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Polymorphic regulation of mitochondrial fission and fusion modifies phenotypes of microglia in neuroinflammation

Microglia are the resident macrophages of the central nervous system and play complex roles in the milieu of diseases including the primary diseases of myelin. Although mitochondria are critical for cellular functions and survival in the nervous system, alterations in and the roles of mitochondrial dynamics and associated signaling in microglia are still poorly understood. In the present study, by combining immunohistochemistry and 3D ultrastructural analyses, we show that mitochondrial fission/fusion in reactive microglia is differentially regulated from that in monocyte-derived macrophages and the ramified microglia of normal white matter in myelin disease models. Mouse cerebral microglia in vitro demonstrated that stimulation of TLR4 with lipopolysaccharide, widely used to examine microglial reactions, caused the activation of the mitochondrial fission protein, dynamin-related protein 1 (Drp1) and enhanced production of reactive oxygen species (ROS). The increase in the ROS level activated 5′ adenosine monophosphate-activated protein kinase (AMPK), and facilitated elongation of mitochondria along the microtubule tracks. These results suggest that the polymorphic regulation of mitochondrial fission and fusion in reactive microglia is mediated by distinct signaling under inflammatory conditions, and modulates microglial phenotypes through the production of ROS.

oxygen species (ROS). The role of ROS signaling has been demonstrated in a bewildering number of cellular events including damage to cell components. The production of ROS is also essential for host defenses in the periphery [16][17][18] . Therefore, mitochondrial fission/fusion and associated signaling involving ROS need to be investigated in microglia, due to their unique roles in brain physiology.
In the present study, the mitochondrial morphology of reactive microglia in vivo was examined and compared with those of monocyte-derived macrophages and microglia remote from tissue pathology, in myelin disease models. In order to model temporal alterations in mitochondrial fission/fusion in reactive microglia, we used primary microglial cultures and stimulation of Toll-like receptor 4 (TLR4) with lipopolysaccharide (LPS), which were widely used to study inflammatory reactions of microglia leading to injuries of neurons and oligodendrocytes 6,19,20 . The results suggest that microglial reactions induce dynamic mitochondrial fission/fusion which are associated with distinct signaling pathways. Alteration in mitochondrial dynamics may contribute to the differential functions of reactive microglia in neurological diseases.

Results
Mitochondrial dynamics of reactive microglia in demyelinating disease models in vivo. Using Ccr2 rfp/+ ::Cx3cr1 gfp/+ mice 21,22 , which tissue-resident microglia-derived macrophages (MiDM) and infiltrating monocyte-derived macrophages (MDM) were labeled with GFP and RFP, respectively, the morphological characteristics of MiDM and MDM in the spinal cord at the onset of experimental autoimmune encephalomyelitis (EAE) were examined by immunostaining for RFP or GFP and observations with SBF-SEM (Fig. 1a). DABprecipitation derived from GFP (MiDM) or RFP (MDM) immunostaining near the tissue surface facilitated the observation of organelles within the two populations of DAB-positive cells (Fig. 1b,c). In these analyses, the nuclei of GFP-positive MiDM (Fig. 1c) appeared to be more spherical compared with RFP-positive MDM (Fig. 1b). When nuclei were classified into 4 categories, 98% of cells with round nuclei were GFP+MiDM, while 95% of cells with irregular nuclei were RFP+MDM ( Fig. 1d-f). MDM with complex nuclei had rounder and shorter mitochondria ( Fig. 1g,k,i), whereas MiDM with round nuclei had longer mitochondria (Fig. 1h,l,j). Mitochondrial lengths were longer in MiDM than in MDM (Fig. 1m), while no significant differences were observed in mitochondrial volumes (Fig. 1n). These results suggest that MiDM have longer and thinner mitochondria and spherical nuclei than MDM in spinal cord tissues at the onset of EAE.
