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Reversal of axonal growth defects in an extraocular fibrosis model by engineering the kinesin–microtubule interface

Mutations in human β3-tubulin (TUBB3) cause an ocular motility disorder termed congenital fibrosis of the extraocular muscles type 3 (CFEOM3). In CFEOM3, the oculomotor nervous system develops abnormally due to impaired axon guidance and maintenance; however, the underlying mechanism linking TUBB3 mutations to axonal growth defects remains unclear. Here, we investigate microtubule (MT)-based motility in vitro using MTs formed with recombinant TUBB3. We find that the disease-associated TUBB3 mutations R262H and R262A impair the motility and ATPase activity of the kinesin motor. Engineering a mutation in the L12 loop of kinesin surprisingly restores a normal level of motility and ATPase activity on MTs carrying the R262A mutation. Moreover, in a CFEOM3 mouse model expressing the same mutation, overexpressing the suppressor mutant kinesin restores axonal growth in vivo. Collectively, these findings establish the critical role of the TUBB3-R262 residue for mediating kinesin interaction, which in turn is required for normal axonal growth and brain development.

M icrotubules (MTs), polymers of a/b-tubulin heterodimers, play critical roles in the developing nervous system 1,2 . Several distinct aand b-tubulin isotypes are found in mammalian brain, and their tightly controlled spatiotemporal expression is essential for brain formation and function. Each tubulin isotype plays a specific role, and accordingly, mutations in tubulin genes are linked to neurological diseases with distinct phenotypes in an isotype-specific manner [3][4][5] .
Among the six b-tubulin isotypes expressed in the mammalian brain, class-III b-tubulin (TUBB3) is unique in its expression pattern in the nervous system. TUBB3 is primarily limited to neurons 6 , and confers a highly dynamic property to MTs compared with other b-tubulin isotypes 7 . Notably, the neuronal expression level of TUBB3 is highest during the period of axon outgrowth and is reduced in the adult central nervous system, suggesting that the dynamic property of TUBB3 is important for aspects of nervous system development 8 .
The uniqueness of TUBB3 is underscored by the fact that TUBB3's function cannot be replaced by other b-tubulin isotypes, not even by TUBB2, despite the 90% sequence identity between these two isotypes 9 . The class-III tubulin diverged from the common ancestor of class II, III and IV b-tubulins when vertebrates emerged; since then, this particular isotype has maintained 99% sequence identity across vertebrate species 8 ( Supplementary Fig. 1). Accordingly, the unique properties of TUBB3 critically depends on its exact sequence, and mutations in TUBB3 in humans are associated with a spectrum of brain malformation and neurological disorders [9][10][11] . Specifically, eight heterozygous missense mutations in human TUBB3 are reported to cause congenital fibrosis of the extraocular muscles type 3 (CFEOM3). Patients show hypoplasia of the oculomotor nerves and dysgenesis of the corpus callosum, anterior commissure and corticospinal tracts 11 . These defects point to an essential function for TUBB3 in the processes of axonal outgrowth and maintenance during development.
A subset of the TUBB3 mutations causing CFEOM3 (R262C/H, E410K and D417H/N) has been studied in Saccharomyces cerevisiae, where the mutant b-tubulins were found to impair the MT interaction with Kip3p and Kip2p kinesins. Therefore, axonal growth defects in patients may likely result from compromised kinesin-MT interactions 11 . Nevertheless, although the involvement of TUBB3 acidic residues E410 and D417 in kinesin-MT interaction is supported by both in vitro and in vivo observations 12,13 , the involvement of basic residue R262 is uncertain. For example, a recent study in cultured mouse hippocampal neurons found no effect of the R262C mutation on KIF5B-or KIF21A-dependent transport 13 . The kinesin-MT interactions are primarily dependent on the interactions between the acidic residues in tubulin and the basic residues in kinesin [14][15][16][17][18] . Residue R262 has been neglected in these analyses because of its positive charge and its location in the H8-S7 loop, which is outside the C-terminal hairpin structures of aand b-tubulin (H11-H11 0 -H12) where other critical acidic residues reside (Fig. 1). Because the R262 mutation is the most common mutation in patients with CFEOM3, delineating its role in kinesin motility is essential for understanding the disease mechanism.
A better understanding of whether and how R262 is involved in the kinesin interaction warrants a detailed examination of the effect of TUBB3 mutations on kinesin motility in a cell-free system. However, such an analysis has been hampered by a lack of methods to purify recombinant TUBB3 tubulin. To overcome this issue, we have recently developed a method to express and purify the heterodimer of human TUBA1B (a-tubulin) and TUBB3 tubulin using a baculovirus-insect cell expression system 19 . Here, using this new method, we demonstrate that TUBB3 R262H and R262A mutations inhibit the motility of kinesin in vitro. The reduced turnover rate of adenosine triphosphate (ATP) hydrolysis (k cat ) indicates that the interaction via the R262 residue is critical for triggering ADP release from kinesin's nucleotide pocket. In agreement with this interpretation, the crystal structure of the kinesin-tubulin complex in its nucleotide-free state reveals that the R262 in tubulin binds with the D279 in the L12 loop of kinesin, which then connects to an element in the switch I/II subdomains 20 . With these biochemical and structural data, we sought a kinesin mutant that could bypass the effects of the TUBB3 R262A mutation and move on the mutant MT. We did indeed find one: in a proof-of-principle experiment, expressing this mutant kinesin in a mouse CFEOM3 disease model by in utero electroporation rescued axonal growth in the developing brain. Altogether, our findings establish that disruption of kinesin-MT interactions is a major cause for axonal growth defects in CFEOM3 patients.

