Prasun Guha1, Richa Tyagi1, Sayan Chowdhury1, Luke Reilly1, Chenglai Fu1, Risheng Xu1, Adam C Resnick2, Solomon H Snyder3. 1. The Solomon H. Snyder Department of Neuroscience, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA. 2. Children's Hospital of Philadelphia, Colket Translational Research Building, 3501 Civic Center Blvd., Philadelphia, PA 19104-4399, USA. 3. The Solomon H. Snyder Department of Neuroscience, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA; Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA; Department of Pharmacology and Molecular Sciences, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA. Electronic address: ssnyder@jhmi.edu.
Abstract
Autophagy plays a broad role in health and disease. Here, we show that inositol polyphosphate multikinase (IPMK) is a prominent physiological determinant of autophagy and is critical for liver inflammation and regeneration. Deletion of IPMK diminishes autophagy in cell lines and mouse liver. Regulation of autophagy by IPMK does not require catalytic activity. Two signaling axes, IPMK-AMPK-Sirt-1 and IPMK-AMPK-ULK1, appear to mediate the influence of IPMK on autophagy. IPMK enhances autophagy-related transcription by stimulating AMPK-dependent Sirt-1 activation, which mediates the deacetylation of histone 4 lysine 16. Furthermore, direct binding of IPMK to ULK and AMPK forms a ternary complex that facilitates AMPK-dependent ULK phosphorylation. Deletion of IPMK in cell lines and intact mice virtually abolishes lipophagy, promotes liver damage as well as inflammation, and impairs hepatocyte regeneration. Thus, targeting IPMK may afford therapeutic benefits in disabilities that depend on autophagy and lipophagy-specifically, in liver inflammation and regeneration.
Autophagy plays a broad role in health and disease. Here, we show that inositol polyphosphate multikinase (IPMK) is a prominent physiological determinant of autophagy and is critical for liver inflammation and regeneration. Deletion of IPMK diminishes autophagy in cell lines and mouse liver. Regulation of autophagy by IPMK does not require catalytic activity. Two signaling axes, IPMK-AMPK-Sirt-1 and IPMK-AMPK-ULK1, appear to mediate the influence of IPMK on autophagy. IPMK enhances autophagy-related transcription by stimulating AMPK-dependent Sirt-1 activation, which mediates the deacetylation of histone 4 lysine 16. Furthermore, direct binding of IPMK to ULK and AMPK forms a ternary complex that facilitates AMPK-dependent ULK phosphorylation. Deletion of IPMK in cell lines and intact mice virtually abolishes lipophagy, promotes liver damage as well as inflammation, and impairs hepatocyte regeneration. Thus, targeting IPMK may afford therapeutic benefits in disabilities that depend on autophagy and lipophagy-specifically, in liver inflammation and regeneration.
Autophagy occurs at a basal rate in most cells, eliminating protein
aggregates and damaged organelles to maintain cytoplasmic homeostasis. Autophagy can
also lead to cell death (Guha et al., 2016)
and plays a role in neurodegenerative diseases as well as malignant transformation
(Kaur and Debnath, 2015; Galluzzi et al., 2016). Diverse families of genes
regulating the autophagic process have been delineated, but how autophagy affects
their signaling remains unclear.Inositol polyphosphates are major signaling molecules generated by a family
of inositol phosphate kinases that successively phosphorylate the inositol ring,
leading to the formation of inositol hexakisphosphate (IP6) as well as lesser
phosphorylated derivatives. IP6, in turn, is phosphorylated to generate inositol
pyrophosphates; specifically, one or two isomers of IP7 and IP8 (Maag et al., 2011). Inositol polyphosphate multikinase
(IPMK) physiologically generates IP4 and IP5 (Maag
et al., 2011). In anon-catalytic fashion, IPMK influences diverse
cellular processes, functioning as a co-activator for p53, CREB, p300 (CBP), and
serum response factor (SRF) and regulating immediate-early gene transcription (Kim et al., 2011a, 2013; Xu et al.,
2013). As one of its kinase-independent activities, IPMK stabilizes the
mTORC1 complex (Kim et al., 2011a). IPMK is
also a physiological phosphatidylinositol 3-kinase (PI3K), with activity that leads
to Akt phosphorylation (Maag et al., 2011).
Deletion of IPMK is embryonic lethal in mice, indicating the importance of this
enzyme in biology (Maag et al., 2011).Interactions between IPMK and autophagy have been reported. In yeast,
deletion of IPMK leads to virtual abolition of autophagy as well as mitophagy (Taylor et al., 2012). IPMK appears to regulate
autophagy genes as well as their link to ULK kinase. Thus, deletion of IPMK markedly
reduces transcription of autophagy-associated genes and decreases activation of ULK
as well as downstream autophagy signaling. In the present study, we delineate
mechanisms whereby IPMK mediates diverse components of autophagy, for which IPMK
appears to be a major physiological determinant.
RESULT
IPMK Is Essential for Autophagy
To investigate the roles of IPMK in autophagy, we generated immortalized
IPMK wild-type (WT)/knockout (KO) MEFs (mouse embryonic fibroblasts) (Maag et al., 2011). IPMK KO MEFs displayed
impaired spreading, a well-established feature of autophagy suppression (Sharifi et al., 2016; Figure S1A). We monitored autophagy
by quantifying LC3 puncta, which correspond to autophagic vesicles (Klionsky et al., 2016). WT and KO MEFs
stably expressing GFP-LC3 were exposed to bafilomycin A1 (Baf A1) to analyze
basal autophagic flux (Klionsky et al.,
2016), which was markedly diminished in KO MEFs (Figure 1A). Glucose starvation, employed as a stimulus
for autophagy, significantly enhanced autophagic flux, with the increase reduced
about 70% in IPMK KO MEFs (Figure 1A).
Figure 1.
IPMK Is Required for Autophagy
(A) IPMK wild-type (WT) and (KO) MEFs were stably transfected with
GFP-LC3. Cells were subjected to Baf A1 (100 nM), glucose starvation (GluStv),
and GluStv + Baf A1 (100 nM). GFP-LC3 puncta were analyzed using confocal
microscopy. Scale bar, 20 μM. The bar chart shows numbers of puncta per
cell.
(B) Transmission electron microscopy (TEM) of WT and KO MEFs subjected
to different treatments. AV, autophagic vacuole. Scale bar, 2 μM.
Autophagic vacuoles per cell are shown as bar diagrams.
(C) The basal level of autophagy was evaluated by western blotting LC3
with Baf A1 (100 nM). The bar chart depicts the densitometric relative value of
LC3-II and Actin. n = 3, ***p < 0.001.
(D) LC3 western blot to check autophagic flux under GluStv and GluStv +
Baf A1.
(E) Western blot of the IPMK level in F/F and IPMK-deleted (Cre)
livers.
(F) LC3 western blot in F/F and Cre (IPMK KO) livers and after 24 h of
food starvation.
(G) IPMK KO MEFs were stably transfected with empty vector (myc), IPMK
WT (wIPMK) myc, and kinase-dead myc (KSA) IPMK. Autophagy was evaluated by
western blotting LC3 II levels with and without GluStv. Baf A1 (100 nM) was used
to analyze autophagic flux.
(H) NeoR-GFP was transiently transfected in WT and KO MEFs. Twenty-four
hours after transfection, cells were analyzed using confocal microscopy. Scale
bar, 20 μM. The bar chart depicts the mean fluorescence level of GFP.
(I) The amount of NeoR-GFP was analyzed by western blotting NeoR-GFP in
WT and KO MEF.
Data are means ± SD.
We validated the confocal data using transmission electron microscopy
(TEM) (Klionsky et al., 2016). Under
basal conditions, IPMK KO MEFs experienced an almost 70% loss of double-membrane
autophagic vesicles. Glucose starvation markedly enhanced the numbers of
autophagosomes in WT MEFs, which were greatly diminished in KO preparations
(Figure 1B).Global IPMK deletion in mice is embryonic lethal (Maag et al., 2011). Accordingly, we created
liver-specific conditional KOs of IPMK by crossing flox/flox IPMKmice with
albumin-Cre (alb-Cre) mice (STAR Methods;
Figure S1B).
Electron microscopy analysis of 24-h-starved mouse liver tissue sections
revealed autophagic vesicle formation in IPMK floxed/floxed (F/F) (WT) liver,
which was markedly diminished in IPMK F/F-AlbCre liver (KO) (Figure S1C), confirming the role of
IPMK in regulation of autophagy.Phosphatidylethanol-conjugated ATG8/LC3 is a widely used biochemical
marker of autophagy (Sharifi et al.,
2016). LC3-I is non-lipidated, whereas LC3-II is the lipidated form.
Levels of LC3-II are employed as markers of autophagosome formation and
accumulation (Klionsky et al., 2016). To
evaluate basal autophagic flux, cells were treated with Baf A1. Deletion of IPMK
virtually abolished LC3-II levels, implying a major role of IPMK in determining
basal levels of autophagy (Figure 1C). We
also stimulated autophagy through glucose starvation for 8 h. Deletion of IPMK
markedly suppressed LC3 lipidation in glucose-starved MEFs (Figure 1D). We employed 24 h of food deprivation, a
process that induced robust LC3-II expression in the livers of F/F mice (IPMK
F/F). In contrast, IPMK-deleted KO mice (IPMK F/F-AlbCre) failed to express
LC3-II (Figures 1E and 1F).To ensure that the findings with glucose starvation can be generalized
to other autophagic stimuli, we evaluated H2O2 treatment,
which is well-known to elicit autophagy (He et
al., 2017). IPMK deletion abolished LC3-II enhancement associated
with H2O2 treatment (Figure S1D).We extended our findings to a different cell type. Using small hairpin
RNA (shRNA), we stably knocked down IPMK in 786-0 renal cancer cells (Figure S1E). Knockdown of
IPMK with shRNA clone 3 in 786-0 cells significantly reduced enhancement of
LC3-II levels by glucose starvation (Figure S1F).IPMK possesses distinct inositol phosphate kinase activity and PI3K
activity (Figure S1G;
Maag et al., 2011). To ascertain the
importance of IPMK’s catalytic activity in regulating autophagy, we
overexpressed IPMK WT or IPMK-KSA (IPMK K129A/S235A), which is kinase-dead
(devoid of inositol triphosphate [IP3] and phosphatidylinositol
3-phosphate [PIP3] kinase activity) and verified their enzymatic activity
through inositol profiling (Figure S1H). We attempted to reverse the decreased autophagy
associated with IPMK deletion by rescuing IPMK KO MEFs with WT or kinase-dead
IPMK mutants (Figure 1G). Ki-nase-dead IPMK
mutants rescued the loss of LC3-II in IPMK KO cells as effectively as IPMK WT
(Figure 1G). Thus, the catalytic
activity of IPMK is not required for its enhancement of autophagy.Removal of exclusive autophagic substrates (not proteasomal substrates)
provides an independent way to analyze autophagy. Neomycinphosphotransferase II
(NeoR) is an exclusive autophagic substrate (Nimmerjahn et al., 2003; Chauhan et
al., 2013; Yang et al., 2011).
As established earlier, NeoR-GFP degradation is completely inhibited by
autophagic inhibitors like 3-methyladenine (3-MA) but does not respond to
inhibitors of proteasomal degradation. Inhibition of autophagy leads to
accumulation of NeoR-GFP, resulting in enhanced GFP fluorescence (Nimmerjahn et al., 2003; Chauhan et al., 2013; Yang et al., 2011). We transfected WT and KO MEFs with NeoR-GFP
plasmids, and 24 h after transfection we analyzed sequestration of NeoR-GFP
using confocal imaging and western blotting. Under basal conditions, WT MEFs
displayed uniform cytoplasmic and nuclear fluorescence. However, in KO cells,
brightly fluorescent protein aggregates were evident in nuclear proximal
regions, with a greatly enhanced mean fluorescence intensity (Figure 1H). Western blots showed stronger NeoR-GFP
bands in KO than in WT cells (Figure 1I),
implying defects in basal autophagy.
Deletion of IPMK Profoundly Suppresses Transcription of Autophagy-Related
Genes by Deactivating Sirtuin 1
We showed previously that IPMK can function as a transcriptional
co-activator and control transcription of immediate-early genes (Xu et al., 2013). IPMK has also been found to control
the transcriptional activity of HDAC (Watson et
al., 2012; Bosch and Saiardi,
2012). Arg82, the yeast homolog of IPMK, controls transcription of a
set of genes important for arginine metabolism (Bosch and Saiardi, 2012).To analyze IPMK’s role as a transcriptional regulator, we
performed qPCR of 6 autophagy-related genes. We selected LC3B and GABARAPL1,
which facilitate elongation and closure of autophagic vesicles (Joachim et al., 2015; Slobodkin and Elazar, 2013); BNIP3 and BNIP3L, which help initiate
macro-autophagy and selective forms of autophagy, such as mitophagy (Zhang and Ney, 2009; Quinsay et al., 2010); ATG12, a ubiquitin-like
protein involved in autophagic vesicle formation (Fader and Colombo, 2009); and P62 (sqstm1), an adaptor protein that
recruits cargo to autophagic vesicles (Kaur and
Debnath, 2015). Deletion of IPMK in MEFs markedly impaired mRNA
expression of these genes in untreated preparations and under glucose starvation
(Figure 2A). Furthermore, we performed
western blotting of BNIP3L, ATG12-ATG5, and GABARAPL1 to confirm the qPCR data.
The protein levels of the above genes were induced by glucose starvation and
virtually abolished in IPMK KO MEFs (Figure
2B).
Figure 2.
IPMK Enhances Transcription of Autophagy-Related Genes
(A) qPCR analysis of LC3B, BNIP3, BNIP3L, p62, GABARAPL1, and ATG12 in
IPMK WT and KO MEFs after GluStv.
(B) Western blot of BNIP3L, ATG12, and GABARAPL1 in IPMK WT and KO MEFs
after GluStv.
(C) Western blot of BNIP3L, ATG12, and GABARAPL1 in F/F and Cre (IPMK
KO) mouse livers after 24 h of food starvation.
(D) IPMK KO MEFs were stably transfected with empty vector (myc), wIPMK
myc, and kinase-dead myc (KSA) IPMK. Shown is a qPCR analysis of LC3B, BNIP3,
BNIP3L, p62, GABARAPL1, and ATG12 in myc, wIPMK, and KSA MEFs.
(E) Western blot analysis of histone 4 lysine 16 acetylation
(H4k16ac).
(F) Chromatin immunoprecipitation of H4k16 at the LC3B promoter from WT
and KO MEFs. n = 3, ***p < 0.001.
(G) Immunoprecipitation of Sirt-1 and western blot of DBC1 before and
after GluStv in WT and KO MEFs.
(H) HEK293 cells were transfected with FLAG Sirt-1 and myc AMPK or
empty vector of myc. Immunoprecipitation of myc was followed by FLAG western
blotting.
