Probing Proteostatic Stress in Degenerating Photoreceptors Using Two Complementary In Vivo Reporters of Proteasomal Activity

Abstract Inherited retinal degenerations originate from mutations in >300 genes, many of which cause the production of misfolded mutant photoreceptor proteins that are ultimately degraded by the ubiquitin-proteasome system (UPS). It was previously shown that rod photoreceptors in multiple mouse models of retinal degeneration suffer from proteostatic stress consisting of an insufficient cellular capacity for degrading UPS substrates. In this study, we focused on a specific UPS component required for the degradation of a subset of proteasome targets: the substrate-processing complex formed by the AAA+ ATPase P97/VCP and associated cofactors. To assess whether P97 capacity may be insufficient in degenerating rods, we employed two complementary in vivo proteasomal activity reporters whose degradation is either P97-dependent or P97-independent. Retinal accumulation of each reporter was measured in two models of retinal degeneration: the transducin γ-subunit knock-out (Gγ1-/-) and P23H rhodopsin knock-in (P23H) mice. Strikingly, the patterns of reporter accumulation differed between these models, indicating that the proteostatic stress observed in Gγ1-/- and P23H rods likely originates from different pathobiological mechanisms, in which UPS substrate degradation may or may not be limited by P97-dependent substrate processing. Further, we assessed whether P97 overexpression could ameliorate pathology in Gγ1-/- mice, in which proteostatic stress appears to result from P97 insufficiency. However, despite P97 overexpression being aphenotypic in other tissues, the ∼2.4-fold increase in retinal P97 content was toxic to rods, which complicated the interpretation of the observed phenotype. Our results highlight the complexity of pathophysiological mechanisms related to degrading misfolded proteins in mutant photoreceptors.


Introduction
Inherited retinal degenerations affect two to four million people worldwide. These conditions originate from mutations in Ͼ300 genes (https://sph.uth.edu/retnet/), many of which cause protein misfolding in affected photoreceptors. Previous work in multiple mouse models of retinal degeneration has indicated that the requirement to process large amounts of these misfolded proteins causes proteostatic stress, consisting of an insufficient capacity of the ubiquitin-proteasome system (UPS) to degrade proteasome substrates (Lobanova et al., 2013;Liu et al., 2014;Dexter et al., 2018). Conversely, genetic manipulation reducing the proteolytic capacity of proteasomes evokes photoreceptor death in otherwise normal retinas (Ando et al., 2014). It is also argued that proteasomal rather than lysosomal protein degradation is critical for photoreceptor survival in at least one retinal degeneration mouse model (Yao et al., 2018;Qiu et al., 2019). Importantly, ameliorating proteostatic stress by increasing proteasomal activity delayed photoreceptor death in mouse models of retinal degeneration . Despite this progress, the mechanistic understanding of the connection between insufficient UPS function and photoreceptor degeneration remains limited.
Protein degradation by the UPS is typically initiated by polyubiquitination of a target protein substrate, which enables the proteasome to recognize and degrade this protein (Finley, 2009). However, before being degraded by the proteasome, many proteins undergo a preliminary processing step performed by complexes formed by a homo-hexamer of the AAAϩ ATPase P97 (also known as VCP) and multiple cofactors. P97 complexes are expressed in all cells and participate in a wide range of functions, including protein degradation, membrane fusion, vesicular trafficking, Golgi formation, autophagy, and DNA repair (Meyer and Weihl, 2014;Stach and Freemont, 2017). This versatility originates from the ability of P97 hexamers to associate with various combinations of over 40 interacting cofactors, which confer functional specificity to P97 complexes by regulating substrate in-teraction and subcellular localization (Buchberger et al., 2015;Hänzelmann and Schindelin, 2017).
In the context of the UPS, P97 complexes perform several well-established tasks that facilitate the degradation of substrates otherwise inaccessible to proteasomes. First, these complexes participate in extracting unfolded proteins from the endoplasmic reticulum (ER) during ERassociated protein degradation (Bays et al., 2001;Ye et al., 2001;Braun et al., 2002;Jarosch et al., 2002;Rabinovich et al., 2002). Second, they perform partial unfolding of certain polyubiquitinated protein substrates before proteasome entry (Wójcik et al., 2006;Beskow et al., 2009;Blythe et al., 2017;for review, see van den Boom and Meyer, 2018). This may be particularly important for generating the unstructured regions required for initiating protein degradation by proteasomes (Olszewski et al., 2019). Third, P97 complexes can edit polyubiquitin chains on proteins destined for degradation to optimize their proteasomal recognition (Koegl et al., 1999). It has also been hypothesized that P97 complexes may directly bind and feed substrates into the 20S proteolytic core of the proteasome, thereby replacing the 19S caps normally performing this function; however, it remains unclear whether such interaction occurs in eukaryotic cells Sauer, 2012, 2013).
