Literature DB >> 30605670

Hyperactive Innate Immunity Causes Degeneration of Dopamine Neurons upon Altering Activity of Cdk5.

Arvind Kumar Shukla1, Joshua Spurrier2, Irina Kuzina1, Edward Giniger3.   

Abstract

Innate immunity is central to the pathophysiology of neurodegenerative disorders, but it remains unclear why immunity is altered in the disease state and whether changes in immunity are a cause or a consequence of neuronal dysfunction. Here, we identify a molecular pathway that links innate immunity to age-dependent loss of dopaminergic neurons in Drosophila. We find, first, that altering the expression of the activating subunit of the Cdk5 protein kinase (Cdk5α) causes severe disruption of autophagy. Second, this disruption of autophagy is both necessary and sufficient to cause the hyperactivation of innate immunity, particularly expression of anti-microbial peptides. Finally, it is the upregulation of immunity that induces the age-dependent death of dopaminergic neurons. Given the dysregulation of Cdk5 and innate immunity in human neurodegeneration and the conserved role of the kinase in the regulation of autophagy, this sequence is likely to have direct application to the chain of events in human neurodegenerative disease. Published by Elsevier Inc.

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Keywords:  Cdk5; Drosophila; aging; antimicrobial peptides; autophagy; innate immunity; neurodegeneration; p35

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Year:  2019        PMID: 30605670      PMCID: PMC6442473          DOI: 10.1016/j.celrep.2018.12.025

Source DB:  PubMed          Journal:  Cell Rep            Impact factor:   9.423


INTRODUCTION

Neurodegenerative diseases (NDs) are a huge public health problem, and dissecting their pathophysiological mechanism is one of our greatest challenges. Neuroinflammation is an important component of many NDs, including Alzheimer disease (AD), frontotemporal dementia (FTD), Parkinson disease (PD), and others (Gjoneska et al., 2015; Heneka et al., 2014; Holmes et al., 2009; Richards et al., 2016; Zhang, 2015). However, the role of immune dysfunction in NDs remains paradoxical; there is evidence that the activation of microglia may induce neurotoxicity, but also evidence that it is protective, through the clearance of toxic protein aggregates (Clayton et al., 2017). Thus, it remains controversial whether neurodegeneration is the consequence of hyperactivation or inactivation of the immune response, and what the triggers are that induce its dysfunction. The immune response in the nervous system is not only triggered by pathogens but also by its linkage to autophagy (Richards et al., 2016). Autophagy is essential for removing damaged proteins and organelles, safeguarding cellular energy balance, and maintaining cellular homeostasis (Wang and Qin, 2013). Autophagy is also an alternative route of cell death that is distinct from apoptosis, and it is implicated in a wide variety of NDs (Clarke, 1990; Nixon, 2013). Fundamental questions remain, however: is autophagy a pro-death program or a protective program that enhances survival, and does disruption of autophagy serve as an early, triggering event in ND, or is it a late-acting piece of the mechanism? The greatest risk factor for most NDs is aging (Wyss-Coray, 2016). Aging broadly changes the physiology of the organism, in part by disrupting cellular homeostasis. The nervous system is particularly sensitive to the function and regulation of homeostatic mechanisms, including both autophagy and immunity, among many others (Nixon, 2013; Schwartz et al., 2013). One issue confounding our understanding of human ND is that the normal modulation of immunity and autophagy by aging has obscured whether changes in these processes reflect a direct role in pathogenesis or simply a correlation among the processes of normal aging. The mechanisms of autophagy and innate immunity, as well as aging, are significantly conserved between mammals and Drosophila (Kimbrell and Beutler, 2001; Mulakkal et al., 2014). Drosophila has a well-regulated innate immune system that uses anti-microbial peptides (AMPs) as effector molecules, including several with clear mammalian orthologs. Two parallel pathways exist for the activation of AMP synthesis, under control of the receptors Toll and Imd (immune deficiency), and these are homologous to innate immune pathways in mammals (Lemaitre and Hoffmann, 2007). Toll and Imd, respectively, signal through the nuclear factor κB (NF-κB) transcription factors Dif and Relish, which promote the transcription of multiple classes of AMPs in Drosophila, including attacin, cecropin, diptericin, drosocin, drosomycin, defensin, and metchnikowin, as well as other immune effectors. Some recent studies in Drosophila have suggested a negative role for hyperactive innate immune response in neurodegeneration and aging (Cao et al., 2013; Kounatidis et al., 2017; Petersen et al., 2013), although other reports suggest a positive role for the overexpression of AMPs on aging (Loch et al., 2017). Therefore, in flies as in mammals, the relation among these processes in the progression to disease remains unclear. We have shown previously that increased or decreased activity of cyclin-dependent kinase 5 (Cdk5), achieved by altered expression of its essential activating subunit, Cdk5α (also called D-p35), causes a neurodegenerative syndrome in Drosophila that has extensive similarities to human NDs, including adult-onset degeneration and the death of neurons that are associated with learning and memory (mushroom body [MB] neurons), impaired auto-phagy, sensitivity to oxidative stress, and progressive loss of motor function, along with an accelerated rate of aging (Spurrier et al., 2018; Trunova and Giniger, 2012). Cdk5 is a divergent member of the cyclin-dependent kinase family that does not associate with a classical cyclin for its activation and is not required for cell-cycle progression. Cdk5 is expressed ubiquitously; however, its function is limited to postmitotic neurons due to the restricted expression of its activating subunit (Connell-Crowley et al., 2000; Tsai et al., 1994). Cdk5 activation in mammals requires specific binding with either p35 or the related protein p39 (Ko et al., 2001), while in Drosophila there is only a single p35 ortholog (Connell-Crowley et al., 2007). Deregulated Cdk5 has been associated with different NDs in humans. For example, in the case of AD, Cdk5 causes hyperphosphorylation of tau and is involved in the formation of neurofibrillary tangles (Cruz et al., 2003). In the 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP) model of PD, Cdk5 causes phosphorylation of an antioxidant enzyme, Prx2, which is associated with cell death (Qu et al., 2007a). Notably, both gain and loss of function of Cdk5 induce neuronal death and neurodegeneration in cell culture and in mouse models, perhaps because of cross-regulatory interactions among a network of kinases with closely related target-site specificity (Cruz et al., 2003; Patrick et al., 1999; Takahashi et al., 2010). Here, we unravel the relations among the core phenotypes of Cdk5-associated neurodegeneration in Drosophila. We show that increasing or decreasing the expression of Cdk5α impairs autophagy and that this in turn causes the degeneration of a sensitive neuronal population through hyperactivation of the innate immune response. We first show that the activation of innate immunity occurs independently of aging in Cdk5α-altered Drosophila. We then demonstrate that dopamine (DA) neurons, like MB neurons, undergo age-dependent degeneration when we increase or decrease the expression of Cdk5α. Furthermore, we show that the activation of innate immunity by altered Cdk5α is both necessary and sufficient to cause DA neuron death, and that the disruption of autophagy by altered Cdk5α is necessary and sufficient to account for the hyperactivation of immunity. Our data provide a clear picture of the relation among three of the key features of NDs, aging, autophagy, and immunity, revealing that autophagy and immunity make up a dependent genetic pathway that assaults neurons, in conjunction with the overall fragility induced by aging.