(I) HEK293 cells were transfected with FLAG Sirt-1 and myc IPMK and
empty vector of myc. Immunoprecipitation of myc was followed by FLAG western
blotting.
Data are means ± SD.
We extended our findings to 786-0 cells, in which deletion of IPMK
markedly reduced the protein levels of BNIP3L, ATG12, and GABARAPL1 (Figure S2A). In
vivo, western blot analysis of mouse liver samples after 24 h of
food starvation showed significant increases in BNIP3L, ATG12-ATG5, and GABRAPL1
in IPMK F/F mice; they were markedly diminished in IPMK F/F-AlbCre mice (KO)
(Figure 2C). We also examined MEFs
treated with H2O2. Within 1 h of
H2O2 exposure, we observed a substantial increase in
the mRNA levels of LC3B, BNIP3, BNIP3L, p62, GABARAPL1, and ATG12; they were
markedly decreased in IPMK KO MEFs (Figure S2B).The decreased mRNA expression of LC3B, BNIP3, BNIP3L, p62, GABARAPL1,
and ATG12 was rescued by both the WT and kinase-dead forms of IPMK (Figure 2D). Thus, the regulation of
transcription of autophagy-related genes by IPMK is independent of its kinase
activity.IPMK can regulate both histone acetylation and deacetylation, depending
on specific stimuli (Watson et al., 2012;
Xu et al., 2013). Induction of
autophagy requires downregulation of histone H4 lysine 16 acetylation (H4k16ac)
(Fullgrabe et al., 2013; Sakamaki et al., 2017). To ascertain
whether IPMK regulates autophagy through deacetylation of h4K16, we monitored
the levels of H4k16ac. Glucose starvation in WT cells markedly downregulated
H4k16ac, whereas deletion of IPMK completely suppressed deacetylation of h4K16
(Figure 2E). Further, chromatin
immunoprecipitation (ChIP) analysis of H4k16ac at the LC3B promoter confirmed
starvation-induced loss of h4K16 acetylation in WT cells, with KO levels
virtually unchanged (Figure 2F).Sirtuin 1(Sirt-1) is an important h4K16 deacetylase that regulates
starvation-induced autophagy (Sakamaki and Ryan,
2017; Sakamaki et al., 2017;
Berger and Sassone-Corsi, 2016).
Sirt-1 is activated by nutrient deprivation via its dissociation from its
inhibitory binding partner Deleted in Breast Cancer Protein 1 (DBC1) (Kim et al., 2008). AMP-activated protein
kinase (AMPK), a kinase activated by nutrient starvation (Kim et al., 2011b), stimulates Sirt-1 activation by
dissociating DBC1 from Sirt-1 (Sakamaki et al.,
2017). AMPK phosphorylation at Thr172, which is required for its
activation and is markedly increased in nutrient and food starvation (Bang et al., 2014), was significantly
diminished in IPMK KO cells (MEFs) and liver tissue (Figure S2C). Treatment with
5-aminoimidazole-4-carboxamide ribonucleotide (AICAR), a cell-permeable AMPK
stimulant, enhanced AMPK phosphorylation in WT MEFs but strikingly less in IPMK
KO MEFs (Figure S2C).
Co-immunoprecipitation of Sirt-1/DBC1 revealed binding of both proteins in WT
and KO MEFs under basal conditions. Glucose starvation in WT cells abolished
Sirt-1/DBC1 binding, whereas, in KO cells, binding was unchanged (Figure 2G).We wanted to know whether AMPK could physically interact with Sirt-1.
Overexpressed AMPK can bind to overexpressed Sirt-1 (Figure 2H). Intriguingly, endogenous AMPK could bind
to endogenous Sirt-1 independent of glucose starvation (Figure S2D). Deletion of IPMK
diminished the endogenous Sirt-1/AMPK interaction (Figure S2D). Overexpressed IPMK
also immunoprecipitated overexpressed and endogenous Sirt-1 in HEK293 cells
(Figure 2I; Figure S2E).Collectively, the data above detail a signaling cascade whereby IPMK
helps to activate AMPK, and binding of IPMK and AMPK to Sirt 1 facilitates
dissociation of Sirt-1 from DBC1, stimulating Sirt-1 activation. Activated
Sirt-1 further enhances deacetylation of H4K16 and transcription of
autophagy-related genes (Figure S2F).
IPMK Mediates AMPK-Dependent ULK Phosphorylation
AMPK may also influence autophagy through ULK phosphorylation.
ULK(Unc-51-like autophagy-activating kinase) is one of the earliest mediators of
autophagy (Itakura and Mizushima, 2010).
Kim et al. (2011b) and Egan et al. (2011) provided evidence that AMPK and
the mechanistic target of rapamycin (mTOR) regulate initiation of autophagy by
phosphorylating ULK. mTOR inhibits ULK activity by phosphorylating the enzyme at
serine 757. Under conditions of nutrient stress, AMPK enhances autophagy by
phosphorylating raptor, thereby inhibiting mTORC1 and activating phosphorylation
of ULK at serines 555, 317, and 777. We agree with the previous finding because
deletion of AMPK (alpha 1/2) (double KO [DKO]) impaired ULK phosphorylation at
serines 555, 317, and 777 (Figure S3A). Because IPMK regulates AMPK activation, we explored the
influence of IPMK on phosphorylation of ULK at the AMPK sites S-555/317/777
(Figure 3A). IPMK deletion abolished
AMPK-associated phosphorylation of ULK at S-555/317/777 under glucose
starvation.
Figure 3.
IPMK Regulates Autophagy through ULK Phosphorylation
(A) IPMK WT and KO MEFs were subjected to GluStv, followed by
immunoblotting of phosphorylated ULK1 at serines 555, 317, and 777. The ATG 13
phosphorylation status indicates the ULK1 activation level.
(B) IPMK WT and KO MEFs were transiently transfected with GFP-WIPI2.
Confocal analysis of WIPI2 puncta in WT and KO MEFs under untreated and
glucose-starved conditions was performed. Scale bar, 20 μM. The bar chart
depicts the numbers of WIPI2 puncta per cell.
(C) Followed by GluStv Immunoblot of phosphorylated ULK1 at serines
555, 317, and 777 in IPMK KO MEFs (myc) complemented with wIPMK or the
kinase-dead form (KSA).
(D) Phosphorylation of AMPK in WT and KO MEFs after
H2O2 (500 μM) treatment.
(E) IPMK WT and KO MEFs were treated with H2O2
(500 μM), followed by immunoblotting of phosphorylated ULK1 at serines
555, 317, and 777. The ATG 13 phosphorylation status indicates the ULK1
activation level.
Data are means ± SD.
Because IPMK deletion abolished the activating phosphorylation events on
ULK, one might anticipate decreases in ULK-dependent phosphorylation with IPMK
deficit. Accordingly, we monitored phosphorylation of the ULK substrate ATG 13
(Egan et al., 2015; Orsi et al., 2012; Figure 3A). IPMK deletion abolished phosphorylation of ATG 13 under
glucose starvation.We next assessed WIPI2 (WD repeat domain phosphoinositide-interacting
protein 2) punctum formation, which correlates with the amount of PtdIns(3)P
produced by the class III PtdIns(3) kinase complex (Russell et al., 2013; Dooley et al., 2014) and reflects activation of the
autophagy-specific PtdIns(3) kinase VPS34. Activation of ULK elicits
phosphorylation of VPS34 and stimulates its PtdIns(3) kinase activity (Dooley et al., 2014). Confocal imaging
revealed that IPMK depletion of glucose-starved MEFs suppressed WIPI2 punctum
formation but not protein levels (Figure
3B).We rescued the lost ULK phosphorylation of IPMK-deleted cells by
overexpressing IPMK WT and the kinase-dead form, which restored these
phosphorylation events (Figure 3C).We showed that regulation of ULK phosphorylation by IPMK occurs in
intact animals (Figure
S3B). Food deprivation markedly augmented ULK-S-555 phosphorylation,
which was substantially reduced in the livers of IPMK-deleted mice.IPMK can regulate AMPK phosphorylation under nutrient starvation (Figure S2C), which might
mediate the influence of IPMK on ULK. However, H2O2 can
directly induce AMPK phosphorylation by oxidative modification of the
AMPKα subunit (Zmijewski et al.,
2010). Consistent with this model, in IPMK-deleted MEFs,
H2O2-stimulated levels of phos-pho-AMPK were
comparable with the WT (Figure 3D).
Interestingly, ULK phosphorylation at the AMPK site after
H2O2 treatment was still significantly reduced in IPMK
KO MEFs (Figure 3E). Thus, the loss of ULK
phosphorylation in IPMK KOs is not just secondary to any alteration in AMPK
phosphorylation.
IPMK Regulates ULK Phosphorylation by Direct Binding Interactions
Because IPMK’s regulation of autophagy does not require its
kinase activity, we studied direct binding of IPMK to ULK. IPMK bound ULK
regardless of whether the pull-down employed ULK or IPMK (Figure 4A). We also showed that endogenous ULK binds
IPMK (Figure 4B). The absence of
satisfactory antibodies to IPMK precluded evaluation of endogenous IPMK binding
interactions. Utilizing in vitro systems, we did demonstrate
direct binding of ULK and IPMK (Figures S4A and S4B). To facilitate manipulation of
the IPMK and ULK system, we mapped sites on IPMK responsible for binding ULK
(Figures 4C and 4D). Fragment 3, comprising amino acids
182–252, appeared to be a candidate dominant-negative structure because
it substantially inhibited IPMK and ULK binding (Figure 4E). Acting as a dominant-negative fragment, fragment 3
reduced the influence of glucose starvation on LC3-II in HEK293 cells (Figures 4F–4H). In contrast, fragment 1, comprising amino acids
1–92, failed to influence LC3-II levels or ULK phosphorylation (Figure S4C). These
findings indicate that binding of IPMK to ULK mediates ULK phosphorylation and
autophagy (Figure 4I).
Figure 4.
IPMK Regulates ULK Phosphorylation by Direct Binding Interactions
(A) Empty myc, empty FLAG, myc IPMK, and FLAG ULK1 were co-transfected
in HEK293 cells, and co-immunoprecipitation was performed (n = 4).
(B) Glutathione S-transferase (GST), GST IPMK, and GST IPMK in
combination with small interfering RNA (siRNA) of ULK1 and scrambled (sc) siRNA
were co-transfected in HEK293 cells. Immunoprecipitation of GST was followed by
western blotting of endogenous ULK1.
(C) Schematic diagram of fragments of IPMK.
(D) Different fragments of GST IPMK were cotransfected with myc ULK1.
Immunoprecipitation of GST followed by western blot of myc was performed to map
IPMK binding to ULK1 (n = 3).
(E) Analysis of dominant negatives to assess binding of IPMK to ULK1 (n
= 3).
(F) Overexpression of an IPMK dominant-negative fragment (fragment 3)
in HEK293 cells, followed by GluStv for 6 h. Functional evaluation of the
dominant-negative action of fragment 3 was performed by immunoblotting LC3II and
ULK serine 555 (n = 3).
(G and H) Relative amounts of LC3II (G) and ULK serine 555 (H) are
plotted (n = 3); ***p < 0.01, *p < 0.05. Data are means ±
SD.
(I) Schematic diagram of IPMK binding to ULK1, which facilitates ULK1
phosphorylation and activation of autophagy. Data are means ± SD.
Direct Binding of IPMK to AMPK Is Required for IPMK’s Influence on
Autophagy
In intact cells, overexpressed IPMK and AMPK bound to each other (Figure 5A). To determine whether binding was
direct, we monitored the interactions of the purified IPMK and AMPK proteins
(Figures S5A and
S5B). We observed
substantial direct binding of IPMK and AMPK. We mapped binding sites on IPMK,
establishing that the binding is primarily associated with fragment 2,
comprising amino acids 92–182 (Figure
5B). Fragment 2 may offer promise as a dominant-negative fragment
because it abolished IPMK and AMPK binding (Figure
5C). We employed fragment 2 as a dominant-negative fragment to
explore the importance of IPMK in regulating ULK. Overexpressing fragment 2
greatly reduced ULK-S-555 phosphorylation as well as LC3 lipidation (Figures 5D–5F). Although fragment 5 bound AMPK, it failed to
serve as a dominant-negative fragment (Figure S5C). Intriguingly,
dominantnegative fragment 2 suppressed LC3b gene expression at mRNA levels
(Figure S5D). These
findings indicate that binding of IPMK to AMPK mediates ULK phosphorylation and
autophagy (Figure 5G).
Figure 5.
Direct Binding of IPMK to AMPK Is Required for IPMK Influence on
Autophagy
(A) Empty myc, myc IPMK, and FLAG AMPK were co-transfected in
combination in HEK293 cells, and co-immunoprecipitation was performed (n =
4).
(B) Different fragments of GST-IPMK were cotransfected with myc AMPK
Alpha 2. Immunoprecipitation of GST followed by western blotting of myc was
performed to map IPMK binding to AMPK (n = 3).
(C) Analysis of dominant negatives for binding of IPMK to AMPK (Kaur and Debnath, 2015).
(D) Overexpression of an IPMK dominant-negative fragment (fragment 2)
in HEK293 cells, followed by GluStv for 6 h. Functional evaluation of
dominant-negative action of fragment 2 was performed by immunoblotting LC3II and
ULK serine 555 (n = 3).
(E and F) Relative amounts of LC3II (E) and ULK serine 555 (F) are
plotted; *p < 0.05. Data are means ± SD.
(G) Schematic diagram of IPMK binding to AMPK, facilitating ULK1
phosphorylation and activation of autophagy. Data are means ± SD.
IPMK Is Essential for AMPK and ULK Interactions
IPMK is required for binding of ULK and AMPK because their binding was
abolished in IPMK KO MEFs with or without glucose starvation (Figure 6A). This action is selective because IPMK
deletion did not influence binding of ULK to FIP200 (Figure 6B), ATG101 (Figure 6C), or ATG 13 (Figure
6D). We extended this finding to H2O2
treatment, which acted the same as glucose starvation (Figures S6A-S6D). We buttressed these
conclusions in experiments employing in vitro ULK
phosphorylation by AMPK. Addition of recombinant humanIPMK (hIPMK) (100 ng, 500
ng, and 1 μg) augmented AMPK-dependent ULK phosphorylation (Figure S6E). ULK
phosphorylation reached saturation at 500 ng of IPMK. Thus, IPMK is essential
for AMPK and ULK interactions and AMPK-dependent ULK phosphorylation (Figure 6E).
Figure 6.
IPMK Is Essential for AMPK and ULK1 Interactions
(A–D) IPMK WT and KO MEFs were glucose-starved. The role of IPMK
as a scaffold was analyzed by immunoprecipitation of endogenous ULK1 and western
blotting of endogenous AMPK (A), FIP200 (B), ATG101 (C), and ATG 13 (D).
(E) IPMK interacts with ULK and AMPK to form a ternary complex that
facilitates AMPK-dependent ULK phosphorylation.