In this study, we investigated whether insufficient UPS function observed in degenerating rod photoreceptors could result, at least in part, from an insufficient cellular capacity for substrate processing by P97 complexes. We examined two complementary models of progressive retinal degeneration: the knock-out mouse lacking the ␥-subunit of the rod G protein transducin (the G␥ 1 -/mouse; Lobanova et al., 2008) and the knock-in mouse bearing a single copy of the P23H mutation in rhodopsin (the P23H mouse; Sakami et al., 2011). Rods of both models were previously documented to suffer from proteostatic stress. In G␥ 1 -/mice, this stress results from the production of transducin's ␤-subunit (G␤ 1 ), which is unable to fold in the absence of G␥ 1 (Lobanova et al., 2013). In P23H mice, mutant rhodopsin misfolds in the ER, causing proteostatic stress  and eventually initiating the unfolded protein response and photoreceptor cell death (Chiang et al., 2015). Importantly, in both models, the associated misfolded protein undergoes highly efficient intracellular degradation and does not accumulate in the affected rods (Lobanova et al., 2008;Sakami et al., 2011).
Our analysis revealed a striking difference in the patterns of Ub G76V -GFP and ODDLuc reporter accumulation in G␥ 1 -/and P23H retinas. While retinas of G␥ 1 -/mice exhibited efficient clearance of the P97-independent ODDLuc reporter and accumulation of the P97dependent Ub G76V -GFP reporter, both reporters accumulated in the retinas of P23H mice. These data suggest that the proteostatic stress experienced by these mice likely originates from different pathophysiological mechanisms in which protein degradation by the UPS may or may not be limited by the cellular capacity for P97-dependent substrate processing. We also assessed whether P97 overexpression could ameliorate pathology in G␥ 1 -/retinas, in which proteostatic stress appears to result from P97 insufficiency. However, P97 overexpression was toxic to photoreceptors, which greatly complicated the interpretation of the observed phenotype.
Our results highlight the complexity of pathophysiological mechanisms related to degrading misfolded proteins in mutant rods. This complexity must be accounted for in the development of effective strategies to ameliorate these blinding conditions.

Animals
Mouse care and experiments were performed in accordance with procedures approved by the Institutional Animal Care and Use Committee of Duke University. The Deltagen G␥ 1 knock-out (G␥ 1 -/-) mouse was licensed from Deltagen, Inc. (Target ID 408) and was previously characterized in (Lobanova et al., 2008(Lobanova et al., , 2013. In this mouse, regions of the G␥ 1 coding sequence (amino acids 17-44 and intron 2) were replaced with a 6.9 kb IRES-lacZ reporter and neomycin resistance cassette. P23H rhodopsin mutant knock-in (P23H) mice, characterized in (Sakami et al., 2011), were purchased from The Jackson Laboratory (stock #017628). Mice heterozygous for the P23H rhodopsin mutation were used for experiments.
Transgenic mice heterozygously expressing the Ub G76V -GFP reporter are described in (Lindsten et al., 2003). Transgenic mice expressing the ODDLuc reporter, characterized in (Safran et al., 2006), were obtained from The Jackson Laboratory (stock #006206). Both reporters were bred into the G␥ 1 -/and P23H strains, and reporter experiments were performed using mutant mice heterozygously expressing either reporter. Breeding these mice also required breeding out the Rd1 mutation that causes severe retinal degeneration from ODDLuc mice. The transgenic mouse overexpressing wild-type (WT) human P97/VCP (the P97oe mouse) was previously characterized in  and was provided by J. Paul Taylor (St. Jude Children's Research Hospital). Single copies of the Ub G76V -GFP and P97oe transgenes were bred into the G␥ 1 -/line for Ub G76V -GFP quantification from retinal lysates. Littermates lacking Ub G76V -GFP expression were used for morphologic analyses.