Results
b-R262A mutation inhibits motility and ATPase activity. We used a baculovirus/insect cell expression system to express and purify the following three types of recombinant tubulin dimers composed of human a1-and b3-tubulin (TUBA1B and TUBB3, respectively): wild type (WT), R262C and R262H ( Supplementary  Fig. 2a) 19 . To compare our results with those from previously . Alanine-scanning mutagenesis analysis of tubulin identified six acidic residues (red spheres) in the C-terminal hairpin structures (H11-H11 0 -H12) of aand b-tubulin (green) as critical for the interaction with kinesin 17 . The basic residue b-R262 addressed in this paper (blue spheres) is located in the H8-S7 loop of b-tubulin. (b) Alignment of the sequences of human (Hs) TUBB3, Saccharomyces cerevisiae (Sc) TUB2, and pig (Ss) b-tubulin. For pig tubulin, sequence numbering used in the PDB 1JFF was adopted. The positions of the secondary structure elements are indicated, and the labelled residues correspond to those shown in a with the same colour scheme.
reported charged-to-alanine tubulin mutants 12,17 , the TUBB3 R262A mutant was also expressed. The WT, R262H and R262A tubulins were purified using His and FLAG tags and polymerized into MTs ( Supplementary Fig. 2b), but the yield of R262C tubulin was too low for use in biochemistry experiments due to the low solubility of the protein.
In the single-molecule motility assays using total internal reflection fluorescence microscopy, the two-headed KIF5B motor (human KIF5B construct HK432 at a concentration of 0.4 nM) did not bind to R262H or R262A MTs ( Fig. 2a; Table 1), while it did move on the WT MTs at a velocity of 0.57 ± 0.19 mm s À 1 (mean±s.d., N ¼ 480). In the former cases, the kinesin scarcely bound to the mutant MTs even when the kinesin concentration was raised to 20 nM. Moreover, in MT-gliding assays using native KIF5, R262H and R262A MTs could not move on the kinesincoated glass surface, while WT MTs moved at a velocity of 0.65 ± 0.08 mm s À 1 (mean ± s.d., N ¼ 120). Therefore, the R262 residue in TUBB3 is critical for kinesin-MT interaction.
Measurement of MT-activated kinesin ATPase activity revealed that the R262H and R262A mutations reduced the ATP hydrolysis rate (k cat ) to 17 and 23% of that of WT, respectively, and increased the value of apparent Michaelis-Menten constant (K 0.5 MT) 9.7 and 10 times of that of WT, respectively ( Fig. 2b; Table 1). This result contrasts to our previous observation with the acidic critical residues in b-tubulin 17 . The charged-to-alanine mutations in acidic residues E410A and D417A, located in H12 of b-tubulin, have also been shown to impair kinesin motility. However, in the ATPase measurement, these mutations did not affect the value of k cat (Supplementary Table 1). They only elevated the value of K 0.5 MT. The result indicates that basic residue R262 plays a distinct role, different from the role of other acidic residues in b-tubulin.
A mutant kinesin rescues motility impaired by TUBB3 mutation. According to the crystal structure of the kinesin-tubulin complex 20 , b-R262 is a binding partner for D279 in the kinesin L12 loop in the nucleotide-free state (Fig. 3a). Adjacent to D279 in L12, there exists a highly conserved R278 (Fig. 3b), known to be most influential in determining the affinity of kinesin with the MT 14 . The substitution of R278 resulted in a 15-fold increase in the value of ATPase K 0.5 MT. Because the b-R262A mutation in tubulin shows a similar high impact on K 0.5 MT (Supplementary  Table 1), we hypothesized that the role of b-R262 might be to guide the kinesin residue R278 to its binding partner (presumably D417 in the H12 helix of b-tubulin) by forming a salt bridge with the adjacent D279. According to this hypothesis, kinesin might move on the R262A MT if the residue R278 can bind to its partner residue(s) on an MT without being guided by b-R262.
To test this possibility, we attempted to engineer such a mutant kinesin that can move on an R262A MT by introducing the D279N and D279R mutations to the L12 loop of kinesin. Our expectation was that the reduction or reversal of the negative charge at D279 might reduce the electrostatic repulsion between D279 of kinesin and D417 and/or E421 of b-tubulin, allowing the adjacent R278 in kinesin to approach its binding partner(s).
