Alexei Solovchenko; Jason A Somarelli; Avinash Sonawane; Fuyong Song; Hyun Kyu Song; Ju-Xian Song; Kunhua Song; Zhiyin Song; Leandro R Soria; Maurizio Sorice; Alexander A Soukas; Sandra-Fausia Soukup; Diana Sousa; Nadia Sousa; Paul A Spagnuolo; Stephen A Spector; M M Srinivas Bharath; Daret St Clair; Venturina Stagni; Leopoldo Staiano; Clint A Stalnecker; Metodi V Stankov; Peter B Stathopulos; Katja Stefan; Sven Marcel Stefan; Leonidas Stefanis; Joan S Steffan; Alexander Steinkasserer; Harald Stenmark; Jared Sterneckert; Craig Stevens; Veronika Stoka; Stephan Storch; Björn Stork; Flavie Strappazzon; Anne Marie Strohecker; Dwayne G Stupack; Huanxing Su; Ling-Yan Su; Longxiang Su; Ana M Suarez-Fontes; Carlos S Subauste; Selvakumar Subbian; Paula V Subirada; Ganapasam Sudhandiran; Carolyn M Sue; Xinbing Sui; Corey Summers; Guangchao Sun; Jun Sun; Kang Sun; Meng-Xiang Sun; Qiming Sun; Yi Sun; Zhongjie Sun; Karen K S Sunahara; Eva Sundberg; Katalin Susztak; Peter Sutovsky; Hidekazu Suzuki; Gary Sweeney; J David Symons; Stephen Cho Wing Sze; Nathaniel J Szewczyk; Anna Tabęcka-Łonczynska; Claudio Tabolacci; Frank Tacke; Heinrich Taegtmeyer; Marco Tafani; Mitsuo Tagaya; Haoran Tai; Stephen W G Tait; Yoshinori Takahashi; Szabolcs Takats; Priti Talwar; Chit Tam; Shing Yau Tam; Davide Tampellini; Atsushi Tamura; Chong Teik Tan; Eng-King Tan; Ya-Qin Tan; Masaki Tanaka; Motomasa Tanaka; Daolin Tang; Jingfeng Tang; Tie-Shan Tang; Isei Tanida; Zhipeng Tao; Mohammed Taouis; Lars Tatenhorst; Nektarios Tavernarakis; Allen Taylor; Gregory A Taylor; Joan M Taylor; Elena Tchetina; Andrew R Tee; Irmgard Tegeder; David Teis; Natercia Teixeira; Fatima Teixeira-Clerc; Kumsal A Tekirdag; Tewin Tencomnao; Sandra Tenreiro; Alexei V Tepikin; Pilar S Testillano; Gianluca Tettamanti; Pierre-Louis Tharaux; Kathrin Thedieck; Arvind A Thekkinghat; Stefano Thellung; Josephine W Thinwa; V P Thirumalaikumar; Sufi Mary Thomas; Paul G Thomes; Andrew Thorburn; Lipi Thukral; Thomas Thum; Michael Thumm; Ling Tian; Ales Tichy; Andreas Till; Vincent Timmerman; Vladimir I Titorenko; Sokol V Todi; Krassimira Todorova; Janne M Toivonen; Luana Tomaipitinca; Dhanendra Tomar; Cristina Tomas-Zapico; Sergej Tomić; Benjamin Chun-Kit Tong; Chao Tong; Xin Tong; Sharon A Tooze; Maria L Torgersen; Satoru Torii; Liliana Torres-López; Alicia Torriglia; Christina G Towers; Roberto Towns; Shinya Toyokuni; Vladimir Trajkovic; Donatella Tramontano; Quynh-Giao Tran; Leonardo H Travassos; Charles B