Cardiomyocyte deletion of mitofusin-1 leads to mitochondrial fragmentation and improves tolerance to ROS-induced mitochondrial dysfunction and cell death

Kyriakos N. Papanicolaou, Gladys A. Ngoh, Erinne R. Dabkowski, Kelly A. O'Connell, Rogerio F. Ribeiro, Jr., William C. Stanley and Kenneth Walsh
Am J Physiol Heart Circ Physiol 302:H167-H179, 2012. First published 28 October 2011; doi:10.1152/ajpheart.00833.2011 You might find this additional info useful... Supplemental material for this article can be found at: http://ajpheart.physiology.org/content/suppl/2011/12/29/ajpheart.00833.2011.DC1.html This article cites 72 articles, 36 of which can be accessed free at: http://ajpheart.physiology.org/content/302/1/H167.full.html#ref-list-1
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Am J Physiol Heart Circ Physiol 302: H167H179, 2012. First published October 28, 2011; doi:10.1152/ajpheart.00833.2011.

Cardiomyocyte deletion of mitofusin-1 leads to mitochondrial fragmentation and improves tolerance to ROS-induced mitochondrial dysfunction and cell death
Kyriakos N. Papanicolaou,1 Gladys A. Ngoh,1 Erinne R. Dabkowski,2 Kelly A. OConnell,2 Rogerio F. Ribeiro Jr.,2 William C. Stanley,2 and Kenneth Walsh1
1

Whitaker Cardiovascular Institute, Boston University School of Medicine, Boston, Massachusetts; and 2Division of Cardiology and Department of Medicine, University of Maryland, Baltimore, Maryland

Submitted 22 August 2011; accepted in nal form 24 October 2011

Papanicolaou KN, Ngoh GA, Dabkowski ER, OConnell KA, Ribeiro RF Jr, Stanley WC, Walsh K. Cardiomyocyte deletion of mitofusin-1 leads to mitochondrial fragmentation and improves tolerance to ROS-induced mitochondrial dysfunction and cell death. Am J Physiol Heart Circ Physiol 302: H167H179, 2012. First published October 28, 2011; doi:10.1152/ajpheart.00833.2011.Molecular studies examining the impact of mitochondrial morphology on the mammalian heart have previously focused on dynamin related protein-1 (Drp-1) and mitofusin-2 (Mfn-2), while the role of the other mitofusin isoform, Mfn-1, has remained largely unexplored. In the present study, we report the generation and initial characterization of cardiomyocyte-specic Mfn-1 knockout (Mfn-1 KO) mice. Using electron microscopic analysis, we detect a greater prevalence of small, spherical mitochondria in Mfn-1 KO hearts, indicating that the absence of Mfn-1 causes a profound shift in the mitochondrial fusion/ ssion balance. Nevertheless, Mfn-1 KO mice exhibit normal leftventricular function, and isolated Mfn-1 KO heart mitochondria display a normal respiratory repertoire. Mfn-1 KO myocytes are protected from mitochondrial depolarization and exhibit improved viability when challenged with reactive oxygen species (ROS) in the form of hydrogen peroxide (H2O2). Furthermore, in vitro studies detect a blunted response of KO mitochondria to undergo peroxideinduced mitochondrial permeability transition pore opening. These data suggest that Mfn-1 deletion confers protection against ROSinduced mitochondrial dysfunction. Collectively, we suggest that mitochondrial fragmentation in myocytes is not sufcient to induce heart dysfunction or trigger cardiomyocyte death. Additionally, our data suggest that endogenous levels of Mfn-1 can attenuate myocyte viability in the face of an imminent ROS overload, an effect that could be associated with the ability of Mfn-1 to remodel the outer mitochondrial membrane. mitochondrial dynamics; GTPase; dynamin; membrane permeability; apoptosis; cardiomyocytes; reactive oxygen species
MERGING AND PARTITIONING

the mitochondrial membranes are ongoing processes that govern the structure and morphology of the organelle in a wide range of organisms and cell types (8, 48). Extensive mitochondrial fusion and matrix continuity are currently viewed as adaptive mechanisms that allow mitochondria to cope with increased energetic demands and cellular stressors (60, 67). Furthermore, coupling selective fusion with ssion is believed to constitute a means for mitochondrial quality control (68). In mammals, fusion of the outer mitochondrial membrane (OMM) between adjacent mitochondria is controlled by mitofusins (Mfn-1 and Mfn-2; Refs. 10, 36, 56). Disrupting mitochondrial fusion via Mfn-1 or Mfn-2 ablation alters the distribution and morphology of mitochondria and

Address for reprint requests and other correspondence: K. Walsh, Molecular Cardiology/Whitaker Cardiovascular Institute, Boston Univ. School of Medicine, 715 Albany St., W611, Boston, MA 02118 (e-mail: kxwalsh@bu.edu). http://www.ajpheart.org

precipitates a stochastic process of mitochondrial dysfunction (9, 10). Recently, the requirement of mitochondrial fusion for normal neuronal function and for mitochondrial DNA (mtDNA) maintenance in skeletal muscle has been documented in mice (11, 12). Despite the widespread utilization of fusion by mitochondria, the mechanism of membrane merging (i.e., tethering, formation of a fusion pore and lipid rearrangement) and how mitofusins participate in these processes remain incompletely understood. In this regard, it has been shown that the C-terminal coiled-coil region of mitofusins is necessary in the initial tethering between opposing mitochondria and that guanosine triphosphate (GTP) hydrolysis during mitofusin engagement is essential for subsequent OMM fusion steps (32, 43). More recently, it has been shown that the two isoforms are able to complement each other in the fusion process such that the formation of Mfn-1:Mfn-2 heterologous complexes can be highly effective in promoting fusion in vitro (24). The effect of mitofusins in membrane fusion is counterbalanced by dynamin-related protein-1 (Drp-1), a mediator of mitochondrial division (61, 70). Although mitofusins and Drp-1 catalyze opposite reactions, they are structurally similar in that they encompass a GTPase domain, and the mutation of key residues in these domains can signicantly alter the dynamics of mitochondrial morphology in cells (46, 56, 57, 62). Excessive mitochondrial fragmentation, typied by the presence of numerous small and spherical mitochondria, is an early event occurring during regulated cell death (apoptosis) (14, 39) and has been described in experimental models of heart failure (55). Reversing mitochondrial diminution via mitofusin activation or Drp-1 inhibition can prevent the progression of cell death in some contexts (19, 28, 35, 49, 64) but not in others (6, 52, 58). On the other hand, fragmentation alone is probably not sufcient to trigger cell death, because many cells harboring extensively fragmented mitochondrial networks maintain apparent viability (10, 31, 36, 37). Thus the question of whether mitochondrial fragmentation is sufcient to affect apoptosis remains controversial (53, 63). Furthermore, it has been suggested that mitochondriashaping proteins can inuence cell death progression through activities that do not primarily involve mitochondrial fragmentation (34). For example, the mitochondrial ssion factor Fis-1 has been shown to relay apoptosisinducing signals before fragmentation occurs (27). In heart, mitochondria are abundantly present where they form a crystalline pattern and display limited motility (69). However, cardiac mitochondria appear capable for interorganellar communication through the coordination of membrane potential (3, 5). To better understand the role of mitochondrial dynamics in cardiac myocytes, we have undertaken a mouse
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genetic approach to ablate mitofusins in cardiac myocytes. Previously, we constructed and characterized mice lacking Mfn-2 in cardiac myocytes (50). This modication led to hearts that displayed modest cardiac hypertrophy and mild functional deterioration. Mfn-2-decient mitochondria were pleiomorphic and characteristically enlarged, and myocytes from these hearts were protected from mitochondrial permeability transition pore (MPTP) opening and cell death. Here, we constructed mice lacking Mfn-1 in cardiac myocytes. These hearts are structurally and functionally normal. In marked contrast to Mfn-2decient hearts, however, mitochondria in Mfn-1-decient hearts are smaller, yet myocytes are protected from reactive oxygen species (ROS)-induced death. Furthermore, the assessment of isolated mitochondria showed greater resistance to tert-butyl hydroxyperoxide (tBH)-induced MPTP opening. These ndings highlight a striking functional difference between Mfn-1 and Mfn-2 in controlling mitochondria size in myocytes but also reveal considerable parallels regarding the involvement of mitofusins in regulating the mitochondrial response against ROS-induced dysfunction. Finally, our data challenge the notion that smaller mitochondria predispose to stress-induced cell death.
MATERIALS AND METHODS