The differential fission/fusion of mitochondria may be related to the activation of macrophage lineage cells 18 . In order to address this possibility in vivo, mitochondrial morphologies were examined in a mouse model of Pelizaeus-Merzbacher disease (PMD), a congenital myelin disorder linked to the proteolipid protein (PLP) gene 23,24 . In the mouse model expressing extra copies of PLP, progressive myelin loss and an increased number of macrophages were observed in the CNS, with most macrophages (>90%) being derived from resident microglia 25,26 . Cells with DAB-deposits of ionized calcium-binding adapter molecule 1 (Iba1), a member of EF hand proteins which is expressed in the microglia of CNS as well as peripheral macrophages, were observed near the surface of the tissues (Figs 1a, 2a-h). In myelinated white matter from wild-type mice, Iba1-positive microglia had round-oval nuclei and extended thin processes containing long mitochondria (Fig. 2i,k,m). In contrast, in the demyelinated white matter of mutant mice, Iba1-positive amoeboid microglia with round-oval nuclei had greater numbers of small and short mitochondria than the ramified microglia in wild-type mice (Fig. 2j,l,n). The median length and volume of mitochondria was 2-3-fold longer and larger in ramified microglia compared with the amoeboid microglia (Fig. 2o,p). These results suggest that reactive microglia are characterized more by a constant nuclear morphology and mitochondrial fragmentation than ramified microglia in vivo. Transient fragmentation and subsequent elongation of mitochondria in reactive microglia stimulated with LPS in vitro. In order to elucidate mitochondria alterations and associated signaling pathways during microglial reactions, primary cultures of microglia were utilized and subjected to 1 μg/mL LPS, which cause inflammatory reactions of microglia by signaling to TLR4 (Fig. 3a) 6,19,20,27 . Immunostaining for Iba1 showed that the circularity of the cytoplasm (proportional to the cellular area/perimeter 2 ) was greater in cultures 2, 6 and 12 hr after the stimulation than in unstimulated control cultures (Fig. 3b,e), indicating that the LPS stimulation induces the amoeboid morphology. Immunostaining was used to elucidate the mitochondrial outer membranes (TOM20; Fig. 3c, VDAC1; data not shown) and inner membranes (COX I; Fig. 3d, COX Va; data not shown). Mitochondrial length was shortened 2 hr after the stimulation (Fig. 3f,g). Mitochondria were longer 6 and 12 hr after the stimulation than 2 hr after the stimulation (Fig. 3f,g). SBF-SEM observation and the reconstruction of mitochondria identified by the typical cristae morphology (Fig. 4a,b) showed that the lengths and numbers of branches were significantly shorter and fewer, respectively, 2 hr after the LPS stimulation ( Fig. 4c-f), and returned to control levels 12 hr after the stimulation (Fig. 4e,f). We speculated that the elongation of mitochondria was dependent on microtubules, because double immunostaining for α-tubulin and COX I showed that elongated mitochondria co-localized with microtubules ( Fig. 5a-c). This hypothesis was confirmed by nocodazole, an inhibitor of microtubule polymerization, impairing the elongation of mitochondria (Fig. 5d). These results demonstrate that the activation of microglia by LPS induced transient and reversible shortening and the subsequent elongation and network restoration of mitochondria in vitro.
Drp1 activation and mitochondrial ROS production mediating LPS-induced mitochondrial fragmentation. Since the activation of Drp1 controls mitochondrial fission 28 , we examined Ser616 phosphorylation, which activates Drp1 after the LPS stimulation (Fig. 6a). Western blotting analyses revealed that the phosphorylation of Ser616 increased 2-6 hr after the stimulation, and returned to control levels 12 hr after the stimulation (Fig. 6b). The treatment with 50 μM Mdivi-1, a Drp1 inhibitor (Fig. 6a), diminished mitochondrial shortening (Fig. 6c-e) 29 . Drp1 activation and mitochondrial fission have been shown to promote the generation of ROS 30 . In order to examine alterations in and the roles of ROS production after the LPS stimulation, Figure 1. Longer mitochondria and round nuclei of microglia-derived macrophages in spinal cord tissues at the onset of experimental autoimmune encephalomyelitis. (a) After fixation and slicing (i), brain tissues were immunostained with DAB (ii), and embedded in resins (a, iii). Serial images were acquired for 3D