Trelford; Shirley Tremel; Ioannis P Trougakos; Betty P Tsao; Mario P Tschan; Hung-Fat Tse; Tak Fu Tse; Hitoshi Tsugawa; Andrey S Tsvetkov; David A Tumbarello; Yasin Tumtas; María J Tuñón; Sandra Turcotte; Boris Turk; Vito Turk; Bradley J Turner; Richard I Tuxworth; Jessica K Tyler; Elena V Tyutereva; Yasuo Uchiyama; Aslihan Ugun-Klusek; Holm H Uhlig; Marzena Ułamek-Kozioł; Ilya V Ulasov; Midori Umekawa; Christian Ungermann; Rei Unno; Sylvie Urbe; Elisabet Uribe-Carretero; Suayib Üstün; Vladimir N Uversky; Thomas Vaccari; Maria I Vaccaro; Björn F Vahsen; Helin Vakifahmetoglu-Norberg; Rut Valdor; Maria J Valente; Ayelén Valko; Richard B Vallee; Angela M Valverde; Greet Van den Berghe; Stijn van der Veen; Luc Van Kaer; Jorg van Loosdregt; Sjoerd J L van Wijk; Wim Vandenberghe; Ilse Vanhorebeek; Marcos A Vannier-Santos; Nicola Vannini; M Cristina Vanrell; Chiara Vantaggiato; Gabriele Varano; Isabel Varela-Nieto; Máté Varga; M Helena Vasconcelos; Somya Vats; Demetrios G Vavvas; Ignacio Vega-Naredo; Silvia Vega-Rubin-de-Celis; Guillermo Velasco; Ariadna P Velázquez; Tibor Vellai; Edo Vellenga; Francesca Velotti; Mireille Verdier; Panayotis Verginis; Isabelle Vergne; Paul Verkade; Manish Verma; Patrik Verstreken; Tim Vervliet; Jörg Vervoorts; Alexandre T Vessoni; Victor M Victor; Michel Vidal; Chiara Vidoni; Otilia V Vieira; Richard D Vierstra; Sonia Viganó; Helena Vihinen; Vinoy Vijayan; Miquel Vila; Marçal Vilar; José M Villalba; Antonio Villalobo; Beatriz Villarejo-Zori; Francesc Villarroya; Joan Villarroya; Olivier Vincent; Cecile Vindis; Christophe Viret; Maria Teresa Viscomi; Dora Visnjic; Ilio Vitale; David J Vocadlo; Olga V Voitsekhovskaja; Cinzia Volonté; Mattia Volta; Marta Vomero; Clarissa Von Haefen; Marc A Vooijs; Wolfgang Voos; Ljubica Vucicevic; Richard Wade-Martins; Satoshi Waguri; Kenrick A Waite; Shuji Wakatsuki; David W Walker; Mark J Walker; Simon A Walker; Jochen Walter; Francisco G Wandosell; Bo Wang; Chao-Yung Wang; Chen Wang; Chenran Wang; Chenwei Wang; Cun-Yu Wang; Dong Wang; Fangyang Wang; Feng Wang; Fengming Wang; Guansong Wang; Han Wang; Hao Wang; Hexiang Wang; Hong-Gang Wang; Jianrong Wang; Jigang Wang; Jiou Wang; Jundong Wang; Kui Wang; Lianrong Wang; Liming Wang; Maggie Haitian Wang; Meiqing Wang; Nanbu Wang; Pengwei Wang; Peipei Wang; Ping Wang; Ping Wang; Qing Jun Wang; Qing Wang; Qing Kenneth Wang; Qiong A Wang; Wen-Tao Wang; Wuyang Wang; Xinnan Wang; Xuejun Wang; Yan Wang; Yanchang Wang; Yanzhuang Wang; Yen-Yun Wang; Yihua