Literature DB >> 30786807

A comparative map of macroautophagy and mitophagy in the vertebrate eye.

Thomas G McWilliams1,2, Alan R Prescott3, Beatriz Villarejo-Zori4, Graeme Ball3, Patricia Boya4, Ian G Ganley1.   

Abstract

Photoreception is pivotal to our experience and perception of the natural world; hence the eye is of prime importance for most vertebrate animals to sense light. Central to visual health is mitochondrial homeostasis, and the selective autophagic turnover of mitochondria (mitophagy) is predicted to play a key role here. Despite studies that link aberrant mitophagy to ocular dysfunction, little is known about the prevalence of basal mitophagy, or its relationship to general autophagy, in the visual system. In this study, we utilize the mito-QC mouse and a closely related general macroautophagy reporter model to profile basal mitophagy and macroautophagy in the adult and developing eye. We report that ocular macroautophagy is widespread, but surprisingly mitophagy does not always follow the same pattern of occurrence. We observe low levels of mitophagy in the lens and ciliary body, in stark contrast to the high levels of general MAP1LC3-dependent macroautophagy in these regions. We uncover a striking reversal of this process in the adult retina, where mitophagy accounts for a larger degree of the macroautophagy taking place, specifically in the photoreceptor neurons of the outer nuclear layer. We also show the developmental regulation of autophagy in a variety of ocular tissues. In particular, mitophagy in the adult mouse retina is reversed in localization during the latter stages of development. Our work thus defines the landscape of mitochondrial homeostasis in the mammalian eye, and in doing so highlights the selective nature of autophagy in vivo and the specificity of the reporters used. Abbreviations: ATG: autophagy related; GFP: green fluorescent protein; LC3: microtubule associated protein 1 light chain 3; ONH: optic nerve head; ONL: outer nuclear layer; RPE: retinal pigment epithelium.

Entities:  

Keywords:  -QC; Autophagy; ciliary body; cornea; eye; hyaloid; lens; mitochondria; mitophagy; retina

Mesh:

Year:  2019        PMID: 30786807      PMCID: PMC6613837          DOI: 10.1080/15548627.2019.1580509

Source DB:  PubMed          Journal:  Autophagy        ISSN: 1554-8627            Impact factor:   16.016


Introduction

Although general macroautophagy has been studied extensively in the context of nutrient deprivation, it has emerged that several types of autophagy exist to orchestrate cellular homeostasis. These include selective pathways that can degrade damaged or superfluous organelles via autophagy. Mitochondrial autophagy (mitophagy) is emerging as a key pathway in the regulation of mitochondrial network integrity [1-3]. Although the great majority of research has focused on mitophagy as an induced cellular stress-response to mitotoxic damage, recent studies describing mitophagy reporter mice have revealed the pervasive and basal nature of mammalian mitophagy in vivo [1,2]. Mitochondrial homeostasis is also critical for ocular health [4]. This is strongly evidenced by a variety of ophthalmic manifestations in both rare and common conditions, including inherited mitochondrial diseases, diabetic retinopathy and glaucoma, respectively [5-12]. Furthermore, disrupted autophagic signalling has been reported in a variety of ocular disease contexts (reviewed in [4]). Although macroautophagy has been studied in the mammalian eye since the late 1970’s [13], we still do not understand the extent of selective autophagy here. This is principally due to a lack of sensitive tools that enable comparative analysis of selective versus non-selective autophagy in vivo. Given the allure of dysregulated mitophagy as a contributor to a variety of disease states, it is important to understand the normal mitochondrial landscape of tissue and its mitophagic regulation in vivo. Comprised of several unique tissues, the mammalian eye can be broadly classified into three distinct regions: the corneo-scleral, uveal and retinal layers. In this resource we focus on these regions, in particular on selected ocular structures of major clinical interest, where several studies have inferred the involvement of macroautophagy. Light enters the eye via the cornea, a refractive, transparent and avascular structure that focuses light on the retina. Defective autophagic flux is associated with genetic and damage-induced corneal pathology [14-16]. Posterior to the cornea lies the lens, another transparent and avascular tissue consisting of a unique tapestry of epithelial and fiber cells. In concert with the cornea, the lens functions to focus light on the retina [17,18]. Lens fiber cells are elongated structures that undergo a striking elimination of all membrane bound organelles as they mature. Although the consensus agrees the importance of autophagy as a cellular quality control mechanism in the developing and mature lens, its precise contribution to organelle elimination here remains unclear [4,17]. The retina is a constituent of the central nervous system, and a vascularised region of high-metabolic demand. Multiple studies have demonstrated the metabolic significance of general autophagy in the retina, and mitophagy is predicted to be particularly important regulator of retinal viability in health and disease [4]. Owing to the difficulty of studying the selective turnover of mitochondria in mammalian tissues, there has been an understandable lack of data on mitophagy in the retina and associated tissues of the eye. However, using our mito-QC mouse model [19], we have now been able to characterize mitophagy and mitochondrial network morphology in the adult and developing eye. Recently, we described the phenomenon of retinal mitophagy using mito-QC [20] and in the present study, we expand upon this initial description by characterizing the spatio-temporal regulation of mitochondrial homeostasis in the eye as a whole. We further extend this work by comparing the degree of mitophagy with that of general macroautophagy, by using a recently described autophagy reporter mouse based on the same principle, and generated in the same way, as mito-QC [19,20]. Surprisingly, high levels of mitophagy and general macroautophagy do not always coincide, highlighting the specificity of our reporter systems and demonstrating the selective nature of autophagy in vivo. Given the postulated contribution of mitochondrial dysfunction to many ophthalmological disorders, this resource should be of broad interest to vision researchers with an interest in mitochondrial biology, in addition to those studying the physiological implications of autophagy.

Results

In this Resource we follow the path of light through the eye and describe macroautophagy from the cornea to the optic nerve in adult and embryonic day 16.5 (E16.5) eyes. To reveal the nature and degree of macroautophagy in the eye, we utilized our previously characterized and validated mouse models that monitor mitophagy [19] and total macroautophagy [20]. Both models rely on similar transgenes expressed from the Rosa26 locus that utilize a tandem mCherry-GFP tag, either attached to the mitochondria through the outer membrane targeting region of FIS1 (amino acids 101-152); or the autophagosome itself through attachment to the N terminus of MAP1LC3B/LC3B (microtubule associated protein 1 light chain 3 beta). In these instances, when a mitochondrion or autophagosome undergoes lysosomal delivery, the acidic microenvironment is sufficient to quench the GFP signal, but not that from mCherry. Hence the degree of mitophagy or general macroautophagy can be determined from the appearance and number of mCherry-only foci (mito/autolysosomes) in tissue sections. The almost identical nature of these mouse models, combined with the fact that they were generated and bred in the same way, gives us a unique opportunity to determine the relative degree of mitophagy, with respect to general macroautophagy, occurring in vivo.

Comparative analysis of autophagy and mitophagy in the cornea

Often referred to as the ‘window of the eye’ the cornea is a transparent, avascular structure and accounts for 80% of the refractive power of the eye. Its fixed surface convexity enables images to be focused on the retina and an overview of the cornea is shown in Figure 1(a,b). The cornea consists of a stratified multicellular epithelium, a multi-lamellar collagenous stroma interlaced with keratocytes, a proteinaceous acellular layer (Descemet’s membrane) and a monolayer of inter-digitated secretory endothelial cells. Its anterior location means the cornea directly interfaces with the immediate environment, where it is exposed to myriad environmental stresses and serves as a protective barrier by absorbing UV-B light. Impaired autophagic flux and mitochondrial quality control in the cornea has been linked to granular corneal dystrophy type 2, Fuchs’ endothelial corneal dystrophy and non-nephropathic cystinosis [21-23]. Furthermore, impaired mitochondrial morphology and defective respiration has been observed in human corneal biopsies from diabetic patients [24]. Metabolic and classical electron microscopy-based studies have established the cornea as mitochondrially rich, and using eye cryosections from adult mito-QC mice, we were able to verify this (Figure 1(d)). Mitochondria in the epithelial layer appeared punctate and highly ordered, yet not as networked as those in the endothelial layer. Mitophagy, as evidenced by the appearance of mCherry-only puncta, was also apparent in both the epithelial and endothelial layers (Figure 1(c,d)). In contrast to mitophagy, there was a greater abundance of general autophagy as visualised in cryosections from mCherry-GFP-LC3 adult mice (Figure 1(c,e)). On comparing the 2 models, it would thus appear that mitophagy accounts for only a fraction of the total corneal macroautophagy. A strict quantitative comparison is challenging given that the dynamics of autophagosome fusion with lysosomes, as well as the relative reporter labelling of mitochondria vs. autophagosomes, would also need to be considered.
Figure 1.

Basal mitophagy and macroautophagy in the cornea. (a) Schematic of the mouse eye depicting location of cornea in blue. Boxed area shown in panel (b). Gray arrow represents the light path i.e. direction of light entering the eye. (b) Overview micrograph of mito-QC eye section depicting cornea (C), iris (I), ciliary body (CB) and lens (L). Gray arrow represents light path. Scale bar: 100 μm. (c) Quantification of mCherry-only puncta from mito-QC (mitophagy) or mCherry-GFP-LC3 (autophagy) corneal eye sections. Data points are means from individual animals ±SEM (*P < 0.05 (0.0342)). (d) Representative mito-QC optical section showing mitophagy in the cornea. Boxed regions are shown magnified on the right and arrows mark instances of mitophagy defined by the presence of mCherry-only mitolysosomes. (e) Representative mCherry-GFP-LC3 section showing autophagy in the cornea. Boxed regions are shown magnified on the right and arrows mark examples of autolysosomes and arrowheads indicate presumptive autophagosomes. (f) Optical section detailing pronounced mitophagy in the mito-QC E16.5 corneal stroma. Boxed region is shown magnified below with arrows marking examples of mitolysosomes. (g) Optical section detailing autophagy in the mCherry-GFP-LC3 E16.5 corneal stroma. Boxed region is shown magnified below with autolysosomes (arrows) autophagosomes (arrowheads). (h) Quantification of mCherry-only puncta from mito-QC (mitophagy) or mCherry-GFP-LC3 (autophagy) E16.5 corneal eye sections. Data points are means from individual animals ±SEM (**P < 0.01 (0.0012)). Scale bars (panels d-g): 10 μm.