RESULTS

Increased or Decreased Expression of Cdk5α Causes Age-Dependent Degeneration of Dopaminergic Neurons in Drosophila

MB cell counting and global gene expression profiling in Drosophila that are null mutant for Cdk5α (Cdk5α null) or have mild (2.5- to 3-fold) overexpression of Cdk5α (Cdk5-OE; from the introduction of four extra copies of the wild-type Cdk5α genomic locus) revealed age-dependent degeneration of MB neurons (Spurrier et al., 2018). While comparing the gene expression profile obtained upon altering Cdk5α to that from other Drosophila models of degeneration, we noted a striking similarity with the profile of flies bearing a mutation in the fly ortholog of the human PD-associated gene Pink1 (Pearson r > 0.36; corrected p < 0.05 in three out of four conditions examined; Table S1). Pink1 mutant flies, like humans, lose DA neurons as they age (Park et al., 2006). Moreover, flies with altered Cdk5α show impaired motor function with age, reminiscent of Pink1 mutant flies. We therefore counted DA neurons using whole-mount immunostaining with anti-Drosophila tyrosine hydroxylase (DTH). We found that the number of neurons was not significantly changed in wild-type flies until 45 days of age, whereas both Cdk5α null and Cdk5α-OE show an earlier, age-dependent loss of DA neurons (Figures 1A, 1B, and S1; Table S2). Consistent results were observed using a different anti-TH antibody (Figure S2B) or by co-labeling with TH-GAL4; UAS-nls-mCherry and counting double-tagged neurons at 30 days old (Figure S2A). We verified the specificity of the mutant phenotype by restoring the DA number with a single copy of a Cdk5α genomic trans-gene in Cdk5α null flies (“rescue” hereafter: w+; Cdk5α/Cdk5α; P[w+,Tn Cdk5α]) (Figure 1C; Table S2). Note that we typically assay degeneration at 30 days, since by 45 days, only the last few percent of mutant flies survive and these are not representative of the starting population (Spurrier et al., 2018). These data show that the altered expression of Cdk5α causes age-associated degeneration of DA neurons.
Figure 1.

Both Gain and Loss of Cdk5α Induce the Degeneration of Dopaminergic Neurons

Brains of 3-, 10-, 30-, and 45-day-old flies of the indicated genotypes were dissected and immunostained with anti-DTH antibody.

(A) Representative projected confocal images of DA neurons labeled with anti-DTH antibody.

(B) The number of DTH+ DA neurons per hemisphere is presented as mean ± SEM, along with individual counts. The pooled DA neuron count includes neurons from PPL1, PPL2, PPM1/2, PPM3, and PAL clusters. For individual counts in these clusters, see Figure S1. For each genotype and age, the number of hemispheres examined is presented at the bottom of the bar. Error bars indicate SEM. The significance of differences is relative to the age-matched control (one-way ANOVA with Dunnett’s multiple correction). The DA neuron count in 45-day-old Cdk5α-OE shows an apparent rebound in numbers relative to 30 days; this reflects selective survival of only the fittest individuals at the oldest time point (Spurrier et al., 2018). For complete details of statistical analysis for this and all of the figures, see Table S2.

(C) Top: projected confocal images of 30-day-old brains of DTH-stained control, Cdk5α null, and Rescue {Cdk5α null; Tn[Cdk5α]/+}. Bottom: counts showing mean ± SEM along with individual values. For the rescue samples, the significance of differences was calculated between rescue and age-matched Cdk5α null using one-way ANOVA with Tukey’s multiple correction. In the rescue calculation, the same data for 30-day-old controls and Cdk5α null were used.

Altering the Expression of Cdk5α Hyperactivates the Expression of AMP Genes

Using global gene expression profiling, we previously developed a comprehensive, quantitative, and unbiased metric for the physiological age of wild-type flies, and applying it to young, 10-day-old Cdk5α null and Cdk5α-OE flies, we demonstrated that acceleration of the intrinsic rate of aging was a major contributor to Cdk5α-associated neurodegeneration (Spurrier et al., 2018). These data, however, suggested that there were also non-aging components of degeneration acting in concert. To identify those components, we applied principal-component analysis (PCA) to our expression profiling data. PCA cleanly apportions the effects of aging to PC1 and PC2, but reveals the presence of a third component, PC3, that contributes little variance to wild-type but separates the Cdk5α-altered genotypes roughly in proportion to the severity of the degeneration phenotypes that they will later display (Figure 2A). Identification of the genes that contribute to PC3 reveals that nearly half are components of the innate immune system, including members of several families of antimicrobial peptide (AMP) genes (Figure 2B).
Figure 2.

Altered Expression of Cdk5α Causes Overexpression of Anti-microbial Peptides

(A) Principal-component analysis (PCA) of micro-array expression profiling data. Colored ovals represent individual samples (N = 5 biological replicates), color coded as indicated. PC2 is found to separate samples essentially by effective age; PC3 separates by the severity of the neurodegenerative phenotype.

(B) Z scores of genes that make a statistically significant contribution to PC3. AMPs and other secreted innate immune proteins are represented by orange. Genes with predicted function as proteases and hydrolases are shown in blue.

(C) qRT-PCR for the expression level of the AMPs listed (color key at top). RNA was isolated from the heads of flies of the indicated genotypes and ages. Fold change of AMP expression was determined relative to 3-day-old controls, with rp49 as an endogenous control, and is displayed as mean ± SEM for three biological replicates. Student’s t test, as compared to 3-day-old control, was used to calculate significance (Table S2).

(D) qRT-PCR for AMPs was performed and quantified as above, using RNA from the heads of 30-day-old flies that were Cdk5α null, without (−) or with (+) Tn[Cdk5α+] rescuing genomic transgenes. Statistical significance was assessed by t test for each AMP. Note that this transgene expresses at a lower level than the endogenous locus, so that the rescue of the phenotype is only expected to be partial (Spurrier et al., 2018). Student’s t test, as compared to 30-day-old Cdk5α null was used to calculate significance. (Three biological replicates; error bars indicate SEM).

We validated and extended these expression profiling data by qRT-PCR of RNA isolated from fly heads in Cdk5α null, Cdk5α-OE, and control Drosophila at various ages. We found that Cdk5α-altered flies have a significant upregulation of AMPs at older ages (30 and 45 days; Figure 2C; Table S2) compared to controls. For example, the expression of individual AMPs in 45-day-old controls varies from 0.72 ± 0.08 to 7.37 ± 0.79 as compared to 3-day-old controls, while in Cdk5α null, expression ranges from 4.26 ± 0.20 to 173.76 ± 10.53 and 8.75 ±± 0.55 to 105.38 ± 6.49 for Cdk5α-OE. Expression of AMPs in 30-day-old Cdk5α null was partially rescued by restoring a single copy of the Cdk5α genomic transgene (Figure 2D; Table S2), demonstrating the specificity of the AMP-upregulation phenotype. Thus, the expression of AMP genes is enhanced in flies with an altered expression of Cdk5α as early as 10 days after eclosion, increasing to much greater levels as the flies age. Because the increase in AMP expression is even greater than the intrinsic activation of AMPs with aging, we refer to it as hyperactivation of AMP expression. A crucial question is which cells are making the AMPs in Cdk5α null. We assayed the tissue distribution of a Drosomycin-GFP gene trap and observed widespread expression in neurons, and some in glia, in addition to the expected expression in cells resembling circulating immune cells (Figure 3A).
Figure 3.

Cdk5α-Altered Drosophila Have Neuronal Expression of AMPs

(A) Projected confocal image showing drosomycin expression (green) in the brains of 30-day-old Cdk5α null Drosophila along with embryonic lethal, abnormal vision (ELAV) (red, neuronal marker) and reversed polarity (Repo) (magenta, glial marker). Yellow arrowheads highlight drosomycin in glial cells, while white arrows highlight expression in neurons. Some GFP+ cells were observed that were positive for neither neuronal nor glial markers (stars); some of these resemble hemocytes. Five biological replicates were examined.

(B) AMP expression in Cdk5α null flies with or without Elav-GAL4-mediated knock down of Relish expression. Fold change of AMPs was calculated versus 30-day-old controls and presented as mean ± SEM; significance in Elav-GAL4; Cdk5α null was assessed for each AMP by comparison to age-matched Elav-Gal4, while for Elav-Gal4;Cdk5α null; Relish RI, it was compared to Elav-Gal4;Cdk5α null, using Student’s t test for five biological replicates.

(C) DA neuron counts in 30-day-old Elav-Gal4, Elav-Gal4;Cdk5α null, and Elav-Gal4;Cdk5α null;Relish RI. Flies were aged at 25°C, and DA neurons were counted by staining with anti-TH antibody. Data are presented as mean ± SEM with individual counts shown. The number of brain hemispheres counted are at the bottom of each bar. Statistical significance was determined using one-way ANOVA with Tukey’s multiple correction.