IPMK Is Required for Lipophagy and Regulates Liver Inflammation and
Hepatocyte Regeneration
Abundant data implicate IPMK in regulation of autophagy. One form of
macroautophagy, called lipophagy, has been shown to contribute to hydrolysis of
triacylglycerol stored in cytoplasmic lipid droplets. Accordingly, we evaluated
a potential role of IPMK in regulating lipophagy. IPMK-deleted MEFs displayed a
doubling of lipid droplets both in regular medium and with oleate treatment,
indicating substantial diminution of lipophagy (Figure 7A). Starvation induces hepatic autophagy and increases
delivery of free fatty acids (FFAs) from adipose tissue lipolysis to the liver.
Electron microscopy and oil red O staining revealed that both under untreated
conditions and overnight starvation, the numbers of lipid droplets were
substantially increased in F/F-AlbCre (liver-specific IPMK KO) mice compared
with F/F (WT) mice (Figure 7B; Figure S7A), indicating
impaired lipophagy in IPMK-deleted livers. The effect of IPMK and AMPK signaling
on lipid droplet formation was analyzed by overexpressing fragment 2
(dominantnegative for IPMK and AMPK binding). The number of lipid droplets
increased significantly in fragment 2 (Figure S7D).
Figure 7.
IPMK Is Required for Lipophagy, Cytoprotection, and Cell Regeneration
(A) Triglyceride levels in IPMK WT and KO MEFs treated in regular
medium (RM) or oleate (OL), measured by staining with boron-dipyrromethene
(BODIPY) 493/503. Relative amounts of lipid droplets (LDs) were plotted. ***p
< 0.001. Data are means ± SD. Scale bar, 20 μM.
(B) IPMK F/F and AlbCre mice were starved for 24 h, and livers were
harvested for electron microscopy analysis of lipid droplets in untreated and
0-h- and 24-h-starved mice. Lipid droplets were counted and are represented as
bars. ***p < 0.001. Data are means ± SD. Scale bar, 2
μM.
(C) Histology of intact livers from IPMK F/F and AlbCre mice. Tissue
sections were stained with H&E to check cellular texture and immunostained
with F4/80 to monitor inflammatory cells and terminal deoxynucleotidyl
transferase dUTP nick end labeling (TUNEL) for apoptosis of hepatocytes.
Inflammatory cells and TUNEL-positive cells were counted and are represented as
bars. n = 4, ***p < 0.001. Data are means ± SD. Scale bar, 200
μM.
(D) Schematics of the experimental protocol. IPMK F/F and AlbCre mice
were injected intraperitoneally with a single acute dose (2 μg/g) of
Ccl4, followed by liver harvest after 48 h of treatment.
(E) Staining of liver sections with H&E, F4/80, TUNEL, and Ki67.
Inflammatory cells, TUNEL-positive cells, and Ki67-stained cells were counted
and are represented as bars. n = 4, ***p < 0.001. Data are means ±
SD. Scale bar, 200 μM.
(F) EDU incorporation in vehicle-treated and Ccl4-treated mouse livers.
EDU-positive cells were counted and are represented as bars. n = 4.
***p<0.001. Data are means ± SD. Scale bar, 20 μM.
We wondered whether IPMK deficiency affected overall liver function,
which we assessed by monitoring the serum levels of alanine-leucine transaminase
(ALT), which were unchanged in IPMK KOs and F/F-AlbCre mice (Figure S7B). We examined liver
morphology by H&E staining, which was not altered in F/F-AlbCre mice.
However, we observed a mild increase in inflammatory cell number in F/F-AlbCre
livers as well as a modest enhancement of apoptotic cells (Figure 7C).We evaluated the response of IPMK-deleted livers (F/F-AlbCre) to
cytotoxic insults utilizing carbon tetrachloride (Ccl4) (Figure 7D). Damage was increased substantially in IPMK
KO livers (Figure 7E). The damage
associated with Ccl4 was especially notable, with increased numbers of
inflammatory cells and apoptotic cell profiles as well as serum ALT levels
(Figure S7C). These
observations indicate that IPMK is cytoprotective. We also monitored liver
regeneration following Ccl4 administration (Figures 7E and 7F). We measured
Ki67, an index of replicative cell activity, as well as
5-ethynyl-2’-deoxyuridine (EDU) incorporation into regenerating cells.
Cell regeneration appeared to decrease by about 50% in IPMK KO livers.
DISCUSSION
The present study establishes IPMK as a principal determinant of autophagy
and of cytoprotection in the liver. Deletion of IPMK abolishes autophagy, monitored
in multiple ways, indicating that IPMK is a physiological regulator of autophagy
(Figure 1). Catalytic activity of IPMK is
not required for this. Mechanistically, IPMK regulates autophagy in two different
ways. (1) IPMK influences transcription of autophagy-related genes by regulating
H4K16 deacetylation. (2) IPMK mediates AMPK-dependent ULK phosphorylation. We also
showed that deletion of IPMK impairs lipophagy in cell lines and intact liver (Figures 7A and 7B). Most importantly, deletion of IPMK augments liver inflammation and
impedes hepatocyte regeneration (Figures 7D and
7E).IPMK KO mice die early in development, around embryonic day 9.5 (E9.5),
because of severe growth and morphological defects resembling the phenotype of mice
with deletion of major autophagy-regulatory genes, such as Beclin 1, FIP200, and
Ambra1 (Maag et al., 2011; Mizushima and Levine, 2010; Seeds et al., 2015). Deletion of IPMK in
Drosophila substantially impairs adult tissue growth and
stability (Seeds et al., 2015). Loss of yeastIPMK (Arg82) retards growth and increases susceptibility to stress-induced death
(Szijgyarto et al., 2011). Moreover,
deletion of yeastIPMK impairs autophagy and mitophagy (Taylor et al., 2012; Kanki et al., 2009).How does IPMK influence the autophagic process? IPMK regulates autophagy
through AMPK. AMPK initiates autophagy by regulating the transcription of autophagic
genes and activating ULK. Nutrient deprivation promotes Sirt-1-mediated
deacetylation of H4K16, followed by transcription of autophagy-related genes (Fullgrabe et al., 2013). AMPK enhances
dissociation of Sirt-1 from its inhibitor DBC1 and stimulates transcription of
autophagy-related genes (Sakamaki et al.,
2017). We found that deletion of IPMK markedly diminishes AMPK activation
during glucose starvation and impairs AMPK-mediated H4K16 deacetylation (Figure 2). On the other hand, AMPK phosphorylates
ULK at serines 555, 317, and 777 and activates autophagy by recruiting the beclin1
complex and activating the class III PI3K VPS34 (Lamb et al., 2013). AMPK-dependent ULK phosphorylation is abolished with
deletion of IPMK (Figure 3). It could be
anticipated that IPMK influences ULK phosphorylation by activating AMPK. However,
with H2O2 treatment, IPMK-deleted MEFs have increased levels
of phospho-AMPK, comparable with the WT (Figure 3F), although ULK phosphorylation at
the AMPK site is significantly diminished (Figure 3G). Protein-protein interaction
studies confirmed that IPMK acts as a scaffold protein, linking AMPK with ULK (Figures 4, 5, and 6).In summary, we present two signaling cascades, IPMK-AMPK-H4K16 and
IPMK-AMPK-ULK, that regulate transcription and ULK phosphorylation to initiate
autophagy (Figure S7E).
IPMK positively regulates lipophagy and is also essential for cytoprotection of the
liver and hepatocyte regeneration (Figures 7A-7F).
Autophagy has been implicated in numerous conditions, such as neurodegenerative
diseases, cocainetoxicity (Guha et al.,
2016; Galluzzi et al., 2016; Yang et al., 2011), cancer, and obesity (Haim et al., 2015). IPMK’s influence on
autophagy may be also a major mediator of these diverse actions.
STAR★METHODS
CONTACT FOR REAGENT AND RESOURCE SHARING
Further information and requests for resources and reagents should be
directed to and will be fulfilled by the Lead Contact, Solomon H. Snyder MD
(ssnyder@jhmi.edu).
EXPERIMENTAL MODEL AND SUBJECT DETAILS
Animals
All protocols were approved by the Johns Hopkins University Animal
Care and Use Committee. Mice were housed according to institutional
guidelines, in a controlled environment at a temperature of 22°C
± 1°C, under a 12-h dark-light period and provided with
standard chow diet and water ad libitum. Male and female
IPMK F/F, IPMK F/F-Alb Cre, (between 1 and 3-month-old) were used.
Specifically, male mice were used for liver regeneration study, electron
microscopy and tissue histology. All mice were maintained in 129SV-C57BL/6
mixed background.
Cell culture
Mouse embryonic fibroblasts (MEF) and humanembryonic kidneyHEK293T
cells (American Type Culture Collection) were maintained in a humid
atmosphere of 95% air and 5% CO2 at 37°C in DMEM 786-0 renal cancer
cell was marinated in RPMI-1640 supplemented with 10% FBS, L-glutamine (2
mM), and penicillin (100 units/mL)/streptomycin (100 mg/mL). Retroviral
transfection and generation of stably transfected cells:Retroviral constructs (5) were transiently transfected into a
Platinum-E retroviral packaging cell line for 48 h by using Lipofectamine
2000 transfection reagent. The high-titer viral stocks were produced by
passing the supernatant using a 0.45 μm pore size-filter. For
infection, MEFs were incubated with the viral supernatant in the presence of
polybrene (8 μg/mL) for 48 h. Stably infected MEFs were selected with
blasticidin (4 μg/mL) for 1-2 weeks. Selected stable cell lines were
always maintained in respective medium containing blasticidin (4
μg/mL).
Generation of brain specific IPMK knock out mice
IPMK F/F mice were generated as described previously (5). To develop
brain specific IPMK KO, IPMKfl/fl mice were crossed with FLP delete
(Neomycin) and Nestin Cre driver (brain specific cre driver) mice. FRT sites
flanking the neomycin resistance gene facilitate its removal by FLP
recombinase,and loxP sites facilitate removal of the targeted exon 6 by Cre
recombinase. IPMKfl/fl mice were mated with mice expressing FLP recombinase
to excise the neomycin resistance gene to generate IPMKflpped/flpped mice
(we refer IPMK F/F in the paper). Homozygous IPMK F/F mice were crossed with
the Albumin Cre+/− mice, which mediate excision of floxed alleles in
liver, mostly in hepatocytes. Genotyping was performed using a transnetyx
genotyping facility. All mice were maintained on a 129SV-C57BL/6 mixed
background. Animal care and experimentations were approved by the Johns
Hopkins University Animal Care and Use Committee. Mice were housed in a 12-h
light/12-h dark cycle, at an ambient temperature of 22°C, and fed
standard rodent chow.
METHOD DETAILS
Chemicals, antibodies and reagents
Hydrogen peroxide, bafilomycin, antifade gold mounting medium, FBS,
L-glutamine, penicillin /streptomycin, DMEM without glucose, DMEM without
sodium pyruvate for H2O2 treatment medium, PVDF membrane, DMSO cell culture
grade, Lipofectamine 2000, Lipofectamine 3000 were purchased from Thermo
Fisher Scientific. Polyfect was purchased from qiagen. Antibodies for actin,
LC3, ATG5, myc, VPS34, ULK ser 317, ULK ser 757, ATG 13, ATG 13pSer 318,
Beclin1, Beclin Ser 15, VPS34Ser 249, AMPK, PAMPK Thr 172,Flag, GST,
HA,FIP200, ATG101 were purchased from Cell Signaling Technology. ULK1ser555
and ULK ser 777 were from Millipore. ULK1 for immunoprecipitation was
purchased from Sigma. Ulk1 for western blots was purchased from Santacruz
Biotechnology. Anti-mouseIPMK was developed in our lab.Mouse embryonic fibroblasts (MEF) and humanembryonic kidneyHEK293T
cells (American Type Culture Collection) were maintained in a humid
atmosphere of 95% air and 5% CO2 at 37°C in DMEM supplemented with
10% FBS, L-glutamine (2 mM), and penicillin (100 units/mL)/streptomycin (100
mg/mL). PC12 (ATCC) cells were maintained in DMEM supplemented with 10%
(vol/vol) horse serum, 5% (vol/vol) FBS, and 2 mM L-glutamine.IPMK F/F mice were generated as described previously (5). To develop
brain specific IPMK KO, IPMKfl/fl mice were crossed with FLP delete
(Neomycin) and Nestin Cre driver (brain specific cre driver) mice. FRT sites
flanking the neomycin resistance gene facilitate its removal by FLP
recombinase,and loxP sites facilitate removal of the targeted exon 6 by Cre
recombinase. IPMKfl/fl mice were mated with mice expressing FLP recombinase
to excise the neomycin resistance gene to generate IPMKflpped/flpped mice.
Homozygous IPMKflpped/flpped mice were crossed with the Albumin
Cre+/− mice, which mediate excision of floxed alleles in liver,
mostly in hepatocytes. Genotyping was performed using a transnetyx
genotyping facility. All mice were maintained on a 129SV-C57BL/6 mixed
background. Animal care and experimentations were approved by the Johns
Hopkins University Animal Care and Use Committee. Mice were housed in a 12-h
light/12-h dark cycle, at an ambient temperature of 22°C, and fed
standard rodent chow.
Plasmids and recombinant proteins
The following plasmids were from Addgene:
pMXs-puroGFP-DFCP1,pCDNA6-mycULK1 wt, pCDNA3 Flag ULK1, pCDNA3 mycAMPK
Alpha 2, pBABE-puro-mCherry-GFP-LC3,and pBABE-puro-GFP-LC3. pCMV-AMPK alpha
2 Flag was from Sinobiologicals. Our lab generated pCMV-IPMK-GST and
different fragments tagged with GST, pCMV-myc-IPMK, pCMV-HA-IPMK, pMX-myc,
pMX-mycIPMK WT, and pMX-mycKSA. Constitutively active AMPK was a kind gift
from Dr. Anne Burnet (Stanford University School of Medicine, Stanford, CA).
We purchased recombinant hIPMK from Origene. Recombinant hULK1 and AMPK were
purchased from Signalchem.
Autophagy activation in mouse liver
Mice (male) were starved overnight followed feeding for 6 h to
synchronize the food cycle. Then one group of mice was allowed to feed,
while a second group of mice (IPMK F/F and IPMK F/F-Albumin Cre) was starved
for 24 h. Starvation of food induced autophagy in liver was analyzed by
western blot of LC3-II and ULK ser 555. Each group comprised 3 mice.
Activation of autophagy in cells
1× 105Cells (MEF and others) were glucose starved
for 8 h followed by lysing them for biochemical analysis(30). Oxidative
stress was elicited by treatment with H2O2 (500 uM) for 30 min, which
induced substantial autophagy in MEFs and other cell lines. Autophagic flux
was analyzed using Baf A1 100 nM to inhibit lysosomal degradation of
autophagic vesicles (12). Autophagy was analyzed either by western blot of
LC3-II, transmission electron microscopy, or confocal microscopy.