Basal mitophagy and macroautophagy in the cornea. (a) Schematic of the mouse eye depicting location of cornea in blue. Boxed area shown in panel (b). Gray arrow represents the light path i.e. direction of light entering the eye. (b) Overview micrograph of mito-QC eye section depicting cornea (C), iris (I), ciliary body (CB) and lens (L). Gray arrow represents light path. Scale bar: 100 μm. (c) Quantification of mCherry-only puncta from mito-QC (mitophagy) or mCherry-GFP-LC3 (autophagy) corneal eye sections. Data points are means from individual animals ±SEM (*P < 0.05 (0.0342)). (d) Representative mito-QC optical section showing mitophagy in the cornea. Boxed regions are shown magnified on the right and arrows mark instances of mitophagy defined by the presence of mCherry-only mitolysosomes. (e) Representative mCherry-GFP-LC3 section showing autophagy in the cornea. Boxed regions are shown magnified on the right and arrows mark examples of autolysosomes and arrowheads indicate presumptive autophagosomes. (f) Optical section detailing pronounced mitophagy in the mito-QC E16.5 corneal stroma. Boxed region is shown magnified below with arrows marking examples of mitolysosomes. (g) Optical section detailing autophagy in the mCherry-GFP-LC3 E16.5 corneal stroma. Boxed region is shown magnified below with autolysosomes (arrows) autophagosomes (arrowheads). (h) Quantification of mCherry-only puncta from mito-QC (mitophagy) or mCherry-GFP-LC3 (autophagy) E16.5 corneal eye sections. Data points are means from individual animals ±SEM (**P < 0.01 (0.0012)). Scale bars (panels d-g): 10 μm. As in vivo mitophagy is a developmentally-regulated process [19] and in particular is important for retinal development [25], we next explored if this phenomenon occurs in the developing cornea. We thus examined the cornea in eye sections from embryonic mito-QC and mCherry-GFP-LC3 animals in more detail at E16.5. We observed a slight increase in corneal mitophagy compared to adult, which is likely accounted for by the increased number of developing stromal keratinocytes in the presumptive stromal region (Figure 1(f,h)). In contrast, corneal autophagy in general at E16.5 is increased by 60% compared to the adult cornea (Figure 1(g,h)). This period in development is coincident with the synthesis of many matrix molecules in the endothelium, and may represent the discovery of an unknown stage of metabolic adaption or remodelling in the mammalian eye [26]. Regardless, the differential changes in mitophagy versus general autophagy demonstrate the selective nature of mammalian autophagy in vivo and highlight the specificity of the reporters.

Mitophagy in the lens

The lens is a biconvex, avascular and translucent structure: thousands of anucleated fibers stretch between its anterior and posterior poles in a precise geometrical arrangement [27]. This unique form of the lens enables its function by facilitating the focus of light on the retina. Each fiber has the shape of a 6-sided prism and is highly enriched in crystallin proteins [17,28]. Lens fibers are tightly packed and enveloped by the lens capsule, connected by a suspensory ligament to the ciliary body. The anterior lens is covered by a cuboidal epithelium of nucleated cells, which merge with a proliferative layer at the equatorial margin (Figure 2(a,b)). Damage to lens epithelial or fiber cells (e.g. ionising radiation) or disrupted lens development can induce opacities that cause cataracts, estimated to account for 50% of global blindness [29]. Of relevance here, ATG5-dependent macroautophagy is essential to prevent cataractogenesis [17]. Despite extensive research on autophagy in the adult lens, little is known about mitochondrial network homeostasis in this structure. Interestingly, cryosections from adult mito-QC mice revealed little evidence of mitophagy in the adult lens fiber cells or in the lens epithelium (Figure 2(c,d)). The mito-QC signal was also sufficient to resolve the morphology of mitochondria in lens equatorial fibers (Figure 2(d,f)). 3D volume rendering of the equatorial region revealed highly elongated mitochondria, interspersed with smaller circular mitochondria, with the total mitochondrial density decreasing towards the central organelle-free zone (Figure 2(f)). Mitochondria of the lens epithelium were noticeably different in morphology, appearing more punctate and less networked than those in adjacent fiber cells (Figure 2(d)). The lack of mitophagy in the adult mouse lens contrasts with published descriptions of mitophagy and autophagy in the adult human lens [18]. However, as these studies relied upon electron microscopy, it is somewhat difficult to discern differences between mitophagy specifically over general autophagy. Consistent with this, cryosections from adult autophagy reporter mice showed pronounced autophagy in the lens epithelium, and to a lesser extent in fiber cells (Figure 2(c,e)). These data demonstrate that although LC3-dependent macroautophagy occured to a high degree in lens, the selective elimination of mitochondria by mitophagy proceeded at a much lower level. This scenario also appears to manifest during lens embryonic development at E16.5, with a low level of mitophagy compared to general macroautophagy in the lens epithelium (Figure 2(g,h)). Our work supports previously published data suggesting that organelle clearance during lens fiber development does not proceed via macroautophagy [30].
Figure 2.

Mitochondrial architecture, mitophagy and autophagy in the adult lens. (a) Schematic of the mouse eye depicting anatomical location of the lens in light blue. Boxed area is shown in panel (b) and gray arrow represents light path. (b) Overview photomicrograph of mito-QC eye section depicting the lens; LE, lens epithelium; Eq, equatorial region; OFZ, organelle-free zone; CB, ciliary body. Gray arrow, as in panel A. Scale bar: 100 μm. (c) Quantification of mCherry-only puncta from mito-QC (mitophagy) or mCherry-GFP-LC3 (autophagy) lens sections. Data points represent means from individual animals ±SEM (***P < 0.0001). (d) Upper left panel shows optical section of the adult lens equatorial region from a mito-QC mouse, below is magnified area of lens epithelium showing small spherical mitochondria and minimal mitophagy, with examples of mitolysosomes marked by arrows. Panel on right shows maximum Z-projection of lens optical slices. (e) Upper left panel shows optical section of the adult lens equatorial region from a mCherry-GFP-LC3 mouse, below is magnified area of lens epithelium with examples of autolysosomes marked by arrows and autophagosomes by arrowheads. Panel on right shows Z-projection of lens optical slices. (f) Isosurface render detailing mitochondrial network in mito-QC with lens epithelium on the left side of the panel (lateral to medial = left to right). Arrows denote examples of elongated mitochondria and arrowheads that of smaller solitary mitochondria. (g) Optical sections from E16.5 eyes detailing equatorial region (Eq), hyaloid vessels (HV) are also marked. Magnified epithelium sections are shown on the right, with arrows showing examples of mitolysosomes (top panel) and autolysosomes (bottom panel). Arrowheads mark autophagosomes. (h) Quantification of mCherry-only puncta from mito-QC (mitophagy) or mCherry-GFP-LC3 (autophagy) E16.5 lens sections. Data points represent means from individual animals ±SEM (***P < 0.0001). Scale bars (panels D-G): 10 μm.

Mitochondrial architecture, mitophagy and autophagy in the adult lens. (a) Schematic of the mouse eye depicting anatomical location of the lens in light blue. Boxed area is shown in panel (b) and gray arrow represents light path. (b) Overview photomicrograph of mito-QC eye section depicting the lens; LE, lens epithelium; Eq, equatorial region; OFZ, organelle-free zone; CB, ciliary body. Gray arrow, as in panel A. Scale bar: 100 μm. (c) Quantification of mCherry-only puncta from mito-QC (mitophagy) or mCherry-GFP-LC3 (autophagy) lens sections. Data points represent means from individual animals ±SEM (***P < 0.0001). (d) Upper left panel shows optical section of the adult lens equatorial region from a mito-QC mouse, below is magnified area of lens epithelium showing small spherical mitochondria and minimal mitophagy, with examples of mitolysosomes marked by arrows. Panel on right shows maximum Z-projection of lens optical slices. (e) Upper left panel shows optical section of the adult lens equatorial region from a mCherry-GFP-LC3 mouse, below is magnified area of lens epithelium with examples of autolysosomes marked by arrows and autophagosomes by arrowheads. Panel on right shows Z-projection of lens optical slices. (f) Isosurface render detailing mitochondrial network in mito-QC with lens epithelium on the left side of the panel (lateral to medial = left to right). Arrows denote examples of elongated mitochondria and arrowheads that of smaller solitary mitochondria. (g) Optical sections from E16.5 eyes detailing equatorial region (Eq), hyaloid vessels (HV) are also marked. Magnified epithelium sections are shown on the right, with arrows showing examples of mitolysosomes (top panel) and autolysosomes (bottom panel). Arrowheads mark autophagosomes. (h) Quantification of mCherry-only puncta from mito-QC (mitophagy) or mCherry-GFP-LC3 (autophagy) E16.5 lens sections. Data points represent means from individual animals ±SEM (***P < 0.0001). Scale bars (panels D-G): 10 μm. In contrast, we did observe a high degree of mitophagy in the associated hyaloid vasculature proximal to the developing lens (Figure S1). Blood supply in the developing eye is sustained in utero by the formation of a transient intraocular circulatory system, known as the hyaloid vasculature. This dense vascular network irrigates the developing eye prior to the formation of the mature intraretinal vascular network [31]. The hyaloid network is characterised by the absence of a venous system, thus all hyaloid vessels are regarded as arterial in nature. The hyaloid network breaks down or regresses during mammalian development (postnatal period in mice, and during month 5 of human gestation – second trimester). Both WNT7B (Wnt family member 7B) paracrine signalling by macrophages and KDR/VEGFR2 (kinase insert domain receptor)-signalling by retinal neurons are known to contribute to hyaloid vessel regression in mammals [32-34]. The death of the hyaloid network correlates with the reciprocal maturation of the retina and lens, upon which the homeostatic support of the retina becomes fulfilled by its developing vascular network. Although general autophagy has been reported in this structure and previously suggested to regulate hyaloid vessel regression during development [35], the occurrence of selective autophagy in this structure remains unclear. In sections of E16.5 eyes, we observed pronounced autophagy and specifically mitophagy in hyaloid vasculature, likely at the beginning stages of their regression (Figure S1B). Using volume imaging and 3D rendering software, we were also able to profile mitochondrial morphology and mitophagy in these structures (Figure S1C and D). To our knowledge, this is the first demonstration of in vivo mitophagy that precedes a defined phase of vertebrate developmental apoptosis in mammals. Future studies will be essential to determine the physiological relevance of mitophagy pre-empting developmental apoptosis in this tissue, by a more systematic investigation during actual hyaloid regression. It is of note that we did not detect the presence of cleaved caspase 3, a marker of apoptosis, at this or neonatal stages (results not shown). However, hyaloid regression is known to be a complex process, driven by paracrine WNT7B macrophage-dependent clearance [32,33], with a contribution from KDR-dependent signalling by retinal neurons [34]. Our demonstration of mitophagy here is the first evidence for selective autophagy in this tissue in vivo. Incomplete hyaloid regression is associated with severe ocular pathology in humans, called persistent hyperplastic primary vitreous that manifests with severe intraocular haemorrhage, retinal detachment and cataract [36]. It will be interesting to assess if defective mitophagy plays a role in these diseases.