Wang; Yipeng Wang; Yu Wang; Yuqi Wang; Zhe Wang; Zhenyu Wang; Zhouguang Wang; Gary Warnes; Verena Warnsmann; Hirotaka Watada; Eizo Watanabe; Maxinne Watchon; Anna Wawrzyńska; Timothy E Weaver; Grzegorz Wegrzyn; Ann M Wehman; Huafeng Wei; Lei Wei; Taotao Wei; Yongjie Wei; Oliver H Weiergräber; Conrad C Weihl; Günther Weindl; Ralf Weiskirchen; Alan Wells; Runxia H Wen; Xin Wen; Antonia Werner; Beatrice Weykopf; Sally P Wheatley; J Lindsay Whitton; Alexander J Whitworth; Katarzyna Wiktorska; Manon E Wildenberg; Tom Wileman; Simon Wilkinson; Dieter Willbold; Brett Williams; Robin S B Williams; Roger L Williams; Peter R Williamson; Richard A Wilson; Beate Winner; Nathaniel J Winsor; Steven S Witkin; Harald Wodrich; Ute Woehlbier; Thomas Wollert; Esther Wong; Jack Ho Wong; Richard W Wong; Vincent Kam Wai Wong; W Wei-Lynn Wong; An-Guo Wu; Chengbiao Wu; Jian Wu; Junfang Wu; Kenneth K Wu; Min Wu; Shan-Ying Wu; Shengzhou Wu; Shu-Yan Wu; Shufang Wu; William K K Wu; Xiaohong Wu; Xiaoqing Wu; Yao-Wen Wu; Yihua Wu; Ramnik J Xavier; Hongguang Xia; Lixin Xia; Zhengyuan Xia; Ge Xiang; Jin Xiang; Mingliang Xiang; Wei Xiang; Bin Xiao; Guozhi Xiao; Hengyi Xiao; Hong-Tao Xiao; Jian Xiao; Lan Xiao; Shi Xiao; Yin Xiao; Baoming Xie; Chuan-Ming Xie; Min Xie; Yuxiang Xie; Zhiping Xie; Zhonglin Xie; Maria Xilouri; Congfeng Xu; En Xu; Haoxing Xu; Jing Xu; JinRong Xu; Liang Xu; Wen Wen Xu; Xiulong Xu; Yu Xue; Sokhna M S Yakhine-Diop; Masamitsu Yamaguchi; Osamu Yamaguchi; Ai Yamamoto; Shunhei Yamashina; Shengmin Yan; Shian-Jang Yan; Zhen Yan; Yasuo Yanagi; Chuanbin Yang; Dun-Sheng Yang; Huan Yang; Huang-Tian Yang; Hui Yang; Jin-Ming Yang; Jing Yang; Jingyu Yang; Ling Yang; Liu Yang; Ming Yang; Pei-Ming Yang; Qian Yang; Seungwon Yang; Shu Yang; Shun-Fa Yang; Wannian Yang; Wei Yuan Yang; Xiaoyong Yang; Xuesong Yang; Yi Yang; Ying Yang; Honghong Yao; Shenggen Yao; Xiaoqiang Yao; Yong-Gang Yao; Yong-Ming Yao; Takahiro Yasui; Meysam Yazdankhah; Paul M Yen; Cong Yi; Xiao-Ming Yin; Yanhai Yin; Zhangyuan Yin; Ziyi Yin; Meidan Ying; Zheng Ying; Calvin K Yip; Stephanie Pei Tung Yiu; Young H Yoo; Kiyotsugu Yoshida; Saori R Yoshii; Tamotsu Yoshimori; Bahman Yousefi; Boxuan Yu; Haiyang Yu; Jun Yu; Jun Yu; Li Yu; Ming-Lung Yu; Seong-Woon Yu; Victor C Yu; W Haung Yu; Zhengping Yu; Zhou Yu; Junying Yuan; Ling-Qing Yuan; Shilin Yuan; Shyng-Shiou F Yuan; Yanggang Yuan; Zengqiang Yuan; Jianbo Yue; Zhenyu Yue; Jeanho Yun; Raymond L Yung; David N Zacks; Gabriele Zaffagnini; Vanessa O