In a single-molecule motility assay, both D279R KIF5B and D279N KIF5B moved on WT MTs at a velocity comparable to that of WT KIF5B (Fig. 3c,d, upper panel; Table 1). We found that D279R KIF5B moved on R262A MTs, but D279N KIF5B did not (Fig. 3c, lower panel). In an independent experiment, we confirmed that D279R KIF5B was not constitutively active; it could not move on b-E410A MTs, which was previously shown to be critical for kinesin motility 12 . Altogether, these results demonstrated that the mutation D279R, but not D279N, recovered the motility of KIF5B on R262A MTs. We also investigated whether the mutation D279R can recover the motility of KIF5B on R262H MTs, but the motility was not restored.
Along with motility, the D279R KIF5B mutation showed enhanced ATPase activity by R262A MTs (Fig. 3e; Table 1). The K 0.5 MT value was slightly higher than that of the WT-WT pairs.
Despite the recovered motility and ATPase activity in the paired mutant combinations of D279R KIF5B and R262A MT, their interaction differed from that of WT KIF5B-WT MTs in their motile and biochemical properties, as described below.
In a single-molecule motility assay, the binding frequency of D279R KIF5B to R262A MT was higher than that of the WT-WT combination (Table 1). Moreover, the movement of D279R KIF5B on the R262A MT was less smooth than the WT-WT combination. It stochastically passes between two modes, that is, a fast-moving mode and a sluggish mode, thus giving rise to the distribution of instantaneous velocities in two Gaussians (Fig. 3d). In the former mode, D279R KIF5B moved at a velocity slightly higher than that of the WT-WT combination (Table 1). In the latter, D279R KIF5B was either stalled at the same position or showed bidirectional drag along a R262A MT, thereby producing no net displacement. Such motility properties are unique to this paired mutant combination. Our previous analyses have shown that the charged-to-alanine mutations in the acidic residues of both aand b-tubulin simply lowered the binding frequency and/or velocity of kinesin 17 . Regarding the binding affinity of the KIF5B-MT complex, a co-sedimentation assay using a minimal motor (a single-headed KIF5B construct, HK349) revealed that the affinity in the paired mutant combination (D279R KIF5B-b-R262A MT) was still lower than that of the WT-WT pair, showing a 2-, 10-and 2-fold increase in K d values in the ADP, nucleotide-free and AMPPNP states, respectively, as compared with the WT-WT pair (  Table 2). Even though the affinity did not fully recover in the paired mutant combinations, the D279R mutation was highly effective in suppressing the R262A mutation effect, considering the large increase in K d values brought about by the R262A mutation (B6-, B70and B90-fold increase in the ADP, nucleotide-free and AMPPNP states, respectively, as compared with the WT-WT pair).  Table 1.
The mutant kinesin rescues axonal growth defects. In light of the axonal growth defects in patients with CFEOM3 that result from mutations at R262, we next examined whether D279R kinesin rescued such defects in cultured neurons. Dissociated neurons from embryonic day 16.5 (E16.5) cerebral cortices were transfected with plasmids encoding WT, R262H or R262A TUBB3. After a 72-h culture, the lengths of the tau-1-positive axons in the cortical neurons were examined by immunocytochemistry (Fig. 4a). Compared with the control cells that were transfected with WT TUBB3, the transfection of R262H and R262A TUBB3 perturbed the growth of axons, resulting in B20% reductions in axon length (mean ± s.e.m., 42.5 ± 2.2, 32.7 ± 1.6 and 34.5±1.9 mm for the WT, R262H and R262A TUBB3, respectively; Fig. 4b; Supplementary Fig. 4), which was statistically significant (P ¼ 0.002 and P ¼ 0.035 for R262H and R262A, respectively, analysis of variance (ANOVA) with post hoc pairwise Wilcoxon-Mann-Whitney tests). In contrast, the cotransfection of D279R KIF5B with R262A TUBB3 suppressed the reduction in axon length; the difference in axon length, as compared with the control cells, was insignificant (39.2 ± 2.2 mm; P ¼ 0.30, ANOVA with post hoc pairwise Wilcoxon-Mann-Whitney tests). Thus, axonal growth was perturbed only in the conditions in which no motility was observed in the in vitro motility assay. Because previous studies have implied a unique role of KIF21A in development of the nervous system [21][22][23][24] , in a separate set of experiments, we also tested the effect of cotransfection of D325R KIF21A, the mutation equivalent to D279R in KIF5B, with R262A TUBB3 ( Fig. 4b; Supplementary Fig. 4). While the transfection of R262A TUBB3 caused significant reduction of axon length (mean ± s.e.m., 32.8 ± 1.7 for WT and 26.7 ± 1.6 mm for R262A TUBB3; P ¼ 0.003, ANOVA with post hoc pairwise Wilcoxon-Mann-Whitney tests), the pair of mutants resulted in axon length comparable to that of control cells transfected with WT TUBB3 (34.8±1.7 mm; P ¼ 0.63, ANOVA with post hoc pairwise Wilcoxon-Mann-Whitney tests). Again, the axonal growth perturbed by R262A TUBB3 was rescued by the suppressor mutation D325R in KIF21A. Expression of D325R KIF21A alone did not increase axonal length (34.2±1.8 mm; P ¼ 0.63, ANOVA with post hoc pairwise Wilcoxon-Mann-Whitney tests).