FS

100

LVID: d

LVID: s

LVID: d

Animals. Mice carrying the Mfn-1loxP allele (stock Mfn1tm2Dcc; identication no. 029901-UCD) were obtained from the Mutant Mouse Regional Resource Center at University of California, Davis, and their generation has been previously described (11). These mice were mated with Myh6-cre transgenic mice designed to express cre recombinase selectively in cardiac myocytes and to drive site-specic recombination of loxP sequences as early as embryonic day 9.5 (1, 21). Mice with the genotype Mfn-1ox/ox;Myh6-cre / are termed Mfn-1 KO. Mice with the genotype Mfn-1ox/ox;Myh6-cre / (littermates) or Mfn-1 / ;Myh6-cre / are collectively termed Mfn-1 wild-type (WT) and were used interchangeably in the present study. The genetic background of the mice is 129S/C56BL6/BlackSwiss. The mice were housed in a 12-h light-dark cycle and temperaturecontrolled room and all handling procedures conformed to the regulations of and were approved by the Institutional Animal Care and Use Committee of Boston University School of Medicine. Echocardiography. The procedure to obtain echocardiograms and measurements from lightly anesthetized mice using the Vevo770 system (http://www.visualsonics.com/vevo770) has been described previously (50). Cardiac mass (CM) was calculated from long axis views of the myocardium (epicardium and endocardium) in diastole (d) and systole (s) according to the equation: CM 1.05 5 6 Epicardialarea:d 5 6 EpicardialMajor:d T

Endocardial area: d

Endocardial Major: d

where T is the average wall thickness and 1.05 is the specic gravity constant of the myocardium. The volumes in end-diastole and endsystole (EDV and ESV, respectively) were calculated according to Simpsons equation that utilizes the area of the chamber at four levels perpendicular to the long axis. These volumes were used to calculate the ejection fraction according to the equation EF 100 EDV ESV EDV

The fractional shortening (FS) was calculated from M-mode views of the myocardium at the papillary muscle level (short axis view) according to the equation:

where LVID is the LV internal diameter. Electron microscopy. Rod-shaped pieces ( 1 mm in diameter and 2 mm in length) were obtained from the LV free wall of adult male mice, xed in Karnovskys solution (2% paraformaldehyde, 2.5% glutaraldehyde, and 0.1 M phosphate buffer; Electron Microscopy Sciences) and processed until embedding into epon plastic (Embed812; Electron Microscopy Sciences), as previously described (50). Ultra-thin sections containing predominantly longitudinal myobers were stained with 1% (wt/vol) uranyl acetate for 20 min followed by Reynolds lead citrate for 5 min. Micrographs were collected using a Philips CM12 transmission electron microscope at 120 kV and 6,300 magnication. Scanned micrographs were analyzed using ImageJ software to manually generate masks of mitochondrial contours that were used for the calculation of mitochondrial area, maximum mitochondrial diameter, mitochondrial perimeter, and total mitochondrial number. Isolation of adult cardiac myocytes. Adult cardiac myocytes (ACMs) were isolated from hearts of male mice weighting 30 g or more, as previously described (50, 51). Briey, the hearts were excised and perfused through the aorta with a buffer containing the following (in mM): 115 NaCl, 4.7 KCl, 0.6 KH2PO4, 0.6 Na2HPO4, 1.2 MgSO4-7H2O, 0.032 phenol red, 10 KHCO3, 10 HEPES, 12 NaHCO3, 20 glucose, 30 taurine, and 10 butanedione monoxime, pH 7.46, at 37C. For digestion of the extracellular matrix, the perfusion buffer was supplemented with 19.5 units of Liberase TH (Roche), 0.5 pM EDTA-free trypsin (Invitrogen), 25 M CaCl2, and 25 M blebbistatin (Sigma). Ventricles were gently dissociated into rodshaped myocytes that were suspended into perfusion buffer containing FBS (Hyclone) and were gradually reintroduced to CaCl2. For their plating, myocytes were suspended in culture medium containing MEM (Invitrogen; contains 1.8 mM CaCl2) supplemented with 1% insulin-transferrin-selenium, 2 mM L-glutamine, 4 mM NaHCO3, 10 mM HEPES, 2% penicillin/streptomycin, 5% FBS, 0.2% bovine calf serum, and 25 M blebbistatin and seeded onto dishes previously coated with mouse laminin (BD Biosciences). After an initial plating step for 1 h at 37C and 2% CO2, the nonadherent cells were aspirated and fresh culture medium was added for an additional 2-h period before the beginning of treatments. Confocal microscopy and image processing. Single myocytes were seeded on glass bottom dishes (MatTek) that were previously coated with laminin and incubated in culture medium supplemented with 100 nM tetramethylrhodamine methylester (TMRM; Molecular Probes) for 15 min at 37C. That medium was replaced with TMRM-free medium, and myocytes were imaged with a Zeiss LSM 710 confocal microscope using the Plan apochromat 63, 1.40 Oil DIC objective. A myocyte area of 67.48 67.48 m was blindly selected for each dish for continuous imaging. Illumination of TMRM was performed with the 543 nm laser (the pinhole set at 50 m), and uorescence was detected between 554 and 652 nm. The laser power varied between 0.2 to 12% for Mfn-1 WT (means: 2.7 0.8) and between 0.2 to 14% for Mfn-1 KO (means: 2.8 1.0). Following initial imaging, H2O2 was injected into the dish at a nal concentration of 200 M and time-lapse imaging commenced immediately at intervals of 2.4 s for 30 min to monitor the change in uorescence intensity. Time-lapse images were analyzed ofine using ImageJ software to generate mitochondrial depolarization curves within a region of 25 25 m for each myocyte assessed. The area under the curve was chosen as a quantitative measurement of mitochondrial depolarization. Myocyte viability assay. Freshly isolated ACMs were prepared as described above reintroduced to calcium and resuspended in MEMbased medium that contained 1.2 mM CaCl2, 12 mM NaHCO3, 1% penicillin/streptomycin, 2.5% FBS, and 25 M blebbistatin. ACMs were seeded on laminin-coated dishes (12 g laminin/35-mm dish) at a density of 375,000 rod-shaped myocytes per dish. After an initial