Transgenic mice were maintained through heterozygous breeding with C57BL/6J WT mice from The Jackson Laboratory (stock #000664) and tested for the lack of Rd1 and Rd8 mutations. The WT control mice used in Figure  3B were littermates of experimental mice. Non-littermate C57BL/6J WT mice were used in other experiments. Mice of either sex were used for all experiments.

Western blotting
For Western blot analysis of P97 and Ub G76V -GFP protein levels in retinal lysates, two mouse retinas per sample were solubilized in 150 l of 1% Triton X-100 in PBS. Lysates were centrifuged at 16,850 ϫ g for 15 min at 4°C, and supernatants were collected. Total protein concentration was measured using the DC Protein Assay kit (Bio-Rad), and samples were diluted with SDS-PAGE sample buffer. Proteins were separated by SDS-PAGE.

Luciferase activity assay
For quantitative analysis of ODDLuc reporter levels, luciferase activity was measured in retinal lysates of threeto four-week-old WT, G␥ 1 -/-, and P23H mice expressing a single copy of ODDLuc. As a positive control for reporter accumulation, ODDLuc heterozygotes were administered 1 g Roxadustat/FG-4592 (Selleckchem) by intraocular injection, and their retinas were collected 4 h after injection. For each sample, two retinas were lysed in 150 l ice-cold Glo Lysis buffer (Promega) and homogenized by pulse sonication. Retinal extracts were centrifuged at 500 ϫ g for 10 min at 4°C, and the supernatants were centrifuged at 100,000 ϫ g for 1 h at 4°C. The supernatants containing the soluble protein fraction were collected for use in the luciferase activity assay and diluted to 1 g/l with Glo Lysis buffer.
The luciferase activity assay was performed using the Bright-Glo Luciferase Assay System (Promega) according to the manufacturer's protocol. Samples and reagents were thawed to room temperature, and 100 l of retinal lysate (containing 100 g of total protein) and 100 l of Bright-Glo reagent were added to each well of a white, flat-bottom 96-well plate and mixed by gentle pipetting. Luminescence was immediately measured at all emission wavelengths 1ϫ/min for 20 min using a SpectraMax M5 luminometer (Molecular Devices) with the following settings: Automix Once; measurement delay 2 s; measurement read 10 s; one read per well. Data were analyzed using the SoftMax Pro 4.8 software to plot relative luminescence units (RLU) as a function of time. For each sample, RLU at time 0 was determined by identifying the y-intercept of the line-of-best-fit for the RLU values measured. Data were normalized by dividing experimental RLU values by the averaged RLU values obtained from ODDLuc heterozygote control lysates included in each plate.

Histology and microscopy
Photoreceptor cell loss was evaluated in semi-thin plastic-embedded retinal cross-sections (0.5 m thick) obtained from mice at three and six months of age. The retinal cross-sections were prepared as follows: eyes were enucleated from mice and fixed for 1 h in freshly prepared 2% formaldehyde with 2.5% glutaraldehyde in 0.1 M cacodylate buffer containing 2.5 mM CaCl 2 (pH 7.4). The eye globe was then hemisected along the vertical meridian and allowed to fix overnight in the same buffer. The eyecup was rinsed with excess 0.1 M cacodylate buffer (pH 7.4), placed into 2% osmium tetroxide for 1.5 h, and rinsed twice with water. The eye cup was gradually dehydrated in an increasing ethanol series (25-100%) and embedded in Epon; 0.5-m cross-sections were obtained and stained with toluidine blue for light microscopy. Tiled images of whole retina cross-sections were obtained using the Nikon A1R confocal microscope and aligned and stitched using the NIS-Elements AR software. The number of photoreceptor nuclei in representative segments of outer nuclear layer was counted as a quantitative measure of surviving photoreceptors. Nuclear counts were performed in eight 100-m segments located at 500-m steps from the optic nerve head.

Statistical analysis
All data are presented as the mean Ϯ SD. Statistical analyses were performed with GraphPad Prism 7.04. P values are shown in the Statistical Table (Table 1). Results were considered statistically significant when p Ͻ 0.05. Data structure: For all comparisons, N was too small to determine whether data were normally distributed.