Mitophagy in the ciliary body

The unique spherical nature of the mammalian eye is governed by the existence of intraocular hydrostatic pressure [37]. Such pressure sustains the spherical integrity of the eye, and arises from the continual secretion of transparent aqueous humour produced by the ciliary body into the interior cavity. This flow facilitates metabolite exchange between cells of the cornea and lens. The ciliary body is highly vascularised with a considerable surface area for fluid secretion, owing to its unique topology of ciliary ridges covered by a ciliary epithelium [37], and its anatomy is well described ([38] and Figure 3(a,b)). Autophagy has been previously described in the ciliary body, yet mitochondrial biology here remains unexplored [39]. We found that mitochondria in the ciliary body appeared small, spherical and tightly compacted (Figure 3(d)). Surprisingly, we observed almost no mitophagy in these cells, contrasting to the much higher rate of general macroautophagy where autophagosomes and autolysosomes are abundant (Figure 3(c–e)). These observations suggest that basal autophagy may be an important regulator of ciliary body homeostasis and its dysfunction may be detrimental to cellular health. The most common ocular cancer in adults, uveal melanoma, can arise in the ciliary body [40], but the exact role autophagy plays here remains to be determined [41].
Figure 3.

Mitophagy and macroautophagy in the ciliary body. (a) Schematic of the adult mouse eye depicting anatomical location of the ciliary bodies in light blue. (b) Optical section from mito-QC eye showing ciliary body (CB); peripheral retina (R); lens (L). Scale bar: 100 μm. (c) Quantification of mCherry-only puncta from mito-QC (mitophagy) or mCherry-GFP-LC3 (autophagy) ciliary body sections. Data points represent means from individual animals ±SEM (*P < 0.05 (0.031)). (d) Optical section from mito-QC eye detailing ciliary body. Boxed region is shown magnified on the right and arrows mark examples of mitolysosomes. Asterisk marks area of highly pigmented ciliary epithelium, with the pigment reducing the mCherry-GFP fluorescence. (e) Optical section from mCherry-GFP-LC3 eye detailing autophagy in the ciliary body. Boxed region is shown magnified on the right and arrows mark examples of autolysosomes and arrowheads autophagosomes. Asterisk marks area as in panel D. Scale bars: 10 μm.

Mitophagy and macroautophagy in the ciliary body. (a) Schematic of the adult mouse eye depicting anatomical location of the ciliary bodies in light blue. (b) Optical section from mito-QC eye showing ciliary body (CB); peripheral retina (R); lens (L). Scale bar: 100 μm. (c) Quantification of mCherry-only puncta from mito-QC (mitophagy) or mCherry-GFP-LC3 (autophagy) ciliary body sections. Data points represent means from individual animals ±SEM (*P < 0.05 (0.031)). (d) Optical section from mito-QC eye detailing ciliary body. Boxed region is shown magnified on the right and arrows mark examples of mitolysosomes. Asterisk marks area of highly pigmented ciliary epithelium, with the pigment reducing the mCherry-GFP fluorescence. (e) Optical section from mCherry-GFP-LC3 eye detailing autophagy in the ciliary body. Boxed region is shown magnified on the right and arrows mark examples of autolysosomes and arrowheads autophagosomes. Asterisk marks area as in panel D. Scale bars: 10 μm.

Retinal mitophagy

The retina is a constituent of the central nervous system and regarded as one of the most metabolically active mammalian tissues [42,43] (Figure 4(a,b)). Its multi-layered structure facilitates photoreception and the conversion of light energy to neural information that is transduced via the optic nerve. For over 40 years, autophagy has been studied in the retina and has been implicated in its development, maintenance and degeneration [4]. Indeed, Atg5-dependent autophagy is essential for photoreceptor viability [44-47]. Furthermore, aberrant mitochondrial dysfunction has been suggested to contribute to retinal pathology [48,49]. In addition, autophagy is tightly regulated in the retina and follows circadian variation [50,51]. Moreover, dysfunctional autophagy is observed in several models of retinal dystrophies [52]. Thus, elucidating how this process is regulated here constitutes an important research area of translational significance. As mitochondria lie at the heart of metabolism, it is essential to understand how mitochondrial quality control is regulated in the retina. Though less work has been carried out in terms of retinal mitophagy, early electron microscopy studies clearly depicted evidence for mitochondria in autophagosomal structures, suggesting it is a relevant process [13,50]. Consistent with this, we previously demonstrated a striking enrichment of mitophagy in the retinal outer nuclear layer (ONL) [20]. To ascertain the degree of mitophagy compared to LC3-dependent macroautophagy, we compared retinal sections from mito-QC and mCherry-GFP-LC3 mice. Surprisingly, we observed a pronounced and very similar enrichment of both mitolysosomes and autolysosomes in the ONL of mito-QC and autophagy-reporter mice respectively (Figure 4(c–e)). This indicates that a significant amount of macroautophagy taking place in the ONL can be attributed to mitophagy, which makes this area by far the highest degree of mitophagy (relative to total macroautophagy) occurring in the eye. Notably, we cannot say this is exclusively mitophagy as lysosomal delivery of other autophagic cargo in conjunction with mitochondria may occur.
Figure 4.

Mitophagy is highly localized to retinal photoreceptors. (a) Schematic of the mouse eye depicting anatomical location of the retina in light blue. Boxed region is shown in b. (b) Optical section from mito-QC retina: IS, inner segment; ONL, outer nuclear layer; INL; inner nuclear layer; GCL, ganglion cell layer. Scale bar: 100 μm. (c) Optical sections from mito-QC and mCherry-GFP-LC3 retina. Boxed regions are shown in panel D. RPE, retinal pigment epithelium; OS, outer segment; OPL, outer plexiform layer; IPL, inner plexiform layer. (d) Magnified section of ONL from mito-QC (top panel) or mCherry-GFP-LC3 adult retina (bottom panel). Arrows mark examples of mitophagosomes or autolysosomes. (e) Quantification of mCherry-only puncta from mito-QC (mitophagy) or mCherry-GFP-LC3 (autophagy) retinal sections, including all the layers shown in panel C. Data points represent means from individual animals ±SEM (ns = P > 0.05 (0.4772)). (f) Optical sections from mito-QC and mCherry-GFP-LC3 E16.5 retina. Boxed regions are shown in panel G. ONbL, outer neuroblast layer; INbL, inner neuroblast layer. (g) Magnified section of INbL from mito-QC (top panel) or mCherry-GFP-LC3 E16.5 retina (bottom panel). Arrows mark examples of mitophagosomes or autolysosomes and arrowhead indicates an autophagosome. (h) Quantification of mCherry-only puncta from mito-QC (mitophagy) or mCherry-GFP-LC3 (autophagy) E16.5 retinal sections. Data points represent means from individual animals ±SEM (***P < 0.0001). Scale bars (c-g): 10 μm.