Transmission Electron Microscopy (TEM)
MEFs were treated with indicated concentrations of
H202, bafilomycin, or by glucose starvation. The
cells were fixed in 2.5% glutaraldehyde, 3 mM MgCl2, in 0.1 M sodium
cacodylate buffer, pH 7.2, for one h at room temperature. After buffer
rinse, samples were post-fixed in 1% osmium tetroxide in buffer (1 h) on ice
in the dark. The cells were stained with 2% aqueous uranyl acetate (0.22 mm
filtered, 1 h in the dark), dehydrated in a graded series of ethanol
solutions and embedded in Eponate 12 (Ted Pella) resin. Samples were
polymerized at 37°C for 2-3 days before moving to 60°C
overnight. Thin sections, 60 to 90 nm, were cut with a diamond knife on a
Reichert-Jung Ultracut E ultramicrotome and picked up with 2×1 mm
copper slot grids. Grids were stained with 2% uranyl acetate in 50% methanol
and lead citrate at 4°C and observed with a Hitachi 7600 TEM. Images
were captured with an AMT CCD XR50 (2K × 2K) camera. Classification
and counting of autophagic vacuoles were done by double-blinded independent
observers.To study liver tissue we starved mice for 24 h followed by surgical
excision of the liver. Livers were fixed in 2% (wt/vol) paraformaldehyde
(freshly prepared from EM grade prill form), 2% (vol/vol) glutaraldehyde, 3
mM MgCl2, in 0.1 M sodium cacodylate buffer, pH 7.2, overnight. Regions of
interest were dissected and samples were washed in 0.1 M sodium cacodylate
buffer with 3 mM MgCl2 and 3% (wt/vol) sucrose. Samples were postfixed in
reduced 2% (wt/vol) osmium tetroxide, 1.6% (wt/vol) potassium ferrocyanide
in buffer (2 h) on ice in the dark. Samples were stained with 2% (wt/vol)
aqueous uranyl acetate (0.22 μm filtered, 1 h in the dark),
dehydrated in a graded series of ethanol propylene oxide solutions, and
embedded in Eponate 12 (Ted Pella) resin. Samples were polymerized at
60°C overnight. Thin sections (60–90 nm) were cut with a
diamond knife on a Reichert-Jung Ultracut E ultramicrotome and picked up
with 2 × 1 mm copper slot grids. Grids were stained with 2% (wt/vol)
uranyl acetate in 50% (vol/vol) methanol and lead citrate at 4°C and
observed with a Hitachi 7600 TEM. Images were captured with an AMT CCD XR50
(2K × 2K) camera.
qPCR analysis
After extracting the total RNA using Gen Elute Mammalian Total RNA
miniprep kits (Sigma), and checking its integrity by electrophoresis, the
cDNA was synthesized from 1 mg of purified total RNA using Revert Aid H
minus first strand cDNA synthesis kit (Fermentas Life Sciences,
Ontario,Canada). Expression of mouse and humanIPMK, mouseLC3B, mouseBNIP3
and mouseGAPDH was detected using suitably designed Taqman primers
(Invitrogen).Other genes such as mouseBNIP3L, P62,GABARAPL1 and ATG12 were
determined using primers given in the table. qPCR of these genes was
performed using power Sybr green pcr mater mix from Invitrogen. Expression
of the designated enzymes was normalized against glyceraldehyde-3-phosphate
dehydrogenase (GAPDH) as the internal reference. The experiments were
performed (real-time PCR Systems StepOne plus, Applied Biosystems) in
triplicate. Data were quantified for the above genes using the comparative
Ct method, as described in the Assays-on-Demand Users Manual (Applied
Biosystems).qPCR Primers (Sybr green):catcgtggagaaggctccta- gabarapl1 (mF)atacagctggcccatggtag- gabarapl1 (mR)AACAAAGAAATGGGCTGTGG – ATG12 (mF)TTGCAGTAATGCAGGACCAG- ATG12 (mR)CCTCGTCTTCCATCCACAAT- bnip3l (mF)GTCCCTGCTGGTATGCATCT- bnip3l (mR)TGGCCACCTCTCTGATAGCT- p62 (mF)TCATCGTCTCCTCCTGAGCA- p62 (mR)
ChIP
Approximately 7×106 cells were fixed with 1%
formaldehyde (Sigma-Aldrich, Cat#: F8775) at room temperature for 10 min
followed by ChIP using ChIP assay Kit from Millipore-Sigma (17-295). Cells
were then harvested and lysed in 500 mL of ChIP lysis Buffer (50 mM Tris-HCl
pH 8.0, 5 mM EDTA, 150 mM NaCl, 0.5% Triton X-100, 0.5% SDS, 0.5% NP-40, 1
mM sodium butylate) containing protease inhibitor cocktail. The lysates were
subjected to sonication to shear DNA to a length of approximately between
150 and 900 bp. The lysate was then diluted in 1.2 mL of ChIP dilution
buffer and incubated with control IgG (Cell Signaling Technology, Cat#:
2729S) or primary antibody H4k16ac (Active Motif 39168) 4C overnight. Then
the lysate was incubated with Protein A/ Salmon sperm slurry (provided in
kit) for 1 h at 4C. The beads were washed sequentially with wash buffer
provided in kit. The immunocomplexes were eluted with 75 mL of elution
buffer (1% SDS, 0.1 M NaHCO3) twice at 65C for 30 min. After elution, the
cross-link was reversed by adding NaCl and incubated together with
Proteinase K (Thermo Fisher Scientific, Cat#: EO0491) overnight at 65C. ChIP
DNA was purified using ChIP DNA purification kit (Actif motif 58002). The
purified DNA was analyzed on a StepOnePlus using power SYBR Green Master
Mix. The results are presented as percentage of input. qPCR analyses were
done in triplicate. We used LC3B primers:(F) CATGCCTTGGGACACCAGAT, (R)
ACCTTCTTCAAGTGCTGTTTGT (45).
Confocal microscopy of autophagy
IPMK WT and KO MEFs were stably transfected with LC3 GFP. IPMK WT
and KO cells were transiently transfected with NeoR-GFP and GFP-WIPI2
constructs using lipofectamine 3000. Cells were treated with different
conditions and images were captured in a confocal microscope using Zeiss LSM
800. Images were analyzed with Zenlite software. The puncta were counted
using Imaris x64 7.7.2 software.The intensity of NeoR-GFP was analyzed using
ImageJ.
Western blots
Cell lysates were prepared using lysis buffer (150 mM NaCl, 0.5%
CHAPS, 0.1% Triton, 0.1% BSA, 1 mM EDTA, protease inhibitors, phosphatase
inhibitors). Samples were centrifuged at 14,000 g for 20 min, and the
protein concentration of the supernatant was measured. Proteins were
resolved by SDS-polyacrylamide gel electrophoresis and transferred to PVDF
membranes. The membranes were blocked for 2 h at room temperature in 20 mM
Tris-HCl, pH 7.4, 150 mM NaCl, and 0.02% Tween 20 (Tris-buffered
saline/Tween 20) containing 3% BSA followed by overnight incubation at
4°C in 1:1000 dilution of the respective antibodies for LC3, actin,
ULK1, ULK Ser 555, ULK Ser 317, ULK Ser 777, ULK Ser 757, ATG 13, ATG 13Ser
318, Bnip3l, ATG12, GABARAPL1, H4k16ac, H4, Sirt-1, DBC1, GFP, AMPK, AMPKThr 172, FIP200, ATG101, anti-myc, anti-gst, anti-HA, anti-Flag in 3% BSA.
The PVDF membrane (Millipore) was washed three times with Tris-buffered
saline/Tween-20, incubated with HRP-conjugated secondary antibody (GE health
care), and the bands visualized by chemiluminescence (Pierce). The depicted
blots are representative replicates selected from at least three
experiments. Densitometric analysis was performed using ImageJ software.
Immunoprecipitations
pCMV mycIPMK or pCMV myc were cotransfected with pCMV Flag or pCMV
ULK1 plasmids into HEK293 cells using polyfect (QIAGEN). Forty-eight hours
after transfection, immunoprecipitation of the myc or Flag tagged protein
was performed with 500 μg of protein lysates in lysis buffer (150 mM
NaCl, 0.5% CHAPS, 0.1% Triton, 0.1% BSA, 1 mM EDTA, protease inhibitors,
phosphatase inhibitors) incubated overnight at 4°C EZview myc or Flag
beads (Sigma). Beads were pelleted and washed with lysis buffer 3 times, and
SDS sample buffer loading dye was added. Immunoprecipitated samples were
resolved by polyacrylamide gel electrophoresis. To assess interactions
between IPMK and AMPK, HEK293 cells were co-transfected with pCMV mycIPMK or
pCMV myc with Flag AMPK followed by immunoprecipitaion of myc using the
above-mentioned protocol. In the same way, different IPMKgst fragments were
co-transfected either with mycULK1 or mycAMPK to map the IPMK binding
site.To analyze Sirt-1/AMPK and IPMK/Sirt-1 interaction we overexpressed
mycAmpk and Flag Sirt in one reaction mycIPMK and Flag Sirt-1 with emty
myc as control.We immunoprecipiated myc using EZview myc beads and western
blot flag to check the interaction.
In vitro AMPK mediated ULK phosphorylation
In Vitro assay was performed as previously reported
(30).Recombinant GST-hUlk1 protein (ThermoFisher) 500 ng was incubated with
10 ng of recombinant purified AMPK complex (Signal Chem) in kinase assay
buffer (20 mM HEPES at pH 7.4, 1 mM EGTA, 0.4 mM EDTA, 5 mM MgCl2 and 0.05
mM DTT) supplemented with 0.2 mM AMP and 0.1 mM cold ATP, for 20 min.
Recombinant myc-humanIPMK was added to the kinase reaction (100 ng, 500 ng
and 1 ug). After the reaction, western blot of ULK S 777 was performed to
test the importance of IPMK.
Mice Liver toxicity and regeneration study
IPMK F/F and F/F-AlbCre mice were treated acutely with carbon
tetrachloride (Ccl4) 2 ul/g. 48 h after treatment serum was collected from
blood through cardiac puncture followed by analysis of liver specific serum
chemistry for alanine-leucine transaminase (ALT). Liver tissue was fixed in
4% formalin followed by sectioning at 5 μm thickness. Sections were
stained with hematoxylin and eosin (H&E),and immunostained with F4/80
(biorad), Ki67 (Abcam) and TUNEL staining followed by light microscopy. To
study liver regeneration mice were intraperitoneally injected with 100
μg/g Edu 2h before harvesting liver. Further liver sections were
stained with Click-it Edu staining kit (Thermofisher) followed with imaging
by confocal microscopy.
Analysis of lipophagy
IPMK WT and KO MEFs were cultured in regular medium (RM) or oleate
(OL) 0.25mM for 24h in serum free medium followed by staining lipid droplets
with BODIPY 493/503 dye as per manufacturer’s protocol
(Thermofisher). To study accumulation of lipid droplets in mice liver, mice
were either maintained on regular diet or starved overnight, liver tissue
was either processed for transmission electron microscopy or tissue samples
were cryosectioned for oil red o (ORO) of lipid droplets in liver as per
manufacturer’s protocol, abcam.
Endogenous immunoprecipitation analysis
To analyze binding of IPMK to endogenous ULK1, gstIPMK was
transfected in HEK293 cells. Forty-eight h after transfection,
immunoprecipitation of the gst tagged IPMK was performed with 500 μg
of protein lysates in lysis buffer (150 mM NaCl, 0.5% CHAPS, 0.1% Triton,
0.1% BSA, 1 mM EDTA, protease inhibitors, phosphatase inhibitors) incubated
overnight at 4°C EZview gst beads (Sigma). Beads were pelleted and
washed with lysis buffer 3 times, and SDS sample buffer loading dye was
added. Immunoprecipitated samples were resolved by polyacrylamide gel
electrophoresis followed by western blotting of ULK1 using ULK1 specific
antibody (Santacruz Biotechnology). Immunoprecipitation of endogenous ULK1
was further confirmed using siRNA analysis (Santacruz Biotechnology). For
DBC1/Sirt-1 interaction studies we immunoprecipitated endogenous Sirt-1
using Sirt-1 specific antibody and western blot with DBC1. We
immunoprecipitated endogenous ULK1 using ULK1 antibody and western blot for
AMPK, FIP200, ATG101, and ATG 13 from IPMK WT and KO MEF to analyze
endogenous interaction of these proteins with ULK.
In vitro binding assay
Recombinant mycIPMK (Origene) was co-incubated with either
recombinant gstULK1 (Signalchem) or His AMPK (Signalchem) in lysis buffer
and the complex maintained for 30 min at 4°C. After the addition of
myc beads incubation was continued for an additional 15 min and washed 3
times with ice cold lysis buffer. SDS sample buffer was added. Binding was
confirmed by western blotting of gst or His. The purity of recombinant
proteins was confirmed by resolving single bands in NuPAGE protein gels that
were stained with Simply Blue Safe Stain (Invitrogen).
Transfections
Retroviral transfection and generation of stably transfected
cells:
Retroviral constructs (5) were transiently transfected into a
Platinum-E retroviral packaging cell line for 48 h by using
Lipofectamine 2000 transfection reagent. The high-titer viral stocks
were produced by passing the supernatant using a 0.45 μm pore
size-filter. For infection, MEFs were incubated with the viral
supernatant in the presence of polybrene (8 μg/mL) for 48 h.
Stably infected MEFs were selected with blasticidin (4 μg/mL) for
1-2 weeks. Selected stable cell lines were always maintained in
respective medium containing blasticidin (4 μg/mL).
Transient Polyfect and lipofectamine 3000 transfection:
HEK293 cells were transiently transfected with polyfectamine
(QIAGEN) using manufacturer’s protocol. MEF cells were
transiently transfected with lipofectamine 3000 using
manufacturer’s protocol.
Intracellular inositol content profiling
MEFs were plated at a density of 250,000 cells per 60 mm plate,
then labeled with 60 μCi (1 Ci = 37 GBq) [3H]myo-inositol
(PerkinElmer) in conventional cell culture media for three days. To
extract soluble inositol phosphates, cell pellets were suspended in 300
μL of ice-cold 0.6 M perchloric acid buffer (0.1 mg/mL IP6, 2 mM
EDTA) and incubated on ice for 1 min. Ninety μL of 1 M potassium
carbonate with 5 mM EDTA were added and incubated on ice for 1 h.
Extracts were centrifuged at 12,000 rpm for 15 min. The supernatant was
collected and analyzed by HPLC using a Partisphere SAX column (Whatman
Inc.). The column was eluted with a gradient generated by mixing Buffer
A (1 mM EDTA) and Buffer B (Buffer A plus 1.3 M (NH4)2HPO4, pH 3.8 with
H3PO4). The 1 mL fractions were collected and counted using 5 mL of
Ultima-Flo AP mixture (PerkinElmer).