Comparison of Ub G76V -GFP and ODDLuc accumulation in G␥ 1
-/and P23H retinas We first assessed P97-dependent UPS substrate processing in G␥ 1 -/and P23H mice by monitoring the retinal accumulation of two in vivo proteasomal activity reporters whose degradation is either P97-dependent or P97independent (Fig. 1). The first reporter, Ub G76V -GFP (Dantuma et al., 2000), is degraded by proteasomes following its partial unfolding by the P97-Ufd1-Npl4 substrateprocessing complex (Wójcik et al., 2006;Beskow et al., 2009;Blythe et al., 2017). The second reporter, ODDLuc (Safran et al., 2006), is efficiently degraded by proteasomes without P97 involvement (Chou and Deshaies, 2011). The P97 independence of ODDLuc was previously established using a cell line expressing both Ub G76V -GFP and ODDLuc. Treatment of these cells with proteasome inhibitor blocked the degradation of both reporters. On the other hand, P97 inhibition or its siRNA knock-down blocked the degradation of Ub G76V -GFP but not ODDLuc (Chou and Deshaies, 2011).
We bred G␥ 1 -/and P23H mice with the mice ubiquitously expressing either Ub G76V -GFP (Lindsten et al., 2003) or ODDLuc (Safran et al., 2006) and assessed the accumulation of each reporter in the retinas of three-to Mann-Whitney 0.0079 Figure 1. The in vivo proteasomal activity reporters Ub G76V -GFP and ODDLuc are degraded through P97-dependent and P97independent mechanisms. Top, Ub G76V -GFP is a fusion protein consisting of GFP fused to a non-cleavable molecule of ubiquitin, which acts as a constitutively active degradation signal. Ub G76V -GFP is degraded by proteasomes following its polyubiquitination and partial unfolding by the P97-Ufd1-Npl4 complex. Bottom, ODDLuc is a fusion protein consisting of firefly luciferase fused to an alternative degradation signal, the ODD of HIF1␣. This reporter is polyubiquitinated and degraded by proteasomes without P97 processing. Conditions of inhibited, impaired, or insufficient UPS function result in the intracellular accumulation of either reporter.
New Research four-week-old mice, in which photoreceptor degeneration has just begun. As reported previously (Lobanova et al., 2013Dexter et al., 2018), Ub G76V -GFP accumulated in retinas of both G␥ 1 -/and P23H mice ( Fig. 2A). Retinal Ub G76V -GFP content increased 11.5 Ϯ 2.0-fold (p ϭ 0.0007) in G␥ 1 -/and 3.3 Ϯ 1.2-fold (p ϭ 0.0007) in P23H mice relative to WT controls. a,b The accumulation of ODDLuc in retinal lysates of G␥ 1 -/and P23H mice was monitored using the luciferase activity assay. As a positive control for ODDLuc accumulation, we injected the HIF prolyl hydroxylase inhibitor Roxadustat/FG-4592 in the vitreous of ODDLuc heterozygotes and collected their retinas 4 h after injection. This treatment caused an increase in ODDLuc accumulation of 1.7 Ϯ 0.4-fold (p ϭ 0.0001; Fig. 2B), d which we considered as a benchmark of this reporter's sensitivity. Notably, this signal was smaller than the signal produced by Ub G76V -GFP, yet sufficiently significant for quantitative analysis.
We next analyzed ODDLuc accumulation in the retinas of mutant mice (Fig. 2B). ODDLuc accumulation in P23H retinas increased 1.7 Ϯ 0.3-fold (p ϭ 0.0002), reaching the same level as observed in the Roxadustat control. e On the other hand, ODDLuc accumulation in G␥ 1 -/retinas increased by only 1.2 Ϯ 0.1-fold (p Ͻ 0.0001). f Notably, this pattern was qualitatively opposite to the pattern of Ub G76V -GFP accumulation, which was higher in G␥ 1 -/retinas. This difference suggests that, though both G␥ 1 -/and P23H rods experience proteostatic stress, this condition likely results from insufficient capacities of different UPS components. The relatively high level of ODDLuc accumulation in P23H retinas suggests that UPS function in their rods is limited by an insufficient cellular capacity for proteasomal degradation. On the other hand, the combination of a high level of Ub G76V -GFP accumulation and a low level of ODDLuc accumulation in G␥ 1 -/retinas suggests that UPS function in this model may be limited by P97-dependent substrate processing. The latter could not be explained merely by a reduction in the expression of P97, as P97 expression levels were essentially indistinguishable from WT and identical in the retinas of both mouse models (Fig. 3A). h,i

Characterization of the retinal morphology of the P97-overexpressing mouse
We next followed up on our observation that proteostatic stress in G␥ 1 -/retinas may result from insufficient P97-dependent substrate processing. Currently, there are no available strategies for increasing the substrateprocessing capacity of P97 complexes in an in vivo context. We attempted to accomplish this through the most straightforward strategy of overexpressing P97 itself. For this purpose, we obtained the transgenic mouse line ubiquitously overexpressing WT human P97 (the P97oe mouse), described in Custer et al. (2010). The P97oe mouse was characterized as phenotypically normal, with no change in development, weight, or survival compared to WT mice. However, the retinal phenotype of this mouse was not assessed.