reconstruction (a, iv). Reconstruction of nuclei (upper panels) and original immunoelectron microscopic images (middle, lower panels) of RFP-(b, red) and GFP-(c, green) positive cells in the spinal cord of a Ccr2 rfp/+ ::Cx3cr1 gfp/+ mouse with DAB deposits (b,c, asterisks). The nuclei of DAB negative cells (center) and immunocontrols (right) are also shown. The grading (d) and counting (e,f) of nuclear shapes in the RFPpositive monocyte-derived macrophages (MDM) and GFP-positive microglia-derived macrophages (MiDM). Single images (g,h) and nuclear (i,j) and mitochondrial (k,l) 3D reconstructions of MDM (g,k,i, red) and MiDM (h,j,l, green) are shown. Mitochondria are indicated (g,h, arrowheads). Long and short mitochondria are colored in blue and magenta, respectively (k,l). The mitochondrial length (m) and volume (n) of MiDM and MDM are compared. ns: not significant. ***p < 0.001 in the U-test. N = 648 or 786 for mitochondria in MDM or MiDM. Bars: 2 μm. mitochondrial ROS (mtROS) was measured with MitoSOX, a mitochondrial superoxide indicator (Fig. 6a). The fluorescence intensity of MitoSOX increased 2hr after the LPS stimulation ( Fig. 6f,g,j) and returned to the basal levels 6-12 hr after the stimulation (Fig. 6h,i,j). The treatment with Mdivi-1 abolished the increase in MitoSOX fluorescence intensity observed 2hr after the LPS stimulation (Fig. 6a,k-m). The generated ROS appeared to contribute mitochondrial fragmentation 2hr after the LPS stimulation, since treatment with 1 mM N-acetyl cysteine (NAC), a ROS scavenger, diminished the mitochondrial fragmentation ( Fig. 6n-r). Mitochondrial length after 12hr treatment with NAC was comparable to those with 12hr treatment with LPS and controls without LPS stimulation, but longer than that with 2hr treatment with LPS and NAC ( Fig. 6n-r). Since IL-10 is a pivotal regulator in progression of EAE and the production of IL-10 is increased by LPS stimulation and promoted by post-translational modification of microtubules 31-33 , we examined secretion levels of IL-10 by enzyme-linked immunosorbent assay (ELISA). Although LPS stimulation increased production of IL-10, treatment with Mdivi-1 did not significantly affect the IL-10 production ( Supplementary Fig. 1). These results suggest that mitochondrial fission via the activation of Drp1 is induced by the TLR4 stimulation and increases the mitochondrial production of ROS which contributes to mitochondrial fission.
In order to confirm the involvement of ROS and AMPK in mitochondrial fission/fusion after the LPS stimulation, microglial cultures were stimulated with LPS in the presence or absence of NAC, and Compound C (Fig. 8a). Western blotting analysis showed that stimulation by LPS for 12 hr induced phosphorylation of AMPK at Thr172 (Fig. 8b). LPS-induced phosphorylation of AMPK at Thr172 was decreased by the treatment with NAC (Fig. 8c). Compound C suppressed mitochondrial elongation observed 2-12 hr after the LPS stimulation ( Fig. 8d-h), but did not significantly affect production of IL-10 ( Supplementary Fig. 1). These results suggest that mitochondrial elongation in microglia after the LPS stimulation is mediated by the production of ROS and activation of AMPK (Fig. 8i).

Discussion
In the present study using SBF-SEM, the mitochondrial morphology of reactive microglia was compared with those of monocyte-derived macrophages and microglia from unaffected brain regions, under demyelinating conditions in vivo. Temporal changes in mitochondrial morphology and associated signaling were also evaluated in primary microglial cultures after the LPS stimulation, using immunocytochemistry and SBF-SEM. Morphological analyses in vivo revealed that mitochondria were longer in MiDM than in MDM at the onset of EAE. On the other hand, the mitochondria of amoeboid microglia in the demyelinated white matter of PLP-overexpressing mice were shorter than those of ramified microglia in the myelinated white matter of wild-type mice. The results of in vitro analyses demonstrated (1) transient mitochondrial shortening after the LPS stimulation via pathways involving Drp1 and ROS, and (2) subsequent elongation along microtubule tracks via pathways involving AMPK (Fig. 8i). Since mitochondrial shortening enhanced the production of ROS in microglia, these results suggest that endogenous signaling pathways in reactive microglia lead to influence mitochondrial dynamics and modulate microglial metabolism and ROS production in neurological disorders.