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plating step at 37C and 2% CO2 for 1 h, nonadherent cells were removed and fresh medium containing 20 M H2O2 or PBS were added to the remaining cells. Two hours later, cells were switched to medium containing 0.04% trypan-blue solution (Sigma) for 10 min and multiple elds per dish were photographed using a cameraequipped light microscope. Counting of blue vs. nonblue myocytes was performed with ImageJ to calculate a death score (percentage of cells that stained blue) per eld. For comparisons, distribution curves were generated using multiple elds per genotype per treatment, or alternatively the average death score per animal per genotype per treatment was used. Mitochondrial isolation and assessment of MPTP. Subsarcolemmal mitochondria (SSM) and interbrillar mitochondria (IFM) were isolated from adult mouse hearts as previously described in detail (50). Size and membrane potential of SSM and IFM was determined by ow cytometry as previously reported (13, 50). Calcium uptake and tBH-induced calcium release were assessed in isolated SSM and IFM. In short, mitochondria were resuspended in 2.0 ml calcium-free buffer containing 100 mM KCl, 50 mM MOPS, 5 mM KH2PO4, 5 M EGTA, 1 mM MgCl2, 5 mM glutamate, and 5 mM malate and assayed for Ca2 uptake in a uorescence spectrophotometer at 37C. Tertbutyl hydrogen peroxide (400 mM) was infused at a rate of 0.2 l/min, and the concentration of free Ca2 in the medium was calculated by monitoring the uorescence of the Ca2 indicator calcium green-5N (CaGN-5N; Molecular Probes) with an excitation and emission of 488 and 530. Measurement of mitochondrial enzyme activities. Activities of citrate synthase, isocitrate dehydrogenase, and medium-chain acyl coenzyme A (acyl-CoA) dehydrogenase were measured from heart homogenates and isolated mitochondria as previously described (47). Determination of total glutathione levels in heart. To determine glutathione levels in heart, a commercially available kit was used (Abcam) and the procedure was performed according to manufacturers specications. Briey, 40 mg of heart tissue were rapidly collected and homogenized in 200 l in ice-cold assay buffer. Following deproteination, the samples were neutralized and the supernatant was assessed for total glutathione (reduced and oxidized). Quantication of glutathione in the samples was performed spectrophotometrically, and the standard curve that was generated ranged from 4 ng to 6 g of glutathione. Western blotting and quantitative real-time PCR. The procedures for the isolation, separation, transfer to membranes, and detection of

proteins (20 g) from whole cardiac extracts were previously described (50). The antibodies used in the present study (diluted at 1,000:1 in 3% blocking solution) include the anti-Mfn-1 (University of California, Davis/NIH; NeuroMabs; clone no. N111/24), antiMfn-2 (Sigma, N-terminal-specic), anti-Drp-1 (BD Transduction Laboratories), anti-cre (Novagen), anti-GAPDH (Cell Signaling), anti-porin/VDAC1 (Abcam), anti-uncoupling protein-3 (Thermo Scientic), and anti-FOF1-ATPase subunit- (Invitrogen). For quantitative real-time PCR, total RNA was extracted from mouse hearts with brous-tissue mini kit (Qiagen) and 840 ng RNA were reversed transcribed into cDNA using Quantitect reverse transcription kit (Qiagen). Quantication of cDNAs was performed with the SYBR green reagent (Applied Biosystems) and the StepOne real time system. Primers were designed using Primer3 and evaluated for gene specicity using BLAST. GAPDH was used as the housekeeping gene. Statistical analysis. Handling and representation of the data were performed using SPSS software. All values shown are means SE. For comparisons between two groups (i.e., WT vs. KO), the independent-samples two-tailed t-test was used (nonpaired). For comparisons between four groups (i.e., two genotypes and two treatments), oneway ANOVA was used followed by the least signicant differences post hoc test. Differences were considered statistically signicant for P 0.05 or below. To compare the distribution curves between genotypes, the Kolmogorov-Smirnov test was applied.
RESULTS

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Mfn-1 ablation and transcription pattern analysis. Mice with targeted deletion of Mfn-1 in cardiac myocytes are viable and survive through adulthood, in agreement with earlier observations with globally deleted Mfn-1 mutant mice (11). Western blot analyses showed a complete absence of Mfn-1 from cardiac extracts of Mfn-1 KO mice, suggesting an effective abrogation of the Mfn-1 gene (Fig. 1, A and B). This event did not lead to appreciable changes in the level of Drp-1 protein (Fig. 1A) or Mfn-2 (Fig. 1B). Despite the deletion of Mfn-1, the hearts did not display signicant gross abnormalities (Fig. 1C). Furthermore, there was no reproducibly detectable hypertrophy when normalizing the total heart weight to tibia length (Fig. 1D; P 0.291).

Fig. 1. Characteristics of the mitofusin-1 (Mfn-1) knockout (KO) heart. A: Western blot analysis performed to detect endogenous levels of Mfn-1 and dynamin-related protein-1 (Drp-1) in mouse heart extracts. GAPDH is used as a loading control. B: Western blot analysis performed to detect crespecic reduction of Mfn-1 in the heart. Porin/VDAC1 is used as a mitochondria loading control (WT, wild-type; HET, heterozygous for Mfn-1ox; KO, homozygous for Mfn-1ox and positive for cre). C: gross appearance of hearts from 5-mo-old Mfn-1 WT and KO mice; scale bar 2 mm. D: size of hearts is reported as the ratio of heart weight (HW) to tibia length (TL; n 6 WT; 4 mice were homozygous Mfn-1ox without cre and 2 were homozygous Mfn1 / with cre and n 5 mice homozygous Mfn-1ox with cre).

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To identify cellular pathways likely to be affected by the deletion of Mfn-1 in hearts, quantitative real-time PCR analysis was performed and the results are reported in Table 1. As shown, Mfn-1-decient hearts displayed a 95% reduction in Mfn-1 mRNA, while the mRNAs of other classical (Mfn-2, Drp-1, and Opa-1) and recently described (Mtp-18 and Slp-2) mitochondrial fusion/ssion mediators decreased slightly or remained unchanged. Transcripts encoding mitochondria biogenesis regulators (i.e., Tfam and Pgc-1 ) did not change signicantly, while genes encoding for electron transport chain (ETC) components such as Ndufb-5, Nd-5, and Cox4-1 were signicantly attenuated. However, this was not a general feature because the transcription of other ETC and ATPase subunits was not signicantly affected (i.e., Cox4 2, Cox-5b, and Atp-5o; Table 1). Finally, the mRNAs of Anp and Bnp were markedly elevated, but those of -Mhc and -skeletal muscle actin were unchanged. Mfn-1-decient adult myocytes contain small and spherical mitochondria. Analysis of the ultramicroscopic structure of hearts from adult Mfn-1 WT and Mfn-1 KO mice detected the

Table 1. Transcriptional regulation of relevant genes

Transcript Fold Induction/Reduction (Mfn-1 KO vs. WT) P Functional Class

Mfn-1 Mfn-2 Opa-1 Drp-1 Mtp-18 Slp-2 Tfam Pgc-1 ErrEndo-G PolNdufb-5 Nd-5 Cox4-1 Cox4-2 Cox-5b Atp-5o Anp Bnp -Mhc -Sk.actin Sod-2 Bcl-2 Beclin-1 LC-3b

0.074 0.838 0.796 0.805 1.047 1.028 0.516 0.409 1.250 0.768 1.002 0.744 0.647 0.609 0.718 0.937 0.640 5.699 5.427 0.793 1.100 0.676 1.345 0.865 0.843