We first determined the P97 content in P97oe retinas (Fig. 3B). Quantitative Western blotting of retinal lysates from one-month-old mice indicated a robust, 2.4 Ϯ 0.4fold increase in their P97 content (p ϭ 0.0079). j This overexpression level was essentially the same as previously reported for the brain . We next investigated whether this increase in P97 expression affects photoreceptor health by analyzing the retinal morphology of P97oe mice in thin plastic sections from threemonth-old mice (Fig. 3C-E). To quantify the effect of P97 overexpression on photoreceptor survival, we counted the number of photoreceptor nuclei in 100-m retinal segments at different distances from the optic nerve and plotted the results as a spider diagram (Fig. 3C). We found that P97oe retinas exhibited marked photoreceptor loss at all analyzed regions of the retina, with the total nuclear count obtained from these regions decreasing by ϳ31% -/and P23H retinas. A, The Ub G76V -GFP reporter was detected in retinal lysates (25 g total protein/lane) of three-to four-week-old G␥ 1 -/or P23H mice by Western blotting with an anti-GFP antibody; the densities of the Ub G76V -GFP bands were normalized to the Hsc70 loading control. The number of mice analyzed was the following: WT, 8; G␥ 1 -/-, 6; P23H, 6. Each dot represents a single data point. B, The ODDLuc reporter was detected in retinal lysates (100 g total protein/reaction) from three-to four-week-old G␥ 1 -/or P23H mice using the Bright-Glo Luciferase Assay system. Retinal lysates from ODDLuc mice treated with the HIF prolyl hydroxylase inhibitor Roxadustat (Rox) were used as a positive control for reporter accumulation. The number of mice analyzed was the following: WT, 12; G␥ 1 -/-, 8; P23H, 5; Rox, 6. Each dot represents a single data point. Data are shown as the mean Ϯ SD. ‫‪p‬ءء‬ Ͻ 0.01, ‫‪p‬ءءء‬ Ͻ 0.001, ‫‪p‬ءءءء‬ Ͻ 0.0001. compared to WT controls (from 1458 Ϯ 91 nuclei in WT to 1010 Ϯ 36 in P97oe, p ϭ 0.0357; Fig. 3D). k We also analyzed retinas from P97oe mice at six months of age and observed ϳ42% photoreceptor loss compared to WT (data not shown).
These data indicate that, although P97oe mice were not previously reported to display any obvious neurologic abnormalities , the ϳ2-fold increase in retinal P97 content in these mice is toxic to rod photore-ceptors and causes significant cell death before three months of age. Additionally, we observed that that the toxic effect of P97 overexpression was more pronounced in the superior retina than in the inferior retina (Fig. 3C,E).