Activation of Immunity Is Necessary and Sufficient to Promote DA Neuron Loss in the Brains of Flies with Altered Cdk5α Expression

Since overexpression of AMPs correlated with the severity of degeneration, and previous studies have reported generalized neurotoxicity upon the overexpression of AMPs in Drosophila, we hypothesized that the elevated AMPs in aged Cdk5α null and Ckd5α-OE flies are toxic to DA neurons. We first over-expressed various AMPs individually (attacin, drosocin, drosomycin, and metchnikowin; Figure S3) in DA neurons using TH-Gal4 and observed a significant loss of DA neurons even with individually overexpressed AMPs (Figure 4A; Table S2). We note that the magnitude of degeneration was not as high upon the overexpression of any single AMP as in Cdk5α null and Cdk5α-OE flies, which have a simultaneous overexpression of multiple AMPs. Note also that the UAS-Drosocin and UAS-Metchnikowin transgenes have significant GAL4-independent expression as assayed by qRT-PCR; consistent with this, these lines have reduced DA cell numbers even without GAL4. Nevertheless, these results demonstrate that an increase in AMP expression in wild-type Drosophila is sufficient to cause the loss of DA neurons.
Figure 4.

Overexpression of AMPs Induces Loss of DA Neurons

(A) TH-Gal4 was used to drive the indicated AMP genes in DA neurons, and the neuron number was counted at 3 and 30 days by immunostaining with anti-TH antibody. The graphs depict mean ± SEM for the four experimental conditions, and mean ± SD for the comparison of 3-day-old versus 30-day-old control; individual counts also are shown. The number of brain hemispheres counted is at the bottom of each bar. UAS-Drosocin and UAS-Metchnikowin flies show significant GAL4-independent expression and GAL4-independent loss of DA neurons at 30 days of age. For the expression level of these AMPs, see Figure S3. Significance analysis for TH-Gal4 was done using an unpaired t test, while significance was measured by one-way ANOVA with Tukey’s multiple correction for others.

(B) qRT-PCR for the AMPs shown was performed on the RNA from the heads of 30-day-old flies of the indicated genotypes. Fold change of AMPs was calculated relative to 3-day-old controls. Statistical significance for Cdk5α null was assessed as compared to 30-day-old controls, while significance for Cdk5α null;Rel/TM6B was compared to the fold change in Cdk5α null. Statistical significance was assessed by Student’s t test (three biological replicates; error bars indicate SEM).

(C) Males of the indicated genotypes were aged at 25°C, and the brains were fixed, dissected, and examined for DA neuron number by immunostaining with anti-TH antibody at 30 days of age. Data are presented as mean ± SEMs, with individual values shown. The number of brain hemispheres examined is presented at the bottom of each bar. Statistical significance was determined using one-way ANOVA with Tukey’s multiple correction.

Next, we sought to test whether blocking immune activation, including AMP induction, would protect DA neurons from degeneration in Cdk5α null. We generated Cdk5α mutant flies that were heterozygous for a null allele of Relish, an NF-κB transcription factor that is a central activator of humoral innate immunity (Hedengren et al., 1999). We found that Cdk5α null;Rel/TM6Bs have significantly lower expressions of all of the AMPs examined (22%–90% rescue, depending on AMP) (Figure 4B; Table S2), along with significantly higher numbers of surviving DA neurons, as compared to 30-day-old Cdk5α null flies (Figure 4C; Table S2). The same result was obtained when the experiment was repeated without the balancer chromosome present (Figure S4). These results strongly suggest that hyperactivity of the innate immune response, including over-expression of AMPs, is necessary and sufficient to induce the degeneration of DA neurons in animals with reduced Cdk5α expression. We extended this experiment by performing RNAi knock down of Rel selectively in neurons of Cdk5α null, using an ELAV-GAL4 driver, and found significantly reduced AMP expression and rescue of DA neuron loss (Figures 3B and 3C). These data confirm the rescue of DA neurons by reduced levels of Rel and also show that immune activation is specifically required in neurons to produce lethality, which is consistent with the AMP expression pattern observed above. Finally, we tested whether immune activation and consequent DA neuron loss may occur because of increased bacterial infection in mutant flies. First, we measured bacterial load by PCR of 16S rDNA among controls, Cdk5α null, and Cdk5α-OE and found no significant difference (data not shown). Second, we prepared axenic flies and found that the activation of AMP expression and DA neuron loss occur in 30-day-old Cdk5α-altered flies raised under sterile conditions just as they do under normal conditions (Figure S5). This argues for the idea that the activation of immunity is not due to exacerbated bacterial infection in Cdk5α-altered conditions.

Altered Expression of Cdk5α Disrupts Autophagy in Drosophila

If altering Cdk5α does not intensify microbial challenge, why does it activate the innate immune response? Defective autophagy can stimulate innate immunity, including AMP expression (Tusco et al., 2017; Wu et al., 2007), and data from us and others show that altering Cdk5α levels or inactivating Cdk5 kinase activity can disrupt autophagy (Nandi et al., 2017; Spurrier et al., 2018; Trunova and Giniger, 2012). Thus, we hypothesized that reduced autophagy in flies having an altered level of Cdk5α may be responsible for overactivated innate immunity. This conjecture was supported by our PCA of microarray data, as four out of the nine genes that were downregulated by altered Cdk5α expression were proteases, protease regulators, and a lipid hydrolase (CG12256, SPH93, CG3513, and Cyp4g1; Figure 2B). Previous experiments demonstrated that Cdk5α-altered flies have distorted autophagy in the brain at an older age (Spurrier et al., 2018; Trunova and Giniger, 2012). To quantify autophagic flux specifically in DA neurons, we assayed the p62 ortholog, Ref(2)P (refractory to sigma P), and a tandem tagged Atg8 (GFP-mCherry-Atg8a). Ref(2)P accumulates if autophagy is disrupted (Nagy et al., 2015). The tandem tagged Atg8a assays autophagic flux per se; since its GFP fluorescence is quenched in acidified autolysosomes, functional lysosomes bearing the reporter contain red puncta, while autophagosomes that fail to acidify accumulate double-tagged (yellow) puncta (Kimura et al., 2007). Counting Ref(2)P puncta in the brains of 30-day old flies revealed that Cdk5α-altered flies have a significantly higher number of puncta than controls (Figures 5A and 5B). Three-dimensional (3D) reconstruction clearly revealed the accumulation of Ref(2)P inside TH+ DA neurons specifically, as well as in the brain overall (Figure 5A). To assay autophagy flux in Cdk5α null flies, we expressed tandem tagged Atg8a (UAS-GFP-mCherry-Atg8a) using TH-Gal4. At 30 days of age, the PPL1 cluster of DA neurons shows mostly double-positive autophagosomes (positive for both GFP-Atg8a and mCherry-Atg8a), while the age-matched control has mostly single-positive (mCherry only) autolysosomes (Figure 5C), demonstrating impaired autophagic flux in the mutant.
Figure 5.

Altered Cdk5α Levels Reduce Autophagy Efficiency

(A and B) Flies of the indicated genotypes were aged to 30 days, and brains were fixed, dissected, and labeled with DAPI (blue), anti-TH (green), and anti-Ref(2)P (red).

(A) Projected confocal images, including PPL1 cluster, showing separated channels and merged image, as well as a 3D surface rendering of a single TH+ cell (dotted yellow rectangle in merged image).

(B) Ref(2)P+ puncta were counted using the ImageJ (NIH) particle counting tool, and data are presented as mean ± SEM, with individual values shown. Brain region including PPL1 cluster was examined for six hemispheres per genotype, and puncta were counted in two size ranges, 0.02–0.40 μm2 and >0.40 μm2. Statistical significance was assessed by one-way ANOVA with Dunnett’s multiple correction. For a 3D view documenting the localization of Ref(2)P puncta inside the DA neuron, the 3D cropping tool of Imaris (Bitplane) was used, followed by surface rendering and manual pruning of puncta outside the DA neuron.

(C) TH-Gal4 was used to drive UAS-GFP-mCherry-Atg8a in DA neurons. Brains were dissected without fixation, and fluorescence was examined. DA neurons of control flies (w+;UAS-GFP-mCherry-Atg8a/CyO;TH-Gal4/TM6B) have mostly mCherry+ puncta, while Cdk5α null flies (w+; Cdk5α/DfC2,UAS-GFP-mCherry-Atg8a;TH-Gal4/TM6B) have mostly double-positive puncta (yellow). Six biological replicates were used for this experiment.