Lentiviral Transduction
786-0 humanrenal cancer cell was transduced with shRNA particles
(Sigma) to knock down IPMK and selected cells using puromycin (0.5 micro
gram/ ml) antibiotic.
QUANTIFICATION AND STATISTICAL ANALYSIS
Error bars in the figures represent standard error of the mean and
number of experiments is indicated by n in figure legends. n indicates animals
employed for the experiment or times an experiment was performed. Specifics are
indicated in the figure legends. Statistical significance (two-tails) was tested
with Student’s T-Test for two groups or one-way ANOVA for multiple groups
with similar size. The differences were considered significant when p <
0.05. All the statistical analysis was performed with Prism 7 program
(GraphPad).
KEY RESOURCES TABLE
REAGENT or RESOURCE
SOURCE
IDENTIFIER
Antibodies
Actin
Cell Signaling
4967; RRID: AB_330288
LC3B
Cell Signaling
2775; RRID: AB_915950
Atg5
Cell Signaling
2630; RRID: AB_2062340
myc
Cell Signaling
2276; RRID: AB_331783
VPS34
Cell Signaling
3811; RRID: AB_2062856
ULKS317
Cell Signaling
12753; RRID: AB_2687883
ULK S 757
Cell Signaling
6888; RRID: AB_10829226
Beclin
Cell Signaling
3738; RRID: AB_490837
Beclin S 15
Cell Signaling
84966
VPS34 S 249
Cell Signaling
13857
AMPK
Cell Signaling
2532; RRID: AB_330331
AMPK Thr 172
Cell Signaling
2535; RRID: AB_331250
Flag
Cell Signaling
8146; RRID: AB_10950495
GST
Cell Signaling
2622; RRID: AB_331670
HA
Cell Signaling
2367; RRID: AB_10691311
DBC1
Cell Signaling
5693; RRID: AB_10706910
GFP
Cell Signaling
2555; RRID: AB_10692764
IgG control
Cell Signaling
2729; RRID: AB_1031062
ATG 13
Genetex
GTX123970
FIP200
Genetex
GTX107387; RRID: AB_10730495
ATG101
Genetex
GTX31415
Bnip3
Genetex
GTX111902; RRID: AB_1949753
ATG12
Genetex
GTX124181; RRID: AB_11171947
GABARAPL1
Genetex
GTX132664
BNIP3L
Genetex
GTX111876; RRID: AB_2036357
Human IPMK
Genetex
GTX104954; RRID: AB_1950594
ULK1 for IP
Sigma
A7481; RRID: AB_1840703
HRP- ANTI MOUSE
GE Health care
NA931V; RRID: AB_772210
HRP-ANTI RABBIT
GE Health care
GENA934; RRID: AB_2722659
ULK S 555
MILLIPORE
ABC124; RRID: AB_11205237
ULK S 777
MILLIPORE
ABC213
Sirt-1
Santacruz Biotechnology
Sc74465; RRID: AB_1229462
ULK1 for WB
Santacruz Biotechnolo
Sc33182; RRID: AB_2214706
H4k16ac
Active Motif
39168; RRID: AB_2636968
H4
Active Motif
61300; RRID: AB_2650524
Mouse specific Anti-IPMK
Lab generated
NA
F4/80
Biorad
MCA497RT; RRID: AB_1102558
Ki67
Abcam
ab16667; RRID: AB_302459
Biological
Samples
pMXs-puroGFP-DFCP1
Addgene
38269
pCDNA6-myc ULK1 wt (Plasmid)
Addgene
27629
pCDNA3 Flag ULK1 (Plasmid)
Addgene
27636
pCDNA3 myc AMPK Alpha 2 (Plasmid)
Addgene
15991
pBABE-puro-GFP-LC3 (Plasmid)
Addgene
22405
pCMV-AMPK alpha 2 Flag (Plasmid) pCMV
mycIPMK (plasmid)
Sinobiologicals
HG10394-CF
pCMV Flag
Snyder lab
NA
Chemicals,
Peptides, and Recombinant Proteins
Recombinant hIPMK
Origene
TP309343
Recombinant hULK1
Signalchem
U01-11G
Recombinant purified AMPK complex
Signal Chem
P47-10H-05
Critical
Commercial Assays
Gen Elute Mammalian Total RNA miniprep
Kit
Sigma
RTN10
Revert Aid H minus first strand cDNA
synthesis kit
Authors: Jaroslaw W Zmijewski; Sami Banerjee; Hongbeom Bae; Arnaud Friggeri; Eduardo R Lazarowski; Edward Abraham Journal: J Biol Chem Date: 2010-08-20 Impact factor: 5.157
Authors: Tomotake Kanki; Ke Wang; Misuzu Baba; Clinton R Bartholomew; Melinda A Lynch-Day; Zhou Du; Jiefei Geng; Kai Mao; Zhifen Yang; Wei-Lien Yen; Daniel J Klionsky Journal: Mol Biol Cell Date: 2009-09-30 Impact factor: 4.138
Authors: David Maag; Micah J Maxwell; Douglas A Hardesty; Katie L Boucher; Namrata Choudhari; Adam G Hanno; Jenny F Ma; Adele S Snowman; Joseph W Pietropaoli; Risheng Xu; Phillip B Storm; Adolfo Saiardi; Solomon H Snyder; Adam C Resnick Journal: Proc Natl Acad Sci U S A Date: 2011-01-10 Impact factor: 11.205
Authors: Marina N Sharifi; Erin E Mowers; Lauren E Drake; Chris Collier; Hong Chen; Marta Zamora; Stephanie Mui; Kay F Macleod Journal: Cell Rep Date: 2016-05-12 Impact factor: 9.423
Authors: Daniel F Egan; David B Shackelford; Maria M Mihaylova; Sara Gelino; Rebecca A Kohnz; William Mair; Debbie S Vasquez; Aashish Joshi; Dana M Gwinn; Rebecca Taylor; John M Asara; James Fitzpatrick; Andrew Dillin; Benoit Viollet; Mondira Kundu; Malene Hansen; Reuben J Shaw Journal: Science Date: 2010-12-23 Impact factor: 47.728
Authors: Daniel J Klionsky; Amal Kamal Abdel-Aziz; Sara Abdelfatah; Mahmoud Abdellatif; Asghar Abdoli; Steffen Abel; Hagai Abeliovich; Marie H Abildgaard; Yakubu Princely Abudu; Abraham Acevedo-Arozena; Iannis E Adamopoulos; Khosrow Adeli; Timon E Adolph; Annagrazia Adornetto; Elma Aflaki; Galila Agam; Anupam Agarwal; Bharat B Aggarwal; Maria Agnello; Patrizia Agostinis; Javed N Agrewala; Alexander Agrotis; Patricia V Aguilar; S Tariq Ahmad; Zubair M Ahmed; Ulises Ahumada-Castro; Sonja Aits; Shu Aizawa; Yunus Akkoc; Tonia Akoumianaki; Hafize Aysin Akpinar; Ahmed M Al-Abd; Lina Al-Akra; Abeer Al-Gharaibeh; Moulay A Alaoui-Jamali; Simon Alberti; Elísabet Alcocer-Gómez; Cristiano Alessandri; Muhammad Ali; M Abdul Alim Al-Bari; Saeb Aliwaini; Javad Alizadeh; Eugènia Almacellas; Alexandru Almasan; Alicia Alonso; Guillermo D Alonso; Nihal Altan-Bonnet; Dario C Altieri; Élida M C Álvarez; Sara Alves; Cristine Alves da Costa; Mazen M Alzaharna; Marialaura Amadio; Consuelo Amantini; Cristina Amaral; Susanna Ambrosio; Amal O Amer; Veena Ammanathan; Zhenyi An; Stig U Andersen; Shaida A Andrabi; Magaiver Andrade-Silva; Allen M Andres; Sabrina Angelini; David Ann; Uche C Anozie; Mohammad Y Ansari; Pedro Antas; Adam Antebi; Zuriñe Antón; Tahira Anwar; Lionel Apetoh; Nadezda Apostolova; Toshiyuki Araki; Yasuhiro Araki; Kohei Arasaki; Wagner L Araújo; Jun Araya; Catherine Arden; Maria-Angeles Arévalo; Sandro Arguelles; Esperanza Arias; Jyothi Arikkath; Hirokazu Arimoto; Aileen R Ariosa; Darius Armstrong-James; Laetitia Arnauné-Pelloquin; Angeles Aroca; Daniela S Arroyo; Ivica Arsov; Rubén Artero; Dalia Maria Lucia Asaro; Michael Aschner; Milad Ashrafizadeh; Osnat Ashur-Fabian; Atanas G Atanasov; Alicia K Au; Patrick Auberger; Holger W Auner; Laure Aurelian; Riccardo Autelli; Laura Avagliano; Yenniffer Ávalos; Sanja Aveic; Célia Alexandra Aveleira; Tamar Avin-Wittenberg; Yucel Aydin; Scott Ayton; Srinivas Ayyadevara; Maria Azzopardi; Misuzu Baba; Jonathan M Backer; Steven K Backues; Dong-Hun Bae; Ok-Nam Bae; Soo Han Bae; Eric H Baehrecke; Ahruem Baek; Seung-Hoon Baek; Sung Hee Baek; Giacinto Bagetta; Agnieszka Bagniewska-Zadworna; Hua Bai; Jie Bai; Xiyuan Bai; Yidong Bai; Nandadulal Bairagi; Shounak Baksi; Teresa Balbi; Cosima T Baldari; Walter Balduini; Andrea Ballabio; Maria Ballester; Salma Balazadeh; Rena Balzan; Rina Bandopadhyay; Sreeparna Banerjee; Sulagna Banerjee; Ágnes Bánréti; Yan Bao; Mauricio S Baptista; Alessandra Baracca; Cristiana Barbati; Ariadna Bargiela; Daniela Barilà; Peter G Barlow; Sami J Barmada; Esther Barreiro; George E Barreto; Jiri Bartek; Bonnie Bartel; Alberto Bartolome; Gaurav R Barve; Suresh H Basagoudanavar; Diane C Bassham; Robert C Bast; Alakananda Basu; Henri Batoko; Isabella Batten; Etienne E Baulieu; Bradley L Baumgarner; Jagadeesh Bayry; Rupert Beale; Isabelle Beau; Florian Beaumatin; Luiz R G Bechara; George R Beck; Michael F Beers; Jakob Begun; Christian Behrends; Georg M N Behrens; Roberto Bei; Eloy Bejarano; Shai Bel; Christian Behl; Amine Belaid; Naïma Belgareh-Touzé; Cristina Bellarosa; Francesca Belleudi; Melissa Belló Pérez; Raquel Bello-Morales; Jackeline Soares de Oliveira Beltran; Sebastián Beltran; Doris Mangiaracina Benbrook; Mykolas Bendorius; Bruno A Benitez; Irene Benito-Cuesta; Julien Bensalem; Martin W Berchtold; Sabina Berezowska; Daniele Bergamaschi; Matteo Bergami; Andreas Bergmann; Laura Berliocchi; Clarisse Berlioz-Torrent; Amélie Bernard; Lionel Berthoux; Cagri G Besirli; Sebastien Besteiro; Virginie M Betin; Rudi Beyaert; Jelena S Bezbradica; Kiran Bhaskar; Ingrid Bhatia-Kissova; Resham Bhattacharya; Sujoy Bhattacharya; Shalmoli Bhattacharyya; Md Shenuarin Bhuiyan; Sujit Kumar Bhutia; Lanrong Bi; Xiaolin Bi; Trevor J Biden; Krikor Bijian; Viktor A Billes; Nadine Binart; Claudia Bincoletto; Asa B Birgisdottir; Geir Bjorkoy; Gonzalo Blanco; Ana Blas-Garcia; Janusz Blasiak; Robert Blomgran; Klas Blomgren; Janice S Blum; Emilio Boada-Romero; Mirta Boban; Kathleen Boesze-Battaglia; Philippe Boeuf; Barry Boland; Pascale Bomont; Paolo Bonaldo; Srinivasa Reddy Bonam; Laura Bonfili; Juan S Bonifacino; Brian A Boone; Martin D Bootman; Matteo Bordi; Christoph Borner; Beat C Bornhauser; Gautam Borthakur; Jürgen Bosch; Santanu Bose; Luis M Botana; Juan Botas; Chantal M Boulanger; Michael E Boulton; Mathieu Bourdenx; Benjamin Bourgeois; Nollaig M Bourke; Guilhem Bousquet; Patricia Boya; Peter V Bozhkov; Luiz H M Bozi; Tolga O Bozkurt; Doug E Brackney; Christian H Brandts; Ralf J Braun; Gerhard H Braus; Roberto Bravo-Sagua; José M Bravo-San Pedro; Patrick Brest; Marie-Agnès Bringer; Alfredo Briones-Herrera; V Courtney Broaddus; Peter Brodersen; Jeffrey L Brodsky; Steven L Brody; Paola G Bronson; Jeff M Bronstein; Carolyn N Brown; Rhoderick E Brown; Patricia C Brum; John H Brumell; Nicola Brunetti-Pierri; Daniele Bruno; Robert J Bryson-Richardson; Cecilia Bucci; Carmen Buchrieser; Marta Bueno; Laura Elisa Buitrago-Molina; Simone Buraschi; Shilpa Buch; J Ross Buchan; Erin M Buckingham; Hikmet Budak; Mauricio Budini; Geert Bultynck; Florin Burada; Joseph R Burgoyne; M Isabel Burón; Victor Bustos; Sabrina Büttner; Elena Butturini; Aaron Byrd; Isabel Cabas; Sandra Cabrera-Benitez; Ken Cadwell; Jingjing Cai; Lu Cai; Qian Cai; Montserrat Cairó; Jose A Calbet; Guy A Caldwell; Kim A Caldwell; Jarrod A Call; Riccardo Calvani; Ana C Calvo; Miguel Calvo-Rubio Barrera; Niels Os Camara; Jacques H Camonis; Nadine Camougrand; Michelangelo Campanella; Edward M Campbell; François-Xavier Campbell-Valois; Silvia Campello; Ilaria Campesi; Juliane C Campos; Olivier Camuzard; Jorge Cancino; Danilo Candido de Almeida; Laura Canesi; Isabella Caniggia; Barbara Canonico; Carles Cantí; Bin Cao; Michele Caraglia; Beatriz Caramés; Evie H Carchman; Elena Cardenal-Muñoz; Cesar Cardenas; Luis Cardenas; Sandra M Cardoso; Jennifer S Carew; Georges