The rescue of axonal growth was even more prominent in an in vivo experiment in the developing mouse brain. In this experiment, a set of mutant kinesin and tubulin used in the above experiment were co-transfected with EYFP reporter into the cortical layer 2/3 commissure neurons at E15.5 with in utero electroporation 25 , and the elongation of commissural axons at postnatal day 3 (P3) was determined by immunolabelling for EYFP and TUBB3 (Fig. 4c,d). The elongation of TUBB3-positive axons was significantly reduced by the transfection of R262H or R262A TUBB3 (mean ± s.e.m., 1,558 ± 85 for WT, 770 ± 42 mm for R262H and 406±65 for R262A; Po0.001 for both of the TUBB3 mutants, ANOVA with post hoc Tukey-Kramer tests, Fig. 4e). The cotransfection of D279R KIF5B and R262A TUBB3 partially rescued the axonal growth. However, the axon length was still slightly shorter than that of the control cells transfected with WT TUBB3 (1,226 ± 69 mm; P ¼ 0.047, ANOVA with post hoc Tukey-Kramer tests). The cotransfection of D325R KIF21A and R262A TUBB3 was more effective for the rescue and resulted in an axon length comparable to that of control cells (1,446 ± 41 mm; P ¼ 0.93, ANOVA with post hoc Tukey-Kramer tests). We confirmed that the transfection of either D279R KIF5B or D325R KIF21A alone did not result in overextension of axons ( Fig. 4e), indicating that neither of them were constitutively active. These in vivo observations, together with the results that were obtained with the cultured neurons, collectively indicate that the interaction between MTs containing TUBB3 and KIF21A/KIF5B is essential for normal axonal growth.

Discussion
To date, there has been no evidence for a basic tubulin residue playing a critical role in kinesin-based motility 12,13,17 . However, a recent study in yeast showed that introducing the CFEOM3associated mutation of the TUBB3 basic residue (R262C or R262H) to the yeast TUB2 gene blocked Kip3p accumulation at MT plus-ends 11 . Therefore, we aimed to investigate whether this  basic residue mutation could inhibit the in vitro motility of kinesin when expressed in TUBB3. Our analyses revealed that the R262H or R262A mutations in TUBB3 impaired kinesin motility and the MT-activated ATPase of a two-headed KIF5B motor ( Fig. 2; Table 1). Similar to an earlier study that reported a low yield of R262C tubulin in rabbit reticulocytes 11 , the poor yield of R262C TUBB3 prevented us from examining its effects on motility. However, the observation in yeast cells that both R262C and R262H mutations decreased Kip3p accumulation on the plus end of MTs indicated that R262C might impair kinesin motility if tested in vitro.
Having established the importance of the basic residue b-R262 in kinesin motility, our next questions were which residues of kinesin interact with b-R262 and how does this interaction contribute to the kinesin-MT interaction. A drastic reduction in k cat by b-R262H or b-R262A mutations indicates that b-R262 might play a crucial role in mediating the structural signals required for ATPase activation. It contrasts with the role of the critical acidic residues in b-tubulin (b-E410 and b-D417) that increase the affinity of kinesin to MT (K 0.5 MT) without affecting k cat (Supplementary Table 1) 17 . According to the crystal structure of the kinesin-tubulin complex and the model of the kinesin-MT complex based on cryo-EM images 20,26,27 , b-R262 is a binding partner for D279 in the kinesin L12 loop in the nucleotide-free and ATP-bound states (Fig. 3a). Upon MT binding, the rearrangement of salt bridges near this pair may contribute to the conformational change in kinesin, leading to ADP release from the nucleotide pocket 20,27 . The sequence of the L12 loop and the adjacent a5 helix is highly conserved in kinesin, indicating the importance of this region in its function (Fig. 3b).
Earlier work using alanine-scanning mutagenesis of kinesin showed that while the residue substitution at D279 reduced the value of ATPase K 0.5 MT to about half of that of the WT, the substitution in the adjacent R278 resulted in a more than 15-fold increase in this value (Supplementary Table 1   15-fold increase is outstanding, given that residue substitutions in all other kinesin sites brought at most only a fourfold increase in K 0.5 MT. This outstanding impact of R278A mutation in kinesin is comparable to the 10-fold increase in K 0.5 MT by the R262A tubulin mutation (Supplementary Table 1). Such similarly potent effects of kinesin R278A and tubulin R262A on K 0.5 MT values, and the close proximity of these two residues in three-dimensional space, suggest the possibility that b-R262 in tubulin may interact with D279 in the L12 loop of kinesin, and thereby mediate the encounter of adjacent R278 to its binding partner (presumably D417 in the H12 helix of b-tubulin) (Fig. 5a). In other words, because the MT is highly negatively charged, before (or concomitant with) binding with kinesin R278, the negative charge of D279 in the kinesin may need to be neutralized by electropositive b-R262 on the MT; otherwise, the D279 of kinesin and the D417 and/or E421 of b-tubulin will repel each other and prevent R278's access to the MT. This hypothesis is consistent with the local structural change at the binding interface, as shown in the models of kinesin-MT complexes 15,27,28 and molecular dynamics simulations 29 .