(D) Western immunoblot with anti-GFP antibody was used to quantify Vha13 protein in the extract of 30-day-old heads of flies of the indicated genotypes bearing a Vha-13-GFP gene trap. Left: typical immunoblot; numbers give the molecular weights of the markers. Right: quantification, displaying mean ± SEM (average of three biological replicates, normalized with anti-tubulin as loading control). Significance determined by paired t test.

(E) qRT-PCR was performed in biological triplicate, as above, to quantify Mitf expression in the RNA of the heads of the indicated genotypes. Error bars indicate SEM. UAS-Mitf was driven with a third chromosome insert of ELAV-GAL4 that has very low adult expression (BL8760).

(F) Western immunoblot (left) and quantification (right) of cysteine protease (Cp1), detected with anti-Cp1 antibody in the extract of the heads of the indicated genotypes isolated at 30 days of age. The Cp1 value presented is an average of three biological replicates, normalized with anti-tubulin as the loading control. Error bars indicate SEM. Raw intensity values from all of the trials are given in Table S4. Significance was assessed by one-way ANOVA with Dunnett’s multiple correction. The molecular weights of the markers are indicated next to the blots.

Since the experiments above revealed autophagosomes failing to convert to acidified autolysosomes in Cdk5α null, we hypothesized that there may be a defect in lysosome metabolism. We examined Vha-13-GFP, a reporter for the vacuolar (H+)-ATPase that has a prominent role in lysosome acidification (Zhang et al., 2015). Extract of the heads of 30-day-old Cdk5α null;Vha-13-GFP flies was analyzed by immunoblotting using anti-GFP antibody, and revealed that Cdk5α null have significantly lower amounts of Vha protein than controls (Figure 5D). This observation was extended by qRT-PCR assay showing reduced transcript of Mitf, a master regulator of the lysosomal-autophagy pathway, including v-ATPase expression (Bouché et al., 2016; Zhang et al., 2015), in 30-day-old mutants as compared to controls (Figure 5E). Along with the reduction in Vha, both Cdk5α null and Cdk5α-OE flies also had a significantly lower level of cysteine proteinase-1 (Cp1, also known as cathepsin L; Figure 5F), another marker for lysosomal metabolism. These data demonstrate that the Cdk5α mutation reduces autophagic flux generally, including in DA neurons, which is consistent with the reduced expression of proteins required for lysosomal metabolism in the Cdk5α mutant and of the transcription factor that promotes their expression.

Disruption of Autophagy Is Responsible for the Activation of Immunity and Consequent Loss of DA Neurons upon Altering the Level of Cdk5α

Given the disruption of autophagy by altered Cdk5α and the potential linkage of autophagy to immunity, we tested whether impairment of autophagy can cause overexpression of AMPs and progressive loss of DA neurons. We first quantified AMP expression and DA neuron number in an Atg8a mutant (Atg8a/Y). Atg8a is one of the two ATG8 paralogs in Drosophila (Nagy et al., 2015). Atg8a acts in autophagosome formation, and while the Atg8a mutant is viable, it has poor autophagy efficiency (Figure 6A). We found that Atg8a/Y flies have a significantly elevated expression of AMPs as compared to age-matched controls (5.46 ± 0.0.65- to 16.57 ± 1.18-fold depending upon the AMP; Figure 6B; Table S2). Moreover, while Atg8a mutant animals have the same number of DA neurons as controls at 3 days of age, they have significantly fewer DA neurons at 30 days of age (Figure 6C). These data demonstrate that the disruption of autophagy is sufficient to cause the overexpression of AMPs and the age-dependent loss of DA neurons.
Figure 6.

Reduced Autophagy Induces AMP Expression and DA Neuron Loss in Aged Flies

(A) Ref(2)P accumulation in the brains of Atg8a/Y flies. Flies were aged to 30 days; brains were fixed, dissected, and stained with DAPI (blue), anti-TH (green), and anti-Ref(2)P (red). Separated channels and merged image are shown as projected confocal images; the rightmost panel is a 3D rendering of a single TH+ cell showing Ref(2)P accumulation inside the cell (cell highlighted with yellow box in the merged image). Five biological replicates were examined for Ref(2)P accumulation.

(B) AMP expression in the heads of Atg8a/Y flies. RNA was isolated from the heads of 30-day-old flies that were Atg8a/Y or controls, and qRT-PCR was performed, as above. Bars show fold change of the expression level in mutants relative to age-matched controls (mean ± SEM; significance was calculated using Student’s t test; five biological replicates).

(C) DA neuron counts in the brains of Atg8a/Y flies and controls. Flies were aged to 30 days, and the brains were fixed, dissected, and assayed for DA neuron number by fluorescence microscopy after immunostaining with anti-TH. Bars indicate mean ± SEM with individual values shown. The number of brain hemispheres examined is at the bottom of each bar, and significance was assessed relative to controls (t test).

(D) Ref(2)P accumulation in the brains of controls and 30-day-old Cdk5α null without and with low-level, GAL4-driven expression of Mitf. Top: projections of the brains of the indicated genotypes, which were fixed, dissected, and immunostained with anti-Ref(2)P. Bottom: quantification of Ref(2)P puncta from six to eight brain hemispheres of each condition. Data are presented as mean ± SEM, along with individual counts. Two-way ANOVA with Tukey’s multiple correction was used for statistical analysis. ELAV-Gal4 > UAS-Mitf expression generated general cytoplasmic background label with this antibody; background subtraction was performed by rolling circle (5.0 pixels) before counting the puncta. For an unprocessed image, see Figure S6.

(E) AMP expression levels in Cdk5α null flies without and with ELAV-driven restoration of Mitf. qRT-PCR for the AMP level was performed on the RNA from the heads of 30-day-old flies, as previously described. Fold change of AMPs was calculated versus 30-day-old controls and presented as mean ± SEM; significance was assessed for each AMP by comparison to age-matched Cdk5α null using three biological replicates and Student’s t test.

(F) DA neuron counts in 30-day-old Cdk5α null and Cdk5α null; ELAV-Gal4/UAS-Mitf. Flies were aged at 25°C, and DA neurons were counted, as before, by staining with anti-TH antibody. Data are presented as mean ± SD, with individual counts shown. The number of brain hemispheres counted are at the bottom of each bar, and significance is by comparison to Cdk5α null (Student’s t test).

Finally, we investigated whether restoring lysosomal gene expression and metabolism rescues autophagy, and if so, whether this would restore AMP gene expression and DA neuron survival. Since strong overexpression of Mitf is extremely toxic (Zhang et al., 2015), we took advantage of a third chromosome insert of ELAV-Gal4 (a pan-neuronal driver) with extremely low adult activity to restore the Mitf level in Cdk5α null flies (1.68 ± 0.10 fold versus Cdk5α null and 0.86 ± 0.05 fold versus controls; Figure 5E). We then counted Ref(2)P puncta in 30-day-old flies, which revealed a significant improvement in autophagy in flies with Mitf restoration (Cdk5α null; elav-GAL4 > UAS-Mitf) (Figure 6D). We next found significantly reduced expression of AMPs in Cdk5α null flies with restored Mitf expression as compared to age-matched Cdk5α null (Figure 6E; Table S2). Finally, we counted DA neurons and discovered significant restoration of DA neuron viability (Figure 6F). Thus, restoring autophagy by the mild expression of Mitf in Cdk5α null flies reduces AMP expression and rescues DA neuron loss. These data demonstrate that reduced auto-phagy efficacy in the Cdk5α mutant is necessary and sufficient to induce high-level AMP expression and is associated with DA neuron loss.