Mitophagy is highly localized to retinal photoreceptors. (a) Schematic of the mouse eye depicting anatomical location of the retina in light blue. Boxed region is shown in b. (b) Optical section from mito-QC retina: IS, inner segment; ONL, outer nuclear layer; INL; inner nuclear layer; GCL, ganglion cell layer. Scale bar: 100 μm. (c) Optical sections from mito-QC and mCherry-GFP-LC3 retina. Boxed regions are shown in panel D. RPE, retinal pigment epithelium; OS, outer segment; OPL, outer plexiform layer; IPL, inner plexiform layer. (d) Magnified section of ONL from mito-QC (top panel) or mCherry-GFP-LC3 adult retina (bottom panel). Arrows mark examples of mitophagosomes or autolysosomes. (e) Quantification of mCherry-only puncta from mito-QC (mitophagy) or mCherry-GFP-LC3 (autophagy) retinal sections, including all the layers shown in panel C. Data points represent means from individual animals ±SEM (ns = P > 0.05 (0.4772)). (f) Optical sections from mito-QC and mCherry-GFP-LC3 E16.5 retina. Boxed regions are shown in panel G. ONbL, outer neuroblast layer; INbL, inner neuroblast layer. (g) Magnified section of INbL from mito-QC (top panel) or mCherry-GFP-LC3 E16.5 retina (bottom panel). Arrows mark examples of mitophagosomes or autolysosomes and arrowhead indicates an autophagosome. (h) Quantification of mCherry-only puncta from mito-QC (mitophagy) or mCherry-GFP-LC3 (autophagy) E16.5 retinal sections. Data points represent means from individual animals ±SEM (***P < 0.0001). Scale bars (c-g): 10 μm. To determine if retinal mitophagy is established during development we analyzed sections from E16.5 mito-QC eyes. In stark contrast to the adult eye, mitophagy at E16.5 appeared to be concentrated at a different level in the retina and was restricted to the inner neuroblast layer (Figure 4(f,g)). These data are consistent with recent findings that implicate programmed mitophagy as a developmental requirement of retinal ganglion cells, which are present within this region at this stage [25,53]. Also, in agreement with this study [25], there was much more general autophagy in the developing retina (Figure 4(f–h)). The level of macroautophagy was greater in the inner neuroblast layer, however unlike mitophagy, autolysosomes were also present throughout the retina including the outer neuroblast layer. Our in vivo data provide compelling support for the growing body of evidence that underscores the physiological significance of mitophagy and macroautophagy in mammalian retinal development. Given the high degree of mitophagy present in the adult retinal ONL, we decided to investigate this further. The ONL contains the cell bodies of the photoreceptor neurons, with rod cells being the dominant type compared to cone cells (97% vs 3% respectively in mice [54]). To determine if mitophagy is restricted to one of these cell types we immunolabelled mito-QC cryosections using either anti-ARR3 (arrestin 3, retinal) antibodies to detect cones or anti-SAG/s-antigen visual arrestin antibodies to detect rods (Figure 5). ARR3 staining allowed visualization of entire cone cells including outer and inner segments as well as somata, axons and their termini. Importantly, mCherry-only puncta colocalized with ARR3, indicating that cone photoreceptors undergo mitophagy (Figure 5(a)). Isosurface rendering allowed us to visualise the spatial nature of mitophagy in these cells and showed that mitophagy is largely restricted to the soma, as we have seen in other neuronal cell types [19,20]. However, we did observe a higher frequency of axonal mitophagy compared to other regions of the CNS that we have previously published (Figure 5(a) – lower panels). As expected, staining with anti-SAG to mark rods revealed that this cell type is present in in much larger numbers (Figure 5(b)) and we were clearly able to identify significant numbers of mitolysosomes present here (Figure 5(b), lower panels).
Figure 5.

Mitophagy occurs in retinal photoreceptor neurons. (a) Z-projection showing adult mito-QC retinal outer nuclear layer (ONL) stained with antibodies against ARR3/cone arrestin (white, top panel). Inner segments (IS) and outer segments (OS) of the photoreceptor cells are also indicated. Lower left panel shows isosurface render of cone cells (cyan) from the above micrograph. Asterisk denotes cone projections magnified in lower right panel, arrows indicate mitolysosomes. Note presence of mitolysosomes in cone processes. (b) Z-projection of mito-QC retinal outer nuclear layer (ONL) and inner and outer photoreceptor cell segments (IS and OS respectively) stained with antibodies against SAG/visual arrestin to identify rod cells (white, top panel). Lower left panel shows isosurface render of rod somata (cyan) from the above micrograph. Asterisk denotes area of cells shown magnified in lower right panel and arrows mark mitolysosomes. Scale bars: 10 μm.

Mitophagy occurs in retinal photoreceptor neurons. (a) Z-projection showing adult mito-QC retinal outer nuclear layer (ONL) stained with antibodies against ARR3/cone arrestin (white, top panel). Inner segments (IS) and outer segments (OS) of the photoreceptor cells are also indicated. Lower left panel shows isosurface render of cone cells (cyan) from the above micrograph. Asterisk denotes cone projections magnified in lower right panel, arrows indicate mitolysosomes. Note presence of mitolysosomes in cone processes. (b) Z-projection of mito-QC retinal outer nuclear layer (ONL) and inner and outer photoreceptor cell segments (IS and OS respectively) stained with antibodies against SAG/visual arrestin to identify rod cells (white, top panel). Lower left panel shows isosurface render of rod somata (cyan) from the above micrograph. Asterisk denotes area of cells shown magnified in lower right panel and arrows mark mitolysosomes. Scale bars: 10 μm. Mitophagy appears to be highly enriched in certain neuronal populations such as Purkinje cells [19] or dopaminergic neurons [20], as well as the photoreceptors shown here. The rich diversity of neuronal subtypes and connections in the retina facilitates parallel information processing. Bipolar and retinal amacrine cells transmit signals from the photoreceptor neurons to the retinal ganglion cells, which in turn transmit this information to the visual cortex via the optic nerve. The restrictive nature of mitophagy to the ONL suggests that these neurons do not undergo significant mitophagy and this was confirmed to be the case through immunolabelling of these retinal cells (Figure S2). It is not clear why these neuronal subtypes are markedly different in their rates of basal mitophagy to others, and future work will be vital to determine the cell-specific regulation of this process in the retina. It will be particularly interesting to determine if mitophagy is related to spectral sensitivity. Autophagy is often thought of as an intracellular catabolic process; however, recent studies have provoked a reassessment of this assumption. In particular, mitophagy has been proposed to be enriched at the optic nerve head (ONH) in vivo, by a process known as axonal trans-mitophagy [2,55]. During this process, damaged neuronal mitochondria are extruded from axonal evulsions within the optic nerve head, and are degraded by neighboring glial cells in a lysosome-dependent fashion [55]. When we assessed mitophagy at the neuro-retinal interface in mito-QC animals, depicted in Figure 6(a), we did not observe a high level of mitophagy (Figure 6(b). To determine if there are glial cells here, we stained with anti-GFAP (glial fibrillary acidic protein), which marks the astrocytes present in this region. On the whole, little mitophagy was seen in these ONH astrocytes, though there was clear evidence for mitophagy occurring in some of the cells (Figure 6(b)). Whether this constitutes an example of transmitophagy, or conventional mitophagy remains to be determined.
Figure 6.

Minimal mitophagy and macroautophagy in the optic nerve. (a) Schematic of the mouse eye depicting anatomical location of the optic nerve in light blue. (b) Z-projection showing ONH of adult mito-QC eye, stained with anti-GFAP to mark astrocytes (white, left panel). Note retina on the left with outer nuclear layer (ONL) and inner nuclear layer (INL) marked. Right panel shows isosurface rendering of the ONH astrocytes (cyan) and boxed region is shown enlarged to the left. Mitolysosomes are sparse and the arrow indicates an example. (c) Optical section of ON from mito-QC (left panel) or mCherry-GFP-LC3 (right panel) eye. (d) Optical section of ONH from mito-QC (left panel) or mCherry-GFP-LC3 (right panel) E16.5 eyes. Outer neuroblast layer (OBL) of the developing retina is indicated. (e) Optical section of ON from mito-QC (left panel) or mCherry-GFP-LC3 (right panel) E15.5 eyes. Scale bars: 10 μm.

Minimal mitophagy and macroautophagy in the optic nerve. (a) Schematic of the mouse eye depicting anatomical location of the optic nerve in light blue. (b) Z-projection showing ONH of adult mito-QC eye, stained with anti-GFAP to mark astrocytes (white, left panel). Note retina on the left with outer nuclear layer (ONL) and inner nuclear layer (INL) marked. Right panel shows isosurface rendering of the ONH astrocytes (cyan) and boxed region is shown enlarged to the left. Mitolysosomes are sparse and the arrow indicates an example. (c) Optical section of ON from mito-QC (left panel) or mCherry-GFP-LC3 (right panel) eye. (d) Optical section of ONH from mito-QC (left panel) or mCherry-GFP-LC3 (right panel) E16.5 eyes. Outer neuroblast layer (OBL) of the developing retina is indicated. (e) Optical section of ON from mito-QC (left panel) or mCherry-GFP-LC3 (right panel) E15.5 eyes. Scale bars: 10 μm. We also examined the optic nerve itself for mitophagy and general macroautophagy (Figure 6(c)). We observed almost no mitophagy and very little general autophagy here, but perhaps this is unsurprising given the axon-rich nature of this region and our previous observations of low axonal mitophagy [20]. This paucity of mitophagy and autophagy at the ONH and optic nerve was also present in E16.5 eyes (Figure 6(d,e)). We also assessed mitophagy in the retinal pigment epithelium (RPE) in mito-QC mice. The RPE is the outermost layer of the retina and interfaces with the choroid membrane (Figure S3A). The RPE performs multiple critical functions that are essential for the visual cycle [56], and loss of autophagy in these cells leads to their degeneration [57]. Autophagy in the RPE has also been linked to age-related macular degeneration, highlighting its potential pathological importance in this region [58-60]. The RPE consists of a single layer of binucleated cells and by generating a 3D image from confocal sections, we were able to observe their unique hexagonal shape. These cells are rich in mitochondria, with a particular sub-plasmalemmal enrichment, and display a robust level of mitophagy in vivo, which can be clearly seen in isolated RPE (Figure S3C). It is interesting to note that these cells have been reported to undergo varying amounts of autophagy dependent on the day/night cycle and in particular undergo LC3-associated phagocytosis of shed photoreceptor outer segments [61]. While we previously detected no significant changes in retinal mitophagy at the end of the daily light or dark cycle [20], we were unable to reliable determine autophagy or mitophagy in the RPE in situ during this time course. We anticipate that future studies will address this.