Photoreceptor degeneration in G␥ 1 -/mice overexpressing P97
Despite observing some P97 overexpression toxicity, we nonetheless decided to evaluate whether P97 overex- Figure 3. Overexpression of P97 affects photoreceptor survival. A, P97 protein level was detected in retinal lysates (2 g total protein/lane) of one-month-old G␥ 1 -/or P23H mice by Western blotting with an anti-P97 antibody; the densities of the P97 bands were normalized to the Hsc70 loading control. The number of mice analyzed was the following: WT, 6; G␥ 1 -/-, 6; P23H, 6. Each dot represents a single data point. B, P97 protein level was detected in retinal lysates (2 g total protein/lane) from one-month-old WT and P97-overexpressing (P97oe) mice as in A; Hsc70 was used as a loading control. The number of mice analyzed was the following: WT, 5; P97oe, 5. Each dot represents a single data point. C, Spider diagrams representing the number of photoreceptor nuclei in 100-m segments of the inferior and superior retina at various distances from the optic nerve head. The number of mice analyzed was the following: WT, 5; P97oe, 3. Mice were three months old. D, The total number of nuclei in all eight 100-m retinal segments represented in spider diagrams of panel C. Each dot represents a single data point. E, Representative images of inferior and superior retina cross-sections from WT and P97oe at the 1-mm distance from the optic nerve head. Mice were three months old. Scale bar ϭ 25 m. Data are shown as mean Ϯ SD. n.s. indicates p Ͼ 0.05. ‫ء‬p Ͻ 0.05, ‫‪p‬ءء‬ Ͻ 0.01. pression may improve photoreceptor survival in G␥ 1 -/-, which apparently suffers from P97 insufficiency. We bred the G␥ 1 -/mouse with the P97oe mouse and assessed photoreceptor survival in the resulting line at three and six months of age (Fig. 4). At three months of age, G␥ 1 -/and G␥ 1 -/-/P97oe retinas exhibited a nearly identical degree of photoreceptor loss (Fig. 4A-C). l By six months of age, G␥ 1 -/-/P97oe retinas exhibited a slight increase in photoreceptor loss compared to G␥ 1 -/retinas (453 Ϯ 47 in G␥ 1 -/-/P97oe vs 652 Ϯ 34 nuclei in G␥ 1 -/-, p ϭ 0.0095; Fig.  4D-F). m Once again, the superior retina was affected to a larger degree than the inferior retina. Thus, P97 overexpression only exacerbated the deleterious effects of G␥ 1 knock-out.

Ub G76V -GFP accumulation in G␥ 1 -/retinas overexpressing P97
Finally, we investigated whether P97 overexpression actually facilitated P97-dependent substrate processing in G␥ 1 -/photoreceptors. To do this, we bred single copies of the P97 and Ub G76V -GFP transgenes into the G␥ 1 -/line. Ub G76V -GFP reporter accumulation in the resulting mouse was quantified by Western blotting of retinal lysates at one month of age. Contrary to our expectations, retinas of G␥ 1 -/-/P97oe mice exhibited a slight but statistically significant (1.5 Ϯ 0.2-fold; p ϭ 0.0079) increase in Ub G76V -GFP accumulation compared to G␥ 1 -/- (Fig. 5). n This result indicates that P97 overexpression increases the level of proteostatic stress already experienced by these mice.

Discussion
Recent work has established that proteostatic stress, consisting of an insufficient capacity of the UPS to degrade proteasomal substrates, is a major contributing factor in multiple forms of inherited retinal degeneration (Lobanova et al., 2013;Liu et al., 2014;Dexter et al., 2018). In this study, we evaluated whether this proteostatic stress may originate from insufficient P97dependent substrate processing, which is required for the proteasomal degradation of a large number of UPS targets. Our data indicate that this could be the case, although only for a subset of mutations associated with photoreceptor protein misfolding. Whereas insufficient UPS function in G␥ 1 -/rods appears to result from insufficient P97-dependent substrate processing, proteasomal degradation itself appears to limit UPS function in P23H rods. These results argue that individual mutations must be considered when developing therapeutic interventions for reducing proteostatic stress in these blinding conditions.
Whereas the exact mechanistic explanation for the difference in the rate-limiting UPS components between these mutant mouse models remains to be addressed experimentally, we can offer the following hypothetical explanation consistent with our current results. Photoreceptors are known to constantly renew their light-sensitive membranes, which requires continuous biosynthesis of unusually large amounts of membrane proteins. This implies that they have a high capacity of the ER-associated degradation machin-ery, including P97 complexes, to perform quality control of proteins produced in the ER. One can speculate that this capacity is naturally so high that it is sufficient to process misfolded P23H rhodopsin molecules. However, these cells do not appear to have enough downstream proteasomes, ultimately leading to proteostatic stress in P23H mice. The cytoplasmic pool of P97 in photoreceptors may be more trivial and easily saturable by the large amounts of uncoupled G␤ 1 produced in G␥ 1 -/rods. Assuming that these cells lack the ability to redirect the ER-associated P97 pool to the cytoplasm, the proteostatic stress in G␥ 1 -/photoreceptors arises from P97 insufficiency.