0.001 0.017 0.040 0.041 0.587 0.721 0.098 0.078 0.307 0.018 0.986 0.040 0.033 0.026 0.090 0.261 0.067 0.001 0.001 0.058 0.738 0.007 0.001 0.353 0.126

Mitochondrial fusion/ssion

Mitochondrial biogenesis MTDNA maintenance ETC/ATP synthase

Stress indicators

ROS detoxication Apoptosis/autophagy

Values represent fold reduction/induction in the mitofusin-1 (Mfn-1) knockout (KO) group (n 5) relative to wild type (WT; n 4). Comparisons for statistical signicance were performed with two-tailed Students t-test. Mfn-2, mitofusin 2; Opa-1, optic atrophy 1 long variant; Drp-1, dynamin-related protein 1; Mtp-18, mitochondrial protein 18; Slp-2, stomatin like protein 2; Tfam, transcriptional factor A mitochondrial; Pgc-1 , PPAR- coactivator 1 ; Err- , estrogen receptor related factor- ; Endo-G, endonuclease- ; MTDNA, mitochondrial DNA; Pol- , polymerase- ; Ndufb-5, NADH-dehydrogenase (ubiquinone) subcomplex 1 , polypeptide 5; Nd-5, NADH-dehydrogenase subunit 5, mitochondrially encoded; Cox4-1, cytochrome c oxidase, subunit 4, isoform 1; Cox4-2, cytochrome c oxidase, subunit 4, isoform 2; Cox-5b, cytochrome c oxidase subunit 5b; Atp5o, F1FO-ATPase complex, oligomycin sensitivity-conferring subunit, polypeptide 5; Anp, atrial natriuretic peptide; Bnp, brain natriuretic peptide; -MHC, -myosin heavy chain; -Sk actin; -skeletal actin; Sod2, superoxide dismutase, mitochondrial; LC-3b; microtubule associated protein 1 light chain 3b; ETC, electron transport chain; ROS, reactive oxygen species.

formation of small ovoid or spherical mitochondria when Mfn-1 was genetically removed (compare Fig. 2A with Fig. 2B or Fig. 2C with Fig. 2D). Although the presence of fragmented mitochondria was quite prominent in most elds, in some areas of Mfn-1 KO myocytes the mitochondria assumed different morphologies to form clusters of lamellar often interdigitating mitochondria with poorly dened boundaries (Fig. 2E). This pattern was not observed in any Mfn-1 WT sections. Detailed analysis of the mitochondrial dimensions and averaging over a large population of mitochondria demonstrated a signicant reduction in the cross sectional area of individual mitochondria per eld examined in Mfn-1 KO samples (Fig. 2F; P 0.001). Despite these unusual structural features, the overall mitochondrial mass estimated by mitochondrial volume density analysis was not different between Mfn-1 WT and KO samples (Fig. 2G, mitochondria; P 0.176). With the use of the same analysis, a small but signicant decrease in the myobril volume density was detected (Fig. 2G, myobrils; P 0.01). Frequency distribution curves, constructed for maximum mitochondrial diameter, were shifted to the left when Mfn-1 was ablated, consistent with the recurrent presence of smaller mitochondria in Mfn-1 KO hearts (compare Fig. 2H with Fig. 2I for Mfn-1 WT and KO tissue, respectively; P 0.001). Similar observations could also be made regarding the mitochondrial perimeter (compare Fig. 2J with Fig. 2K, WT and KO tissue, respectively; P 0.001). Another feature that emerged from this analysis was the marked increase in the number of identiable mitochondria when Mfn-1 was deleted (estimated number: 58 vs. 98 mitochondria/100 m2 in WT and KO hearts, respectively). The detection of smaller mitochondria that occur in higher numbers is in agreement with the measurements showing that the overall mitochondrial volume density does not differ between WT and Mfn-1 KO samples. Function of Mfn-1 KO hearts closely resembles that of Mfn-1 WT. The functional signicance of Mfn-1 ablation in cardiac myocytes was assessed in adult mice using noninvasive echocardiography. The experimental groups included 11 Mfn-1 WT and 13 Mfn-1 KO male mice that were 18 wk old at the time of echocardiography (Table 2). The heart rate during echocardiography was not signicantly different between Mfn-1 WT and KO mice (results not shown). The cardiac mass calculated from B-mode long axis views of the LV was similar in hearts with or without Mfn-1, and this was also the case after correcting for body weight. Diastolic and systolic LV volumes were not affected by Mfn-1 deletion, and as a result, the ejection fraction and the cardiac output were indistinguishable between Mfn-1 WT and KO mice (Table 2). The fractional shortening, calculated from M-mode tracings, was also similar between groups. The peak aortic and pulmonic valve ows did not differ signicantly in the Mfn-1 KO hearts. Finally, examination of diastolic function in Mfn-1 WT and KO hearts did not reveal any differences (e.g., early mitral inow, E; Table 2), suggesting that the overall systolic and diastolic heart function is unlikely to be affected by the ablation of Mfn-1 from myocytes. Rate of mitochondrial depolarization downstream of ROS challenge is decreased in Mfn-1 KO myocytes. We have previously demonstrated that the ablation of Mfn-2 in cardiac myocytes is associated with a marked delay in the loss of mitochondrial membrane potential ( m) (50). To examine this

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Fig. 2. Electron microscopy images showing mitochondria and myobrils from adult hearts. A: 5-mo-old Mfn-1 WT. B: littermate Mfn-1 KO, the scale bars in A and B 2 m. C: interbrillar mitochondria in Mfn-1 WT heart. D: interbrillar mitochondria in Mfn-1 KO heart, scale bars in C and D 0.5 m. E: distinct area of Mfn-1 KO heart (myobrils present but not shown) containing unusually elongated/lamellar mitochondria; scale bar 0.5 m. F: area per individual mitochondrion measured from electron micrographs taken from 2 animals per genotype. Numbers in circles show the number of elds used per genotype (***P 0.001). G: mitochondrial and myobril volume density estimated by the grid method expressed as a percentage (grid contains 9 10 dots; **P 0.01). H: histogram showing the distribution of maximum mitochondrial diameter of all the mitochondria identied (n 3,927) in WT samples. I: histogram showing the distribution of maximum mitochondrial diameter of all the mitochondria identied (n 6,494) in KO samples. D is value for most extreme differences determined by Kolmogorov-Smirnov analysis (P 0.001) that the 2 histograms belong to the same distribution. JK: same as in H and I for Mfn-1 WT and Mfn-1 KO, respectively, only that the histograms were created using mitochondrial perimeter.