DISCUSSION

Here, we show that altering the level of the Cdk5 activating subunit, Cdk5α, impairs autophagy, which leads to the upregulation of the innate immune response, including antimicrobial peptides (AMPs), and this in turn causes age-dependent degeneration of dopamine neurons in Drosophila. PCA of transcriptome data revealed that the overexpression of AMPs drives much of the aging-independent component of the gene expression changes between flies with altered levels of Cdk5α and wild-type flies, even before the onset of overt degeneration. Directed overexpression of AMPs is sufficient to cause the death of DA neurons in otherwise wild-type flies, while blocking immune activation in Cdk5α mutants by reducing the expression of the NF-κB transcription factor, Rel, rescues DA neuron survival. The activation of immunity in turn is caused by Cdk5α-associated disruption of autophagy, as hindering autophagy with a mutation in Atg8a is sufficient to enhance AMP expression and kill DA neurons, while rescuing autophagy in a Cdk5α mutant by overexpression of the TFEB transcription factor, Mitf, restores the AMP level and rescues DA neurons. These data reveal a simple, linear, dependent genetic pathway, encompassing both autophagy and innate immunity, which, while rigorously separable from aging, interacts with the effects of aging to lead to the degeneration of DA neurons in vivo. Two major variables have confounded our understanding of the relation of autophagy and immunity to degeneration. The first is age: neurodegeneration occurs with aging, and both auto-phagy and the immune response change with age, so how does one discriminate the effects of disease from the normal, variable course of aging? The second is that both autophagy and the immune response are homeostatic processes: how does one determine whether alterations in autophagy or immunity are part of the disease mechanism, or are part of the organism’s response to pathology? This second problem is particularly difficult because both autophagy and immunity are normally maintained within narrow limits. Therefore, robust experimental manipulation of these processes will certainly cause pathology, but not necessarily pathology that is relevant to the mechanism of NDs. The data reported here allow us to answer these questions. First, statistical analysis of transcriptome profiling revealed that changes in innate immunity drive much of the non-aging component of gene expression differences between wild-type flies and flies destined to undergo degeneration. Thus, PCA reveals the existence of a large component of immune hyperactivation over and above that due to the natural progression of aging, and qRT-PCR quantification confirms that it correlates with the severity of degeneration. Second, multiple lines of evidence demonstrate that defective autophagy and hyperactive immunity are causal for DA neuron degeneration and furthermore, that they constitute a pathway, with defective autophagy being responsible for immune activation, and immune activation inducing neuron loss. Below, we consider each step of the degeneration pathway.

Altering the Level of Cdk5α Expression Causes Reduced Efficiency of Autophagy

Our data, together with published work, suggests that there are two parts to the association of autophagy with Cdk5/Cdk5α activity: the efficiency of autophagy changes with age, which is modulated by Cdk5, and there are mechanisms by which Cdk5 regulates autophagy more directly (Nagy et al., 2015; Spurrier et al., 2018). The autophagy-lysosomal system ensures continuous autophagic flux that promotes a healthy cellular environment (Bouché et al., 2016), and it requires the acidic lysosomal environment that is maintained by the vacuolar-type H+-ATPase (V-ATPase) complex (Mauvezin et al., 2015). We find that V-ATPase (Vha-13), as well as the Cp1 level, are reduced in the heads of Cdk5α null flies, and overexpression of a master regulator of lysosomal function, the TFEB Mitf, restores autophagy to these flies, supporting the hypothesis that the compromised autophagy in Cdk5α null flies is associated with abnormal lysosomal metabolism. It is not clear what molecular events are responsible for the reduction of Mitf transcript and reduced expression of V-ATPase upon altering the Cdk5α level, but expression profiling of wild-type Drosophila shows that most of the V-ATPase family genes are downregulated with age (Spurrier et al., 2018) and that Cdk5α-altered Drosophila have an accelerated aging rate (Spurrier et al., 2018). Thus, we hypothesize that the enhanced rate of aging from altered Cdk5α contributes to the reduced expression of the V-ATPase family, leading to lysosomal abnormality and compromised autophagy, probably in combination with more direct effects of Cdk5 on components of the autophagy machinery, such as the RNA-splicing factor acinus (Nandi et al., 2017).

Disruption of Autophagy Causes Hyperactivation of Innate Immunity

The reduced autophagy in animals with an altered level of Cdk5α was accompanied by an age-dependent increase in the expression of AMPs. While autophagy is regarded principally as a homeostatic process that removes harmful substances and maintains cellular metabolism by recycling substrates, it is not limited to these functions (Wang et al., 2013; Wang and Qin, 2013). Autophagy influences multiple aspects of immune system function and regulation in both vertebrates and invertebrates, although the mechanisms are not yet fully understood (Levine et al., 2011; Saitoh and Akira, 2010; Wu et al., 2007). One recent theory is that the disruption of various aspects of physiological homeostasis is monitored by the organism as prima facie evidence of microbial attack and used as a signal for the activation of immunity and detoxification pathways (Melo and Ruvkun, 2012). Mechanistically, there are at least two possible modes by which autophagy could influence inflammation–directly, by modifying the activity of the inflammasome complex (Lee et al., 2007), and indirectly, by autophagic clearance of molecules that activate an inflammatory response (Levine et al., 2011; Qu et al., 2007b). We show here that the increase in AMP expression upon altering Cdk5α expression is a consequence of reduced autophagy. Reducing autophagy by the mutation of Atg8a was sufficient to induce the overexpression of AMPs. Moreover, rescuing autophagy using Mitf expression selectively in the neurons of Cdk5α null animals restored the expression of AMPs. These results strongly suggest that reduced autophagy efficiency is causal for the overactivation of innate immunity in Cdk5α null flies, reinforcing the idea that autophagy has a significant role in regulating immunity and inflammatory response. We exclude in two ways the model that increased immunity in Cdk5α-altered flies is a result of increased propensity for infection. First, bacterial load is not altered in flies with increased or decreased Cdk5α, and second, both activation of AMP expression and loss of DA neurons occurs in flies with altered Cdk5α when they are raised in germ-free conditions, just as it does under standard growth conditions.

Hyperactivation of Innate Immunity Induces Age-Dependent Loss of DA Neurons

Three lines of evidence argue that the age-dependent loss of DA neurons in Drosophila with altered levels of Cdk5α is due to the hyperactivity of innate immunity, including the overexpression of AMPs. First, the age-dependent overexpression of AMPs in the heads of Cdk5α null and Cdk5α-OE flies is accompanied by the age-dependent loss of DA neurons, while blocking immune activation by reducing the Relish level in Cdk5α null flies restores DA neurons. Second, the overexpression of AMPs is sufficient to cause the age-associated loss of DA neurons in flies, even in the absence of an exogenous stressor. Neurotoxicity of AMPs has been shown previously in other neuronal subsets (Cao et al., 2013; Kounatidis et al., 2017; Petersen et al., 2013). Third, we also observed the overexpression of AMPs and age-dependent DA neuron loss in a different genetic paradigm, disruption of autophagy in a hemizygous Atg8a mutant. Therefore, we argue that overactive innate immune response is responsible for the degeneration of DA neurons in an age-dependent manner in Drosophila with altered Cdk5α. Our data regarding the neurotoxicity of AMPs, and the neuroprotective role of reduced Relish, are reminiscent of observations made in other experimental paradigms, and potentially explains the data obtained in previous studies of immunity and neurodegeneration (Cao et al., 2013; Kounatidis et al., 2017; Petersen et al., 2013). In future experiments, it will be interesting to examine the potential roles of the other NF-κB paralogs dif and dorsal. In our PCA, eight of the nine circulating immune effectors that were hyperactivated by altered Cdk5α were AMPs. Taken together with the data above, this suggests that AMP overexpression likely plays a central role in the Cdk5α-associated loss of DA neurons. We note, however, that Rel induces many aspects of immunity aside from AMPs (Meyer et al., 2014). Moreover, we cannot rule out the possibility that the cell lethality of overexpressed AMPs could occur via a mechanism that is different from that of immune-correlated cell death in altered Cdk5α conditions (Sano and Reed, 2013). Therefore, it remains possible that other aspects of the immune response contribute to DA neuron loss in this model, in addition to or instead of AMP activation. Two lines of experiments show that AMP expression is activated in neurons in the Cdk5α null: examination of an AMP reporter line and rescue by neuron-specific suppression of the immune response. The nature of AMP toxicity has been controversial, but our finding of enhanced AMP expression in neurons may be relevant. For example, it could be that the activation of endoplasmic reticulum (ER) stress–or the failure to activate protective mechanisms such as the ER stress response–may contribute to the toxicity of expressing secreted immune proteins such as AMPs in cells that do not normally produce them at high levels (Sano and Reed, 2013). These data also raise the question of whether activation of immune genes in non-immune cells, particularly neurons, may be part of the pathogenic mechanism in human NDs. The overexpression of AMPs in DA neurons does not induce degeneration in 3-day-old flies; however, at 30 days old, it results in a significant loss of DA neurons. This is true of direct GAL4-driven overexpression of AMPs, overexpression due to an autophagy mutant, and overexpression due to the altered expression of Cdk5α. Conversely, aging to 30 days alone, in the absence of immune activation, is not sufficient to produce DA neuron loss. We therefore suggest that DA loss reflects a synergistic interaction between the direct, toxic effects of AMP overexpression and the general cellular fragility produced by aging (Herrup, 2010; Spurrier et al., 2018). All of the genes we have manipulated and all of the interactions we have examined are conserved in mammals, and each individually has been implicated in human NDs. For example, the accumulation of autophagic vacuoles (AVs) has been observed in the brains of patients with PD (Anglade et al., 1997), and data from model organisms suggest the association of familial PD genes with autophagy (Narendra et al., 2010; Tong et al., 2010), although it remains unclear whether disease is associated with autophagy that is excessive, insufficient, or directed against inappropriate targets. Similarly, in recent years, inflammation has gained recognition as a factor promoting degeneration (Kannarkat et al., 2013; Schlachetzki and Winkler, 2015), although it has been controversial whether it is a cause or a consequence of cell loss and whether immune activation or insufficiency is to blame for ND. Moreover, epigenomic features in a mouse p25/Cdk5 model of degeneration and in human AD also highlight immunity as a predisposing process in degeneration (Gjoneska et al., 2015). Finally, just as our data indicate that degeneration arises from the synergistic interaction of inflammation and aging, Chakrabarty et al. (2011) have reported evidence for the age dependence of nigrostriatal degeneration upon the CNS-directed expression of the innate immune mediator interferon-γ in mice. However, while previous studies of degeneration have identified some of the same processes we describe here, those studies have not been able to establish whether disease arises from hyperactivity, inactivity, or the mistaken activity of common homeostatic mechanisms. Moreover, it has not been possible to connect those processes to mechanistic pathways, or to discriminate the progression of disease from the progression of normal aging. By contrast, using the precise genetic tools of the fly and our previous construction of a systems-level metric for physiological aging, we have shown here that a simple, dependent genetic pathway, comprising reduced autophagy and hyperactive immunity, interacts synergistically with disease-associated acceleration of the intrinsic rate of aging to produce the overall outcome of adult-onset neurodegeneration in the fly. Given the conservation of genes, pathways, and cellular phenotypes, it seems very likely that the processes we reveal here also play a central role in the development and progression of human ND.