F Carle; Gillian Carleton; Silvia Carloni; Didac Carmona-Gutierrez; Leticia A Carneiro; Oliana Carnevali; Julian M Carosi; Serena Carra; Alice Carrier; Lucie Carrier; Bernadette Carroll; A Brent Carter; Andreia Neves Carvalho; Magali Casanova; Caty Casas; Josefina Casas; Chiara Cassioli; Eliseo F Castillo; Karen Castillo; Sonia Castillo-Lluva; Francesca Castoldi; Marco Castori; Ariel F Castro; Margarida Castro-Caldas; Javier Castro-Hernandez; Susana Castro-Obregon; Sergio D Catz; Claudia Cavadas; Federica Cavaliere; Gabriella Cavallini; Maria Cavinato; Maria L Cayuela; Paula Cebollada Rica; Valentina Cecarini; Francesco Cecconi; Marzanna Cechowska-Pasko; Simone Cenci; Victòria Ceperuelo-Mallafré; João J Cerqueira; Janete M Cerutti; Davide Cervia; Vildan Bozok Cetintas; Silvia Cetrullo; Han-Jung Chae; Andrei S Chagin; Chee-Yin Chai; Gopal Chakrabarti; Oishee Chakrabarti; Tapas Chakraborty; Trinad Chakraborty; Mounia Chami; Georgios Chamilos; David W Chan; Edmond Y W Chan; Edward D Chan; H Y Edwin Chan; Helen H Chan; Hung Chan; Matthew T V Chan; Yau Sang Chan; Partha K Chandra; Chih-Peng Chang; Chunmei Chang; Hao-Chun Chang; Kai Chang; Jie Chao; Tracey Chapman; Nicolas Charlet-Berguerand; Samrat Chatterjee; Shail K Chaube; Anu Chaudhary; Santosh Chauhan; Edward Chaum; Frédéric Checler; Michael E Cheetham; Chang-Shi Chen; Guang-Chao Chen; Jian-Fu Chen; Liam L Chen; Leilei Chen; Lin Chen; Mingliang Chen; Mu-Kuan Chen; Ning Chen; Quan Chen; Ruey-Hwa Chen; Shi Chen; Wei Chen; Weiqiang Chen; Xin-Ming Chen; Xiong-Wen Chen; Xu Chen; Yan Chen; Ye-Guang Chen; Yingyu Chen; Yongqiang Chen; Yu-Jen Chen; Yue-Qin Chen; Zhefan Stephen Chen; Zhi Chen; Zhi-Hua Chen; Zhijian J Chen; Zhixiang Chen; Hanhua Cheng; Jun Cheng; Shi-Yuan Cheng; Wei Cheng; Xiaodong Cheng; Xiu-Tang Cheng; Yiyun Cheng; Zhiyong Cheng; Zhong Chen; Heesun Cheong; Jit Kong Cheong; Boris V Chernyak; Sara Cherry; Chi Fai Randy Cheung; Chun Hei Antonio Cheung; King-Ho Cheung; Eric Chevet; Richard J Chi; Alan Kwok Shing Chiang; Ferdinando Chiaradonna; Roberto Chiarelli; Mario Chiariello; Nathalia Chica; Susanna Chiocca; Mario Chiong; Shih-Hwa Chiou; Abhilash I Chiramel; Valerio Chiurchiù; Dong-Hyung Cho; Seong-Kyu Choe; Augustine M K Choi; Mary E Choi; Kamalika Roy Choudhury; Norman S Chow; Charleen T Chu; Jason P Chua; John Jia En Chua; Hyewon Chung; Kin Pan Chung; Seockhoon Chung; So-Hyang Chung; Yuen-Li Chung; Valentina Cianfanelli; Iwona A Ciechomska; Mariana Cifuentes; Laura Cinque; Sebahattin Cirak; Mara Cirone; Michael J Clague; Robert Clarke; Emilio Clementi; Eliana M Coccia; Patrice Codogno; Ehud Cohen; Mickael M Cohen; Tania Colasanti; Fiorella Colasuonno; Robert A Colbert; Anna Colell; Miodrag Čolić; Nuria S Coll; Mark O Collins; María I Colombo; Daniel A Colón-Ramos; Lydie Combaret; Sergio Comincini; Márcia R Cominetti; Antonella Consiglio; Andrea Conte; Fabrizio Conti; Viorica Raluca Contu; Mark R Cookson; Kevin M Coombs; Isabelle Coppens; Maria Tiziana Corasaniti; Dale P Corkery; Nils Cordes; Katia Cortese; Maria do Carmo Costa; Sarah Costantino; Paola Costelli; Ana Coto-Montes; Peter J Crack; Jose L Crespo; Alfredo Criollo; Valeria Crippa; Riccardo Cristofani; Tamas Csizmadia; Antonio Cuadrado; Bing Cui; Jun Cui; Yixian Cui; Yong Cui; Emmanuel Culetto; Andrea C Cumino; Andrey V Cybulsky; Mark J Czaja; Stanislaw J Czuczwar; Stefania D'Adamo; Marcello D'Amelio; Daniela D'Arcangelo; Andrew C D'Lugos; Gabriella D'Orazi; James A da Silva; Hormos Salimi Dafsari; Ruben K Dagda; Yasin Dagdas; Maria Daglia; Xiaoxia Dai; Yun Dai; Yuyuan Dai; Jessica Dal Col; Paul Dalhaimer; Luisa Dalla Valle; Tobias Dallenga; Guillaume Dalmasso; Markus Damme; Ilaria Dando; Nico P Dantuma; April L Darling; Hiranmoy Das; Srinivasan Dasarathy; Santosh K Dasari; Srikanta Dash; Oliver Daumke; Adrian N Dauphinee; Jeffrey S Davies; Valeria A Dávila; Roger J Davis; Tanja Davis; Sharadha Dayalan Naidu; Francesca De Amicis; Karolien De Bosscher; Francesca De Felice; Lucia De Franceschi; Chiara De Leonibus; Mayara G de Mattos Barbosa; Guido R Y De Meyer; Angelo De Milito; Cosimo De Nunzio; Clara De Palma; Mauro De Santi; Claudio De Virgilio; Daniela De Zio; Jayanta Debnath; Brian J DeBosch; Jean-Paul Decuypere; Mark A Deehan; Gianluca Deflorian; James DeGregori; Benjamin Dehay; Gabriel Del Rio; Joe R Delaney; Lea M D Delbridge; Elizabeth Delorme-Axford; M Victoria Delpino; Francesca Demarchi; Vilma Dembitz; Nicholas D Demers; Hongbin Deng; Zhiqiang Deng; Joern Dengjel; Paul Dent; Donna Denton; Melvin L DePamphilis; Channing J Der; Vojo Deretic; Albert Descoteaux; Laura Devis; Sushil Devkota; Olivier Devuyst; Grant Dewson; Mahendiran Dharmasivam; Rohan Dhiman; Diego di Bernardo; Manlio Di Cristina; Fabio Di Domenico; Pietro Di Fazio; Alessio Di Fonzo; Giovanni Di Guardo; Gianni M Di Guglielmo; Luca Di Leo; Chiara Di Malta; Alessia Di Nardo; Martina Di Rienzo; Federica Di Sano; George Diallinas; Jiajie Diao; Guillermo Diaz-Araya; Inés Díaz-Laviada; Jared M Dickinson; Marc Diederich; Mélanie Dieudé; Ivan Dikic; Shiping Ding; Wen-Xing Ding; Luciana Dini; Jelena Dinić; Miroslav Dinic; Albena T Dinkova-Kostova; Marc S Dionne; Jörg H W Distler; Abhinav Diwan; Ian M C Dixon; Mojgan Djavaheri-Mergny; Ina Dobrinski; Oxana Dobrovinskaya; Radek Dobrowolski; Renwick C J Dobson; Jelena Đokić; Serap Dokmeci Emre; Massimo Donadelli; Bo Dong; Xiaonan Dong; Zhiwu Dong; Gerald W Dorn Ii; Volker Dotsch; Huan Dou; Juan Dou; Moataz Dowaidar; Sami Dridi; Liat Drucker; Ailian Du; Caigan Du; Guangwei Du; Hai-Ning Du; Li-Lin Du; André du Toit; Shao-Bin Duan; Xiaoqiong Duan; Sónia P Duarte; Anna Dubrovska; Elaine A Dunlop; Nicolas Dupont; Raúl V Durán; Bilikere S Dwarakanath; Sergey A Dyshlovoy; Darius Ebrahimi-Fakhari; Leopold Eckhart; Charles L Edelstein; Thomas Efferth; Eftekhar Eftekharpour; Ludwig Eichinger; Nabil Eid; Tobias Eisenberg; N Tony Eissa; Sanaa Eissa; Miriam Ejarque; Abdeljabar El Andaloussi; Nazira El-Hage; Shahenda El-Naggar; Anna Maria Eleuteri; Eman S El-Shafey; Mohamed Elgendy; Aristides G Eliopoulos; María M Elizalde; Philip M Elks; Hans-Peter Elsasser; Eslam S Elsherbiny; Brooke M Emerling; N C Tolga Emre; Christina H Eng; Nikolai Engedal; Anna-Mart Engelbrecht; Agnete S T Engelsen; Jorrit M Enserink; Ricardo Escalante; Audrey Esclatine; Mafalda Escobar-Henriques; Eeva-Liisa Eskelinen; Lucile Espert; Makandjou-Ola Eusebio; Gemma Fabrias; Cinzia Fabrizi; Antonio Facchiano; Francesco Facchiano; Bengt Fadeel; Claudio Fader; Alex C Faesen; W Douglas Fairlie; Alberto Falcó; Bjorn H Falkenburger; Daping Fan; Jie Fan; Yanbo Fan; Evandro F Fang; Yanshan Fang; Yognqi Fang; Manolis Fanto; Tamar Farfel-Becker; Mathias Faure; Gholamreza Fazeli; Anthony O Fedele; Arthur M Feldman; Du Feng; Jiachun Feng; Lifeng Feng; Yibin Feng; Yuchen Feng; Wei Feng; Thais Fenz Araujo; Thomas A Ferguson; Álvaro F Fernández; Jose C Fernandez-Checa; Sonia Fernández-Veledo; Alisdair R Fernie; Anthony W Ferrante; Alessandra Ferraresi; Merari F Ferrari; Julio C B Ferreira; Susan Ferro-Novick; Antonio Figueras; Riccardo Filadi; Nicoletta Filigheddu; Eduardo Filippi-Chiela; Giuseppe Filomeni; Gian Maria Fimia; Vittorio Fineschi; Francesca Finetti; Steven Finkbeiner; Edward A Fisher; Paul B Fisher; Flavio Flamigni; Steven J Fliesler; Trude H Flo; Ida Florance; Oliver Florey; Tullio Florio; Erika Fodor; Carlo Follo; Edward A Fon; Antonella Forlino; Francesco Fornai; Paola Fortini; Anna Fracassi; Alessandro Fraldi; Brunella Franco; Rodrigo Franco; Flavia Franconi; Lisa B Frankel; Scott L Friedman; Leopold F Fröhlich; Gema Frühbeck; Jose M Fuentes; Yukio Fujiki; Naonobu Fujita; Yuuki Fujiwara; Mitsunori Fukuda; Simone Fulda; Luc Furic; Norihiko Furuya; Carmela Fusco; Michaela U Gack; Lidia Gaffke; Sehamuddin Galadari; Alessia Galasso; Maria F Galindo; Sachith Gallolu Kankanamalage; Lorenzo Galluzzi; Vincent Galy; Noor Gammoh; Boyi Gan; Ian G Ganley; Feng Gao; Hui Gao; Minghui Gao; Ping Gao; Shou-Jiang Gao; Wentao Gao; Xiaobo Gao; Ana Garcera; Maria Noé Garcia; Verónica E Garcia; Francisco García-Del Portillo; Vega Garcia-Escudero; Aracely Garcia-Garcia; Marina Garcia-Macia; Diana García-Moreno; Carmen Garcia-Ruiz; Patricia García-Sanz; Abhishek D Garg; Ricardo Gargini; Tina Garofalo; Robert F Garry; Nils C Gassen; Damian Gatica; Liang Ge; Wanzhong Ge; Ruth Geiss-Friedlander; Cecilia Gelfi; Pascal Genschik; Ian E Gentle; Valeria Gerbino; Christoph Gerhardt; Kyla Germain; Marc Germain; David A Gewirtz; Elham Ghasemipour Afshar; Saeid Ghavami; Alessandra Ghigo; Manosij Ghosh; Georgios Giamas; Claudia Giampietri; Alexandra Giatromanolaki; Gary E Gibson; Spencer B Gibson; Vanessa Ginet; Edward Giniger; Carlotta Giorgi; Henrique Girao; Stephen E Girardin; Mridhula Giridharan; Sandy Giuliano; Cecilia Giulivi; Sylvie Giuriato; Julien Giustiniani; Alexander Gluschko; Veit Goder; Alexander Goginashvili; Jakub Golab; David C Goldstone; Anna Golebiewska; Luciana R Gomes; Rodrigo Gomez; Rubén Gómez-Sánchez; Maria Catalina Gomez-Puerto; Raquel Gomez-Sintes; Qingqiu Gong; Felix M Goni; Javier González-Gallego; Tomas Gonzalez-Hernandez; Rosa A Gonzalez-Polo; Jose A Gonzalez-Reyes; Patricia González-Rodríguez; Ing Swie Goping; Marina S Gorbatyuk; Nikolai V Gorbunov; Kıvanç Görgülü; Roxana M Gorojod; Sharon M Gorski; Sandro Goruppi; Cecilia Gotor; Roberta A Gottlieb; Illana Gozes; Devrim Gozuacik; Martin Graef; Markus H Gräler; Veronica Granatiero; Daniel Grasso; Joshua P Gray; Douglas R Green; Alexander Greenhough; Stephen L Gregory; Edward F Griffin; Mark W Grinstaff; Frederic Gros; Charles Grose; Angelina S Gross; Florian Gruber; Paolo Grumati; Tilman Grune; Xueyan Gu; Jun-Lin Guan; Carlos M Guardia; Kishore Guda; Flora Guerra; Consuelo Guerri; Prasun Guha; Carlos Guillén; Shashi Gujar; Anna Gukovskaya; Ilya Gukovsky; Jan Gunst; Andreas Günther; Anyonya R Guntur; Chuanyong Guo; Chun Guo; Hongqing Guo; Lian-Wang Guo; Ming Guo; Pawan Gupta; Shashi Kumar Gupta; Swapnil Gupta; Veer Bala Gupta; Vivek Gupta; Asa B Gustafsson; David D Gutterman; Ranjitha H B; Annakaisa Haapasalo; James E Haber; Aleksandra Hać; Shinji Hadano; Anders J Hafrén; Mansour Haidar; Belinda S Hall; Gunnel Halldén; Anne Hamacher-Brady; Andrea