A Genetic Screening Strategy Identifies Novel Regulators of the Proteostasis Network

A hallmark of diseases of protein conformation and aging is the appearance of protein aggregates associated with cellular toxicity. We posit that the functional properties of the proteostasis network (PN) protect the proteome from misfolding and combat the proteotoxic events leading to cellular pathology. In this study, we have identified new components of the proteostasis network that can suppress aggregation and proteotoxicity, by performing RNA interference (RNAi) genetic screens for multiple unrelated conformationally challenged cytoplasmic proteins expressed in Caenorhabditis elegans. We identified 88 suppressors of polyglutamine (polyQ) aggregation, of which 63 modifiers also suppressed aggregation of mutant SOD1G93A. Of these, only 23 gene-modifiers suppressed aggregation and restored animal motility, revealing that aggregation and toxicity can be genetically uncoupled. Nine of these modifiers were shown to be effective in restoring the folding and function of multiple endogenous temperature-sensitive (TS) mutant proteins, of which five improved folding in a HSF-1–dependent manner, by inducing cytoplasmic chaperones. This triage screening strategy also identified a novel set of PN regulatory components that, by altering metabolic and RNA processing functions, establish alternate cellular environments not generally dependent on stress response activation and that are broadly protective against misfolded and aggregation-prone proteins.


Introduction
Protein misfolding is an intrinsic aspect of protein biogenesis that, under optimal conditions, is kept in check by the properties of the proteostasis network (PN), and upon stress, aging, and expression of aggregation-prone proteins causes cellular dysfunction that places the organism at risk for diseases of protein conformation. These are common and prominent features in Alzheimer's disease (AD), Parkinson's disease (PD), Amyotrophic Lateral Sclerosis (ALS), polyglutamine disorders such as Huntington's disease (HD), muscular dystrophies, metabolic disorders, and certain cancers [1][2][3][4][5]. Each disease is associated with its own characteristic set of aggregation-prone proteins that differ in sequence, function and expression patterns. Nevertheless, protein misfolding and aggregation have similar consequences to the cell with deleterious consequences on gene expression, protein synthesis, folding, trafficking, clearance, and cell signaling.
The PN of molecular pathways coordinates protein synthesis, folding, trafficking and clearance [6][7][8] and determines the fate of proteins that do not acquire a native conformation. The chronic expression of aggregation-prone proteins, as occurs in conformational disorders, not only affects the function of proteins harboring mutations, but also challenges the stability of the PN, leading to the amplification of protein damage and persistent proteotoxicity [4,[9][10][11][12]. While protein aggregates and inclusions represent a prominent feature of many human diseases, it remains unanswered whether a cell responds identically to different protein aggregates. Elucidating the mechanism(s) by which misfolded proteins, oligomeric species, and/or aggregates interfere with cellular function represents a prominent challenge, given the complexity of the aggregation process, and the large number of cellular processes affected as proteostasis decline is propagated across tissues [6,9,13,14]. Many studies have indicated that large inclusions correlate poorly with onset and severity of neurodegeneration and support a role for the soluble oligomeric species in toxicity [13][14][15][16][17][18][19]. Although intermediate species formed by distinct proteins have been suggested to display common structural motifs, it has been difficult to evaluate the contribution of different types of oligomers to toxicity [20]. Furthermore, despite the common theme of protein aggregation, growing evidence suggests that the cause of toxicity for each disease may, in part, be specific to the subset of molecular processes affected by the aggregated protein [21].
An alternative approach to understanding the origin of toxicity in each disease is to identify genetic modifiers that suppress aggregation and prevent the accumulation of metastable and misfolded proteins by enhancing global folding capacity [22]. Multiple in vitro, cell-based, and animal model systems have been developed to investigate the molecular events underlying aggregation-driven toxicity and identify modifiers of disease phenotypes [23][24][25][26][27][28][29][30][31]. While mammalian model systems are notoriously challenging to perform genome-wide screens due to the differences in genetic background and environment, screens performed in Saccharomyces cerevisiae, Caenorhabditis elegans and Drosophila melanogaster have identified processes that maintain proteome stability, promote folding and clearance. These include among others, molecular chaperones, proteasome subunits, components of the autophagy machinery, and the stress-induced transcriptional regulators DAF-16/FOXO and HSF-1 [32][33][34][35][36][37][38][39].
Here, we established a screening strategy in C. elegans to identify novel genetic modifiers of proteostasis that reshape the network to increase the cellular capacity for folding, prevent protein aggregation and suppress toxicity. Our approach was to identify components of the PN, that when down-regulated, enhance the functional properties of the PN to restore folding of the various folding sensors employed in the screen. This approach was designed to complement our previous efforts to identify enhancers of misfolding by screening for genes that when down-regulated caused the premature appearance of protein aggregates [35]. We identified 63 genetic modifiers that suppressed both polyQ and mutant SOD1 aggregation in muscle cells, of which 23 also suppressed associated toxicity. Of these, 9 modifiers systematically reduced the misfolding phenotypes of endogenous temperaturesensitive proteins. These modifiers were then characterized for dependence on HSF-1 activation and expression of cytosolic chaperones to enhance folding. This study introduces new proteostasis modifiers with a global effect on the stability of the muscle cell proteome, with likely broader relevance for conformational disorders.