parameter in myocytes lacking Mfn-1, ACMs were isolated from Mfn-1 WT and KO mice and challenged with H2O2induced stress (200 M for 30 min). H2O2 has been extensively used to induce mitochondrial ROS overload, membrane depolarization, and ultimately cell death in myocytes (2, 38, 66). The ability of mitochondria to retain the mitochondrial dye TMRM was quantied by repetitive confocal imaging over a 30-min period after H2O2 injection. The treatment with H2O2 and a concomitant photochemical ROS production due to TMRM illumination (72) effectively lead to mitochondrial depolarization within intact myocytes, as shown in Fig. 3A. Compared with WT, Mfn-1 KO myocytes contained mitochondria that were refractory to depolarization (Fig. 3A, compare the uorescence intensity in the different time points). When plotted against time, the depolarization curve of Mfn-1 KO myocytes signicantly shifted to the right, indicating a delay in

this process (Fig. 3B). This was not due to alterations in basal membrane potential ( m) because the TMRM uorescence was similar between the two groups at t0 (Fig. 3C). The ability of mitochondria to retain TMRM was quantied as the area under the curve. This analysis showed that the TMRM retention values are signicantly higher in Mfn-1 KO myocytes (Fig. 3D; 11 WT or 15 KO myocytes from 7 different experiments; P 0.01). To examine whether the ablation of Mfn-1 alters the scavenging capacity for H2O2, we examined the expression of genes related to glutathione, a central intracellular H2O2 detoxier. As shown in Fig. 3E, the ablation of Mfn-1 did not result to consistent increases in genes regulating glutathione availability. Although glutathione peroxidase-1 was signicantly increased, glutathione synthase was decreased. Additionally, the expression of the mitochondria-targeted glutathione peroxidase-4 was unchanged (Fig. 3E). Furthermore,

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Mfn-1 WT (n 11)

Mfn-1 DEFICIENCY IN HEART

Mfn-1 KO (n

13)

Age, day BW, g Cardiac mass, mg CM/BW, mg/g EDV, l ESV, l EF, % CO, ml/min FS, % PAF, mm/s PPF, mm/s E, mm/s A, mm/s ET, ms E, mm/s A, mm/s

125 36.3 165.7 4.63 76.11 32.43 57.47 22.53 56.65 1252 842 583 447 49.50 11.89 11.56

11 5.3 14.9 0.62 15.6 9.25 6.90 4.70 9.19 213 136 126 95 5.33 2.41 1.02

129 34.7 167.58 4.86 84.23 38.32 56.28 22.79 55.23 1403 820 513 420 45.14 11.36 11.57

11 3.8 16.0 0.55 18.15 15.96 9.39 3.59 11.80 315 123 101 86 4.35 2.29 1.10

Results are means SD. For derivation of the different parameters please refer to MATERIALS AND METHODS. Comparisons for statistical signicance were performed with two-tailed Students t-test. BW, body weight; CM, cardiac mass; EDV, end-diastolic volume; ESV, end-systolic volume; EF, ejection fraction; CO, cardiac output; FS, fractional shortening; PAF, peak aortic ow; PPF, peak pulmonic ow; E, early mitral inow; A, late mitral inow; ET, ejection time; E, early relaxation velocity at the mitral annulus; A, late relaxation velocity at the mitral annulus.

direct quantication of glutathione levels in heart extracts did not reveal any differences between groups (Fig. 3F). Mild uncoupling of the ETC is thought to confer a protective effect in mitochondria undergoing ROS challenge (42, 66). To test whether alterations in uncoupling proteins occur during Mfn-1 deletion, we examined the protein levels of uncoupling protein-3 (UCP-3). As shown in Fig. 3G, the levels of UCP-3 were unaffected by the deletion of Mfn-1. Collectively, it can be concluded from this analysis that Mfn-1 facilitates mitochondrial depolarization downstream of H2O2, but this does not involve alterations in glutathione availability or ETC uncoupling. Mfn-1 KO myocytes are protected from ROS-induced cell death. Irreversible membrane depolarization is closely associated with mitochondrial dysfunction and cell death. Therefore, the delayed mitochondrial depolarization observed in Mfn-1 KO myocytes could have an impact on myocyte survival. To examine myocyte viability, ACMs from Mfn-1 WT and KO mice were exposed to PBS or to H2O2-induced stress (20 M for 2 h) to induce mitochondrial dysfunction and cell death (23). Myocyte death following these treatments was assessed microscopically on the basis of trypan-blue staining (Fig. 4A). Multiple elds per genotype per treatment were scored according to the percentage of trypan-blue positive cells (0 100% dead myocytes). In PBS-control conditions, the majority of elds quantied in Mfn-1 WT and KO myocytes tended to cluster to the left part of the x-axis (Fig. 4B). However, in H2O2-treated conditions, this distribution collapses and spreads rightward because many elds have a higher percentage of dead cells. Although this occurred with the Mfn-1 WT myocytes, Mfn-1 KO myocytes had improved tolerance to H2O2 seen as a signicant decrease in the number of dead cells (Fig. 4B, compare the distribution of the red bars in the panels in the right; WT and KO). In agreement with these observations, the mean percentage of trypan-blue myocytes in H2O2-treated myocytes was signicantly different when comparing averages

between animals (Fig. 4C; P 0.05 WT vs. KO and P 0.05 PBS vs. H2O2). Recent evidence suggests that Mfn-1 is targeted for degradation by the proteasome in response to intracellular stress (22, 65). In agreement with these observations, we nd that the levels of Mfn-1 protein were attenuated in Mfn-1 WT myocytes exposed to H2O2 (Fig. 4D). Thus the removal of Mfn-1 may be advantageous for the cell during stress, providing an explanation why myocytes rendered decient in Mfn-1 (Mfn-1 KO) are more tolerant to ROS-related insults. Characteristics of isolated mitochondria. The protein yields of subsarcolemmal mitochondria (SSM) and interbrillar mitochondria (IFM) did not decrease signicantly upon Mfn-1 ablation (Table 3), although the Mfn-1 KO IFM appeared to have slightly higher protein content than WT (11.6 0.8 vs. 14.1 0.78 mg mitochondrial protein/g wet mass respectively; P 0.051; Table 3). Further, the activities in whole tissue homogenates were similar for the mitochondrial oxidative enzymes citrate synthase (3.84 0.25 vs. 4.88 0.48 molmg protein 1min 1 for WT and KO, respectively), isocitrate dehydrogenase (0.60 0.15 and 0.85 0.14 molmg protein 1min 1), and medium chain acyl-CoA dehydrogenase (0.28 0.02 and 0.31 0.03 molmg protein 1min 1), consistent with the notion that the overall mitochondrial mass did not change in Mfn-1 KO hearts (for example, Fig. 2G). Mitochondrial size was found to be smaller by ow cytometry for both SSM and IFM in the Mfn-1 KO hearts than in WT (Table 3), consistent with the electron microscopy analysis (Fig. 2F). The membrane potential of SSM and IFM was not affected by Mfn-1 deletion (Table 3). Mitochondrial respiration was unaffected by deletion of Mfn-1, with the exception of a greater state III respiration in the IFM from Mfn-1 KO with succinate rotenone and a higher respiratory control ratio with glutamate malate (Table 3). Thus deletion of Mfn-1 resulted in smaller mitochondria but did not have a deleterious effect on mitochondrial content or oxidative capacity. ROS-induced MPTP opening is decreased in isolated interbrillar mitochondria. The ability to uptake Ca2 is used to assess the physiological state of mitochondria (7). As shown in Fig. 5A, Mfn-1 KO SSM exhibit a similar Ca2 uptake as WT SSM. On the other hand, the same assay detected a modest reduction in the ability of Mfn-1 KO IFM to uptake extramitochondrial Ca2 (Fig. 5B). To assess the ability of mitochondria to undergo ROS-induced MPTP, we utilized the continuous infusion of tBH. Addition of tBH triggered the rapid release of Ca2 from mitochondria, which was not different between Mfn-1 WT and KO SSM for the duration of the assay (Fig. 5C) but was found to be signicantly blunted in Mfn-1 KO IFM (Fig. 5D), consistent with the resistance to ROS-induced mitochondrial dysfunction and death observed in isolated myocytes (Figs. 3 and 4).
DISCUSSION