This hypothesis predicts that kinesin might move on the R262A MT if the kinesin residue R278 can bind to its partner residue(s) on an MT without mediation by R262. Indeed, D279R KIF5B moved on a b-R262A MT (Fig. 3c,d; Table 1), indicating that a reversal of negative charge at D279 might have allowed the R278 to approach its binding partner without a charge neutralization of D279. In this mutant pairs, the lack of a D279-b-R262 (KIF5B-MT) salt bridge might have been compensated for by the electrostatic interaction of D279R-b-E421 (Fig. 5b). That D279N KIF5B did not move on R262A MTs is also consistent with our hypothesis; the electrostatic attraction between the putative binding sites is reliant on only a single pair of charged residues (Fig. 5c), which might be too weak for the kinesin-MT interaction to occur (see further discussion below).
In the D279R KIF5B-b-R262H MT mutant pairs, neither the motility nor the ATPase was rescued (Table 1). This result is not surprising considering the high histidine activity in molecular interactions 30 . Because histidine is capable of interacting with various amino acids, the mutation R262H might have modulated the MTs by hydrogen bonding(s), which cannot be compensated by D279R KIF5B 11 .
Our concluding question was what was the role of a pair with opposite charges in kinesin motility? In the paired mutant combination D279R KIF5B-b-R262A MT, its motile and biochemical properties differed from that of the WT-WT    Table 3, is indicated in blue ( þ / À ) below the graph. NS, not significant.
combinations in several aspects. A comparison between these two combinations provides us with insight into the unique role of basic residue R262 in motility.
Compared with the WT-WT pairs of kinesin-MT, in the mutant pairs, the interaction was less stable in all nucleotide conditions (that is, larger K d in Fig. 3f), resulting in a shorter interaction duration in single-molecule motility and a slightly higher value of K 0.5 MT in the ATPase measurement (Table 1). These observations indicate that the binding free energy between D279R KIF5B and R262A MT is smaller than that in the WT-WT pair. In contrast to the two (or possibly three) salt bridges with identical polarities across the D279R KIF5B-b-R262A MT interface (Fig. 5b), the polarities of the two salt bridges across WT KIF5B-WT MT interface are opposite (Fig. 5a), which may make the latter complex more stable 31 .
On the other hand, the motility data showed that the binding frequency of D279R KIF5B to the R262A MT was two times higher than the binding frequency of WT KIF5B to WT MT (Table 1). Moreover, D279R KIF5B occasionally stalled or showed bidirectional drag along R262A MT (Fig. 3c,d). These results indicated the increased stability of the interaction between D279R KIF5B-b-R262A MT compared with that of the WT-WT pairs, which is contrary to the reduced stability of the interaction in solution (Fig. 3f).
These apparent discrepancies can be elucidated if we assume that the interaction between D279 and R262 had two opposite functions: it facilitates binding, but at the same time, it mediates detachment of the rear head from the MT during the processive run of two-headed kinesin undergoing ATP hydrolysis. We will explain this in the following paragraphs.
Facilitated binding: The interface of KIF5B for MT is dominated by positively charged residues, which produce a large area of enhanced positive electrostatic potential (Fig. 5d,e, upper panel) 18,32 . On the other hand, due to the high density of negatively charged residues, MT presents a streak of strong negative electrostatic potential that runs along the outer ridge of the MT protofilament (Fig. 5d,e, lower panel) 33 . These profiles of the electrostatic potentials allow KIF5B holding ADP to execute one-dimensional Brownian motion along the MT, while it is constrained in the negative potential of the MT 34,35 . With this background of the majority charges, the basic tubulin residue R262 and the acidic kinesin residue D279 are very few exceptions on the electropositive and electronegative surface of KIF5B and MT, respectively, reversing the potential landscape around their location (Fig. 5e, marked by yellow circles). Such local reversal in the potential landscape should help KIF5B locate its binding site during a diffusional search along MT, thus accelerating the subsequent transition to stereospecific binding (Fig. 5f, left) 36 . In the paired mutants D279R KIF5B-b-R262A MT, the lack of reversed charges, D279 and R262, might make a diffusional search of the binding site less efficient (Fig. 5f, right), causing prolonged diffusion in the weak-binding state (higher velocity compared with that of the WT-WT pairs) ( Table 1; Fig. 3d, lower panel).
Mediation of detachment: For KIF5B bound on an MT, a small stagger in the relative position of D279 and R262, triggered by an external load, will result in each of these residues facing the like charges, thus allowing KIF5B to be ejected from the binding site (Fig. 5f, left). In the paired mutant D279R KIF5B-b-R262A MT, the lack of reversed charges may have eliminated the electrostatic repulsion, causing an ejection of the ADP-bound rear head from the MT difficult, and thus resulting in the stalling and/or dragging of kinesin (Fig. 5f, right).