Screening Strategy for Genetic Modifiers of Protein Aggregation
We sought to determine whether modifier genes identified in a genome-wide RNAi screen for suppression of polyQ aggregation and toxicity in C. elegans would be efficacious on other disease-associated aggregation-prone proteins and endogenous metastable proteins. With this strategy, we tested the hypothesis of conserved modifier genes and pathways within the PN for protein misfolding and aggregation.
We initiated the screening strategy with a genome-wide RNAi screen to identify genes in C. elegans that, when knocked down, suppress aggregation of expanded polyQ::YFP fusion proteins expressed in body wall muscle (BWM) cells [26]. For this screen, animals expressing Q35 were used, as this is a threshold length for polyQ that exhibits adult onset protein aggregation and toxicity [26]. This screen was accomplished using a semi-robotic assay developed for feeding RNAi bacteria [40] to larval 1 (L1, day 1) stage Q35 animals [35]. During early development, Q35 protein is soluble in muscle cells until animals reach day 3 of age, when aggregation is first detected, and thereafter aggregation and toxicity increase with aging ( Figure S1B, S1D) [26,35]. Therefore, we selected day 6, corresponding to three days after the onset of Q35 aggregation ( Figure S1B), to perform the RNAi screen to identify gene knockdowns that led to suppression of polyQ foci, relative to the empty vector (EV) control. RNAi against yfp was used as a control for the efficiency of RNAi gene-knockdown ( Figure 1A: VIII, XVI, XXIV; Figure 1C). The screen was highly robust and identified 151 genetic modifiers that suppressed Q35 aggregation ( Figure 1A, Table S1). Of these modifier genes, 91 exhibited a strong suppressor effect on aggregation by reducing the number of Q35 foci by 60 to 80% in $75% of the RNAi-treated animals (Table S1, Figure 1C). The remaining 60 modifiers gave more variable results and were less effective as suppressors (i.e. observed in ,50% of the RNAi-treated animals with ,50% reduction in foci; Table S1).
We next used a counter-screen with animals expressing soluble Q24, as these animals do not exhibit aggregation or toxicity [26], to control for phenotypic changes caused by RNAi that are not related to aggregation, such as changes in YFP fluorescence, body morphology and size, egg-laying and sterility (Table S1). We observed that none of the Q35 aggregation modifiers had any effect on Q24 protein ( Figure 1B), suggesting that the RNAi suppressor effect was not due to transgene silencing. The modifiers that did not meet these criteria or had deleterious consequences on animal development and viability were not studied further. Moreover, to assess whether suppression of aggregation was due to changes in polyQ expression, we examined mRNA and steadystate protein levels for a representative group of modifiers. We quantified the levels of q35::yfp mRNA by rt-PCR ( Figure S2) and the levels of Q35::YFP protein by SDS-PAGE and western blot analysis ( Figure 2A). The results show that, for the RNAi modifiers tested, suppression of aggregation occurred without affecting the polyQ mRNA or protein levels.
To obtain evidence that the suppression of visible Q35 aggregates corresponds to the appearance of soluble Q35 protein ( Figure 1A), we used the dynamic imaging method of Fluorescence Recovery After Photobleaching (FRAP). Inclusion-localized Q35 corresponds to an immobile state with very limited fluorescence recovery following photobleaching ( Figure 2B and 2C: Q35 control) [23,35], whereas the fluorescence of diffuse-looking Q35 in animals fed with modifier RNAi recovered immediately, consistent with a diffuse and soluble state analogous to soluble Q24 ( Figure 2B hmg-3 and Figure 2C). These results provide biophysical evidence for Q35 solubility identified by the visual screening. We further examined the biochemical properties of Q35 in total protein extracts, for a representative group of modifiers. We found that the amount of aggregated polyQ protein detected using native PAGE analysis was reduced, and that the levels of soluble and diffuse species were increased ( Figure 2D).

Author Summary
A common characteristic of protein conformational diseases is the appearance of protein aggregates associated with late-onset symptoms. Here, we have taken an unbiased genetic approach to test the hypothesis that protein aggregation and toxicity are co-linked genetic traits that are regulated by a common proteostasis network. To address this, we took advantage of the tractable genetic model Caenorhabditis elegans expressing expanded polyglutamines (polyQ) and performed a genome-wide RNA interference (RNAi) screen to identify genes that altered the proteostasis environment and suppressed aggregation and toxicity. These modifiers were subsequently tested on animals expressing mutant SOD1 and on animals expressing endogenous proteins with temperature-sensitive mutations. This screening triage resulted in the identification of nine genes with effects on protein folding, corresponding to new proteostasis pathways involved in metabolism and RNA processing functions.
Taken together, these results reveal that RNAi knockdown of specific modifier genes suppressed polyQ aggregation by maintaining the protein in a mobile soluble state.
The identity of the RNAi-targeted genes was verified by sequencing of the dsRNA plasmids, followed by Blast analysis in NCBI and Wormbase databases. The Q35 aggregation modifier genes are 88% conserved, with predicted human orthologs, and can be grouped into seven functional categories of cell cycle, DNA synthesis and repair; RNA synthesis and processing; protein synthesis; protein folding and turnover; cell structure and protein trafficking; signaling; and energy and metabolism (Table S1, Figure S3A, S3B). The fraction of modifiers represented in each functional class is significantly distinct from their representation in the C. elegans RNAi library ( Figure S3A, S3B) [41], indicating enrichment for cellular processes important for proteostasis.
We next asked whether the Q35 modifiers were effective on another polyQ model as a way to distinguish the most robust polyQ aggregation suppressors. This was done by screening a transgenic line expressing Q37::YFP. These animals exhibit a more rapid onset of aggregation relative to Q35 animals, between day 2 and 3 of age, together with a more rapid decline in motility ( Figure S1A, S1B, S1D). These phenotypes are dependent solely upon the CAG-repeat length as the levels of Q35 and Q37 are identical ( Figure S1C). Q37 animals were fed RNAi from L1 stage (day 1) and aggregation was examined on day 5, corresponding to three days post-aggregation onset ( Figure 3A, 3B). Of the initial 151 modifiers of Q35 aggregation, only 88 of these also suppressed Q37 aggregation, of which 81 corresponded to the strongest Q35 suppressors (Table S1). We designated the set of common modifiers of Q35 and Q37 aggregation as Class A strong modifiers (Table 1), and the remaining 63 genes as Class B weak modifiers ( Figure 3C).