STAR⋆METHODS

CONTACT FOR REAGENT AND RESOURCE SHARING

All requests for reagent and resources should be directed to the lead contact, Dr. Edward Giniger (ginigere@ninds.nih.gov).

EXPERIMENTAL MODEL AND SUBJECT DETAILS

Flies were maintained on standard cornmeal-molasses Drosophila media at 25°C and 50% humidity with 12h light/dark cycle. Oregon Red (w+) was used as the wild-type control unless otherwise stated. Male flies were used in all experiments. Cdk5α null, Cdk5α-OE and Cdk5α null; Tn[Cdk5] (ie., rescue) stocks have been described previously (Connell-Crowley et al., 2000; Connell-Crowley et al., 2007; Spurrier et al., 2018; Trunova and Giniger, 2012). During aging, flies were transferred to new vials every 48h. Complete genotypes for all stocks are listed by Figure in Table S3, and sources of fly stocks are provided in Key Resources Table.

KEY RESOURCES TABLE

REAGENT or RESOURCESOURCEIDENTIFIER
Antibodies
Anti-DTH (rabbit)Laboratory of W. Neckameyer (Neckameyer et al., 2000)N/A
Anti-Ref(2)P (rabbit)Laboratory of I. Nezis (Nezis et al., 2008)N/A
Anti-TH (mouse) clone LNC1MiliporeCat#:MAB318, RRID:AB_2201528
Anti-Cathepsin L(rabbit) Cp1abcamCat#:Ab58991, RRID:AB_940826
Anti-green fluorescent protein, rabbit IgGInvitrogenCat#:A11122, RRID:AB_221569
Beta tubulinDevelopmental studies hybridoma bankCat#:E7, RRID:AB_528499
Anti-Repo (Mouse)Developmental studies hybridoma bankCat#:8D12, RRID:AB_528448
Anti-ELAV (Rat)Developmental studies hybridoma bankCat#:7E8A10, RRID:AB_528218
Alexa Fluor®568 Goat anti-mouse IgGLife technologiesCat#:A11031, RRID:AB_144696
Alexa Fluor®488 Goat anti-mouse IgGLife technologiesCat#:A11029, RRID:AB_2534088
Alexa Fluor®568 Goat anti-rabbit IgGLife technologiesCat#:A11036, RRID:AB_10563566
Alexa Fluor™633 Goat anti-mouse IgGInvitrogenCat#:A21126, RRID:AB_2535768
Alexa Fluor®568 Goat anti-rat IgG (H+L)Molecular ProbesCat#:A11077, RRID:AB_141874
IRDye700DX®Goat Anti-rabbit IgGRockland INCCat#:611-130-122, RRID:AB_220148
IRDye800DX®Goat Anti-mouse IgGRockland INCCat#:610-132-121, RRID:AB_220125
IRDye700DX®Goat Anti-mouse IgGRockland INCCat#:610-130-121, RRID:AB_220121
IRDye®800Goat Anti-rabbit IgGRockland INCCat#:611-132-002, RRID:AB_1660971
VECTASHIELD Antifade Mounting MediumVector Laboratories, Burlingame, CACat#: H-1000, RRID:AB_2336789
VECTASHIELD Antifade Mounting Medium with DAPIVector Laboratories, Burlingame, CACat#: H-1200, RRID:AB_2336790
Chemicals, Reagents and Kit
PowerUp SYBR Green Master MixApplied biosystemsCat#:A25742, N/A
High capacity cDNA Reverse Transcription KitApplied biosystemsCat#:4368814, N/A
TRIzol® reagentLife technologiesCat#:15596026, N/A
Paraformaldehyde 16% Solution, EM GradeElectron Microscopy SciencesCat#: 15710, N/A
Schneider’s Drosophila MediumLife technologiesCat#:21720-024, N/A
Halt Protease Inhibitor CocktailThermoFisher ScientificCat#:87785, N/A
iBlot®2NC Regular StacksInvitrogen/ThermoFisher ScientificCat#:IB23001, N/A
Bolt 4–12% Bis-Tris Plus gelInvtrogen/ThermoFisher ScientificCat#:NW04120BOX, N/A
Nutri-Fly® BF, 10 × 1L PacketsGenesee ScientificCat#: 66-112, N/A
GIBCO Penicillin-Streptomycin (10,000 U/mL)Life technologiesCat#: 15140-122, N/A
Fly media, CT modified + green dyeK.D MedicalsCat#: IMT-0756, N/A
Oligonucleotides
Table S5N/A
Experimental Models: Organism/Strains
D. melanogaster: w[*]; P{w[+mC] = ple-GAL4.F}3Bloomington Drosophila Stock CenterBDSC:8848, FlyBase: FBst0008848
D. melanogaster: w[1118]; Rel[E20] e[s]Bloomington Drosophila Stock CenterBDSC:9457, FlyBase: FBst0009457
D. melanogaster: y[1] w[1118]; P{w[+mC] = UASp-GFP-mCherry-Atg8a}2Bloomington Drosophila Stock CenterBDSC:37749, FlyBase: FBst0037749
D. melanogaster: w[1118] P{w[+mC] = EP}Atg8a[EP362]Laboratory of K. D. Finley (Simonsen et al., 2008)BDSC:10107, FlyBase: FBst0010107
D. melanogaster: w*; P{UAS-mCherry.NLS}3Bloomington Drosophila Stock CenterBDSC:38424, FlyBase: FBst0038424
D. melanogaster: y[1] v[1]; P{y[+t7.7]v [+t1.8] = TRiP.HM05154}attP2Bloomington Drosophila Stock CenterBDSC:28943, FlyBase: FBst0028943
D. melanogaster: pStinger-Vha13–3Laboratory of F. Pignoni (Zhang et al., 2015)N/A
D. melanogaster: pUASTattB-Mitf (96E) / SM6::TM6BLaboratory of F. Pignoni (Zhang et al., 2015)N/A
D. melanogaster:UAS-Attacin CLaboratory of B. Ganetzky (Cao et al., 2013)N/A
D. melanogaster:UAS-Droscin/CyOLaboratory of B. Ganetzky (Cao et al., 2013)N/A
D. melanogaster:UAS-DrosomycinLaboratory of B. Ganetzky (Cao et al., 2013)N/A
D. melanogaster:UAS-Mtchnikowin/TM3SbLaboratory of B. Ganetzky (Cao et al., 2013)N/A
D. melanogaster:Oregon R+ (w+)Laboratory of E. Giniger (Connell-Crowley et al., 2000; Spurrier et al., 2018)N/A
D. melanogaster:w+; Cdk5α-nullLaboratory of E. Giniger (Connell-Crowley et al., 2000; Spurrier et al., 2018)N/A
D. melanogaster: w+; P[w+,TnCdk5α]R244/P[w+,TnCdk5α]R244; P[w+,Tn Cdk5α] R157/P[w+,TnCdk5α]R157Laboratory of E. Giniger (Connell-Crowley et al., 2000; Spurrier et al., 2018)N/A
D. melanogaster: Df(Cdk5α)C2Laboratory of E. Giniger (Connell-Crowley et al., 2000; Spurrier et al., 2018)N/A
D. melanogaster: w+; Cdk5α / Cdk5α; P[w+,Tn Cdk5α] R157/+Laboratory of E. Giniger (Connell-Crowley et al., 2000; Spurrier et al., 2018)N/A
D. melanogaster: ELAV Gal4 (on X chromosome)Laboratory of E. Giniger (Connell-Crowley et al., 2000; Spurrier et al., 2018)N/A
D. melanogaster: w[*]; P{w[+mC] = GAL4-elav.L}3Bloomington Drosophila Stock CenterBDSC:8760, FlyBase: FBst0008760
D. melanogaster: Drs-GFPLaboratory of Jean-Marc Reichhart (Ferrandon et al., 1998)N/A
Software
Fijihttps://fiji.sc/; RRID:SCR_002285
Zeiss LSMCarl Zeiss Microscopyhttps://www.zeiss.com/microscopy/int/products/confocal-microscopes/lsm-800-with-airyscan.html;RID:SCR_015963
Imaris version 8.2.1Bitplanehttp://www.bitplane.com/imaris/imaris;RID:SCR_007370
Prism 7GraphPadhttps://www.graphpad.com;RRID:SCR_002798
AutoQuant XMedia Cyberneticshttp://www.mediacy.com/autoquantx3;RRID:SCR_002465