In short, our model presumes that the reversed charge of D279 and R262 serves as an electrostatic latch, with its on and off being controlled by electrostatic attractions and repulsions. Although this model is currently speculative, it is consistent with the motility data (Table 1; Supplementary Fig. 5) and the results of the mutagenesis analysis of kinesin 14 . The validity of our model will be addressed in future studies by measuring the frequency and duration of stereospecific binding during diffusional scanning of the single-headed KIF5B along an MT under the ADP condition 37,38 .
Though our model is based on the results of an experiment using R262A MTs, it may explain the molecular mechanism underlying the impaired motility of the WT KIF5B on the disease-associated mutation R262H (Fig. 2). In this mutant, the reduction in the positive charge at residue R262 may result in MTs with an even surface potential, thus the electrostatic latch between R262 and D279 does not function.
Notably, a recent analysis of the critical residues in tubulin for dynein motility indicated that similar mechanisms may operate in this motor 39 . The basic residue a-R403 is essential for dynein to switch from diffusional movement to stereospecific binding, and its central importance is highlighted by the finding that a mutation in the equivalent residue in human TUBA3, a-R402H, disrupted dynein motility and caused lissencephaly 40 .
To compare the results of the in vitro analyses to the in vivo phenotypes of the disease, we recapitulated the axonal growth defect/rescue by overexpressing mutant TUBB3, KIF5B and KIF21A in cultured neurons and neurons in developing mouse brain (Fig. 4). In both experiments, the perturbation/recovery of axonal growth in neurons occurred in parallel with the perturbation/recovery of motility in vitro. While the overexpression of R262A TUBB3 inhibited axon growth, the coexpression of D279R KIF5B partially rescued the axonal growth perturbed by R262A, and the coexpression of D325R KIF21A led to a full recovery of axonal growth. The singlemolecule motility assay confirmed that WT KIF21A showed no motility along R262A/R262H MTs, whereas D325R KIF21A moved on R262A MTs at a velocity of 0.16 ± 0.45 mm s À 1 , which was comparable to that of WT KIF21A on WT MTs (0.18 ± 0.32 mm s À 1 ; Supplementary Table 3). These observations indicate that the interaction between the KIF motors and TUBB3 MTs was essential for axonal growth. Although R262A is a synthetic mutant, not reported in CFEOM3 patients, its similarity to disease-associated mutation R262H (that is, impaired motility and axonal growth defect) justifies its use as a model to investigate the mechanism underlying the pathogenesis. In agreement with our observation, a previous analysis of in utero electroporation demonstrated that the overexpression of TUBB3 with mutations at the acidic residues that are critical for kinesin motility (either E410K or D417H) perturbs axonal elongation in developing mouse brain 13 .
The extent of recovery in axon length was higher with D325R KIF21A than it was with D279R KIF5B. This may indicate distinct functions of these two motors during neuronal development. A recent immunohistochemical analysis of KIF21A knockin mice indicated that KIF21A is essential for the molecular cascade controlling the steering of axonal growth 24 . Considering its condensed distribution in growth cones in a developing brain, KIF21A may bind to TUBB3-rich MTs at the growth cones and thus regulate the axon steering and elongation 23,24,41 . For KIF5B, an earlier study has shown that the suppression of KIF5 expression inhibits the polarization of hippocampal neurons 42 , indicating that this motor might be crucial for axon outgrowth. Accordingly, a recent analysis in Drosophila cultured neurons demonstrated that KIF5B-powered MT sliding is essential for the initial outgrowth of neurites 43 . The exact molecular mechanisms of how the interaction of TUBB3 with kinesin facilitates axon growth required further investigation.
In this study, the use of human TUBB3 tubulin allowed us to compare the results between in vitro and in vivo systems without having to deal with differences between the tubulin isotypes (for example, human TUBB3 versus yeast TUB2 tubulin) 11 . By extending this new approach towards the dissection of the pathogenic mechanisms in various neurological disorders, with each associated with a specific tubulin isotype 2-6,10,40,44-46 , we may be able to elucidate how different tubulin isotypes evolved to serve specific cellular functions in vertebrates.

Methods
Preparation of recombinant tubulins. Sequences of Homo sapiens a1-tubulin (TUBA1B; NP_006073) and b3-tubulin (TUBB3; NP_006077) were custom synthesized, with each clone fused with a glycine-based linker (GGSGG) and a peptide tag. For a1and b3-tubulin, a His tag (HHHHHHHH) and a FLAG tag (DYKDDDDK) were used, respectively ( Supplementary Fig. 2a) 19 . The codon usage of the sequences was optimized for expression in insect cells. To exclude variability due to acetylation, TUBA1B was made unacetylatable by residue substitution K40R and treated as WT. To increase expression levels, an L21 leader sequence 47 was added to each of these sequences just before the start codon, and the inserts were cloned into the pFastBac Dual vector (Life Technologies, Carlsbad, CA, USA).