Identification of Common Modifiers of PolyQ and Mutant SOD1 Aggregation
We next tested whether the genetic modifiers of polyQ aggregation would be effective on yet another model that expresses the mutant human SOD1 G93A . This model shows aggregation  onset during embryonic development and a distinctive pattern of foci that persists throughout adulthood (Figure S1E, S1F) [12]. Of the 88 polyQ aggregation modifiers, 63 also suppressed mutant SOD1 G93A aggregation in 5 day old animals ( Figure 4A, Table  S1), without causing phenotypic changes in SOD1 wt animals (not shown). A subset of these common aggregation suppressors were also examined by SDS-PAGE and western blot analysis, and shown not to reduce steady-state protein levels of SOD1 G93A ( Figure 4B). 95% of the mutant SOD G93A suppressors belong to the polyQ Class A modifiers (Table S1). Unlike Q35 aggregation that is only detected in young adult animals, mutant SOD G93A aggregation occurs in embryos [12], and yet many Class A modifiers were effective suppressors of SOD1 aggregation providing additional support that Class A modifiers are robust modifiers of protein folding. Moreover, these modifiers, that are common to polyQ and SOD1, exhibit a similar overall distribution into functional classes ( Figure S3C) as was described for modifiers of polyQ aggregation ( Figure S3B), thus identifying new modifier pathways that are common to protein aggregation.
We propose that these new modifiers can either suppress aggregation directly by affecting cellular processes that mediate aggregate formation, or indirectly by altering some aspect of the PN that confers a protective action that increases folding. To distinguish between these two possibilities, we employed genetic tests to determine which modifiers reflect an improvement of the folding environment, by reducing misfolding and associated toxicity.

Suppression of Aggregation Can Be Uncoupled from Toxicity
Protein aggregation is a common feature of many diseases; however, the relationship between aggregation and cellular toxicity remains controversial. The appearance of aggregates and inclusions has been linked both to cellular dysgenesis and toxicity, as well as protection from toxicity [13][14][15][16][17][18][19]. Therefore, we took advantage of an unbiased genetic approach to test the relationship between suppression of aggregation and toxicity. Because the initial genetic screens were based solely on aggregation phenotypes, we were able to subsequently perform cellular toxicity assays to assess this relationship.
Relative to wt animals or animals expressing soluble polyQ (Q24), Q35 animals exhibit muscle dysfunction resulting in a 40% loss of motility at 6 days of age ( Figure S1D) [26]. Therefore, we quantified the motility of RNAi-treated Q35 animals as a measure of polyQ-associated cellular toxicity, using an automated worm tracker system analysis, validated by manual methods. As a reference positive control for toxicity suppression, we show that motility was restored to near wt levels by knockdown of the Q35 transgene expression with yfp-RNAi ( Figure 5A). All 88 Class A modifiers were tested for effects on the motility of Q35 animals and wt control animals (Table S2). Because we sought to identify improvement of motility directly associated to suppression of Q35 aggregation, we excluded any modifier that, alone, had effects on the motility of wt animals. Of the 88 modifiers tested in wt animals, 33 gene knockdowns (37%) affected the motility of wt . Student t-test ***p,0.001 relative to control. (C) Screen strategy: genome-wide screen with the threshold Q-length for aggregation Q35, and counter-screens with the soluble Q24 and the higher Qlength Q37 strains. Class A refers to Q35 and Q37 common strong modifiers, and Class B to modifiers only affecting Q35. doi:10.1371/journal.pgen.1002438.g003 animals ( Figure 5B), and were excluded from further analysis. For the remaining 55 modifiers, 42% improved the motility of Q35 animals to wt levels, 36% had no effect, and 22% enhanced the toxicity of Q35 ( Figure 5A). These results revealed that suppression of aggregation, as detected by visual, biophysical, and biochemical measures, does not necessarily predict that the physiological health of the cell will be restored. The genetic uncoupling between aggregation and toxicity further reinforces previous similar observations [13,14,19]. Taken together, the toxicity in diseases of protein conformation is the outcome of a complex series of misfolding events, involving multiple species and aberrant interactions within the cell.