Discussion

To our knowledge, this exploratory study constitutes the first comparative in vivo landscape of basal mitophagy and macroautophagy in a mammalian organ system. Here we have focussed on the mammalian eye because numerous studies have linked aberrant mitophagy and autophagy to ocular pathology, yet little is known about the spatiotemporal nature of these processes within this organ. Additionally, we could not find any study that assessed the basal status of mitophagy with respect to the levels of total macroautophagy. Our work has demonstrated that macroautophagy is a significant process within the eye, occurring to varying degrees within all regions analyzed. In contrast in the adult, the level of mitophagy varied to a greater degree, and in comparing both models, mitophagy accounted for a much smaller fraction of the macroautophagy in the ciliary body and the lens in contrast to the cornea and especially the retina. Of course, the mito-QC model only measures the endpointof mitophagy, i.e. selective delivery of mitochondria to lysosomes, and the precise pathways at play that mark mitochondria for destruction across the various tissues of the eye remain to be elucidated. It is thus possible that some of the mitophagy observed occurs via a non-classical LC3-independent route. Regardless, in using mito-QC to monitor mitophagy and mCherry-GFP-LC3 mice to monitor macroautophagy, these data support the emerging notion that mitophagy is a highly context-dependent process in vivo, and not merely a consequence of stress or non-selective general autophagy. Although beyond the scope of this resource paper, several interesting questions arise from our exploratory observations, relating both to selective autophagy and mitochondrial homeostasis. Notably, why does mitophagy occur at such a low rate in the lens or ciliary body, despite pronounced levels of general autophagy? These data highlight the selectivity of LC3-dependent macroautophagy, as while organellophagy may occur, mitochondria are seemingly spared. Other questions relate to the fundamental metabolic nature of tissues within the same organ. For example, why is there a high turnover of mitochondria specifically in the retinal ONL? Could the heightened cellular activity and neural nature of photoreception confer a greater metabolic stress or demand, which in turn accounts for differences in mitophagy between the ONL compared to other retinal cell types? Further questions also abound, especially with respect to selective autophagy in vivo. Does the enrichment of LC3-dependent macroautophagy in some tissues, and reciprocal lack of mitophagy in others, imply that autophagy in these structures is non-selective? Our discovery of hyaloid vascular mitophagy in vivo also extends our knowledge of mitochondrial turnover in endothelial networks and of general mammalian development. Future studies will be vital to determine the sequence of events pertaining to mitophagy and programmed cell death in these structures, and other vasculature in the eye. In summary, this exploratory study constitutes the first comparative landscape of mammalian mitophagy and macroautophagy in the developing and mature eye in vivo. We anticipate our data will provide a fruitful resource for discovery-based and translational researchers to pursue much needed in-depth studies on ocular autophagy and its relationship to health and disease in vivo.

Materials and methods

Animals

mito-QC mice were generated as previously described [19]. Autophagy reporter mice (mCherry-GFP-MAP1LC3B, referred to as mCherry-GFP-LC3) were generated in the same way as mito-QC using targeted transgenesis by TaconicArtemis GmbH as described [20]. Mice were maintained on a C57BL6/J background. Genotyping was performed by diagnostic end-point PCR using genomic DNA isolated from tissue biopsy specimens. WT and KO alleles were detected using KOD Hot Start DNA polymerase (EMD Millipore, 71086) and manufacturer-recommended conditions. All animal studies and breeding were approved by the University of Dundee ethical review committee, and further subjected to approved study plans by the Named Veterinary Surgeon and Compliance Officer (Dr. Ngaire Dennison) and performed under a UK Home Office project license in accordance with the Animal Scientific Procedures Act of 1986.

Histology & microscopy

Histology and microscopy were performed as previously described [19,20,45]. Briefly, mice were transcardially perfused with PBS (Gibco, 14190-094) and tissues were processed by immersion fixation in freshly prepared 3.7% formaldehyde (Sigma-Aldrich, P6148) at pH 7.0 in 0.2 M HEPES. For cryosectioning, eyes were cryoprotected in 30% (w:v) sucrose (VWR Chemicals, 27480.360) in PBS at 4°C before sectioning on a cryostat and counterstained with 1 µg/ml Hoechst (ThermoFisher Scientific, 62249). For RPE isolation, the eyes were removed from the animal, and then the anterior eye portion was removed. The posterior eyecup was flattened after performing 4 incisions. The neural retina was separated from the RPE and the whole mount RPE was fixed for 16 h at 4ºC. DAPI (ThermoFisher Scientific, D1306) was used to counterstain the nuclei. Vectashield (Vector Laboratories, H-1000) was used to mount tissue sections on slides before sealing with nail polish and a 1.5 glass coverslip. Images were acquired using an LSM710 Multiphoton (Plan-Neofuar ×40 objective, NA 1.30; Plan Apochromat ×63 objective NA 1.4; Plan Apochromat ×20 objective, NA 0.8), or a LSM880 Airyscan microscope (ZEISS; Plan Apochromat ×63 objective, NA 1.4) and processed using ZEISS Zen Software/Adobe Photoshop or Imaris (Bitplane) for 3D Isosurface Rendering. Images were digitally altered within linear parameters, with minimal adjustments to levels and linear contrast applied to all images.

Immunohistochemistry

Eye cryosections were re-fixed with formaldehyde 3.7% (w:v) in 200 mM HEPES buffer, pH 7.0 for 15 min, followed by 3 5-min PBS washes with agitation at room temperature. Retinal sections were permeabilized with 1% (v:v) Triton X-100 (Sigma-Aldrich, T8787), in PBS and then blocked for 1 h with BGT (3 mg/mL BSA [Roche, 10735108001], 0.25% Triton X-100, 100 mM Glycine [VWR Chemicals, 0167] in PBS). Primary antibodies were incubated in BGT overnight at 4ºC. Secondary antibodies were incubated for 1 h at room-temperature in BGT and darkness. Nuclei were stained with DAPI (1 μg/mL) and cryosections were mounted with Vectashield. Antibodies used were: CALB1 (Sigma-Aldrich, C2724), PRKCA (Sigma-Aldrich, P4334), SNCG (Abnova, H00006623-M01), AIF1 (Wako, 019-19741), ARR3 (EMD Millipore, AB15282), GLUL (EMD Millipore, MAB302), SAG (Santa Cruz Biotechnology, sc-166383,), and GFAP (Dako, Z0334).

Data quantification

Data were quantified with Volocity 6.3 Image Analysis Software (PerkinElmer) using algorithms developed to analyze object overlap and count individual structures. For all analyses, we obtained images using uniform random sampling by an experimenter blind to all conditions. All images in each experimental group were processed as a batch using identical protocols. Images were first filtered to suppress noise (3x3 median filter) and a red/green intensity ratio channel was calculated. Similar analysis protocols were used for all eye regions. 1) The tissue was segmented using a fixed intensity threshold on the DAPI or green channel, followed by a fill holes operation and minimum size criterion. 2) To assess autophagy/mitophagy, objects were found in the red channel using mean intensity +n standard deviations (3 standard deviations for all tissues except the cornea, where the threshold was set at 2 standard deviations). Touching objects were separated using a guide size of 0.1 µm2. These objects were filtered according to a minimum red/green ratio value: 0.7 for all tissues except lens (1.0) and ciliary body (3.0). Differences in threshold values reflect the fact that expression levels and imaging settings were different between these eye regions. Finally, objects not overlapping with the tissue were excluded.

Statistical analyses

For pairwise statistical analyses of mitophagy vs. macroautophagy comparisons, unpaired, two-tailed t tests with Welch’s correction were carried out. Statistics and graphs were generated using Prism 7 (GraphPad Software Inc.). All graphs are depicted as scatter plots with the number of data points representing an individual animal subject.
  60 in total

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Authors:  Jeong Hun Kim; Jin Hyoung Kim; Young Suk Yu; Ji Young Mun; Kyu-Won Kim
Journal:  Autophagy       Date:  2010-10-11       Impact factor: 16.016

2.  Ciliary Body and Ciliary Epithelium.

Authors:  Nicholas A Delamere
Journal:  Adv Organ Biol       Date:  2005-01-01

Review 3.  Ciliary body.

Authors:  E R Tamm; E Lütjen-Drecoll
Journal:  Microsc Res Tech       Date:  1996-04-01       Impact factor: 2.769

4.  Autophagy supports color vision.

Authors:  Zhenqing Zhou; Frans Vinberg; Frank Schottler; Teresa A Doggett; Vladimir J Kefalov; Thomas A Ferguson
Journal:  Autophagy       Date:  2015       Impact factor: 16.016

Review 5.  Mitochondrial dysfunction in retinal diseases.

Authors:  Megha Barot; Mitan R Gokulgandhi; Ashim K Mitra
Journal:  Curr Eye Res       Date:  2011-10-06       Impact factor: 2.424

6.  Lysosomal membrane permeabilization and autophagy blockade contribute to photoreceptor cell death in a mouse model of retinitis pigmentosa.