The recombinant tubulin vector was expressed in HighFive cells (Life Technologies) using the Bac-to-Bac System (Life Technologies). HighFive cells grown to a concentration of 2.0-2.5 Â 10 6 ml À 1 , were infected with the viruses and cultured for a further   The purified tubulin was concentrated to 3-8 mg ml À 1 with an Amicon Ultracel-30 K filter (Millipore, Merck KGaA), centrifuged to remove aggregation and then polymerized by adding 0.2-2 mM of taxol (Tocris) at 30°C for 0.5-1.5 h. The polymerized material was supplemented with 2 mM ATP, 1 M NaCl and 20 mM Taxol, and then centrifuged for 12 min at 250,000g. The pellet was suspended in BRB buffer containing 1 mM GTP and 0.1 mM taxol at room temperature (RT). The MTs were stored at RT until use. Alternatively, tubulin dimer eluted from the FLAG affinity column was concentrated to 45 mg ml À 1 , frozen in liquid N 2 and stored at À 80°C until use. Upon use, tubulin was thawed and further purified by a cycle of polymerization and depolymerization.
Preparation of other proteins. To produce dimeric kinesin constructs HK432 and KIF21A-552, amino-acid residue 1-432 of KIF5B and residue 1-552 of KIF21A were each fused to a spacer (GGGGSGGGGS), a SNAP tag (New England Biolabs), a spacer (G) and a His6 tag, respectively. For the monomeric kinesin construct HK349, amino-acid residues 1-349 of KIF5B were fused to a spacer (GGGGSGGGGS), SNAP tag, a spacer residue (G) and a His6 tag (K349-SNAP-His). These constructs were expressed in E. coli then purified using immobilized metal-affinity chromatography (TALON, Clontech). The purified proteins were labelled with fluorescent dye BG-549 (SNAP-surface 549; New England Biolabs) at a dye-to-protein ratio of 2:1-5:1 for 60 min at RT, and separated from the free dye by gel filtration using a NAP-5 column (GE Healthcare) and by MT-affinity purification. The stoichiometry of the labelling was 40.9, as determined from the concentrations of both BG-549 and kinesin protein.
Image analysis of a single-molecule motility assay. The motion of each single BG-549-labelled kinesin was tracked using a tracking software (Mark2, kindly provided by Dr Ken'ya Furuta), and the data were processed and analysed using R statistical package (R Foundation for Statistical Computing) and in-house macro programs. The mean velocity was calculated by fitting the distribution of velocities (with a time interval of 0.3 s) to double-Gaussian curves. The mean run length and duration was determined by nonlinear least squares fitting of the data to the cumulative frequency distribution 51 , with the lower limit being set to 0.1 mm (run length) and 0.2 s (duration), respectively. The data were obtained by 3-4 independent experiments each containing 460 motor measurements.
Multiple-motor motility assay. For an MT-gliding assay, a flow chamber prepared from a coverslip and a glass slide (9 mm Â 9 mm Â B80 mm) was loaded by first flowing casein solution (10 mg ml À 1 of casein in 10 mM Tris, 0.1 M NaCl), waiting for 3 min and then sequentially chasing with the following solutions: (1) 12 ml of Â 2 MA buffer solution; (2) 6 ml of Â 2 MA buffer containing native kinesin (1-12 mg ml À 1 ); and (3) 6 ml of the MT solution (10 À 50 mg ml À 1 in Â 2 MA buffer) supplemented with 1 mM ATP, 1 mg ml À 1 casein and 10 mM taxol 12 . The chamber was sealed with nail enamel and the interaction of MTs with kinesin on the glass surface was observed under a dark-field microscope (BX50; Plan 40, numerical aperture ¼ 0.65, Olympus) at 25 ± 1°C. The images were projected onto an image-intensified charge-coupled device camera (C3077-70 and C8600-05, Hamamatsu Photonics) and stored in a digital video recorder (DR20, Sony). The kinesin density on the glass surface is estimated to be 200-2,400 mm À 2 (refs 12,52).
Biochemical analysis of kinesin-MT interaction. MT-activated ATPase activity of WT and mutant HK432 was determined by the malachite green method at 25°C (ref. 53). Equilibrium dissociation constant (K d ) was measured by co-sedimentation of BG-549-labelled HK349 with MTs according to the standard method 54 with some modification 34 . Assays were performed in Â 2 MA buffer solution supplemented with 1 mg ml À 1 casein, 40 mM taxol and either 1 mM ADP and 1 U ml À 1 hexokinase (H500, Sigma), 1 U ml À 1 apyrase (A-6132, Sigma) or 1 mM AMPPNP and 1 U ml À 1 apyrase.
Animals. Outbred ICR (CD-1) 10-12-week-old timed pregnant female mice were obtained from Japan SLC. Mid-day of the day of vaginal plug discovery was considered embryonic (E) day 0.5. This study was approved by the RIKEN Research Ethics Committee. Animals were handled under an animal use protocol approved by the committee.