Identification of a Core PN by Screening with Endogenous Metastable Proteins
Among the challenges with studies of protein misfolding and aggregation have been the concerns with the physiological imbalance associated with overexpression of heterologous proteins in the respective model systems. To circumvent this concern, we asked whether the PN modifiers that suppressed polyQ and mutant SOD1 aggregation ( Figure 5C) would also restore the folding of endogenous metastable proteins harboring temperature sensitive (TS) mutations. TS-mutations represent an important class of highly sensitive folding sensors that are expressed at normal endogenous levels and have quantifiable phenotypes when properly folded at the permissive condition or misfolded at the restrictive temperature [10,42,43]. This strategy was also used to distinguish between modifiers that directly perturb and suppress the formation of protein aggregates, from the modifiers that reshape the PN to improve the protein-folding environment.
We examined the properties of four TS mutant proteins corresponding to the paramyosin ortholog UNC-15, the basement-membrane protein perlecan UNC-52, the myosin-assembly protein UNC-45, and the myosin heavy chain UNC-54 [10]. At the permissive temperature (15uC), each of these TS-proteins is known to be fully functional and animals harboring these mutants exhibit a wt phenotype, whereas at the restrictive temperature (23uC or 25uC) these TS-proteins misfold and cause muscle dysfunction that can be measured as slow movement and paralysis (UNC-15, UNC-54, Figure 6A, 6C), egg-laying defects leading to swelling and paralysis (UNC-45, Figure 6B), and stiff-paralysis (UNC-52, Figure 6D) (see Materials and Methods) [10,42,44]. These phenotypes are specific to animals expressing the TS mutations, and are not observed in wt animals. We tested all 23 RNAi modifiers that suppressed both Q35 aggregation and toxicity ( Figure 5C), on each of the TS strains, and found that a total of nine modifiers reduced the number of animals displaying TS phenotypes by 40% to 90% at 23uC, a slightly lower restrictive temperature at which the efficiency of the RNAi protocol was maintained ( Figure 6A-6D, Table 2). These results suggest that while protein misfolding is common to all three classes of folding sensors (polyQ, mutant SOD1, and TS-mutant proteins), the cellular environment and the PN are influenced differentially by the Table 1. Overview of the modifiers that suppress Q35 and Q37 (Class A) aggregation in C. elegans BWM cells.

Folding Enhancement by Activation of the Heat Shock Response
Upstream of the core components of the PN is the master cytosolic stress-responsive pathway that leads to HSF-1 activation and expression of molecular chaperones for stability of the proteome. To examine whether the nine PN modifiers ( Figure 7A) lead to HSF-1 activation as a general mechanism for proteostasis improvement, we introduced a hypomorphic mutation of hsf-1(sy441) into the background of the polyQ strain Q37 and knocked-down each modifier gene ( Figure 7B). Our results show that: suppression of aggregation by ucr-2.3, gei-11 and C45G3.4 was completely dependent on HSF-1; whereas T22D11.5, ZK430.7, Y110A7A.8 and R05D11.4 exhibited a weaker dependence on HSF-1; and F43G9.1 and let-607 were independent of HSF-1. We next examined whether chaperone gene expression was affected downstream of the nine PN modifiers, by monitoring the expression of Hsp70 (C12C8.1, F44E5.4) and small Hsp (hsp-16.1), upon knockdown of each genetic modifier ( Figure 7C). We show that five of nine PN modifiers induced expression of cytoplasmic chaperones. Knockdown of let-607 (ER-UPR, Table 2) had the strongest effect, suggesting an important regulatory crosstalk between cytoplasmic and ER stress response pathways. Knockdown of the TCA cycle component T22B11.5 led to upregulation of chaperones and establishes a link between folding and metabolic state, whereas knockdown of gei-11 (putative negative regulator of cholinergic signal, Table 2) induction of hsp suggests an effect of cholinergic signaling on muscle homeostasis ( Figure 7C). Reduction of R05D11.4 (translation) leading to induction of hsp-70 was consistent with an effect of protein synthesis on folding machinery. For the remaining four PN modifiers, knockdown of ZK430.7 (RNA processing) had a modest effect on hsp expression, while knockdown of Y110A7A.8 (splicing), ucr-2.3 (ETC) and F43G9.1 (TCA cycle) had no effects on hsp levels ( Figure 7C, Table 2). This suggests that proteostasis was restored through other pathways involving reduced metabolism and energy production. Taken together, these results demonstrate that improvement of the cellular folding environment by these novel proteostasis modulators is not simply a consequence of a generalized induction of the heat shock response and molecular chaperones but also involves other PN pathways, not previously linked to proteome surveillance.

Discussion
Genetic screens have provided invaluable insights into biological processes, and have the advantage of being unbiased and entirely based on endpoint phenotypes. We have employed a genetic strategy to explore how the proteostasis network can be genetically modulated to increase cellular protection against the toxicity of protein aggregation ( Figure 7A). This strategy benefitted from certain advantages of C. elegans as a metazoan model for the expression of conformationally challenged proteins and the ability to screen the genome for modifiers that suppress both aggregation and toxicity by gene knockdown. This complements the candidate gene approaches that led to the identification of molecular chaperones, ubiquitin proteasome, autophagy, and the upstream stress response signaling pathways. The use of a screening triage approach ( Figure 7A) revealed that genetic modifiers that suppress aggregation of polyQ are also effective with mutant SOD1, and revealed the identity of candidates of a core PN. However, only a subset of these suppressors of aggregation also suppressed cellular toxicity, a result that is consistent with the genetic uncoupling between aggregation and toxicity observed in various disease models [13][14][15][16][17][18][19]. This screen ultimately provided a filter that led to identification of a final set of nine core muscle PN modifier genes ( Table 2), not previously shown to be directly involved in protein homeostasis and the restoration of folding in both animal models of protein aggregation and endogenous metastable proteins.