Hamann; Maho Hamasaki; Weidong Han; Malene Hansen; Phyllis I Hanson; Zijian Hao; Masaru Harada; Ljubica Harhaji-Trajkovic; Nirmala Hariharan; Nigil Haroon; James Harris; Takafumi Hasegawa; Noor Hasima Nagoor; Jeffrey A Haspel; Volker Haucke; Wayne D Hawkins; Bruce A Hay; Cole M Haynes; Soren B Hayrabedyan; Thomas S Hays; Congcong He; Qin He; Rong-Rong He; You-Wen He; Yu-Ying He; Yasser Heakal; Alexander M Heberle; J Fielding Hejtmancik; Gudmundur Vignir Helgason; Vanessa Henkel; Marc Herb; Alexander Hergovich; Anna Herman-Antosiewicz; Agustín Hernández; Carlos Hernandez; Sergio Hernandez-Diaz; Virginia Hernandez-Gea; Amaury Herpin; Judit Herreros; Javier H Hervás; Daniel Hesselson; Claudio Hetz; Volker T Heussler; Yujiro Higuchi; Sabine Hilfiker; Joseph A Hill; William S Hlavacek; Emmanuel A Ho; Idy H T Ho; Philip Wing-Lok Ho; Shu-Leong Ho; Wan Yun Ho; G Aaron Hobbs; Mark Hochstrasser; Peter H M Hoet; Daniel Hofius; Paul Hofman; Annika Höhn; Carina I Holmberg; Jose R Hombrebueno; Chang-Won Hong Yi-Ren Hong; Lora V Hooper; Thorsten Hoppe; Rastislav Horos; Yujin Hoshida; I-Lun Hsin; Hsin-Yun Hsu; Bing Hu; Dong Hu; Li-Fang Hu; Ming Chang Hu; Ronggui Hu; Wei Hu; Yu-Chen Hu; Zhuo-Wei Hu; Fang Hua; Jinlian Hua; Yingqi Hua; Chongmin Huan; Canhua Huang; Chuanshu Huang; Chuanxin Huang; Chunling Huang; Haishan Huang; Kun Huang; Michael L H Huang; Rui Huang; Shan Huang; Tianzhi Huang; Xing Huang; Yuxiang Jack Huang; Tobias B Huber; Virginie Hubert; Christian A Hubner; Stephanie M Hughes; William E Hughes; Magali Humbert; Gerhard Hummer; James H Hurley; Sabah Hussain; Salik Hussain; Patrick J Hussey; Martina Hutabarat; Hui-Yun Hwang; Seungmin Hwang; Antonio Ieni; Fumiyo Ikeda; Yusuke Imagawa; Yuzuru Imai; Carol Imbriano; Masaya Imoto; Denise M Inman; Ken Inoki; Juan Iovanna; Renato V Iozzo; Giuseppe Ippolito; Javier E Irazoqui; Pablo Iribarren; Mohd Ishaq; Makoto Ishikawa; Nestor Ishimwe; Ciro Isidoro; Nahed Ismail; Shohreh Issazadeh-Navikas; Eisuke Itakura; Daisuke Ito; Davor Ivankovic; Saška Ivanova; Anand Krishnan V Iyer; José M Izquierdo; Masanori Izumi; Marja Jäättelä; Majid Sakhi Jabir; William T Jackson; Nadia Jacobo-Herrera; Anne-Claire Jacomin; Elise Jacquin; Pooja Jadiya; Hartmut Jaeschke; Chinnaswamy Jagannath; Arjen J Jakobi; Johan Jakobsson; Bassam Janji; Pidder Jansen-Dürr; Patric J Jansson; Jonathan Jantsch; Sławomir Januszewski; Alagie Jassey; Steve Jean; Hélène Jeltsch-David; Pavla Jendelova; Andreas Jenny; Thomas E Jensen; Niels Jessen; Jenna L Jewell; Jing Ji; Lijun Jia; Rui Jia; Liwen Jiang; Qing Jiang; Richeng Jiang; Teng Jiang; Xuejun Jiang; Yu Jiang; Maria Jimenez-Sanchez; Eun-Jung Jin; Fengyan Jin; Hongchuan Jin; Li Jin; Luqi Jin; Meiyan Jin; Si Jin; Eun-Kyeong Jo; Carine Joffre; Terje Johansen; Gail V W Johnson; Simon A Johnston; Eija Jokitalo; Mohit Kumar Jolly; Leo A B Joosten; Joaquin Jordan; Bertrand Joseph; Dianwen Ju; Jeong-Sun Ju; Jingfang Ju; Esmeralda Juárez; Delphine Judith; Gábor Juhász; Youngsoo Jun; Chang Hwa Jung; Sung-Chul Jung; Yong Keun Jung; Heinz Jungbluth; Johannes Jungverdorben; Steffen Just; Kai Kaarniranta; Allen Kaasik; Tomohiro Kabuta; Daniel Kaganovich; Alon Kahana; Renate Kain; Shinjo Kajimura; Maria Kalamvoki; Manjula Kalia; Danuta S Kalinowski; Nina Kaludercic; Ioanna Kalvari; Joanna Kaminska; Vitaliy O Kaminskyy; Hiromitsu Kanamori; Keizo Kanasaki; Chanhee Kang; Rui Kang; Sang Sun Kang; Senthilvelrajan Kaniyappan; Tomotake Kanki; Thirumala-Devi Kanneganti; Anumantha G Kanthasamy; Arthi Kanthasamy; Marc Kantorow; Orsolya Kapuy; Michalis V Karamouzis; Md Razaul Karim; Parimal Karmakar; Rajesh G Katare; Masaru Kato; Stefan H E Kaufmann; Anu Kauppinen; Gur P Kaushal; Susmita Kaushik; Kiyoshi Kawasaki; Kemal Kazan; Po-Yuan Ke; Damien J Keating; Ursula Keber; John H Kehrl; Kate E Keller; Christian W Keller; Jongsook Kim Kemper; Candia M Kenific; Oliver Kepp; Stephanie Kermorgant; Andreas Kern; Robin Ketteler; Tom G Keulers; Boris Khalfin; Hany Khalil; Bilon Khambu; Shahid Y Khan; Vinoth Kumar Megraj Khandelwal; Rekha Khandia; Widuri Kho; Noopur V Khobrekar; Sataree Khuansuwan; Mukhran Khundadze; Samuel A Killackey; Dasol Kim; Deok Ryong Kim; Do-Hyung Kim; Dong-Eun Kim; Eun Young Kim; Eun-Kyoung Kim; Hak-Rim Kim; Hee-Sik Kim; Jeong Hun Kim; Jin Kyung Kim; Jin-Hoi Kim; Joungmok Kim; Ju Hwan Kim; Keun Il Kim; Peter K Kim; Seong-Jun Kim; Scot R Kimball; Adi Kimchi; Alec C Kimmelman; Tomonori Kimura; Matthew A King; Kerri J Kinghorn; Conan G Kinsey; Vladimir Kirkin; Lorrie A Kirshenbaum; Sergey L Kiselev; Shuji Kishi; Katsuhiko Kitamoto; Yasushi Kitaoka; Kaio Kitazato; Richard N Kitsis; Josef T Kittler; Ole Kjaerulff; Peter S Klein; Thomas Klopstock; Jochen Klucken; Helene Knævelsrud; Roland L Knorr; Ben C B Ko; Fred Ko; Jiunn-Liang Ko; Hotaka Kobayashi; Satoru Kobayashi; Ina Koch; Jan C Koch; Ulrich Koenig; Donat Kögel; Young Ho Koh; Masato Koike; Sepp D Kohlwein; Nur M Kocaturk; Masaaki Komatsu; Jeannette König; Toru Kono; Benjamin T Kopp; Tamas Korcsmaros; Gözde Korkmaz; Viktor I Korolchuk; Mónica Suárez Korsnes; Ali Koskela; Janaiah Kota; Yaichiro Kotake; Monica L Kotler; Yanjun Kou; Michael I Koukourakis; Evangelos Koustas; Attila L Kovacs; Tibor Kovács; Daisuke Koya; Tomohiro Kozako; Claudine Kraft; Dimitri Krainc; Helmut Krämer; Anna D Krasnodembskaya; Carole Kretz-Remy; Guido Kroemer; Nicholas T Ktistakis; Kazuyuki Kuchitsu; Sabine Kuenen; Lars Kuerschner; Thomas Kukar; Ajay Kumar; Ashok Kumar; Deepak Kumar; Dhiraj Kumar; Sharad Kumar; Shinji Kume; Caroline Kumsta; Chanakya N Kundu; Mondira Kundu; Ajaikumar B Kunnumakkara; Lukasz Kurgan; Tatiana G Kutateladze; Ozlem Kutlu; SeongAe Kwak; Ho Jeong Kwon; Taeg Kyu Kwon; Yong Tae Kwon; Irene Kyrmizi; Albert La Spada; Patrick Labonté; Sylvain Ladoire; Ilaria Laface; Frank Lafont; Diane C Lagace; Vikramjit Lahiri; Zhibing Lai; Angela S Laird; Aparna Lakkaraju; Trond Lamark; Sheng-Hui Lan; Ane Landajuela; Darius J R Lane; Jon D Lane; Charles H Lang; Carsten Lange; Ülo Langel; Rupert Langer; Pierre Lapaquette; Jocelyn Laporte; Nicholas F LaRusso; Isabel Lastres-Becker; Wilson Chun Yu Lau; Gordon W Laurie; Sergio Lavandero; Betty Yuen Kwan Law; Helen Ka-Wai Law; Rob Layfield; Weidong Le; Herve Le Stunff; Alexandre Y Leary; Jean-Jacques Lebrun; Lionel Y W Leck; Jean-Philippe Leduc-Gaudet; Changwook Lee; Chung-Pei Lee; Da-Hye Lee; Edward B Lee; Erinna F Lee; Gyun Min Lee; He-Jin Lee; Heung Kyu Lee; Jae Man Lee; Jason S Lee; Jin-A Lee; Joo-Yong Lee; Jun Hee Lee; Michael Lee; Min Goo Lee; Min Jae Lee; Myung-Shik Lee; Sang Yoon Lee; Seung-Jae Lee; Stella Y Lee; Sung Bae Lee; Won Hee Lee; Ying-Ray Lee; Yong-Ho Lee; Youngil Lee; Christophe Lefebvre; Renaud Legouis; Yu L Lei; Yuchen Lei; Sergey Leikin; Gerd Leitinger; Leticia Lemus; Shuilong Leng; Olivia Lenoir; Guido Lenz; Heinz Josef Lenz; Paola Lenzi; Yolanda León; Andréia M Leopoldino; Christoph Leschczyk; Stina Leskelä; Elisabeth Letellier; Chi-Ting Leung; Po Sing Leung; Jeremy S Leventhal; Beth Levine; Patrick A Lewis; Klaus Ley; Bin Li; Da-Qiang Li; Jianming Li; Jing Li; Jiong Li; Ke Li; Liwu Li; Mei Li; Min Li; Min Li; Ming Li; Mingchuan Li; Pin-Lan Li; Ming-Qing Li; Qing Li; Sheng Li; Tiangang Li; Wei Li; Wenming Li; Xue Li; Yi-Ping Li; Yuan Li; Zhiqiang Li; Zhiyong Li; Zhiyuan Li; Jiqin Lian; Chengyu Liang; Qiangrong Liang; Weicheng Liang; Yongheng Liang; YongTian Liang; Guanghong Liao; Lujian Liao; Mingzhi Liao; Yung-Feng Liao; Mariangela Librizzi; Pearl P Y Lie; Mary A Lilly; Hyunjung J Lim; Thania R R Lima; Federica Limana; Chao Lin; Chih-Wen Lin; Dar-Shong Lin; Fu-Cheng Lin; Jiandie D Lin; Kurt M Lin; Kwang-Huei Lin; Liang-Tzung Lin; Pei-Hui Lin; Qiong Lin; Shaofeng Lin; Su-Ju Lin; Wenyu Lin; Xueying Lin; Yao-Xin Lin; Yee-Shin Lin; Rafael Linden; Paula Lindner; Shuo-Chien Ling; Paul Lingor; Amelia K Linnemann; Yih-Cherng Liou; Marta M Lipinski; Saška Lipovšek; Vitor A Lira; Natalia Lisiak; Paloma B Liton; Chao Liu; Ching-Hsuan Liu; Chun-Feng Liu; Cui Hua Liu; Fang Liu; Hao Liu; Hsiao-Sheng Liu; Hua-Feng Liu; Huifang Liu; Jia Liu; Jing Liu; Julia Liu; Leyuan Liu; Longhua Liu; Meilian Liu; Qin Liu; Wei Liu; Wende Liu; Xiao-Hong Liu; Xiaodong Liu; Xingguo Liu; Xu Liu; Xuedong Liu; Yanfen Liu; Yang Liu; Yang Liu; Yueyang Liu; Yule Liu; J Andrew Livingston; Gerard Lizard; Jose M Lizcano; Senka Ljubojevic-Holzer; Matilde E LLeonart; David Llobet-Navàs; Alicia Llorente; Chih Hung Lo; Damián Lobato-Márquez; Qi Long; Yun Chau Long; Ben Loos; Julia A Loos; Manuela G López; Guillermo López-Doménech; José Antonio López-Guerrero; Ana T López-Jiménez; Óscar López-Pérez; Israel López-Valero; Magdalena J Lorenowicz; Mar Lorente; Peter Lorincz; Laura Lossi; Sophie Lotersztajn; Penny E Lovat; Jonathan F Lovell; Alenka Lovy; Péter Lőw; Guang Lu; Haocheng Lu; Jia-Hong Lu; Jin-Jian Lu; Mengji Lu; Shuyan Lu; Alessandro Luciani; John M Lucocq; Paula Ludovico; Micah A Luftig; Morten Luhr; Diego Luis-Ravelo; Julian J Lum; Liany Luna-Dulcey; Anders H Lund; Viktor K Lund; Jan D Lünemann; Patrick Lüningschrör; Honglin Luo; Rongcan Luo; Shouqing Luo; Zhi Luo; Claudio Luparello; Bernhard Lüscher; Luan Luu; Alex Lyakhovich; Konstantin G Lyamzaev; Alf Håkon Lystad; Lyubomyr Lytvynchuk; Alvin C Ma; Changle Ma; Mengxiao Ma; Ning-Fang Ma; Quan-Hong Ma; Xinliang Ma; Yueyun Ma; Zhenyi Ma; Ormond A MacDougald; Fernando Macian; Gustavo C MacIntosh; Jeffrey P MacKeigan; Kay F Macleod; Sandra Maday; Frank Madeo; Muniswamy Madesh; Tobias Madl; Julio Madrigal-Matute; Akiko Maeda; Yasuhiro Maejima; Marta Magarinos; Poornima Mahavadi; Emiliano Maiani; Kenneth Maiese; Panchanan Maiti; Maria Chiara Maiuri; Barbara Majello; Michael B Major; Elena Makareeva; Fayaz Malik; Karthik Mallilankaraman; Walter Malorni; Alina Maloyan; Najiba Mammadova; Gene Chi Wai Man; Federico Manai; Joseph D Mancias; Eva-Maria Mandelkow; Michael A Mandell; Angelo A Manfredi; Masoud H Manjili; Ravi Manjithaya; Patricio Manque; Bella B Manshian; Raquel Manzano; Claudia Manzoni; Kai Mao; Cinzia Marchese; Sandrine Marchetti; Anna Maria Marconi; Fabrizio Marcucci; Stefania Mardente; Olga A Mareninova; Marta Margeta; Muriel Mari; Sara Marinelli; Oliviero Marinelli; Guillermo Mariño; Sofia Mariotto; Richard