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Here we report the generation and functional characterization of mice that lack the mitochondrial fusion protein Mfn-1 in cardiac myocytes. Mice lacking Mfn-1 exhibited normal heart function, but the mitochondria within Mfn-1-decient myocytes were small and spherical. These ndings are in marked contrast to our previous analysis of Mfn-2-decient

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Fig. 3. Mitochondrial depolarization downstream of H2O2 is delayed in single myocytes, but this does not involve altered H2O2 scavenging or electron transport chain uncoupling. A: representative images of myocyte areas ( 25 m) containing mitochondria undergoing depolarization with different kinetics (Mfn-1 WT above and Mfn-1 KO below). H2O2 was injected at t0 and imaging began immediately. Images shown were taken at the indicated time points (minutes) following H2O2 injection. B: graph showing dissipation of tetramethylrhodamine methylester (TMRM) uorescence of a selected region of mitochondria after H2O2 exposure. On the y-axis, TMRM uorescence [arbitrary units (AU)] is a quantitative indicator of inner membrane potential ( m) for the selected group of mitochondria. On the x-axis, time after H2O2 injection is shown as consecutive slices (time interval: 2.4 s). Channel 1 (blue) shows the course of depolarization in Mfn-1 WT myocytes, and channel 2 (red) shows the depolarization of Mfn-1 KO myocytes at the same conditions. C: TMRM uorescence at t0 is quantied in myocytes from each group as a measure of basal membrane potential ( m; P 0.189). D: capacity of mitochondria to lose TMRM is quantied as the area under the curve from traces such as those shown in B. Confocal microscopy experiment was done using 4 WT and 3 KO mice that were 2.55 mo old. Number of myocytes assessed are shown in circles for each group (6 myocytes were Mfn1ox without cre, 5 were Mfn-1 with cre, and 15 were homozygous Mfn-1ox with cre). E: relative levels of mRNAs encoding for proteins with the capacity to alter glutathione levels are quantied in whole-heart extracts. Gss, glutathione synthase; Gpx-1, glutathione peroxidase-1; Gpx-4, glutathione peroxidase-4, mitochondrial variant. F: levels of total glutathione (reduced and oxidized) in whole heart extracts are shown in g/mg for the 2 experimental groups (2 mice were Mfn-1ox without cre, 2 mice were Mfn-1 with cre, and 4 mice were homozygous Mfn-1ox with cre, aged 3.5 4 mo old). G: protein abundance of uncoupling protein-3 (UCP-3) and -subunit of the FOF1-ATPase (FOF1- ) in Mfn-1 WT and KO hearts. *P 0.05, **P 0.01.

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Fig. 4. Viability assay of single adult cardiac myocytes. Experiment was done with 5 WT and 5 KO mice 2.55 mo old. A: microscopic elds containing single myocytes from WT and KO hearts previously treated in parallel with PBS or H2O2. Viable (unstained) vs. dead (blue) myocytes were counted, and each eld was scored for the percentage of blue cells (death score). B: distribution analysis of all the elds scored (shown by n) according to their death score (0 100%). Clustering at the left of the x-axis indicates a low death index. C: average death score per treatment and genotype (n 5 Mfn-1 WT or KO mice; *P 0.05 WT vs. KO and #P 0.05 PBS vs. H2O2). D: Western blot analysis performed to detect Mfn-1 protein levels in Mfn-1 WT and KO single myocytes following treatment with PBS and H2O2. GAPDH is used as a protein loading control. Numbers at left indicate respective molecular masses (37250 kDa).

myocytes that displayed larger mitochondria (50). Despite mitochondrial fragmentation, Mfn-1-decient myocytes were protected from ROS-induced mitochondrial depolarization and cell death. Why are mitochondria smaller in Mfn-1-decient myocytes yet enlarged in myocytes that are decient for Mfn-2? One possibility is that the degree of mitochondrial size is dependent on the relative levels of mitofusin GTPase activity within the cell. Earlier studies (26) comparing mitofusins have shown that the two homologs exhibit considerable differences in terms of binding and hydrolyzing GTP, where Mfn-1 has eightfold higher GTPase activity than Mfn-2. Furthermore, it has been shown that endogenous Mfn-1 can interact with mutant Mfn-2 to form fusion-competent com-

plexes in cells, whereas endogenous Mfn-2 is inefcient in this process (15). Collectively, these data suggest that Mfn-1 is more effective in driving mitochondrial fusion than Mfn-2. Because it has been demonstrated that heterotypic interactions between Mfn-1 and Mfn-2 are favored for mitochondrial fusion compared with homotypic interactions (24), the balance of Mfn-1 relative to Mfn-2 may be an important feature that determines mitochondrial size. In this regard, it is possible that under certain conditions, the diminished GTPase activity of Mfn-2 may serve to retard the fusion activity of Mfn-1 protein within the heterotypic complex. For example, if an Mfn-2 threshold is surpassed in a cell that expresses both isoforms, excessive Mfn-2 expression could reverse the mitochondrial fusion activity of

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Table 3. Function of isolated cardiac mitochondria

Subsarcolemmal Mitochondria Mfn-1 WT (n 6) Mfn-1 KO (n 6) Interbrillar Mitochondria Mfn-1 WT (n 6) Mfn-1 KO (n 6)

Yield, mg mitochondrial protein/g wet mass, Mitochondria diameter, arbitrary units m (JC-1 aggregate/monomer) Enzyme activities, nmolmg mitochondrial protein Citrate synthase Medium chain Acyl-CoA dehydrogenase Respiration, nmolmg mitochondrial protein 1min Glutamate malate: state III Glutamate malate: state IV Glutamate malate: RCR Palmitylcarnitine malate: state III Palmitylcarnitine malate: state IV Palmitylcarnitine malate: RCR Succinate rotenone: state III Succinate rotenone: state IV Succinate rtenone: RCR

18.2 534 3.36

1

1.0 13 0.43 0.28 0.02 6.6 3.1 0.25 5.8 0.93 0.3 29.4 10.5 0.07

16.5 490 2.86 2.17 0.22 95.4 33.4 2.94 83.7 31.5 2.42 454.4 178.9 2.66

5.8 6* 0.30 0.28 0.01 4.4 2.3 0.27 10 2.7 0.4 17.7 12.2 0.1

11.6 487 3.26 2.64 0.23 99.5 46.7 2.15 77.3 32 2.29 454.2 198.8 2.20

0.8 8 0.53 0.98 0.02 3.8 2.7 0.11 20 5 0.34 29.3 22.6 0.05

14.1 464 3.18 2.34 0.23 117 39.3 3.00 69.3 28 2.57 530.7 215 2.56

0.78 4* 0.40 0.57 0.05 7.3 2.3 0.20* 7.7 2.8 0.34 17* 11.4 0.15

min

1.79 0.22
1

97.2 39 2.55 59.1 24.9 2.41 417.4 167.8 2.37

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Values are means SE. Each data point (total of 6 per genotype) represents mitochondria pooled from 2 hearts. m, Basal membrane potential; JC-1, 5,5=,6,6=-tetrachloro-1,1=,3,3= -tetraethylbenzimidazolylcarbocyanine iodide; RCR, respiratory control ratio *P 0.05, between genotypes (Mfn-1 WT and KO) by unpaired two-tailed t-test within the same mitochondrial group (subsarcolemmal mitochondria and interbrillar mitochondria).