SBF-SEM revealed the distinct morphology of macrophage populations in detailed 3D ultrastructural analyses of demyelinated mouse CNS tissues and primary microglial cultures. The biphasic alterations in mitochondrial length observed at the ultrastructural level in vitro were consistent with immunohistochemical staining for the markers of the inner and outer mitochondrial membranes, indicating that light and 3D electron microscopic methods are mutually complementary 38,39 . In addition, SBF-SEM observations along with pre-embedding immunohistochemistry for extrinsic and intrinsic markers clarified nuclear and mitochondrial morphologies in different MiDM and MDM populations in vivo. The penetration of the immunoreaction product was limited near the surface, but sufficient to identify immunostained cells and their organelles. These approaches may facilitate the identification of ultrastructural features in specific cell populations and tissue compartments under physiological and pathological circumstances.
The 3D morphological in vivo analyses suggested the differential nuclear and mitochondrial morphologies of macrophages in neuroinflammatory and demyelinating diseases. The complexity of nuclear shapes may be relevant to the differential properties of nuclear cytoskeletal elements, including the effects of migratory behaviors, such as extravasation from blood vessels 40,41 . Mitochondrial morphology is closely associated with cellular metabolism and functions in neurons and glia 42,43 . In peripheral immune cells, metabolic pathways are associated Figure 5. Mitochondrial elongation along microtubules following the stimulation with lipopolysaccharide (LPS). An experimental scheme shows that primary microglial cultures were quickly frozen (QF), freezesubstituted (FS), and immunostained for α-tubulin and the inner mitochondrial membrane (IMM) marker, COX I (a). Double immunostaining for mitochondria (COX I) and microtubules (α-tubulin) in microglia without the LPS stimulation (b, arrows) or 12 hr after the LPS stimulation (c, arrows). Areas indicated with rectangles (b3, c3, d3) are shown in the insets. Fluorescence intensity was measured along the lines (b3, c3, d3), and the arrows show the strong fluorescence intensities of α-tubulin (magenta) and COX I (green) at the same locations (b4, c4). Bars: 30 μm.  : 20 μm (c,d, n-q), 50 μm (f-i, k,l).
with various immunological functions 18,44 . For example, an inflammatory stimulation of macrophages such as that with LPS enhances glycolytic metabolism, inhibits oxidative phosphorylation and increases ROS production from mitochondria 44 . The generation of ROS has been correlated with mitochondrial fragmentation and the secretion of inflammatory cytokines in cell lines 45,46 . MDM have been reported to express higher levels of inflammatory cytokines than MiDM at the onset and peak of EAE 5 . Differences in organelle morphology between MiDM and MDM support the concept that the behaviors and functions of these two populations of macrophages are distinct in vivo and differentially associated with pathogenesis and potentially with tissue repair in this model of inflammatory demyelination.
Alterations of the mitochondrial dynamics may be related to the differences of microglial phenotypes in the demyelinating disease models. Amoeboid microglia were observed in PLP-overexpressing mice although MiDM in EAE onset bore processes 5 . Inflammation-associated genes were upregulated in MDM rather than MiDM in EAE 5 , whereas inflammatory reactions including phospholipase D4 (PLD4), involved in M1 macrophage polarization, was induced in reactive microglia of PLP-tg mice 47,48 . However, the limitation of this study is the different brain regions analyzed in different models in order to observe microglial reactions in demyelinated white matter.  Further studies on variances of brain regions as well as genetic backgrounds are necessary in order to address if mitochondrial dynamics of reactive microglia is altered in the different demyelination models.
The in vitro analyses demonstrated time-dependent alterations of mitochondrial dynamics and their roles in ROS production in microglia following the inflammatory stimulation of TLR4 with LPS. TLR4 has been implicated in pathophysiology of EAE 49,50 . Although involvement of TLR4 is not well understood in the demyelination by PLP overexpression, previous reports suggested that PLD4, involved in M1 macrophage polarization, was induced both in LPS-stimulated primary microglial cultures and in the demyelination model by PLP overexpression 47,48 . Thus, it is possible that microglial reactions in PLP-tg and after LPS stimulation at least partly share common signaling pathways. In addition, LPS stimulation of TLR4 has been widely used to investigate inflammatory microglial reactions 19,20,27 . Therefore, the mitochondrial changes and their roles in microglial reactions observed in this study are potentially observed in the other neuroinflammatory circumstances. However, the in vivo environment is difficult to be reproduced in vitro 4 , and the phenotypes of reactive microglia in EAE and PLP-tg are unlikely to be uniform. Further studies with different stimulations as well as approaches using in vivo observation and manipulation of mitochondrial dynamics are needed in order to understand the mechanisms and roles of mitochondrial changes in microglia more deeply in vivo.