Authors:  N Rodríguez-Muela; A M Hernández-Pinto; A Serrano-Puebla; L García-Ledo; S H Latorre; E J de la Rosa; P Boya
Journal:  Cell Death Differ       Date:  2014-12-12       Impact factor: 15.828

7.  Dysregulated autophagy in the RPE is associated with increased susceptibility to oxidative stress and AMD.

Authors:  Sayak K Mitter; Chunjuan Song; Xiaoping Qi; Haoyu Mao; Haripriya Rao; Debra Akin; Alfred Lewin; Maria Grant; William Dunn; Jindong Ding; Catherine Bowes Rickman; Michael Boulton
Journal:  Autophagy       Date:  2014       Impact factor: 16.016

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Journal:  Autophagy       Date:  2017-08-18       Impact factor: 16.016

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Journal:  Cell Metab       Date:  2018-01-11       Impact factor: 27.287

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Journal:  Invest Ophthalmol Vis Sci       Date:  2022-07-08       Impact factor: 4.925

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Journal:  Biochem Soc Trans       Date:  2021-04-30       Impact factor: 5.407

3.  RIP3 impedes transcription factor EB to suppress autophagic degradation in septic acute kidney injury.

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

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Mary E Choi; Kamalika Roy Choudhury; Norman S Chow; Charleen T Chu; Jason P Chua; John Jia En Chua; Hyewon Chung; Kin Pan Chung; Seockhoon Chung; So-Hyang Chung; Yuen-Li Chung; Valentina Cianfanelli; Iwona A Ciechomska; Mariana Cifuentes; Laura Cinque; Sebahattin Cirak; Mara Cirone; Michael J Clague; Robert Clarke; Emilio Clementi; Eliana M Coccia; Patrice Codogno; Ehud Cohen; Mickael M Cohen; Tania Colasanti; Fiorella Colasuonno; Robert A Colbert; Anna Colell; Miodrag Čolić; Nuria S Coll; Mark O Collins; María I Colombo; Daniel A Colón-Ramos; Lydie Combaret; Sergio Comincini; Márcia R Cominetti; Antonella Consiglio; Andrea Conte; Fabrizio Conti; Viorica Raluca Contu; Mark R Cookson; Kevin M Coombs; Isabelle Coppens; Maria Tiziana Corasaniti; Dale P Corkery; Nils Cordes; Katia Cortese; Maria do Carmo Costa; Sarah Costantino; Paola Costelli; Ana Coto-Montes; Peter J Crack; Jose L Crespo; Alfredo Criollo; Valeria Crippa; Riccardo Cristofani; Tamas Csizmadia; Antonio Cuadrado; Bing Cui; Jun Cui; Yixian Cui; Yong Cui; Emmanuel Culetto; Andrea C Cumino; Andrey V Cybulsky; Mark J Czaja; Stanislaw J Czuczwar; Stefania D'Adamo; Marcello D'Amelio; Daniela D'Arcangelo; Andrew C D'Lugos; Gabriella D'Orazi; James A da Silva; Hormos Salimi Dafsari; Ruben K Dagda; Yasin Dagdas; Maria Daglia; Xiaoxia Dai; Yun Dai; Yuyuan Dai; Jessica Dal Col; Paul Dalhaimer; Luisa Dalla Valle; Tobias Dallenga; Guillaume Dalmasso; Markus Damme; Ilaria Dando; Nico P Dantuma; April L Darling; Hiranmoy Das; Srinivasan Dasarathy; Santosh K Dasari; Srikanta Dash; Oliver Daumke; Adrian N Dauphinee; Jeffrey S Davies; Valeria A Dávila; Roger J Davis; Tanja Davis; Sharadha Dayalan Naidu; Francesca De Amicis; Karolien De Bosscher; Francesca De Felice; Lucia De Franceschi; Chiara De Leonibus; Mayara G de Mattos Barbosa; Guido R Y De Meyer; Angelo De Milito; Cosimo De Nunzio; Clara De Palma; Mauro De Santi; Claudio De Virgilio; Daniela De Zio; Jayanta Debnath; Brian J DeBosch; Jean-Paul Decuypere; Mark A Deehan; Gianluca Deflorian; James DeGregori; Benjamin Dehay; Gabriel Del Rio; Joe R Delaney; Lea M D Delbridge; Elizabeth Delorme-Axford; M Victoria Delpino; Francesca Demarchi; Vilma Dembitz; Nicholas D Demers; Hongbin Deng; Zhiqiang Deng; Joern Dengjel; Paul Dent; Donna Denton; Melvin L DePamphilis; Channing J Der; Vojo Deretic; Albert Descoteaux; Laura Devis; Sushil Devkota; Olivier Devuyst; Grant Dewson; Mahendiran Dharmasivam; Rohan Dhiman; Diego di Bernardo; Manlio Di Cristina; Fabio Di Domenico; Pietro Di Fazio; Alessio Di Fonzo; Giovanni Di Guardo; Gianni M Di Guglielmo; Luca Di Leo; Chiara Di Malta; Alessia Di Nardo; Martina Di Rienzo; Federica Di Sano; George Diallinas; Jiajie Diao; Guillermo Diaz-Araya; Inés Díaz-Laviada; Jared M Dickinson; Marc Diederich; Mélanie Dieudé; Ivan Dikic; Shiping Ding; Wen-Xing Ding; Luciana Dini; Jelena Dinić; Miroslav Dinic; Albena T Dinkova-Kostova; Marc S Dionne; Jörg H W Distler; Abhinav Diwan; Ian M C Dixon; Mojgan Djavaheri-Mergny; Ina Dobrinski; Oxana Dobrovinskaya; Radek Dobrowolski; Renwick C J Dobson; Jelena Đokić; Serap Dokmeci Emre; Massimo Donadelli; Bo Dong; Xiaonan Dong; Zhiwu Dong; Gerald W Dorn Ii; Volker Dotsch; Huan Dou; Juan Dou; Moataz Dowaidar; Sami Dridi; Liat Drucker; Ailian Du; Caigan Du; Guangwei Du; Hai-Ning Du; Li-Lin Du; André du Toit; Shao-Bin Duan; Xiaoqiong Duan; Sónia P Duarte; Anna Dubrovska; Elaine A Dunlop; Nicolas Dupont; Raúl V Durán; Bilikere S Dwarakanath; Sergey A Dyshlovoy; Darius Ebrahimi-Fakhari; Leopold Eckhart; Charles L Edelstein; Thomas Efferth; Eftekhar Eftekharpour; Ludwig Eichinger; Nabil Eid; Tobias Eisenberg; N Tony Eissa; Sanaa Eissa; Miriam Ejarque; Abdeljabar El Andaloussi; Nazira El-Hage; Shahenda El-Naggar; Anna Maria Eleuteri; Eman S El-Shafey; Mohamed Elgendy; Aristides G Eliopoulos; María M Elizalde; Philip M Elks; Hans-Peter Elsasser; Eslam S Elsherbiny; Brooke M Emerling; N C Tolga Emre; Christina H Eng; Nikolai Engedal; Anna-Mart Engelbrecht; Agnete S T Engelsen; Jorrit M Enserink; Ricardo Escalante; Audrey Esclatine; Mafalda Escobar-Henriques; Eeva-Liisa Eskelinen; Lucile Espert; Makandjou-Ola Eusebio; Gemma Fabrias; Cinzia Fabrizi; Antonio Facchiano; Francesco Facchiano; Bengt Fadeel; Claudio Fader; Alex C Faesen; W Douglas Fairlie; Alberto Falcó; Bjorn H Falkenburger; Daping Fan; Jie Fan; Yanbo Fan; Evandro F Fang; Yanshan Fang; Yognqi Fang; Manolis Fanto; Tamar Farfel-Becker; Mathias Faure; Gholamreza Fazeli; Anthony O Fedele; Arthur M Feldman; Du Feng; Jiachun Feng; Lifeng Feng; Yibin Feng; Yuchen Feng; Wei Feng; Thais Fenz Araujo; Thomas A Ferguson; Álvaro F Fernández; Jose C Fernandez-Checa; Sonia Fernández-Veledo; Alisdair R Fernie; Anthony W Ferrante; Alessandra Ferraresi; Merari F Ferrari; Julio C B Ferreira; Susan Ferro-Novick; Antonio Figueras; Riccardo Filadi; Nicoletta Filigheddu; Eduardo Filippi-Chiela; Giuseppe Filomeni; Gian Maria Fimia; Vittorio Fineschi; Francesca Finetti; Steven Finkbeiner; Edward A Fisher; Paul B Fisher; Flavio Flamigni; Steven J Fliesler; Trude H Flo; Ida Florance; Oliver Florey; Tullio Florio; Erika Fodor; Carlo Follo; Edward A Fon; Antonella Forlino; Francesco Fornai; Paola Fortini; Anna Fracassi; Alessandro Fraldi; Brunella Franco; Rodrigo Franco; Flavia Franconi; Lisa B Frankel; Scott L Friedman; Leopold F Fröhlich; Gema Frühbeck; Jose M Fuentes; Yukio Fujiki; Naonobu Fujita; Yuuki Fujiwara; Mitsunori Fukuda; Simone Fulda; Luc Furic; Norihiko Furuya; Carmela Fusco; Michaela U Gack; Lidia Gaffke; Sehamuddin Galadari; Alessia Galasso; Maria F Galindo; Sachith Gallolu Kankanamalage; Lorenzo Galluzzi; Vincent Galy; Noor Gammoh; Boyi Gan; Ian G Ganley; Feng Gao; Hui Gao; Minghui Gao; Ping Gao; Shou-Jiang Gao; Wentao Gao; Xiaobo Gao; Ana Garcera; Maria Noé Garcia; Verónica E Garcia; Francisco García-Del Portillo; Vega Garcia-Escudero; Aracely Garcia-Garcia; Marina Garcia-Macia; Diana García-Moreno; Carmen Garcia-Ruiz; Patricia García-Sanz; Abhishek D Garg; Ricardo Gargini; Tina Garofalo; Robert F Garry; Nils C Gassen; Damian Gatica; Liang Ge; Wanzhong Ge; Ruth Geiss-Friedlander; Cecilia Gelfi; Pascal Genschik; Ian E Gentle; Valeria Gerbino; Christoph Gerhardt; Kyla Germain; Marc Germain; David A Gewirtz; Elham Ghasemipour Afshar; Saeid Ghavami; Alessandra Ghigo; Manosij Ghosh; Georgios Giamas; Claudia Giampietri; Alexandra Giatromanolaki; Gary E Gibson; Spencer B Gibson; Vanessa Ginet; Edward Giniger; Carlotta Giorgi; Henrique Girao; Stephen E Girardin; Mridhula Giridharan; Sandy Giuliano; Cecilia Giulivi; Sylvie Giuriato; Julien Giustiniani; Alexander Gluschko; Veit Goder; Alexander Goginashvili; Jakub Golab; David C Goldstone; Anna Golebiewska; Luciana R Gomes; Rodrigo Gomez; Rubén Gómez-Sánchez; Maria Catalina Gomez-Puerto; Raquel Gomez-Sintes; Qingqiu Gong; Felix M Goni; Javier González-Gallego; Tomas Gonzalez-Hernandez; Rosa A Gonzalez-Polo; Jose A Gonzalez-Reyes; Patricia González-Rodríguez; Ing Swie Goping; Marina S Gorbatyuk; Nikolai V Gorbunov; Kıvanç Görgülü; Roxana M Gorojod; Sharon M Gorski; Sandro Goruppi; Cecilia Gotor; Roberta A Gottlieb; Illana Gozes; Devrim Gozuacik; Martin Graef; Markus H Gräler; Veronica Granatiero; Daniel Grasso; Joshua P Gray; Douglas R Green; Alexander Greenhough; Stephen L Gregory; Edward F Griffin; Mark W Grinstaff; Frederic Gros; Charles Grose; Angelina S Gross; Florian Gruber; Paolo Grumati; Tilman Grune; Xueyan Gu; Jun-Lin Guan; Carlos M Guardia; Kishore Guda; Flora Guerra; Consuelo Guerri; Prasun Guha; Carlos Guillén; Shashi Gujar; Anna Gukovskaya; Ilya Gukovsky; Jan Gunst; Andreas Günther; Anyonya R Guntur; Chuanyong Guo; Chun Guo; Hongqing Guo; Lian-Wang Guo; Ming Guo; Pawan Gupta; Shashi Kumar Gupta; Swapnil Gupta; Veer Bala Gupta; Vivek Gupta; Asa B Gustafsson; David D Gutterman; Ranjitha H B; Annakaisa Haapasalo; James E Haber; Aleksandra Hać; Shinji Hadano; Anders J Hafrén; Mansour Haidar; Belinda S Hall; Gunnel Halldén; Anne Hamacher-Brady; Andrea Hamann; Maho Hamasaki; Weidong Han; Malene Hansen; Phyllis I Hanson; Zijian Hao; Masaru Harada; Ljubica Harhaji-Trajkovic; Nirmala Hariharan; Nigil Haroon; James Harris; Takafumi Hasegawa; Noor Hasima Nagoor; Jeffrey A Haspel; Volker Haucke; Wayne D Hawkins; Bruce A Hay; Cole M Haynes; Soren B Hayrabedyan; Thomas S Hays; Congcong He; Qin He; Rong-Rong He; You-Wen He; Yu-Ying He; Yasser Heakal; Alexander M Heberle; J Fielding Hejtmancik; Gudmundur Vignir Helgason; Vanessa Henkel; Marc Herb; Alexander Hergovich; Anna