Mfn-1 by functioning in a manner that is analogous to a dominant-negative isoform. In the human and mouse heart, both Mfn-1 and Mfn-2 are highly expressed (Ref. 56 and our unpublished observations), and it is conceivable that by deleting either of the mitofusins will displace the ratio from its set point and increase/decrease the efciency of fusion. Consistent with this hypothesis, we (50) have previously generated mice with cardiomyocytespecic deletion of Mfn-2. Lack of Mfn-2 resulted in formation of large globular mitochondria indicating that an excess of Mfn-1 activity (via removal of Mfn-2) leads to mitochondrial enlargement, possibly by enhancing fusion between mitochondria during biogenesis. Conversely, in the present study where Mfn-1 is ablated under identical conditions, we nd that mitochondria become smaller and spherical (Fig. 2), indicating that a relative excess of Mfn-2 activity can lead to mitochondrial fragmentation. It is important to note that when one mitofusin is ablated, the levels of the other isoform do not change signicantly (Fig. 1B; Ref. 50). Our observation that deletion of mitofusins leads to distinct mitochondrial morphologies is in concordance with earlier ndings with mitofusindecient mouse embryonic broblasts (MEF; Ref. 10), where it was noted that Mfn-1-decient MEFs contain small spherical mitochondria and Mfn-2-decient MEFs contain large globular mitochondria. Similarly, the diminished GTPase activity of Mfn-2 may explain why Mfn-2 overexpression, in the presence of endogenous Mfn-1, induces the breakdown of mitochondrial tubules into small spherical structures relative to the WT condition (18, 25, 54, 57). In light of the above considerations, we suggest that in myocytes (and probably in other cells) excessive Mfn-1 activity leads to mitochondrial enlargement, whereas excessive Mfn-2 activity leads to mitochondrial diminution. Notably, these shifts in Mfn-1/Mfn-2 balance and the accompanying morphological transitions do not lead to signicant impairment in the biochemical properties of mitochondria, and heart function is not severely impaired either in Mfn-1 KO or Mfn-2 KO mice. In this regard, we report here that Mfn-1 KO hearts are functionally normal by echocardiography (Table

2) and cardiac hypertrophy is not detectable. However, in the case of Mfn-2 KO mice the hearts were modestly hypertrophied (50). Given the contrast in mitochondrial size between Mfn-2 and Mfn-1 KO hearts, and the absence of hypertrophy in the latter, it could be suggested that the modest hypertrophy detected in Mfn-2 KO hearts is related to the mitochondrial enlargement. More specically, it might be that hypertrophy of Mfn-2 KO myocytes occurs as the consequence of an intracellular burden imposed to myocytes due to the inclusion of aberrantly enlarged mitochondria. It has been previously reported (29) that experimental enlargement of mitochondria alters the mechanical properties of cardiac myocytes. Furthermore, the notion that mitochondria can cause cellular dysfunction due to their increased size has been suggested for cerebellar neurons (30). Interestingly, Mfn-2 conditionally decient neurons are found to undergo degeneration in the cerebellum, and mitochondria in these cells form conglomerates within the soma that appear unable to enter the dendrites due to their size (11). On the other hand, in that same study no abnormalities were detectable in Mfn-1-decient mice, indicating that Mfn-1-decient neurons are functionally intact. In this regard, it would be interesting to examine whether mitochondria in Mfn-1 KO neurons have normal size or whether they are reduced in size as we detect in the Mfn-1 KO heart. Mitochondrial dynamics appear to be intimately related to cell death pathways, but the details of this interaction remain largely obscure. A common theme that emerges from the study of cells undergoing apoptosis is that they exhibit mitochondrial fragmentation that occurs almost simultaneously with the release of cytochrome c (41). Notably, it has been reported that repressing mitochondrial fragmentation by inhibiting Drp-1 interferes but does not block the apoptotic process (17, 19, 28, 52). Although it remains to be determined how smaller mitochondria facilitate the apoptotic process, it is now clear that mitochondrial fragmentation alone does not necessarily lead to cell death or any other apparent cellular dysfunction in several contexts (4, 59). Our current model provides an experimental system to test the relationship between mitochondrial fragmentation and cell death induction in cardiac myocytes, since the

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Fig. 5. Calcium-uptake capacity and reactive oxygen species (ROS) sensitivity of mitochondria isolated from Mfn-1 WT and KO hearts. A: rate of Ca2 uptake by subsarcolemmal mitochondria (SSM) is monitored as a decrease in uorescence of the extra-mitochondrial Ca2 indicator (CaGN-5N; 200 nM). B: decrease in CaGN-5N uorescence over time due to the uptake of Ca2 by interbrillar mitochondria (IFM). C: SSM mitochondria were primed for mitochondrial permeability transition pore (MPTP) opening with a low concentration of Ca2 (22.5 M) and were subsequently exposed to increasingly higher doses of tBH. Mitochondrial Ca2 release as a result of tBH-induced MPTP was monitored as an increase in CaGN-5N uorescence. D: increase in CaGN-5N uorescence due to tBH-induced MPTP opening in IFM. AU, arbitrary uorescence units; tBH, tert-butyl-hydroxyperoxide. *P 0.05, between the 2 genotypes for the indicated time points.

Mfn-1 KO myocytes acquire increased numbers of fragmented mitochondria (Fig. 2). Accordingly, by subjecting these myocytes to ROS-induced stress we do not detect any evidence of sensitivity towards cell death. In contrast, Mfn-1 KO myocytes are found to be protected against ROS-induced membrane depolarization (Fig. 3), and cell death is signicantly attenuated in Mfn-1 KO myocytes exposed to H2O2 (Fig. 4). Taken together, our ndings are in agreement with the notion that preexisting mitochondrial fragmentation is not sufcient to predispose myocytes to death. More importantly, the ablation of Mfn-1 confers resistance against ROS-induced mitochondrial depolarization and correlates well with a decreased rate of cardiomyocyte death. The acquired ability of Mfn-1 KO mitochondria to tolerate deleterious amounts of H2O2 does not appear to be due to a preexisting secondary activation of redox defense pathways. In support of the above, we nd that the levels of glutathione and UCP-3 in heart do not differ signicantly

between the two groups (Fig. 3, F and G). In addition, using isolated mitochondria, we were able to detect resistance against tBH-induced MPTP opening (Fig. 5), consistent with a delayed mitochondrial depolarization observed with single myocytes (Fig. 3D). The experiments with isolated mitochondria also revealed that the increased tolerance against ROS is likely to be more dominant or exclusively localized to IFM rather than the SSM (Fig. 5, C and D), and additional work will be required to delineate why this property is selectively detected in this Mfn-1 KO mitochondrial population. Nevertheless, the work with isolated mitochondria indicates that the ability of Mfn-1 KO myocytes to tolerate a ROS challenge is at least in part attributable to a blunted response of Mfn-1 KO mitochondria to undergo MPTP opening downstream of ROS overload. Fusion between biological membranes, including those enveloping mitochondria, has been previously thought of as a leakage-free process where the integrity of the rearranging