Morphological changes in mitochondria in vitro are controlled via signaling involving Drp1 in the early phase and ROS-AMPK in the later phase. Multiple mitogen-activated protein kinase (MAPK) pathways lie downstream of the LPS stimulation. It is tempting to speculate that the phosphorylation and activation of Drp1 by specific MAPK signaling pathways may mediate mitochondrial fragmentation, dependent on cellular types and/or metabolic states 51,52 . Adding potential complexity, other signaling events may induce mitochondrial fragmentation via the phosphorylation and degradation of Mfn2 53, 54 , rather than the activation of Drp1. The production of ROS has been correlated with mitochondrial fragmentation induced by the activation of Drp1 45,55,56 . The mitochondrial fragmentation in LPS-stimulated microglia was not due to apoptotic cell death or cell cycle propagation 57, 58 , because (1) cellular loss as well as apoptotic morphology was minimal after LPS stimulation and (2) mitochondrial fragmentation was observed in most cells (data not shown). ROS exert various effects; they induce cell damage or promote survival, depending on their concentration and distribution 59 . The results of the present study suggest that ROS enhanced mitochondrial fragmentation in the early phase, but activated AMPK, which led to mitochondrial elongation in the later phase. AMPK signaling is critical for mitochondrial biogenesis via the induction of peroxisome proliferator-activated receptor gamma coactivator 1-α 60 . Therefore, these results support the concept that mitochondrial fragmentation and elongation mediated by the dynamic activation of specific pathways contribute to microglial dysfunctions under the conditions of altered CNS homeostasis. Further investigations on the roles of mitochondrial dynamics particularly such as transcription and cytokine productions would be necessary to understand precise roles of mitochondrial dynamics in microglial reactions, since our results suggested that inhibition of mitochondrial fission did not significantly affect LPS-induced production of IL-10. However, our results support the possibility that the restoration of the form and function of microglial mitochondria provides a salient avenue for therapeutic manipulations ameliorating ROS-mediated tissue injuries.

Animals, EAE induction and clinical evaluations.
All animal experiments were approved by the Institutional Animal Care and Use Committee of University of Yamanashi or Cleveland Clinic, and were performed in accordance with relevant guidelines and regulations. Ccr2 rfp/+ ::Cx3cr1 gfp/+ mice were generated by crossing Ccr2 rfp/rfp ::C57BL/6 mice with Cx3cr1 gfp/gfp ::C57BL/6 mice 22,61 . PLPtg mice 23 were obtained from Riken BRC (Tsukuba, Ibaraki, Japan) and maintained by crossing with DBF-1 mice for >5 generations. Male PLPtg mice and control littermates were used in experiments. DBF-1 and C57BL/6 mice were obtained from Japan SLC (Shizuoka, Japan) or the National Cancer Institute.
EAE was induced in Ccr2 rfp/+ ::Cx3cr1 gfp/+ mice using myelin-oligodendrocyte-glycoprotein peptide , and all mice were weighed and graded daily for clinical stages, as previously reported 5 . The onset stage of EAE was defined as the day on which EAE signs appeared.
Primary microglial culture. Primary microglial cultures were prepared as previously reported 62,63 . Briefly, the cerebral cortices of newborn C57BL/6 mice were minced and cultured with Dulbecco's Modified Eagle's Medium (DMEM) containing 10% fetal bovine serum (FBS) in a 75 cm 2 flask for approximately 10-14 days. Microglia were obtained by gently shaking the flask (approximately 100 rpm) for 10 min. The purity of microglia was assessed as >99% by immunostaining for markers (data not shown). Gathered microglia were cultured in DMEM supplemented with 10% FBS and subjected to experiments. LPS and Mdivi-1 were purchased from Sigma-Aldrich Japan (Tokyo, Japan). Compound C (Dorsomorphin) was purchased from Wako (Tokyo, Japan).