Zambelli; Isabella Zanella; Qun S Zang; Sara Zanivan; Silvia Zappavigna; Pilar Zaragoza; Konstantinos S Zarbalis; Amir Zarebkohan; Amira Zarrouk; Scott O Zeitlin; Jialiu Zeng; Ju-Deng Zeng; Eva Žerovnik; Lixuan Zhan; Bin Zhang; Donna D Zhang; Hanlin Zhang; Hong Zhang; Hong Zhang; Honghe Zhang; Huafeng Zhang; Huaye Zhang; Hui Zhang; Hui-Ling Zhang; Jianbin Zhang; Jianhua Zhang; Jing-Pu Zhang; Kalin Y B Zhang; Leshuai W Zhang; Lin Zhang; Lisheng Zhang; Lu Zhang; Luoying Zhang; Menghuan Zhang; Peng Zhang; Sheng Zhang; Wei Zhang; Xiangnan Zhang; Xiao-Wei Zhang; Xiaolei Zhang; Xiaoyan Zhang; Xin Zhang; Xinxin Zhang; Xu Dong Zhang; Yang Zhang; Yanjin Zhang; Yi Zhang; Ying-Dong Zhang; Yingmei Zhang; Yuan-Yuan Zhang; Yuchen Zhang; Zhe Zhang; Zhengguang Zhang; Zhibing Zhang; Zhihai Zhang; Zhiyong Zhang; Zili Zhang; Haobin Zhao; Lei Zhao; Shuang Zhao; Tongbiao Zhao; Xiao-Fan Zhao; Ying Zhao; Yongchao Zhao; Yongliang Zhao; Yuting Zhao; Guoping Zheng; Kai Zheng; Ling Zheng; Shizhong Zheng; Xi-Long Zheng; Yi Zheng; Zu-Guo Zheng; Boris Zhivotovsky; Qing Zhong; Ao Zhou; Ben Zhou; Cefan Zhou; Gang Zhou; Hao Zhou; Hong Zhou; Hongbo Zhou; Jie Zhou; Jing Zhou; Jing Zhou; Jiyong Zhou; Kailiang Zhou; Rongjia Zhou; Xu-Jie Zhou; Yanshuang Zhou; Yinghong Zhou; Yubin Zhou; Zheng-Yu Zhou; Zhou Zhou; Binglin Zhu; Changlian Zhu; Guo-Qing Zhu; Haining Zhu; Hongxin Zhu; Hua Zhu; Wei-Guo Zhu; Yanping Zhu; Yushan Zhu; Haixia Zhuang; Xiaohong Zhuang; Katarzyna Zientara-Rytter; Christine M Zimmermann; Elena Ziviani; Teresa Zoladek; Wei-Xing Zong; Dmitry B Zorov; Antonio Zorzano; Weiping Zou; Zhen Zou; Zhengzhi Zou; Steven Zuryn; Werner Zwerschke; Beate Brand-Saberi; X Charlie Dong; Chandra Shekar Kenchappa; Zuguo Li; Yong Lin; Shigeru Oshima; Yueguang Rong; Judith C Sluimer; Christina L Stallings; Chun-Kit Tong
Journal:  Autophagy       Date:  2021-02-08       Impact factor: 13.391

Review 9.  Systemic Actions of SGLT2 Inhibition on Chronic mTOR Activation as a Shared Pathogenic Mechanism between Alzheimer's Disease and Diabetes.

Authors:  Gabriela Dumitrita Stanciu; Razvan Nicolae Rusu; Veronica Bild; Leontina Elena Filipiuc; Bogdan-Ionel Tamba; Daniela Carmen Ababei
Journal:  Biomedicines       Date:  2021-05-19

10.  High Levels of ROS Impair Lysosomal Acidity and Autophagy Flux in Glucose-Deprived Fibroblasts by Activating ATM and Erk Pathways.

Authors:  Seon Beom Song; Eun Seong Hwang
Journal:  Biomolecules       Date:  2020-05-13
View more

北京卡尤迪生物科技股份有限公司 © 2022-2023.