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membranes is not breached (71). Nevertheless, there is experimental evidence to suggest that fusion may involve the formation of holes on membranes (16). For example, it has been observed that during the early steps of hemagglutinin-induced fusion the membranes exhibit a transient increase in permeability that is resolved later as fusion progresses (20). This observation is in agreement with theoretical models that predict the opening of a hole on the area near the hemifusion stalk, (i.e., an intermediate structure that connects the apposed membranes during early fusion; Ref. 45). Breaching membrane integrity is also predicted from calculations of the tension forces that develop during the formation of the hemifusion stalk (33). Therefore, although membrane fusion is benecial for a number of cell processes that require content mixing between distinct compartments, it also entails a transient loss of membrane integrity to some extent. Along these lines, we have previously reported that Mfn-2 can signicantly contribute to MPTP formation in cardiac myocytes treated with ROS and in the present study we extend these observations to Mfn-1. Taken together, our observations suggest a previously unsuspected connection between mitochondrial fusion and stress-induced MPTP formation. Apart from MPTP formation, which requires simultaneous opening of a channel-like pore in the IMM and a pore (or hole) on the OMM, permeabilization of the OMM alone (via formation of lipidic pores) is also sufcient to trigger cell death. Along these lines, it has been recently reported that another mediator of mitochondrial dynamics, Drp-1, can promote formation of holes on liposome membranes due to its activity in creating hemifusion intermediates (44). Given this evidence, we postulate that mitofusins, through similar mechanisms that involve creation of hemifusion intermediates, can induce the nucleation of holes on the OMM. In the presence of the appropriate stimulus, these holes can be employed to accelerate mitochondrial permeability transition or even participate in mitochondrial outer membrane permeabilization to allow the release of apoptosis-inducing factors as it has been suggested for Drp-1 (40). In conclusion, the present investigation shows that cardiomyocyte-specic deletion of Mfn-1 results in smaller mitochondria that are more resistant to oxidative stress-induced MPT and cell death. The absence of Mfn-1 did not impair left ventricular function or trigger cardiac hypertrophy. Our ndings suggest that the endogenous levels of Mfn-1 have the capacity to attenuate myocyte viability downstream of oxidative stress, an effect that could be associated with the ability of Mfn-1 to destabilize the membrane during mitochondrial fusion.
ACKNOWLEDGMENTS We are grateful to Donald L. Gantz and Michael T. Kirber for assistance with electron and confocal microscopy respectively. We are also very thankful to Taina Rokotuiveikau and Matthew Phillippo for assistance in mouse genotyping. GRANTS This study was funded by National Institutes of Health Grants HL-074237 (to W. C. Stanley) and HL-102874, AG-34972, AG-15052, and HL-68758 (to K. Walsh). DISCLOSURES No conicts of interest, nancial or otherwise, are declared by the author(s).

AUTHOR CONTRIBUTIONS Author contributions: K.N.P., G.A.N., E.R.D., K.A.O., and R.F.R. performed experiments; K.N.P. and G.A.N. analyzed data; K.N.P. interpreted results of experiments; K.N.P. and E.R.D. prepared gures; K.N.P. and K.W. drafted manuscript; K.N.P., E.R.D., W.C.S., and K.W. edited and revised manuscript; W.C.S. and K.W. conception and design of research; K.W. approved nal version of manuscript. REFERENCES 1. Agah R, Frenkel PA, French BA, Michael LH, Overbeek PA, Schneider MD. Gene recombination in postmitotic cells. Targeted expression of Cre recombinase provokes cardiac-restricted, site-specic rearrangement in adult ventricular muscle in vivo. J Clin Invest 100: 169 179, 1997. 2. Akao M, ORourke B, Teshima Y, Seharaseyon J, Marban E. Mechanistically distinct steps in the mitochondrial death pathway triggered by oxidative stress in cardiac myocytes. Circ Res 92: 186 194, 2003. 3. Aon MA, Cortassa S, Marban E, ORourke B. Synchronized whole cell oscillations in mitochondrial metabolism triggered by a local release of reactive oxygen species in cardiac myocytes. J Biol Chem 278: 44735 44744, 2003. 4. Arnoult D. Mitochondrial fragmentation in apoptosis. Trends Cell Biol 17: 6 12, 2007. 5. Brady NR, Elmore SP, van Beek JJ, Krab K, Courtoy PJ, Hue L, Westerhoff HV. Coordinated behavior of mitochondria in both space and time: a reactive oxygen species-activated wave of mitochondrial depolarization. Biophys J 87: 20222034, 2004. 6. Breckenridge DG, Kang BH, Kokel D, Mitani S, Staehelin LA, Xue D. Caenorhabditis elegans drp-1 and s-2 regulate distinct cell-death execution pathways downstream of ced-3 and independent of ced-9. Mol Cell 31: 586 597, 2008. 7. Chalmers S, Nicholls DG. The relationship between free and total calcium concentrations in the matrix of liver and brain mitochondria. J Biol Chem 278: 1906219070, 2003. 8. Chan DC. Mitochondrial fusion and ssion in mammals. Ann Rev Cell Dev Biol 22: 79 99, 2006. 9. Chen H, Chomyn A, Chan DC. Disruption of fusion results in mitochondrial heterogeneity and dysfunction. J Biol Chem 280: 2618526192, 2005. 10. Chen H, Detmer SA, Ewald AJ, Grifn EE, Fraser SE, Chan DC. Mitofusins Mfn1 and Mfn2 coordinately regulate mitochondrial fusion and are essential for embryonic development. J Cell Biol 160: 189 200, 2003. 11. Chen H, McCaffery JM, Chan DC. Mitochondrial fusion protects against neurodegeneration in the cerebellum. Cell 130: 548 562, 2007. 12. Chen H, Vermulst M, Wang YE, Chomyn A, Prolla TA, McCaffery JM, Chan DC. Mitochondrial fusion is required for mtDNA stability in skeletal muscle and tolerance of mtDNA mutations. Cell 141: 280 289, 2010. 13. Dabkowski ER, Williamson CL, Hollander JM. Mitochondria-specic transgenic overexpression of phospholipid hydroperoxide glutathione peroxidase (GPx4) attenuates ischemia/reperfusion-associated cardiac dysfunction. Free Radic Biol Med 45: 855865, 2008. 14. De Vos K, Goossens V, Boone E, Vercammen D, Vancompernolle K, Vandenabeele P, Haegeman G, Fiers W, Grooten J. The 55-kDa tumor necrosis factor receptor induces clustering of mitochondria through its membrane-proximal region. J Biol Chem 273: 96739680, 1998. 15. Detmer SA, Chan DC. Complementation between mouse Mfn1 and Mfn2 protects mitochondrial fusion defects caused by CMT2A disease mutations. J Cell Biol 176: 405414, 2007. 16. Engel A, Walter P. Membrane lysis during biological membrane fusion: collateral damage by misregulated fusion machines. J Cell Biol 183: 181186, 2008. 17. Estaquier J, Arnoult D. Inhibiting Drp1-mediated mitochondrial ssion selectively prevents the release of cytochrome c during apoptosis. Cell Death Differ 14: 1086 1094, 2007. 18. Eura Y, Ishihara N, Yokota S, Mihara K. Two mitofusin proteins, mammalian homologues of FZO, with distinct functions are both required for mitochondrial fusion. J Biochem 134: 333344, 2003. 19. Frank S, Gaume B, Bergmann-Leitner ES, Leitner WW, Robert EG, Catez F, Smith CL, Youle RJ. The role of dynamin-related protein 1, a mediator of mitochondrial ssion, in apoptosis. Dev Cell 1: 515525, 2001.

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