Herman-Antosiewicz; Agustín Hernández; Carlos Hernandez; Sergio Hernandez-Diaz; Virginia Hernandez-Gea; Amaury Herpin; Judit Herreros; Javier H Hervás; Daniel Hesselson; Claudio Hetz; Volker T Heussler; Yujiro Higuchi; Sabine Hilfiker; Joseph A Hill; William S Hlavacek; Emmanuel A Ho; Idy H T Ho; Philip Wing-Lok Ho; Shu-Leong Ho; Wan Yun Ho; G Aaron Hobbs; Mark Hochstrasser; Peter H M Hoet; Daniel Hofius; Paul Hofman; Annika Höhn; Carina I Holmberg; Jose R Hombrebueno; Chang-Won Hong Yi-Ren Hong; Lora V Hooper; Thorsten Hoppe; Rastislav Horos; Yujin Hoshida; I-Lun Hsin; Hsin-Yun Hsu; Bing Hu; Dong Hu; Li-Fang Hu; Ming Chang Hu; Ronggui Hu; Wei Hu; Yu-Chen Hu; Zhuo-Wei Hu; Fang Hua; Jinlian Hua; Yingqi Hua; Chongmin Huan; Canhua Huang; Chuanshu Huang; Chuanxin Huang; Chunling Huang; Haishan Huang; Kun Huang; Michael L H Huang; Rui Huang; Shan Huang; Tianzhi Huang; Xing Huang; Yuxiang Jack Huang; Tobias B Huber; Virginie Hubert; Christian A Hubner; Stephanie M Hughes; William E Hughes; Magali Humbert; Gerhard Hummer; James H Hurley; Sabah Hussain; Salik Hussain; Patrick J Hussey; Martina Hutabarat; Hui-Yun Hwang; Seungmin Hwang; Antonio Ieni; Fumiyo Ikeda; Yusuke Imagawa; Yuzuru Imai; Carol Imbriano; Masaya Imoto; Denise M Inman; Ken Inoki; Juan Iovanna; Renato V Iozzo; Giuseppe Ippolito; Javier E Irazoqui; Pablo Iribarren; Mohd Ishaq; Makoto Ishikawa; Nestor Ishimwe; Ciro Isidoro; Nahed Ismail; Shohreh Issazadeh-Navikas; Eisuke Itakura; Daisuke Ito; Davor Ivankovic; Saška Ivanova; Anand Krishnan V Iyer; José M Izquierdo; Masanori Izumi; Marja Jäättelä; Majid Sakhi Jabir; William T Jackson; Nadia Jacobo-Herrera; Anne-Claire Jacomin; Elise Jacquin; Pooja Jadiya; Hartmut Jaeschke; Chinnaswamy Jagannath; Arjen J Jakobi; Johan Jakobsson; Bassam Janji; Pidder Jansen-Dürr; Patric J Jansson; Jonathan Jantsch; Sławomir Januszewski; Alagie Jassey; Steve Jean; Hélène Jeltsch-David; Pavla Jendelova; Andreas Jenny; Thomas E Jensen; Niels Jessen; Jenna L Jewell; Jing Ji; Lijun Jia; Rui Jia; Liwen Jiang; Qing Jiang; Richeng Jiang; Teng Jiang; Xuejun Jiang; Yu Jiang; Maria Jimenez-Sanchez; Eun-Jung Jin; Fengyan Jin; Hongchuan Jin; Li Jin; Luqi Jin; Meiyan Jin; Si Jin; Eun-Kyeong Jo; Carine Joffre; Terje Johansen; Gail V W Johnson; Simon A Johnston; Eija Jokitalo; Mohit Kumar Jolly; Leo A B Joosten; Joaquin Jordan; Bertrand Joseph; Dianwen Ju; Jeong-Sun Ju; Jingfang Ju; Esmeralda Juárez; Delphine Judith; Gábor Juhász; Youngsoo Jun; Chang Hwa Jung; Sung-Chul Jung; Yong Keun Jung; Heinz Jungbluth; Johannes Jungverdorben; Steffen Just; Kai Kaarniranta; Allen Kaasik; Tomohiro Kabuta; Daniel Kaganovich; Alon Kahana; Renate Kain; Shinjo Kajimura; Maria Kalamvoki; Manjula Kalia; Danuta S Kalinowski; Nina Kaludercic; Ioanna Kalvari; Joanna Kaminska; Vitaliy O Kaminskyy; Hiromitsu Kanamori; Keizo Kanasaki; Chanhee Kang; Rui Kang; Sang Sun Kang; Senthilvelrajan Kaniyappan; Tomotake Kanki; Thirumala-Devi Kanneganti; Anumantha G Kanthasamy; Arthi Kanthasamy; Marc Kantorow; Orsolya Kapuy; Michalis V Karamouzis; Md Razaul Karim; Parimal Karmakar; Rajesh G Katare; Masaru Kato; Stefan H E Kaufmann; Anu Kauppinen; Gur P Kaushal; Susmita Kaushik; Kiyoshi Kawasaki; Kemal Kazan; Po-Yuan Ke; Damien J Keating; Ursula Keber; John H Kehrl; Kate E Keller; Christian W Keller; Jongsook Kim Kemper; Candia M Kenific; Oliver Kepp; Stephanie Kermorgant; Andreas Kern; Robin Ketteler; Tom G Keulers; Boris Khalfin; Hany Khalil; Bilon Khambu; Shahid Y Khan; Vinoth Kumar Megraj Khandelwal; Rekha Khandia; Widuri Kho; Noopur V Khobrekar; Sataree Khuansuwan; Mukhran Khundadze; Samuel A Killackey; Dasol Kim; Deok Ryong Kim; Do-Hyung Kim; Dong-Eun Kim; Eun Young Kim; Eun-Kyoung Kim; Hak-Rim Kim; Hee-Sik Kim; Jeong Hun Kim; Jin Kyung Kim; Jin-Hoi Kim; Joungmok Kim; Ju Hwan Kim; Keun Il Kim; Peter K Kim; Seong-Jun Kim; Scot R Kimball; Adi Kimchi; Alec C Kimmelman; Tomonori Kimura; Matthew A King; Kerri J Kinghorn; Conan G Kinsey; Vladimir Kirkin; Lorrie A Kirshenbaum; Sergey L Kiselev; Shuji Kishi; Katsuhiko Kitamoto; Yasushi Kitaoka; Kaio Kitazato; Richard N Kitsis; Josef T Kittler; Ole Kjaerulff; Peter S Klein; Thomas Klopstock; Jochen Klucken; Helene Knævelsrud; Roland L Knorr; Ben C B Ko; Fred Ko; Jiunn-Liang Ko; Hotaka Kobayashi; Satoru Kobayashi; Ina Koch; Jan C Koch; Ulrich Koenig; Donat Kögel; Young Ho Koh; Masato Koike; Sepp D Kohlwein; Nur M Kocaturk; Masaaki Komatsu; Jeannette König; Toru Kono; Benjamin T Kopp; Tamas Korcsmaros; Gözde Korkmaz; Viktor I Korolchuk; Mónica Suárez Korsnes; Ali Koskela; Janaiah Kota; Yaichiro Kotake; Monica L Kotler; Yanjun Kou; Michael I Koukourakis; Evangelos Koustas; Attila L Kovacs; Tibor Kovács; Daisuke Koya; Tomohiro Kozako; Claudine Kraft; Dimitri Krainc; Helmut Krämer; Anna D Krasnodembskaya; Carole Kretz-Remy; Guido Kroemer; Nicholas T Ktistakis; Kazuyuki Kuchitsu; Sabine Kuenen; Lars Kuerschner; Thomas Kukar; Ajay Kumar; Ashok Kumar; Deepak Kumar; Dhiraj Kumar; Sharad Kumar; Shinji Kume; Caroline Kumsta; Chanakya N Kundu; Mondira Kundu; Ajaikumar B Kunnumakkara; Lukasz Kurgan; Tatiana G Kutateladze; Ozlem Kutlu; SeongAe Kwak; Ho Jeong Kwon; Taeg Kyu Kwon; Yong Tae Kwon; Irene Kyrmizi; Albert La Spada; Patrick Labonté; Sylvain Ladoire; Ilaria Laface; Frank Lafont; Diane C Lagace; Vikramjit Lahiri; Zhibing Lai; Angela S Laird; Aparna Lakkaraju; Trond Lamark; Sheng-Hui Lan; Ane Landajuela; Darius J R Lane; Jon D Lane; Charles H Lang; Carsten Lange; Ülo Langel; Rupert Langer; Pierre Lapaquette; Jocelyn Laporte; Nicholas F LaRusso; Isabel Lastres-Becker; Wilson Chun Yu Lau; Gordon W Laurie; Sergio Lavandero; Betty Yuen Kwan Law; Helen Ka-Wai Law; Rob Layfield; Weidong Le; Herve Le Stunff; Alexandre Y Leary; Jean-Jacques Lebrun; Lionel Y W Leck; Jean-Philippe Leduc-Gaudet; Changwook Lee; Chung-Pei Lee; Da-Hye Lee; Edward B Lee; Erinna F Lee; Gyun Min Lee; He-Jin Lee; Heung Kyu Lee; Jae Man Lee; Jason S Lee; Jin-A Lee; Joo-Yong Lee; Jun Hee Lee; Michael Lee; Min Goo Lee; Min Jae Lee; Myung-Shik Lee; Sang Yoon Lee; Seung-Jae Lee; Stella Y Lee; Sung Bae Lee; Won Hee Lee; Ying-Ray Lee; Yong-Ho Lee; Youngil Lee; Christophe Lefebvre; Renaud Legouis; Yu L Lei; Yuchen Lei; Sergey Leikin; Gerd Leitinger; Leticia Lemus; Shuilong Leng; Olivia Lenoir; Guido Lenz; Heinz Josef Lenz; Paola Lenzi; Yolanda León; Andréia M Leopoldino; Christoph Leschczyk; Stina Leskelä; Elisabeth Letellier; Chi-Ting Leung; Po Sing Leung; Jeremy S Leventhal; Beth Levine; Patrick A Lewis; Klaus Ley; Bin Li; Da-Qiang Li; Jianming Li; Jing Li; Jiong Li; Ke Li; Liwu Li; Mei Li; Min Li; Min Li; Ming Li; Mingchuan Li; Pin-Lan Li; Ming-Qing Li; Qing Li; Sheng Li; Tiangang Li; Wei Li; Wenming Li; Xue Li; Yi-Ping Li; Yuan Li; Zhiqiang Li; Zhiyong Li; Zhiyuan Li; Jiqin Lian; Chengyu Liang; Qiangrong Liang; Weicheng Liang; Yongheng Liang; YongTian Liang; Guanghong Liao; Lujian Liao; Mingzhi Liao; Yung-Feng Liao; Mariangela Librizzi; Pearl P Y Lie; Mary A Lilly; Hyunjung J Lim; Thania R R Lima; Federica Limana; Chao Lin; Chih-Wen Lin; Dar-Shong Lin; Fu-Cheng Lin; Jiandie D Lin; Kurt M Lin; Kwang-Huei Lin; Liang-Tzung Lin; Pei-Hui Lin; Qiong Lin; Shaofeng Lin; Su-Ju Lin; Wenyu Lin; Xueying Lin; Yao-Xin Lin; Yee-Shin Lin; Rafael Linden; Paula Lindner; Shuo-Chien Ling; Paul Lingor; Amelia K Linnemann; Yih-Cherng Liou; Marta M Lipinski; Saška Lipovšek; Vitor A Lira; Natalia Lisiak; Paloma B Liton; Chao Liu; Ching-Hsuan Liu; Chun-Feng Liu; Cui Hua Liu; Fang Liu; Hao Liu; Hsiao-Sheng Liu; Hua-Feng Liu; Huifang Liu; Jia Liu; Jing Liu; Julia Liu; Leyuan Liu; Longhua Liu; Meilian Liu; Qin Liu; Wei Liu; Wende Liu; Xiao-Hong Liu; Xiaodong Liu; Xingguo Liu; Xu Liu; Xuedong Liu; Yanfen Liu; Yang Liu; Yang Liu; Yueyang Liu; Yule Liu; J Andrew Livingston; Gerard Lizard; Jose M Lizcano; Senka Ljubojevic-Holzer; Matilde E LLeonart; David Llobet-Navàs; Alicia Llorente; Chih Hung Lo; Damián Lobato-Márquez; Qi Long; Yun Chau Long; Ben Loos; Julia A Loos; Manuela G López; Guillermo López-Doménech; José Antonio López-Guerrero; Ana T López-Jiménez; Óscar López-Pérez; Israel López-Valero; Magdalena J Lorenowicz; Mar Lorente; Peter Lorincz; Laura Lossi; Sophie Lotersztajn; Penny E Lovat; Jonathan F Lovell; Alenka Lovy; Péter Lőw; Guang Lu; Haocheng Lu; Jia-Hong Lu; Jin-Jian Lu; Mengji Lu; Shuyan Lu; Alessandro Luciani; John M Lucocq; Paula Ludovico; Micah A Luftig; Morten Luhr; Diego Luis-Ravelo; Julian J Lum; Liany Luna-Dulcey; Anders H Lund; Viktor K Lund; Jan D Lünemann; Patrick Lüningschrör; Honglin Luo; Rongcan Luo; Shouqing Luo; Zhi Luo; Claudio Luparello; Bernhard Lüscher; Luan Luu; Alex Lyakhovich; Konstantin G Lyamzaev; Alf Håkon Lystad; Lyubomyr Lytvynchuk; Alvin C Ma; Changle Ma; Mengxiao Ma; Ning-Fang Ma; Quan-Hong Ma; Xinliang Ma; Yueyun Ma; Zhenyi Ma; Ormond A MacDougald; Fernando Macian; Gustavo C MacIntosh; Jeffrey P MacKeigan; Kay F Macleod; Sandra Maday; Frank Madeo; Muniswamy Madesh; Tobias Madl; Julio Madrigal-Matute; Akiko Maeda; Yasuhiro Maejima; Marta Magarinos; Poornima Mahavadi; Emiliano Maiani; Kenneth Maiese; Panchanan Maiti; Maria Chiara Maiuri; Barbara Majello; Michael B Major; Elena Makareeva; Fayaz Malik; Karthik Mallilankaraman; Walter Malorni; Alina Maloyan; Najiba Mammadova; Gene Chi Wai Man; Federico Manai; Joseph D Mancias; Eva-Maria Mandelkow; Michael A Mandell; Angelo A Manfredi; Masoud H Manjili; Ravi Manjithaya; Patricio Manque; Bella B Manshian; Raquel Manzano; Claudia Manzoni; Kai Mao; Cinzia Marchese; Sandrine Marchetti; Anna Maria Marconi; Fabrizio Marcucci; Stefania Mardente; Olga A Mareninova; Marta Margeta; Muriel Mari; Sara Marinelli; Oliviero Marinelli; Guillermo Mariño; Sofia Mariotto; Richard S Marshall; Mark R Marten; 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Journal:  Autophagy       Date:  2021-02-08       Impact factor: 13.391