Interestingly, the most straightforward approach to overcoming insufficient P97-dependent substrate processing in G␥ 1 -/photoreceptors, consisting of overexpressing this protein, was not productive. In fact, P97 overexpression caused progressive death of otherwise normal photoreceptors. Furthermore, P97 overexpression exacerbated proteostatic stress and accelerated photoreceptor loss in G␥ 1 -/mice. The simplest explanation for these effects is that increased cellular content of P97 does not automatically lead to formation of additional functional P97 complexes and may instead impose its own stress on the UPS. However, recent studies of P97 mutations linked to human disease suggest a more complex explanation for the photoreceptor cell death we observe in P97oe mice.
Mutations in P97 can cause multisystem proteinopathy (MSP), a syndromic disorder affecting the brain, bone and muscle. Disease-associated mutations in P97 were recently shown to increase the rate of substrate unfolding by P97 complexes in vitro (Blythe et al., 2017(Blythe et al., , 2019, and expression of such 'overactive' P97 mutants in Drosophila and mice was highly toxic Ritson et al., 2010;Zhang et al., 2017). These data raise a possibility that the toxicity observed in P97overexpressing photoreceptors may result from a pathologic increase in P97-dependent substrate processing. While this possibility is not immediately supported by our finding that P97 overexpression increases Ub G76V -GFP accumulation in G␥ 1 -/retinas, cell death in P97overexpressing rods may arise from multiple contributing factors. For example, increased P97-dependent processing and degradation of regulatory proteins could inappropriately activate critical signaling pathways, such as NF-B , leading to cellular dysfunction and cell death. Such perturbations could not be detected by merely monitoring cytosolic Ub G76V -GFP levels. Given the complexity of this system, understanding how to finetune P97-dependent substrate processing to alleviate the proteostatic stress caused by misfolded protein production will require a broader consideration of the entire P97-interacting network.
Curiously, photoreceptors are the only cells studied so far that are negatively affected by P97 overexpression. In the initial characterization of the P97oe mouse , these mice developed normally and displayed no abnormalities in weight or survival at all ages evaluated (up to 15 months of age). Kidney, liver, spleen, intestine, and gastrocnemius and quadriceps muscles of Figure 5. Overexpression of P97 causes increased accumulation of the Ub G76V -GFP reporter. The Ub G76V -GFP reporter was detected in retinal lysates (25 g total protein/lane) of one-monthold G␥ 1 -/and G␥ 1 -/-/P97oe mice by Western blotting with an anti-GFP antibody; the densities of the Ub G76V -GFP bands were normalized to the Hsc70 loading control. The number of mice analyzed was the following: G␥ 1 -/-, 5; G␥ 1 -/-/P97oe, 5. Each dot represents a single data point. Data are shown as the mean Ϯ SD. ‫‪p‬ءء‬ Ͻ 0.01.
P97oe mice appeared histologically normal, despite confirmed transgene expression in these tissues. Brains harvested from P97oe mice, in which P97 expression was increased ϳ2-fold, revealed no overt signs of degeneration by hematoxylin and eosin staining. P97oe mice also exhibited normal hind-limb clasping, a behavior which is disrupted in numerous mouse models of neurodegeneration and is a common indicator of central nervous system pathology (Reddy et al., 1999). Finally, tests of declarative memory and anxiety-associated behaviors also revealed no abnormalities in P97oe mice . Given the otherwise healthy phenotype of the P97oe mouse, the toxicity we observed in P97oe photoreceptors came as a surprise to us. However, what could be viewed as even more surprising is that only one cell type is negatively affected by 2-to 3-fold overexpression of P97, which is already one of the most abundantly-expressed proteins in the cell (Peters et al., 1990).
Finally, our new data make a mechanistic connection with a recent study in which we demonstrated that overexpression of the PA28␣ subunit of the 11S proteasome cap is therapeutic . In this study, we showed that PA28␣ overexpression increases proteasomal activity and delays photoreceptor cell loss in both G␥ 1 -/and P23H mice. One observation that we could not immediately explain was that photoreceptor protection on proteasomal activation was much more pronounced in P23H mice. However, a plausible explanation can now be offered in light of our current findings. Our data suggest that the proteostatic stress in G␥ 1 -/rods results from an insufficient cellular capacity for P97-dependent substrate processing, whereas P23H rods experience insufficient proteasomal degradation. Therefore, it is entirely expected that direct proteasomal activation would be more effective in P23H rods, whereas protection of G␥ 1 -/rods would require increasing substrate processing by P97 complexes.