Mitochondrial lengths were measured with ImageJ following immunocytochemistry for mitochondrial markers. All countable mitochondria in cells were traced by free-hand lines and their lengths were measured. All immunocytochemical experiments for each mitochondrial marker were repeated three times with at least 50 cells in total being measured.
Mitochondrial ROS measurements. ROS generated by mitochondria were measured using MitoSOX red as described previously 65 . Briefly, cells were incubated with 5 μM MitoSOX for 10 min and washed with medium at 37 °C. Cells were fixed with 4% paraformaldehyde at room temperature for 10 min. Samples were observed by fluorescent microscopy and mean MitoSOX intensity in the cytoplasm was measured using Image J as described previously 66 .
Western blotting analysis. Microglia in the primary culture were lysed using Laemmli sample buffer (0.5 Tris-HCl [pH 6.8] 12.5 mL, Glycerol 10 mL, 10% SDS 20 mL, 2-mercaptoethanol 50 μL and BPB) with 1% phosphatase inhibitor. Samples were subjected to SDS-PAGE and Western blotting. The primary antibodies used were anti-phospho-Drp1 (Ser616) (Cell Signaling Technology), anti-DLP1 (BD, 611112), anti-phospho-AMPKα (Thr172) (Cell Signaling Technology) and anti-AMPKα (Cell Signaling Technology) and all primary antibodies were diluted 1:1000. The second antibodies used were goat anti-rabbit IgG (H+L), HRP conjugate (Thermo, #31460) and HRP horse anti-mouse IgG antibody (Peroxidase) (Vector Laboratories, PI-2000) and all secondary antibodies were diluted 1:3000. We detected signals using chemiluminescence system. Serial block-face scanning electron microscopy (SBF-SEM) observations with/without immunohistochemistry. Tissues were removed after mice have been perfusion-fixed using buffered 4% PFA with 1-2.5% glutaraldehyde. Cultured microglia were fixed by immersion in buffered 4% PFA with 0.5% glutaraldehyde. Tissues were immersed in the same fixatives overnight. Brain tissues for immunoelectron microscopy were sliced with a vibratome after fixation, and incubated with primary antibodies against GFP, RFP (Company), and Iba1 (Wako Chemicals). Immunoreaction products were visualized uing the avidin-biotin-horse radish peroxidase complex (ABC) method (Vector) and DAB substrate kit (Pierce, Rockford, IL, USA), and additionally fixed with 4% PFA with 1% glutaraldehyde. In immunostaining for anti-GFP or RFP antibodies, glutaraldehyde was omitted from the fixation step before immunostaining. Samples for SBF-SEM observations were post-fixed with osmium and stained en bloc, as described previously 67 . Following trimming, samples were imaged with Sigma VP or Merlin (Zeiss) equipped with 3View (Gatan Inc.). The serial images acquired were handled and processed for segmentation with Fiji/ImageJ.

Mitochondrial measurements and nuclear grading in SBF-SEM images. Mitochondria in
SBF-SEM images were segmented and reconstructed to 3D images using TrakEM2 68 and Amira software. Their lengths, volumes and branch numbers were measured or counted from the segmented and tracked mitochondrial profiles in each image with TrakEM2. The characterization of nuclear shapes was conducted using SBF-SEM images, as described previously 5 . Nuclei were categorized as follows: (1) "Round", having a round shape and smooth surface with a ratio of length/width ≤ 1.5 with or without small (<half width) indentations; (2) "Elongated", having an elongated or oval shape with a length/width ratio >1.5 with or without small (<half width) indentations; (3) "Bilobulated", having two connected lobes with a single intervening large (>half width) indentation; (4) "Irregular", having complex shape with a corrugated surface, and potentially with multiple and variable sized indentations. Three blinded observers including a research student, research fellow, and neuroscientist scored nuclear morphologies from serial images obtained using SBF-SEM. Observers were trained on the same nuclear examples in each category and practiced using 20 nuclei comprising all shapes before scoring the nuclei. The Kappa test showed good pairwise agreement rates among observers (0.85-0.90) and data from the research fellow were used.