New Genetic Modulators of Protein Aggregation
The genome-wide screen for suppression of polyQ aggregation identified a collection of modifier genes from distinct cellular functional classes (Table S1, Figure S3B). Modifiers in the category cell structure and protein transport, include cytoskeleton components (filamin) and matrix proteins (ppn-1, mua-3, gon-1), supporting observations that aggregation can be affected by disturbing the integrity of cell structure [10]. Other genes in this group encode motor proteins involved in vesicular trafficking (klp-15, nex-1), consistent with a role for protein movement and transport in aggregation. Cell growth and replication modifiers are involved in Figure 5. Suppression of polyQ aggregation and toxicity are genetically uncoupled. (A) Motility measurements of Q35 (black) and wt (grey) animals treated with aggregation suppressor RNAi. Motility is measured in body-length per second relative to wt motility in EV control (% BLPS6SEM). Shown here are the modifiers that did not affect wt motility, grouped in three classes that: enhance Q35 motility defect (Student t-test **p,0.001); cause no change (Student t-test p$0.05); or suppress Q35 motility defect (Student t-test **p,0.01) relative to Q35 control. Statistical significance between classes calculated by 1-way ANOVA ***p,0.0001; and t-test ***p,0.001. (B) Aggregation modifiers that caused a deleterious effect on wt motility (% BLPS6SEM, relative to EV control). Student t-test ***p,0.001 relative to control. (C) Screening triage for modifier suppressors of protein aggregation and toxicity. doi:10.1371/journal.pgen.1002438.g005 progression through the cell cycle (cyclin-dependent kinases), and DNA replication and recombination (transposases), with a likely general effect on growth rate and development. Energy and metabolism modifier genes are involved in energy production and mitochondrial electron transport chain (ETC) function. Restriction in energy levels not only affects overall protein biogenesis, as it is a highly ATP-dependent process, but also, metabolic enzymes can influence protein folding in the cell by altering the levels of organic/inorganic solutes with effects in polypeptide chain solvation [6]. Notably, reduced ATP synthesis, ETC activity or mitochondrial function have been shown to enhance lifespan, possibly by delaying age-dependent decline in protein folding capacity and by upregulation of stress-response pathways that promote proteostasis and survival [45][46][47][48]. Gene expression and protein synthesis related modifiers function in RNA metabolism, ribosome biogenesis, and protein synthesis. This is consistent with reduced translation increasing C. elegans lifespan, perhaps by activating a physiological state with increased stress resistance and folding capacities [49][50][51]. Post-translational control modifier genes are involved in chaperone-assisted folding, such as HSP70 superfamily members, DNAJ co-chaperones and cyclophilins, and posttranslation modifying enzymes such as SUMO and E3-ubiquitin ligases. The role of chaperones on protein solubility, misfolding and aggregation has been well established [52,53], and an imbalance in certain co-chaperones has been suggested to alter chaperone activity in the cell and folding [54]. Signaling RNAitargeted genes included nuclear hormone receptors, G-proteincoupled receptors, C-type lectins (endocytic receptors), or calcium export and channel-transport activity. These regulators affect reproduction, growth, morphogenesis (development), and locomotion by altering signaling pathways involved in neuronal and muscle function.

Genetic Screens for Enhancer and Suppressor Modifiers of PolyQ Aggregation
Information retrieved from comparative analysis of genetic screens of different misfolded proteins can provide important insights to identify both common and protein-specific pathways for conformational disorders (Table S3). Highly relevant to this point is our ability to compare the modifier genes identified in this study with a previous complementary screen using the same threshold Q-length properties of the Q35 model to identify genes that when knocked-down by RNAi led to premature onset of polyQ aggregation [35]. Together, these genome-wide screens identified 341 genetic modifiers that cluster into the same functional classes and pathways, but correspond to distinct genes within these pathways. Specific modifier genes may interfere with the misfolded species at different stages of the aggregation process with opposite outcomes, consistent with the functional properties of a network, where different components within a process can shift the equilibrium in opposing directions to alter the stability of the proteome, to intensify or suppress the polyQ phenotype.
While it might seem counter-intuitive that molecular chaperones could suppress polyQ aggregation when knocked-down, this is consistent with observations that proteome stability can be enhanced or suppressed by changing the composition of the cellular chaperome [52][53][54][55]. For example, reducing the expression of cyn-11 and cyn-12 (cyclophilin D isoforms) and dnj-5, that function primarily as co-chaperones to regulate Hsp70 and Hsp90 activities [56], promotes a polyQ soluble state. These co-chaperones could function as negative regulators of chaperone function, and their down-regulation results in enhanced chaperone activities leading to suppression of misfolding [52,57,58]. This would be consistent with evidence that Hsp70 folding activity is negatively regulated by cochaperones and co-factors such as CHIP [59] and BAG-1 [60]. Therefore, enhancement of folding can be achieved by both positive and negative regulation of chaperones or by a compensatory response that up-regulates other chaperones.
Another functional class common to both Q35 screens is the protein trafficking and cell matrix. Suppression of aggregation by knockdown of cell cytoskeleton proteins, such as intermediate filaments (MUA-3 and MUA-6) and filamin, is supported by experimental evidence that the dynamics of aggregation rely in part on translocation of proteins into inclusions. For example, the active transport of Htt-exon1 along microtubules has been shown to be required for inclusion body formation [61]. In contrast, premature aggregation was observed when the expression of vesicle proteins involved in protein trafficking was knocked-down [35], including TFG-1 COP-II complex, APT-3 and APT-1, and cell membrane assembly proteins (SNAP-25). Interference with these processes can disturb essential steps of the folding and secretory pathways, increase the load of misfolded proteins in the cell and lead to premature polyQ aggregation.