METHOD DETAILS

Immunohistochemistry and Imaging

Whole brains were dissected after fixation with 8% paraformaldehyde (PFA) in PBS for 10min. Brains were blocked with 5% heat inactivated Fetal Bovine Serum (FBS) in PBS+0.2% Triton X-100 (1XPBS-T) for 2hr at room temperature (RT) followed by two-night incubation at 4°C with primary antibodies at appropriate dilution. After antibody staining, brains were mounted on slides with VectaShield mounting medium. Microscopy was performed on a Zeiss NLO510 confocal microscope or with the Zeiss LSM880. For counting dopaminergic neurons, control, Cdk5α null, and Cdk5α-OE male flies were collected at 3d-age and aged to 10-, 30-, or 45-days. Brains were incubated with Anti-DTH or Anti-TH antibody (1:200) at 4°C for two nights followed by washing and staining with appropriate secondary antibody (1:400). Images were acquired using a 20-X objective. Individual brain hemispheres were analyzed using ImageJ (National Institute of Health) cell counter plugin. Note that there is not perfect agreement in the number of presumptive DA neurons identified by anti-TH versus anti-DTH. However, the mean difference in cell number produced by each genetic manipulation reported here was similar using either antibody. For Ref(2)P accumulation and counting, staining of 30d-old brain of male flies was performed using Anti-Ref(2)P (1:100) and Anti-TH (1:200) as primary antibodies and respective secondary antibodies (1:400) were used. Images were acquired using a 40-X objective. Post-acquisition, images were processed for deconvolution using AutoQuant X2. Maximum intensity projection (MIP) of Deconvoluted images were used for counting of Ref(2)P puncta using ImageJ. In brief, MIP of Ref(2)P stained brains were processed for thresholding followed by binarization and watershed. Analyze Particle tool was then used to count puncta in two different size ranges (0.02–0.40μm2 and > 0.40μm2). Number of puncta was presented as mean ± SEM. The visualization of Ref(2)P puncta was done by Imaris software using 3D cropping and surface modeling using Ref(2)P- and TH- stained brain. For examination of autophagy flux using TH-GAL4, UAS-GFP-mCherry-atg8a flies, unfixed brains of desired genotypes at 30d-age were dissected and mounted in Schneider′s Drosophila Medium. Images were acquired using Zeiss LSM880 confocal microscope using a 40-X objective, focusing on PPL1 clusters of DA neurons. For examination of Drosomycin-GFP expression in Cdk5α null flies, brains of desired genotypes were fixed as above, dissected, and stained with Anti-GFP (1:200), Anti-ELAV (1:50) and Anti-Repo (1:50) antibodies and appropriate secondary antibodies (1:400). Stained brains were imaged using 40X objective. Images were processed for deconvolution using AutoQuant X3 and relevant planes of the Z stack were projected to provide representative images.

Western immunoblotting

Preparation of extract from flash frozen 30d-old flies and western blotting were performed as described previously (Spurrier et al., 2018). In brief, the heads of 20 male flies were separated from the rest of the body and homogenized in lysis buffer (2% SDS, 150mMNaCl, 50mM Tris, pH 7.5) containing protease inhibitors. Protein homogenate was centrifuged at 5000 rpm for 5min at 4°C. Protein supernatant was collected and transferred to fresh 1.5ml Eppendorf tube followed by mixing with BoldLDS sample buffer and Boldreducing agent (for 40μl total volume 10μl BoldLDS sample buffer and 4μl Boldreducing agent was used). Mixture was then incubated for 10min at 70°C followed by 2min incubation at 85°C. Proteins were resolved on a 4%–12% Bis-Tris plus gel and transferred onto iBlot2 NC membranes using the iBlot 2 system (Invitrogen/Thermo Fisher Scientific). After transfer, membranes were incubated in blocking solution (5% milk in 1XTBS-0.2% Triton X-100) for 2 hours at room temperature. Membranes were probed with primary antibodies overnight at 4°C. Primary antibodies included anti-GFP (1:1000), anti-Cp1 (1:500) and anti-β-Tubulin (1:500). Infrared fluorescent IRDye secondary antibodies, were applied for 20 minutes at room temperature (1:5000) followed by washing with 1XTBS-0.2% Triton X-100. Visualization and quantification was carried out using the LI-COR Odyssey scanner and software (LI-COR), with tubulin as a loading control.

Principal Component analysis using microarray data

PCA was performed on our previously-published microarray-based gene expression profiling dataset from the heads of flies with altered Cdk5α-expression, specifically on the set of age-classifier genes we identified (Spurrier et al., 2018). In that study, selection as an “age classifier gene” was restricted to those genes having a significant difference of expression between ages (ANOVA) under multiple comparison correction condition (BH FDR p < 0.05) that also survived a leave-one-out (LOO) selection challenge in k-nearest neighbor (knn) analysis 100% of the time. For PCA, modeling of expression for these genes was accomplished using principal component regression followed by AIC-step optimization. Principal component loadings for the genes modeled were subset by component and a standard z-score calculated per gene. Genes having a standard z-score magnitude > 2 were subset as those most contributing to the percent variance explained by each component.

qRT-PCR of head RNA

RNA was isolated from 25 Drosophila heads using TRI reagent and synthesis of cDNA performed with High Capacity cDNA Reverse Transcription Kit using 1000ng RNA, following the manufacturer’s instructions. The expression of genes was quantified on a QuantStudio 6 Flex Real-Time PCR System using PowerUp SYBR Green Master Mix. Primer sequences are provided in Table S5. PCR was performed by the method of (Cao et al., 2013) with PCR conditions as follows: 35 cycles: step 1: 95°C for 10 s, step 2: 60°C for 30 s, step 3: 72°C for 40 s each cycle. The quantification of each gene, relative to rp49, was calculated using the DDCt method relative to 3d- or 30d-old control, as indicated.