5.  DGAT1 activity synchronises with mitophagy to protect cells from metabolic rewiring by iron  depletion.

Authors:  Maeve Long; Alvaro Sanchez-Martinez; Marianna Longo; Fumi Suomi; Hans Stenlund; Annika I Johansson; Homa Ehsan; Veijo T Salo; Lambert Montava-Garriga; Seyedehshima Naddafi; Elina Ikonen; Ian G Ganley; Alexander J Whitworth; Thomas G McWilliams
Journal:  EMBO J       Date:  2022-04-12       Impact factor: 14.012

Review 6.  The cell biology of the retinal pigment epithelium.

Authors:  Aparna Lakkaraju; Ankita Umapathy; Li Xuan Tan; Lauren Daniele; Nancy J Philp; Kathleen Boesze-Battaglia; David S Williams
Journal:  Prog Retin Eye Res       Date:  2020-02-24       Impact factor: 19.704

7.  The mito-QC Reporter for Quantitative Mitophagy Assessment in Primary Retinal Ganglion Cells and Experimental Glaucoma Models.

Authors:  Ines Rosignol; Beatriz Villarejo-Zori; Petra Teresak; Elena Sierra-Filardi; Xandra Pereiro; Natalia Rodríguez-Muela; Elena Vecino; Helena L A Vieira; Katharina Bell; Patricia Boya
Journal:  Int J Mol Sci       Date:  2020-03-10       Impact factor: 5.923

Review 8.  On ATG4B as Drug Target for Treatment of Solid Tumours-The Knowns and the Unknowns.

Authors:  Alexander Agrotis; Robin Ketteler
Journal:  Cells       Date:  2019-12-24       Impact factor: 6.600

9.  TDRD7 participates in lens development and spermiogenesis by mediating autophagosome maturation.

Authors:  Chaofeng Tu; Haiyu Li; Xuyang Liu; Ying Wang; Wei Li; Lanlan Meng; Weili Wang; Yong Li; Dongyan Li; Juan Du; Guangxiu Lu; Ge Lin; Yue-Qiu Tan
Journal:  Autophagy       Date:  2021-03-03       Impact factor: 16.016

Review 10.  Autophagy in the mammalian nervous system: a primer for neuroscientists.

Authors:  Fumi Suomi; Thomas G McWilliams
Journal:  Health Psychol Behav Med       Date:  2019-09-11
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