Suppression of PolyQ Aggregation and Toxicity Can Be Uncoupled
An important observation from these studies is that the Class A PN modifiers ( Figure 3C, Table 1) were highly effective to suppress polyQ aggregation, and yet only 42% of these modifiers also reduced toxicity, with approximately equal numbers of modifier genes with either no effect on toxicity or even enhancing toxicity ( Figure 5A). These results provide independent evidence that suppression of aggregation alone does not predict that the physiological health of the cell will be restored. From a mechanistic perspective, it is increasingly clear that a series of events are associated with the conversion of the nascent polyQ protein into different oligomeric states, immobile aggregate species and inclusion bodies [62][63][64][65]. We conclude that the genetic suppression of aggregation can occur via a wide range of mechanisms that are dissociated from the effect on toxicity, consistent with previous observations that interference with the aggregation process could in some cases enhance the formation of ''toxic oligomeric species'' [13][14][15][16][17][18][19][66][67][68]. Moreover, each modifier gene is certain to function within its own network of interacting partners (Table 2), revealing an expanding network through which each modifier can suppress aggregation, but with differential effects on toxicity depending on the affected cellular function. The demonstration that protein aggregates are uncoupled from cellular toxicity has implications for the understanding of the PN and for development of therapeutics.

Triage Screening Method for Identification of Core Modulators of BWM Proteostasis
We took advantage of C. elegans models of protein aggregationtoxicity in addition to folding sensor strains harboring TS mutations in endogenous proteins to identify a core group of modulators that improve folding in muscle cells ( Figure 7A). Our results highlight important aspects of the PN, relevant for both 'gain-of-toxic function' by aggregation-prone proteins, and 'lossof-function'-derived toxicity due to protein misfolding. The nine PN modifiers that remained at the end of the screening tree function in the mitochondrial respiratory chain and TCA cycle, that regulate metabolism, energy balance and prevention of oxidative stress, in addition to rRNA processing and transcription, that determine gene expression and proteome load ( Table 2). While these modifier genes, upon initial inspection, seem not to be directly involved in folding, perturbation of their specific functions and networks of interactions re-adjusts the PN to enhance its capacity, as suggested by activation of the heat shock response and chaperone expression ( Figure 7B, 7C). Moreover, comparison to other genetic screens performed in Drosophila [32,33,39], C. elegans [34][35][36][37]69,70] and yeast [38,71] (Table S3) provides additional insights into the regulation of the PN by these modifiers. ucr-2.3 encodes an ubiquinol-cytochrome c reductase subunit of the mitochondrial respiratory chain, and F43G9.1 and T22B11.5 encode TCA-cycle enzymes (isocitrate dehydrogenase and 2oxoglutarate dehydrogenase, respectively) ( Table 2). Disruption of the respiratory chain and energy production has been suggested to have consequences on cellular homeostasis [47,48]. Intriguingly, knockdown of ucr-2.3 was shown to enhance the toxicity of human Tau expressed in C. elegans neuronal cells (Table S3) [34]. This discrepancy may be related to Tau-specific proteotoxicity, not derived from aggregation or misfolding, but associated with microtubule binding and disruption. F43G9.1 was also identified as a enhancer of lifespan [70], which is consistent with a role in proteostasis. ZK430.7 encodes an rRNA processing factor, Y110A7A.8 is a putative mRNA splicing factor, and R05D11.4 encodes an RNA helicase required for translation (Table 2). Thus, perturbing components of the gene expression machinery can enhance proteostasis, likely by altering the expression load of unstable proteins and activating stress responses to restore proteostasis. In particular, knockdown of Y110A7A.8 activates the osmotic stress response [69] and causes premature onset of polyQ aggregation on 3 day old animals [35], consistent with an increase in misfolding (Table S3). However, on 6 day old animals we show that the number of aggregates is suppressed, which suggests a time-dependent response by the PN to enhance the folding machinery and restore folding. gei-11 encodes a Mybfamily transcription factor proposed to regulate cholinergic receptor function at the BWM cells [72], which affects muscle function and homeostasis [43,73]; and let-607 encodes a CREBH ortholog transcription factor predicted to be a component of the C. elegans ER stress response. The role of let-607 is particularly intriguing as it reveals a genetic crosstalk between the cytoplasmic and ER lumen stress pathways. Knockdown of let-607 induces chaperone expression that is not dependent upon HSF-1 ( Figure 7B, 7C), suggesting that other stress responses such as the ER unfolded protein response may be involved in the suppression of cytosolic protein aggregation. Taken together, these results emphasize that diverse genetic and cellular mechanisms can restore cellular proteostasis beyond the traditional heat shock response. These nine gene modifiers of BWM protein homeostasis represent core components of the PN that evoke a robust and effective improvement of disease-related and endogenous metastable protein folding. Identification of these processes is a fundamental step towards identifying new components that constitute the network, and the cellular and organismal mechanisms by which they contribute to protein homeostasis and protect against chronic expression of misfolded toxic proteins.