S Marshall; Mark R Marten; Sascha Martens; Alexandre P J Martin; Katie R Martin; Sara Martin; Shaun Martin; Adrián Martín-Segura; Miguel A Martín-Acebes; Inmaculada Martin-Burriel; Marcos Martin-Rincon; Paloma Martin-Sanz; José A Martina; Wim Martinet; Aitor Martinez; Ana Martinez; Jennifer Martinez; Moises Martinez Velazquez; Nuria Martinez-Lopez; Marta Martinez-Vicente; Daniel O Martins; Joilson O Martins; Waleska K Martins; Tania Martins-Marques; Emanuele Marzetti; Shashank Masaldan; Celine Masclaux-Daubresse; Douglas G Mashek; Valentina Massa; Lourdes Massieu; Glenn R Masson; Laura Masuelli; Anatoliy I Masyuk; Tetyana V Masyuk; Paola Matarrese; Ander Matheu; Satoaki Matoba; Sachiko Matsuzaki; Pamela Mattar; Alessandro Matte; Domenico Mattoscio; José L Mauriz; Mario Mauthe; Caroline Mauvezin; Emanual Maverakis; Paola Maycotte; Johanna Mayer; Gianluigi Mazzoccoli; Cristina Mazzoni; Joseph R Mazzulli; Nami McCarty; Christine McDonald; Mitchell R McGill; Sharon L McKenna; BethAnn McLaughlin; Fionn McLoughlin; Mark A McNiven; Thomas G McWilliams; Fatima Mechta-Grigoriou; Tania Catarina Medeiros; Diego L Medina; Lynn A Megeney; Klara Megyeri; Maryam Mehrpour; Jawahar L Mehta; Alfred J Meijer; Annemarie H Meijer; Jakob Mejlvang; Alicia Meléndez; Annette Melk; Gonen Memisoglu; Alexandrina F Mendes; Delong Meng; Fei Meng; Tian Meng; Rubem Menna-Barreto; Manoj B Menon; Carol Mercer; Anne E Mercier; Jean-Louis Mergny; Adalberto Merighi; Seth D Merkley; Giuseppe Merla; Volker Meske; Ana Cecilia Mestre; Shree Padma Metur; Christian Meyer; Hemmo Meyer; Wenyi Mi; Jeanne Mialet-Perez; Junying Miao; Lucia Micale; Yasuo Miki; Enrico Milan; Małgorzata Milczarek; Dana L Miller; Samuel I Miller; Silke Miller; Steven W Millward; Ira Milosevic; Elena A Minina; Hamed Mirzaei; Hamid Reza Mirzaei; Mehdi Mirzaei; Amit Mishra; Nandita Mishra; Paras Kumar Mishra; Maja Misirkic Marjanovic; Roberta Misasi; Amit Misra; Gabriella Misso; Claire Mitchell; Geraldine Mitou; Tetsuji Miura; Shigeki Miyamoto; Makoto Miyazaki; Mitsunori Miyazaki; Taiga Miyazaki; Keisuke Miyazawa; Noboru Mizushima; Trine H Mogensen; Baharia Mograbi; Reza Mohammadinejad; Yasir Mohamud; Abhishek Mohanty; Sipra Mohapatra; Torsten Möhlmann; Asif Mohmmed; Anna Moles; Kelle H Moley; Maurizio Molinari; Vincenzo Mollace; Andreas Buch Møller; Bertrand Mollereau; Faustino Mollinedo; Costanza Montagna; Mervyn J Monteiro; Andrea Montella; L Ruth Montes; Barbara Montico; Vinod K Mony; Giacomo Monzio Compagnoni; Michael N Moore; Mohammad A Moosavi; Ana L Mora; Marina Mora; David Morales-Alamo; Rosario Moratalla; Paula I Moreira; Elena Morelli; Sandra Moreno; Daniel Moreno-Blas; Viviana Moresi; Benjamin Morga; Alwena H Morgan; Fabrice Morin; Hideaki Morishita; Orson L Moritz; Mariko Moriyama; Yuji Moriyasu; Manuela Morleo; Eugenia Morselli; Jose F Moruno-Manchon; Jorge Moscat; Serge Mostowy; Elisa Motori; Andrea Felinto Moura; Naima Moustaid-Moussa; Maria Mrakovcic; Gabriel Muciño-Hernández; Anupam Mukherjee; Subhadip Mukhopadhyay; Jean M Mulcahy Levy; Victoriano Mulero; Sylviane Muller; Christian Münch; Ashok Munjal; Pura Munoz-Canoves; Teresa Muñoz-Galdeano; Christian Münz; Tomokazu Murakawa; Claudia Muratori; Brona M Murphy; J Patrick Murphy; Aditya Murthy; Timo T Myöhänen; Indira U Mysorekar; Jennifer Mytych; Seyed Mohammad Nabavi; Massimo Nabissi; Péter Nagy; Jihoon Nah; Aimable Nahimana; Ichiro Nakagawa; Ken Nakamura; Hitoshi Nakatogawa; Shyam S Nandi; Meera Nanjundan; Monica Nanni; Gennaro Napolitano; Roberta Nardacci; Masashi Narita; Melissa Nassif; Ilana Nathan; Manabu Natsumeda; Ryno J Naude; Christin Naumann; Olaia Naveiras; Fatemeh Navid; Steffan T Nawrocki; Taras Y Nazarko; Francesca Nazio; Florentina Negoita; Thomas Neill; Amanda L Neisch; Luca M Neri; Mihai G Netea; Patrick Neubert; Thomas P Neufeld; Dietbert Neumann; Albert Neutzner; Phillip T Newton; Paul A Ney; Ioannis P Nezis; Charlene C W Ng; Tzi Bun Ng; Hang T T Nguyen; Long T Nguyen; Hong-Min Ni; Clíona Ní Cheallaigh; Zhenhong Ni; M Celeste Nicolao; Francesco Nicoli; Manuel Nieto-Diaz; Per Nilsson; Shunbin Ning; Rituraj Niranjan; Hiroshi Nishimune; Mireia Niso-Santano; Ralph A Nixon; Annalisa Nobili; Clevio Nobrega; Takeshi Noda; Uxía Nogueira-Recalde; Trevor M Nolan; Ivan Nombela; Ivana Novak; Beatriz Novoa; Takashi Nozawa; Nobuyuki Nukina; Carmen Nussbaum-Krammer; Jesper Nylandsted; Tracey R O'Donovan; Seónadh M O'Leary; Eyleen J O'Rourke; Mary P O'Sullivan; Timothy E O'Sullivan; Salvatore Oddo; Ina Oehme; Michinaga Ogawa; Eric Ogier-Denis; Margret H Ogmundsdottir; Besim Ogretmen; Goo Taeg Oh; Seon-Hee Oh; Young J Oh; Takashi Ohama; Yohei Ohashi; Masaki Ohmuraya; Vasileios Oikonomou; Rani Ojha; Koji Okamoto; Hitoshi Okazawa; Masahide Oku; Sara Oliván; Jorge M A Oliveira; Michael Ollmann; James A Olzmann; Shakib Omari; M Bishr Omary; Gizem Önal; Martin Ondrej; Sang-Bing Ong; Sang-Ging Ong; Anna Onnis; Juan A Orellana; Sara Orellana-Muñoz; Maria Del Mar Ortega-Villaizan; Xilma R Ortiz-Gonzalez; Elena Ortona; Heinz D Osiewacz; Abdel-Hamid K Osman; Rosario Osta; Marisa S Otegui; Kinya Otsu; Christiane Ott; Luisa Ottobrini; Jing-Hsiung James Ou; Tiago F Outeiro; Inger Oynebraten; Melek Ozturk; Gilles Pagès; Susanta Pahari; Marta Pajares; Utpal B Pajvani; Rituraj Pal; Simona Paladino; Nicolas Pallet; Michela Palmieri; Giuseppe Palmisano; Camilla Palumbo; Francesco Pampaloni; Lifeng Pan; Qingjun Pan; Wenliang Pan; Xin Pan; Ganna Panasyuk; Rahul Pandey; Udai B Pandey; Vrajesh Pandya; Francesco Paneni; Shirley Y Pang; Elisa Panzarini; Daniela L Papademetrio; Elena Papaleo; Daniel Papinski; Diana Papp; Eun Chan Park; Hwan Tae Park; Ji-Man Park; Jong-In Park; Joon Tae Park; Junsoo Park; Sang Chul Park; Sang-Youel Park; Abraham H Parola; Jan B Parys; Adrien Pasquier; Benoit Pasquier; João F Passos; Nunzia Pastore; Hemal H Patel; Daniel Patschan; Sophie Pattingre; Gustavo Pedraza-Alva; Jose Pedraza-Chaverri; Zully Pedrozo; Gang Pei; Jianming Pei; Hadas Peled-Zehavi; Joaquín M Pellegrini; Joffrey Pelletier; Miguel A Peñalva; Di Peng; Ying Peng; Fabio Penna; Maria Pennuto; Francesca Pentimalli; Cláudia Mf Pereira; Gustavo J S Pereira; Lilian C Pereira; Luis Pereira de Almeida; Nirma D Perera; Ángel Pérez-Lara; Ana B Perez-Oliva; María Esther Pérez-Pérez; Palsamy Periyasamy; Andras Perl; Cristiana Perrotta; Ida Perrotta; Richard G Pestell; Morten Petersen; Irina Petrache; Goran Petrovski; Thorsten Pfirrmann; Astrid S Pfister; Jennifer A Philips; Huifeng Pi; Anna Picca; Alicia M Pickrell; Sandy Picot; Giovanna M Pierantoni; Marina Pierdominici; Philippe Pierre; Valérie Pierrefite-Carle; Karolina Pierzynowska; Federico Pietrocola; Miroslawa Pietruczuk; Claudio Pignata; Felipe X Pimentel-Muiños; Mario Pinar; Roberta O Pinheiro; Ronit Pinkas-Kramarski; Paolo Pinton; Karolina Pircs; Sujan Piya; Paola Pizzo; Theo S Plantinga; Harald W Platta; Ainhoa Plaza-Zabala; Markus Plomann; Egor Y Plotnikov; Helene Plun-Favreau; Ryszard Pluta; Roger Pocock; Stefanie Pöggeler; Christian Pohl; Marc Poirot; Angelo Poletti; Marisa Ponpuak; Hana Popelka; Blagovesta Popova; Helena Porta; Soledad Porte Alcon; Eliana Portilla-Fernandez; Martin Post; Malia B Potts; Joanna Poulton; Ted Powers; Veena Prahlad; Tomasz K Prajsnar; Domenico Praticò; Rosaria Prencipe; Muriel Priault; Tassula Proikas-Cezanne; Vasilis J Promponas; Christopher G Proud; Rosa Puertollano; Luigi Puglielli; Thomas Pulinilkunnil; Deepika Puri; Rajat Puri; Julien Puyal; Xiaopeng Qi; Yongmei Qi; Wenbin Qian; Lei Qiang; Yu Qiu; Joe Quadrilatero; Jorge Quarleri; Nina Raben; Hannah Rabinowich; Debora Ragona; Michael J Ragusa; Nader Rahimi; Marveh Rahmati; Valeria Raia; Nuno Raimundo; Namakkal-Soorappan Rajasekaran; Sriganesh Ramachandra Rao; Abdelhaq Rami; Ignacio Ramírez-Pardo; David B Ramsden; Felix Randow; Pundi N Rangarajan; Danilo Ranieri; Hai Rao; Lang Rao; Rekha Rao; Sumit Rathore; J Arjuna Ratnayaka; Edward A Ratovitski; Palaniyandi Ravanan; Gloria Ravegnini; Swapan K Ray; Babak Razani; Vito Rebecca; Fulvio Reggiori; Anne Régnier-Vigouroux; Andreas S Reichert; David Reigada; Jan H Reiling; Theo Rein; Siegfried Reipert; Rokeya Sultana Rekha; Hongmei Ren; Jun Ren; Weichao Ren; Tristan Renault; Giorgia Renga; Karen Reue; Kim Rewitz; Bruna Ribeiro de Andrade Ramos; S Amer Riazuddin; Teresa M Ribeiro-Rodrigues; Jean-Ehrland Ricci; Romeo Ricci; Victoria Riccio; Des R Richardson; Yasuko Rikihisa; Makarand V Risbud; Ruth M Risueño; Konstantinos Ritis; Salvatore Rizza; Rosario Rizzuto; Helen C Roberts; Luke D Roberts; Katherine J Robinson; Maria Carmela Roccheri; Stephane Rocchi; George G Rodney; Tiago Rodrigues; Vagner Ramon Rodrigues Silva; Amaia Rodriguez; Ruth Rodriguez-Barrueco; Nieves Rodriguez-Henche; Humberto Rodriguez-Rocha; Jeroen Roelofs; Robert S Rogers; Vladimir V Rogov; Ana I Rojo; Krzysztof Rolka; Vanina Romanello; Luigina Romani; Alessandra Romano; Patricia S Romano; David Romeo-Guitart; Luis C Romero; Montserrat Romero; Joseph C Roney; Christopher Rongo; Sante Roperto; Mathias T Rosenfeldt; Philip Rosenstiel; Anne G Rosenwald; Kevin A Roth; Lynn Roth; Steven Roth; Kasper M A Rouschop; Benoit D Roussel; Sophie Roux; Patrizia Rovere-Querini; Ajit Roy; Aurore Rozieres; Diego Ruano; David C Rubinsztein; Maria P Rubtsova; Klaus Ruckdeschel; Christoph Ruckenstuhl; Emil Rudolf; Rüdiger Rudolf; Alessandra Ruggieri; Avnika Ashok Ruparelia; Paola Rusmini; Ryan R Russell; Gian Luigi Russo; Maria Russo; Rossella Russo; Oxana O Ryabaya; Kevin M Ryan; Kwon-Yul Ryu; Maria Sabater-Arcis; Ulka Sachdev; Michael Sacher; Carsten Sachse; Abhishek Sadhu; Junichi Sadoshima; Nathaniel Safren; Paul Saftig; Antonia P Sagona; Gaurav Sahay; Amirhossein Sahebkar; Mustafa Sahin; Ozgur Sahin; Sumit Sahni; Nayuta Saito; Shigeru Saito; Tsunenori Saito; Ryohei Sakai; Yasuyoshi Sakai; Jun-Ichi Sakamaki; Kalle Saksela; Gloria Salazar; Anna Salazar-Degracia; Ghasem H Salekdeh; Ashok K Saluja; Belém Sampaio-Marques; Maria Cecilia Sanchez; Jose A Sanchez-Alcazar; Victoria Sanchez-Vera; Vanessa Sancho-Shimizu; J Thomas Sanderson; Marco Sandri; Stefano Santaguida; Laura Santambrogio; Magda M Santana; Giorgio Santoni; 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