Comparison of Cdk5α expression profile to published datasets

Raw expression files representing mutant conditions other than Cdk5α-OE and Cdk5α null in fly were downloaded from NCBI GEO: GSE23802, GSE9571, GSE20202, GSE10940, GSE26246, GSE25009 and EMBL-EBI ArrayExpress: E-MEXP-3645. Pre-processing of these files was performed by set, with noise modeling, noise filtering, and significance testing performed as described previously (Spurrier et al., 2018). Thus, noise-biased expression values were removed using lowess modeling to look for a relationship between mean gene expression and the corresponding coefficient of variation (CV). Lowess fits were then over-plotted to identify the common low-end expression value where the relationship between mean expression (signal) and CV (noise) deviated from linearity (mean expression value = 7.5). Expression values less than this value were set to equal 7.5, while gene probes not having at least one sample greater than 7.5 were discarded as non-informative. Fold changes observed for genes deemed to have differential expression between a mutation condition and its respective control were coded +1 or −1, depending on direction of change. These coded fold-changes were then intersected by gene symbol with similarly coded fold- changes observed for 10D Cdk5α-OE versus 10D Control and 10D Cdk5α null versus 10D Control. Spearman correlation was next applied to these intersections; providing for both a Rho estimate and an uncorrected p value per gene, and p values were then corrected via Benjamini-Hochberg procedure.

Generation of Axenic culture of Drosophila

Axenic culture of control, Cdk5α null and Cdk5α-OE flies were generated using eggs collected from sterile grape plates. Eggs from the grape plate were harvested using PBS followed by rinse with 70% ethanol. Washed eggs were dechorionated by bleaching using 3% Sodium hypochlorite for 7 minutes, followed by rinse with sterile water. Dechorionated embryo were transferred to axenic fly food supplemented with propionic acid (0.48ml/100ml) and Penicillin Streptomycin (Pen Strep) at 1ml/100ml concentration. The embryos were cultured at 25°C and validation of germ free state was done by homogenizing flies under aseptic condition and culturing the homogenate on Luria-Bertani medium plates. For axenic culture, all genotypes were grown together on axenic food and male progeny were collected at 3d-age to grow them to 30d-days for experiments.

QUANTIFICATION AND STATISTICAL ANALYSIS

All data were analyzed with GraphPad Prism 7.0, except PC analysis and comparison of Cdk5α null and Cdk5α-OE expression profiles with other mutant conditions and qRT-PCR. These two analyses were done using R: The R Project for Statistical Computing, and qRT-PCR analyses using Microsoft Excel. Error bars (SEM or SD) were calculated using Prism 7.0 as specified in figure legends. The number of replicates and brain hemispheres used per experiments are provided in figure legends. t test was performed on 3 or 5 replicates, hence normality of data distribution was not calculated due to limited sample size, while ANOVA was used for most analyses, which is considered as robust against normality assumption. Statistical test used for each figure is provided in figure legend and detailed statistical data for all figures are compiled in Table S2.

DATA AND SOFTWARE AVAILABILITY

Any data not included in Table S2 are available on request from the lead contact (EG). All R code used for analysis of microarray data is available through https://data.ninds.nih.gov.
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1.  Relish, a central factor in the control of humoral but not cellular immunity in Drosophila.

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Review 4.  The role of autophagy in neurodegenerative disease.

Authors:  Ralph A Nixon
Journal:  Nat Med       Date:  2013-08-06       Impact factor: 53.440

5.  Role of Cdk5-mediated phosphorylation of Prx2 in MPTP toxicity and Parkinson's disease.

Authors:  Dianbo Qu; Juliet Rashidian; Matthew P Mount; Hossein Aleyasin; Mohammad Parsanejad; Arman Lira; Emdadul Haque; Yi Zhang; Steve Callaghan; Mireille Daigle; Maxime W C Rousseaux; Ruth S Slack; Paul R Albert; Inez Vincent; John M Woulfe; David S Park
Journal:  Neuron       Date:  2007-07-05       Impact factor: 17.173

6.  The innate immune system in Parkinson's disease: a novel target promoting endogenous neuroregeneration.

Authors:  Johannes Cm Schlachetzki; Jürgen Winkler
Journal:  Neural Regen Res       Date:  2015-05       Impact factor: 5.135

7.  Kenny mediates selective autophagic degradation of the IKK complex to control innate immune responses.

Authors:  Radu Tusco; Anne-Claire Jacomin; Ashish Jain; Bridget S Penman; Kenneth Bowitz Larsen; Terje Johansen; Ioannis P Nezis
Journal:  Nat Commun       Date:  2017-11-02       Impact factor: 14.919

Review 8.  Alzheimer's Disease: The Role of Microglia in Brain Homeostasis and Proteopathy.

Authors:  Kevin A Clayton; Alicia A Van Enoo; Tsuneya Ikezu
Journal:  Front Neurosci       Date:  2017-12-12       Impact factor: 4.677

9.  NF-κB Immunity in the Brain Determines Fly Lifespan in Healthy Aging and Age-Related Neurodegeneration.

Authors:  Ilias Kounatidis; Stanislava Chtarbanova; Yang Cao; Margaret Hayne; Dhruv Jayanth; Barry Ganetzky; Petros Ligoxygakis
Journal:  Cell Rep       Date:  2017-04-25       Impact factor: 9.423

10.  Altered expression of the Cdk5 activator-like protein, Cdk5α, causes neurodegeneration, in part by accelerating the rate of aging.

Authors:  Joshua Spurrier; Arvind Kumar Shukla; Kristina McLinden; Kory Johnson; Edward Giniger
Journal:  Dis Model Mech       Date:  2018-03-08       Impact factor: 5.758

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  12 in total

1.  Reduced autophagy efficiency induces innate immune activation leading to neurodegeneration.

Authors:  Arvind K Shukla; Edward Giniger
Journal:  Autophagy       Date:  2019-03-27       Impact factor: 16.016

2.  Regulation of Caenorhabditis elegans neuronal polarity by heterochronic genes.

Authors:  Maria Armakola; Gary Ruvkun
Journal:  Proc Natl Acad Sci U S A       Date:  2019-06-04       Impact factor: 11.205

Review 3.  SARS-CoV-2 Attacks in the Brain: Focus on the Sialome.

Authors:  Przemyslaw Wielgat; Karolina Narejko; Halina Car
Journal:  Cells       Date:  2022-04-26       Impact factor: 7.666

4.  An apocrine mechanism delivers a fully immunocompetent exocrine secretion.

Authors:  Denisa Beňová-Liszeková; Lucia Mentelová; Klaudia Babišová; Milan Beňo; Tibor Pechan; Bruce A Chase; Robert Farkaš
Journal:  Sci Rep       Date:  2021-08-05       Impact factor: 4.379

5.  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; 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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

6.  Loss of the Antimicrobial Peptide Metchnikowin Protects Against Traumatic Brain Injury Outcomes in Drosophila melanogaster.

Authors:  Laura C Swanson; Stacey A Rimkus; Barry Ganetzky; David A Wassarman
Journal:  G3 (Bethesda)       Date:  2020-09-02       Impact factor: 3.154

Review 7.  Three decades of Cdk5.

Authors:  Ping-Chieh Pao; Li-Huei Tsai
Journal:  J Biomed Sci       Date:  2021-11-23       Impact factor: 8.410

Review 8.  Nutraceutical and Probiotic Approaches to Examine Molecular Interactions of the Amyloid Precursor Protein APP in Drosophila Models of Alzheimer's Disease.

Authors:  David Jalali; Justine Anne Guevarra; Luz Martinez; Lily Hung; Fernando J Vonhoff
Journal:  Int J Mol Sci       Date:  2021-06-29       Impact factor: 5.923

Review 9.  Beyond Host Defense: Deregulation of Drosophila Immunity and Age-Dependent Neurodegeneration.

Authors:  Srishti Arora; Petros Ligoxygakis
Journal:  Front Immunol       Date:  2020-07-22       Impact factor: 7.561

Review 10.  Modeling Neurodegenerative Disorders in Drosophila melanogaster.

Authors:  Harris Bolus; Kassi Crocker; Grace Boekhoff-Falk; Stanislava Chtarbanova
Journal:  Int J Mol Sci       Date:  2020-04-26       Impact factor: 5.923

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