RNA Interference Screen
The genome-wide RNAi screen for suppression of aggregation in C. elegans muscle cells was performed using the commercial RNAi library, with bacteria expressing dsRNA for 87% of the predicted C. elegans genes (GeneService, USA) [35,40]. A semiautomated high throughput setup system was used, consisting of a robotic device (Biomek FX Liquid Handler, Beckman Coulter, USA) programmed to add bacteria and age-synchronized animals in liquid culture to 96-well plates. RNAi bacterial cultures were grown for approximately 8 h in LB-ampicillin 50 mg/ml (65 ml), at 37uC with continuous shaking at 315 rpm (Orbital shaker, GeneMachines HiGro, Genomic Solutions, USA), and induced with 0.5 mM isopropyl b-D-thiogalatoside (IPTG, Sigma) for 3 h at 37uC. To obtain an age synchronized population of L1 larvae (first larval state post egg hatching), Q35 gravid adults were bleached with a NaOCl solution [250 mM NaOH and 1:4 (v/v) dilution of commercial bleach] and the eggs hatched in M9 buffer overnight at 20uC. Day 1 is defined as 18 h following NaOCl agesynchronization and animals are said to be 1 day old (L1 stage). 10 to 15 animals were added to each well in the 96-well plate in a volume of 50 ml of M9 plus [M9, 1 mg/ml cholesterol, 50 mg/ml ampicillin, 10 mg/ml tetracycline, 0.1 mg/ml fungizone and 170 mg/ml IPTG] and incubated at 20uC with continuous shaking at 200 rpm (Innova 4430 Incubator Shaker, New Brunswick, USA). Animals were scored 5 days later (6 days old) for reduction in the number of fluorescent foci using the stereomicroscope Leica MZ16FA equipped for epifluorescence (Leica Microsystems, Switzerland). As a negative control, animals were fed bacteria carrying the L4440 empty vector (EV). Suppression of aggregation was scored positive when more than 50% of the animals had a 50% or higher reduction in foci number relative to the EV control, without loss of YFP fluorescence, changes in growth rate or development of the animals. The candidate positive hits were rescreened (n$3), then tested in the Q24 soluble control strain, and counter screened in Q37 animals (5 days old) and SOD1 G93A animals (5 days old). In Q37 and SOD1 G93A animals, suppression of aggregation was scored positive when more than 50% of the animals showed a reduction in foci number (.25%). RNAi was always added on day 1. The identity of the RNAi-targeted genes was verified by sequencing of the dsRNA plasmids, followed by Blast analysis in the NCBI and Wormbase databases revealing high specificity of genomic sequence targeting. Gene-knockdown by the respective RNAi was also confirmed for a representative group of hits by rtPCR (data not shown). For RNAi assays on plates (for foci scoring, FRAP and motility analysis, to collect animals for western blot and real-time qPCR, and for TS assays), NGM media was supplemented with 100 mg/ml ampicillin, 1 mM IPTG and 12 mg/ml tetracycline (Sigma), and seeded with overnight (16 h) RNAi bacteria cultures, pre-induced with IPTG (1 mM, 3 h). One day old (L1) animals (15 to 20 animals) were transferred onto NGM-RNAi bacteria seeded plates and grown at 20uC, and at the time indicated aggregation was scored in at least 50 animals, for each condition (n = 3). Aggregates were defined as discrete, bright foci that can be distinguished from their surrounding fluorescence by increased brightness intensity. The detection limit for these foci, measured with the higher resolution Zeiss Axiovert 200 microscope, is in the order of 3 mm in length (for elongated foci in Q35) and ,7 mm 2 in area (for round foci), with the microscopy tools and fluorescence exposure utilized in the genetic screen (Leica MZ16FA). Data collected from different experiments was compiled to calculate aggregate number averages relative to the control in EV RNAi. Fluorescent microscopy images were taken using an Axiovert 200 microscope with a Hamamatsu digital camera C4742-98 (Carl Zeiss, Germany). All assays were performed blind as to the identity of the RNAi by attributing to each modifier a number corresponding to a well with the dsRNA bacterial stock, in a 96-well plate.

Fluorescence Recovery after Photobleaching Analysis
To examine the biophysical properties of polyQ protein, animals were subjected to FRAP analysis. Animals were mounted on a 3% (w/v) agar pad on a glass slide and immobilized in 2 mM levamisole. FRAP was measured using the Zeiss LSM510 confocal microscope (Carl Zeiss, Germany), and the 636 objective lens at 56 zoom power, with the 514 nm line for excitation. An area of 0.623 mm 2 was bleached for 35 iterations at 100% transmission, after which time an image was collected every 123.35 ms. Relative fluorescence intensity (RFI) was determined as previously described [43,75].
For native PAGE analysis, animals (,100) were collected with M9 buffer and resuspended in native-lysis buffer [50 mM Tris pH7.4, 5 mM MgCl 2 , 0.5% Triton X-100, 0.2 mM PMSF, 1 mg/ ml leupeptin, protease inhibitor cocktail tablet (Roche Diagnostics #11836170001)]. Lysis was achieved with 4 cycles of freeze-thaw, and homogenization by grinding with the motorized pestle, always maintaining the tubes on ice. Total protein concentration was determined as before and 40 mg were analyzed on a 5% native PAGE (at 4uC), followed by gel scan (STORM 860, #91393, GE Healthcare, UK). This experiment was done in triplicate.