Primary culture and transfection of cerebral cortex. E16.5 embryonic cerebral cortices of the ICR mouse were treated with 0.25% Trypsin-EDTA for 5 min at 37°C and dissociated into single cells by gentle trituration 55 . Cells were suspended in DMEM (Invitrogen) with 10% fetal bovine serum, then changed to Neurobasal medium (Invitrogen) supplemented with B27 (Invitrogen) and 2 mM L-glutamine (Sigma). Transfections were performed using an Amaxa mouse neuron nucleofector kit (Lonza, Basel, Switzerland), program O-005, according to the manufacturer's instructions. Upon completion of the program, cell suspension was combined with the pre-equilibrated Neurobasal medium and incubated in the CO 2 incubator for 15 min for restoration, and then plated at a density of B60 cells per mm 2 using Neuron Culture Medium (Sumitomo Bakelite Co., Tokyo, Japan) on coverslips coated with 1 mg ml À 1 poly-L-lysine (Sigma) placed in film-bottom culture dishes (FD10300, Matsunami Co.). For transfections, plasmid DNA carrying TUBB3, KIF21A or KIF5B with a CAG promoter was used. For the TUBB3 constructs, a complementary DNA sequence used for overexpression in insect cells was used, in which the His tag was replaced with V5 tag for immunolabelling. For the KIF21A constructs, full-length mouse KIF21A (MGC:63452, MMM1013-202798465, OpenBioSystems) fused with a haemagglutinin (HA) tag was used. For the KIF5B constructs, a full-length human KIF5B (MGC:161557, NHS6278-211689013, OpenBioSystems) fused with a HA tag was used.
Immunofluorescence cell staining and image acquisition. Cells were fixed in PBS with 4% paraformaldehyde and 4% sucrose at RT for 5 min followed by postfixation in À 20°C ethanol for 20 min. Fixed cells were washed three times with PBS (15 min each), permeabilized by 0.1% Triton X-100 in PBS for 10 min, washed three times with PBS (5 min each) and incubated in blocking buffer (3% BSA, 0.1% Triton X-100 in PBS) for 1 h at RT. The cells were then incubated with primary antibodies, either rabbit anti-V5 polyclonal antibody (2 mg ml À 1 , AB3792, Millipore) or rat anti-HA polyclonal antibody (2 mg ml À 1 , 11-867-423-001, Roche), and mouse anti-tau-1 monoclonal antibody (1/2 dilution, IHCR1015, Millipore) for 1.5 h. After three washes with PBS, cells were incubated with secondary antibodies, Alexa-Fluor 594-conjugated anti-rabbit immunoglobulin-G (IgG) (5 mg ml À 1 , A11012, Life Technologies), Alexa-Fluor 488-conjugated anti-rat IgG (5 mg ml À 1 , A11016, Life Technologies), and Alexa-Fluor 350 conjugated anti-mouse IgG (5 mg ml À 1 , A11045, Life Technologies) for 1 h at RT. After three washes with PBS, the cells were mounted with Fluoromount/Plus (Diagnostic Biosystems) and images were acquired with an IX-73 inverted microscope (Olympus) with a digital CMOS camera (ORCA-Flash 4.0, C11440, Hamamatsu Co.). The lengths of TUBB3 and/or KIF5B/KIF21A, and tau-1-positive neurites were measured by Simple Neurite Tracer 56 for 4100 transfected cells for each construct in each set of experiments. Statistical significance was determined by one-way ANOVA with post hoc pairwise Wilcoxon-Mann-Whitney tests for multiple comparisons using the R statistical package (R Foundation for Statistical Computing).
In utero electroporation and immunohistochemistry. The plasmid DNA carrying EYFP with a CAG promoter was always co-injected with the plasmids carrying TUBB3-V5, KIF5B-HA and KIF21A-HA into the lateral ventricle and electroporated into the dorsal ventricular zone of the telencephalon at E15.5 (ref. 25). Transposon-mediated gene transfer was used for stable expression of tubulin and kinesin genes 57 . Brains were harvested at P3, sectioned in the coronal plane on a Leica sledge microtome at 20 mm and double-labelled for EYFP, and either the V5 tag of TUBB3 or the HA tag of KIF5B/KIF21A. EYFP was labelled with rat anti-GFP monoclonal antibody (2 mg ml À 1 , GF090R, Nacalai Tesque) and the secondary antibody conjugated to Alexa-Fluor 488 (10 mg ml À 1 , A11006, Life Technologies). V5 tag was labelled with rabbit anti-V5 polyclonal antibody (2 mg ml À 1 , AB3792, Millipore) and the secondary antibody conjugated to Alexa-Fluor 594 (10 mg ml À 1 , A11012, Life Technologies). The HA tag was labelled with rat anti-HA polyclonal antibody (2 mg ml À 1 , 11-867-423-001, Roche) and the secondary antibody conjugated to Alexa-Fluor 594 (10 mg ml À 1 , A11007, Life Technologies). To quantify the length of the axons, the horizontal distance from midline ( Fig. 4c,d, broken lines) to the tip of the visible commissural axons (Fig. 4c,d, red arrowheads) was measured. Statistical significance was determined by one-way ANOVA with post hoc Tukey-Kramer tests for multiple comparisons.