Motility Assays
Animals (6 days old) grown on RNAi NGM plates at 20uC were picked (20-25 animals) onto the center of a NGM OP50-seeded plate (full surface area covered with OP50), equilibrated at 20uC. Animals' movements were digitally recorded using a Leica M205 FA microscope with a Hamamatsu digital camera C10600-10B (Orca-R2, Leica Microsystems, Switzerland), and the Hamamatsu Simple PCI Imaging software. Videos of 45 s were recorded at 262 binning and 5 frames per second, and captured frames were merged into *.avi format and imported directly into ImageJ. Using the LOCI bio-formats plugin and a custom stack de-flicker plugin (http://www.loci.wisc.edu/bio-formats/imagej), light average intensity was normalized for each frame. To enhance the definition of the animals in the movies, the difference between each frame and the constant background was calculated, using the 'Maximum Z-stack' projection. The resulting movie was converted to binary format using Otsu Thresholding 2. Binary objects representing the animals were tracked using custom ImageJ plugin, wrMTrck (based on ''MTrack2'' by Nico Stuurman [76]). The average speed of each animal was calculated by dividing the length of each track (corrected for animal body length) by the duration of the track (body length per second, or BLPS). The wrMTrck plugin and scripts for automated analysis are open-source and publicly available at http://www.phage.dk/plugins. Videos were recorded for a minimum of 75 animals per experiment (n$3) and motility measurements are given as a percentage of wt motility (% wt in EV RNAi). RNAi modifiers that affected the motility of wt animals were removed from further analysis. All motility assays were also performed blind as to the identity of the RNAi gene-target. Measurements of motility were validated by other read-outs that included manual-based motility assays [10,77]. The first manual assay measured how fast it took animals placed in the center of a ring (circumference only) of OP50 bacteria to reach the food, and the second manual assay monitored the number of worms that traveled 1 cm in 1 minute on OP50 bacteria-seeded NGM plates. All results shown were obtained with the automated worm tracker, which provides reproducible and unbiased results.

Assay for TS Phenotypes
Temperature sensitive (TS) mutant animals were age-synchronized to L1 stage by NaOCl bleaching, grown on RNAi-seeded NGM plates (15-20 animals per plate) from day 1 at a sensitized temperature of 23uC (to maintain the RNAi suppressor effect on aggregation, which was used as a control) and scored for phenotypes on day 5. For the 25uC restrictive temperature control experiment, L1 nematodes were grown on EV RNAi at 15uC until L4 stage to avoid embryonic and developmental phenotypes, then transferred to 25uC and scored 2 days later for the same phenotypes. For the 15uC permissive temperature control experiment, animals were synchronized to L1, added to EV RNAi plates, grown at 15uC and scored for phenotypes on day 6 (to account for slower but normal development at this temperature). At least 50 animals were scored for each specific phenotype, per experiment (n = 3), as described previously [10,42,43], and all assays were performed blind. For the slow movement/paralysis assay [unc-15(e1402) and unc-54(e1157)], 15-20 animals were placed on a OP50-NGM plate at room temperature in the center of a 1 cm circle (drawn on the bottom of the plate). Animals remaining in the 1 cm circle after 5 min were considered to possess a slow movement or paralyzed phenotype. To score for stiff paralysis [unc-52(e669su250)], partially paralyzed animals with moving heads and stick-like bodies were scored. For the egg-laying phenotype [unc-45(e286)] partially paralyzed animals with a large belly of accumulated eggs were scored.

Real-Time qPCR
Wt animals (5 days old and ,50) were collected from RNAi-NGM plates and RNA was extracted with the Trizol reagent (Invitrogen), followed by DNase treatment (Applied Biosystems #AM1906). mRNA was then reverse transcribed using the iScript cDNA Synthesis Kit (Bio-Rad #170-8891). 10 ng of cDNA were used for real-time PCR amplification using the iQ SYBR Green Supermix (Bio-Rad #170-8880) and the iCycler system (Bio-Rad) (see Text S1). The relative expression levels of each gene were determined using the Comparative C T Method (Real-Time PCR Applications Guide, Bio-Rad). Gene expression levels were normalized relative to actin (act-1) in the same sample (internal control), and then relative to the levels of the same gene in EV control sample. Measurements were performed for $3 biological samples for each condition. Figure S1 C. elegans models of polyQ and human SOD1 aggregation. (A) Q35 and Q37 body sections show distinct morphology of aggregates (white arrows) in 6 and 5 day old animals, respectively. Scale bar is 0.1 mm. (B) Time dependent aggregate count for Q35 and Q37 animals (6SD, n.3). (C) SDS-PAGE and western blot analysis of protein samples from animals (6 days old) expressing polyQ-YFP protein, immunoblotted with anti-YFP (top) and anti-a-tubulin (bottom) antibodies. By standard protein extraction, Q35 and Q37 aggregates are SDS-insoluble and are trapped in the loading well. YFP/tubulin ratios were calculated from protein band intensities (total YFP) and are shown relative to Q0 (6SD). (D) Motility measurements (in body length per second/BLPS) of 6 day old wt and polyQ animals show that Q35 and Q37 aggregation in BWM cells causes a motility defect (6SEM, n = 3, Student t-test ***p,0.001). (E,F) Expression of human SOD1-YFP in muscle cells: while SOD1 wt adopts a diffuse soluble fluorescent pattern (E: II and III are zoom in of the boxed areas on I), mutant SOD1 G93A displays a pattern of small foci (F: II and III are zoom in of the boxed areas on I). Scale bar is 0.1 mm. (TIF) Figure S2 PolyQ mRNA levels in RNAi treated animals. q35-yfp mRNA levels from RNAi-treated animals (6 days old) analyzed by reverse transcriptase PCR amplification (top). Control corresponds to EV and yfp-RNAi is the positive control for reduced q35-yfp mRNA levels. Actin mRNA (bottom) is the control for total mRNA levels. Ratio q35-yfp/actin are calculated from band intensities, and averaged from 3 biological replicates. Student ttest p.0.05 for all but yfp (***p,0.001).