Escholarship@umms Program in Gene Function and Expression Publications and Presentations Program in Gene Function and Expression Ceramide Transfer Protein Deficiency Compromises Organelle Function and Leads to Senescence in Primary Cells Repository Citation Ceramide Transfer Protein Deficiency Compr

Ceramide transfer protein deficiency compromises organelle function and leads to senescence in primary cells" (2014). Program in Gene Function and Expression Publications and Presentations. Paper 243. Comments This is an open-access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication. Abstract Ceramide transfer protein (CERT) transfers ceramide from the endoplasmic reticulum (ER) to the Golgi complex. Its deficiency in mouse leads to embryonic death at E11.5. CERT deficient embryos die from cardiac failure due to defective organogenesis, but not due to ceramide induced apoptotic or necrotic cell death. In the current study we examined the effect of CERT deficiency in a primary cell line, namely, mouse embryonic fibroblasts (MEFs). We show that in MEFs, unlike in mutant embryos, lack of CERT does not lead to increased ceramide but causes an accumulation of hexosylceramides. Nevertheless, the defects due to defective sphingolipid metabolism that ensue, when ceramide fails to be trafficked from ER to the Golgi complex, compromise the viability of the cell. Therefore, MEFs display an incipient ER stress. While we observe that ceramide trafficking from ER to the Golgi complex is compromised, the forward transport of VSVG-GFP protein is unhindered from ER to Golgi complex to the plasma membrane. However, retrograde trafficking of the plasma membrane-associated cholera toxin B to the Golgi complex is reduced. The dysregulated sphingolipid metabolism also leads to increased mitochondrial hexosylceramide. The mitochondrial functions are also compromised in mutant MEFs since they have reduced ATP levels, have increased reactive oxygen species, and show increased glutathione reductase activity. Live-cell imaging shows that the mutant mitochondria exhibit reduced fission and fusion events. The mitochondrial dysfunction leads to an increased mitophagy in the CERT mutant MEFs. The compromised organelle function compromise cell viability and results in premature senescence of these MEFs. This is an open-access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication.


sophila CERT
s essential for maintaining the physical characteristics of the plasma membrane [10].In mammals, CERT function is essential for embryogenesis [11].CERT null embryos died from cardiac failure with grossly incompetent heart.Increased ceramide was found to be the cause of the defect in the mutant embryos.In the current study, we investigated the consequence of loss of CERT function in a primary cell namely, the mouse embryonic fibroblasts (MEFs).The loss of CERT in primary MEFs does not result in the accumulation of ceramide either in the ER or mitochondria.Instead, there is upregulation of hexosylceramides.We show that the de novo biosynthesis of sphingolipids leads to increased levels of hexosylceramide, probably channeling the ceramide that accumulates in the ER, to this product.Despite this effort by the cells to mitigate the toxic effects of ceramide, several organelles re compromised in the mutant MEFs.The cells also exhibit increased levels of autophagy, specifically mitophagy.Ultimately, the chronic stress due to organelle failure culminates in cellular senescence.


Materials and Methods


Ethics Statement

The research article meets all applicable standards for the ethics of experimentation and research integrity.This study was carried out in strict accordance with the recommendations in the Guide for the Care and Use of Laboratory Animals of the National Institutes of Health.The protocol was approved by the Animal Care and Usage Committee of NCI-Frederick (NIH) (Animal Study Proposal: 11-073).


Isolation of Primary Mouse Embryonic Fibroblasts (MEFs)

CERT deficient mice (Cert gt/gt ) used in this study were generated as described previously [11].Wild type siblings were used as controls (Cert +/+ ).Timed mating was set up between heterozygous mice.E10.5 dpc (day post coitum) embryos were separated from the yolk sac, washed twice with PBS, pH 7.2, and trypsinized for 10 min.The cells were disaggregated by pipetting several times and suspended in 1 ml of pre-w

nted with 10% FBS
The suspension was allowed to stand for 2-3 min at room temperature, and visible clumps were removed.It was further centrifuged at 500 g for 3 min, and the cell pellet was suspended in MEF media (DMEM +10% FBS) and plated on a 6-well plate.The plates were incubated at 37uC with 3% oxygen and 5% carbon dioxide as described previously.DNA isolated from yolk sacs was used for genotyping as describe

previously [11].


Sphingolipid Analysis

Lipids extract
were prepared from MEFs in passage number 3 and sphingolipids were estimated as described previously [10,11].The individual sphingolipid species of a given class was combined to calculate the total amount of each class of sphingolipid and normalized to one hundred percent for the Cert +/+ and compared with the correspondingly calculated mutant sphingolipid.


Metabolic Radiolabeling of Sphingolipids

L-[U-14 C]-Serine (5.3 GBq/mmol) was from Perkin Elmer.Thin layer chromatography (TLC) plates (aluminum sheets of silica gel 60) were from EMD Millipore.For metabolic labeling 1610 6 MEF cells in the culture medium were labeled with 10 mcurie of [ 14 C]-Serine for 24 hours.Equal number of cells were harvested, total cellular lipids extracted and the lipids were separated by TLC using methyl acetate/n-propanol/chloroform/ methanol/0.25%potassium chloride (25/25/25/10/9; v/v)

35 mm petridish with 14 mm microwell.The
following day, cells were transfected with VSVG-GFP vector using lipofectamine and were incubated at 40uC for a further 20 h.All subsequent incubations were done in the presence of 50 mg/ml cycloheximide (Sigma) to halt protein synthesis.For time t = 0, cells were rinsed in ice-cold PBS before fixation.Remaining cells were returned to an incubator at 32uC for the indicated time (30,60 and 180 min).After incubation, cells were rinsed in ice-cold PBS and fixed in 4% paraformaldehyde.For treatment with WGA, cells were incubated with 0.01 mg/ml WGA-Texas red on ice for 10 min.For PDI and GM130 staining, cells were permeabilized with 0.2% Triton X-100 and stained using anti-GM130 and anti PDI, followed by Alexa 647 anti mouse and anti

abbit secondary antibody
espectively.Cells were imaged using a Zeiss LCI510 confocal microscope.


Cell proliferation assay

Cell proliferation was quantitated by MTT assay.MEFs were plated at 500 cells/well in 96 well plates and were allowed to attach for 12 hours.At different time points MTT was added and plates were incubated at 37uC for 4 hours after which the reaction was arrested by adding the stop solution.The plates were incubated at 25uC overnight and absorbance was recorded at 550 nm.

Cell passage 5610 4 freshly isolated MEFs were plated in 35 mm dish and were incubated at 37uC with 3% oxygen and 5% carbon dioxide for 3 days after which they were passaged at same density.Cells were subjected to different passages following this protocol and fold increase in the cell count during each passage was calculated.Fold change in 72 hours was used as an index of mitosis.

Senescence assay 25610 4 cells were plated in 35 mm well, incubated for 18 hours at 37uC with 3% oxygen and 5% carbon dioxide.Senescence assay was per

rmed using the b-galactos
dase assay kit from cell signaling following manufacturers protocol.This assay is specific for senescence induced b-galactosidase and briefly, the adherent cells were washed twice with ice cold PBS and once with the assay buffer provided in the kit.The cells were fixed in the fixative for 10 minutes and again washed in the assay buffer followed by incubation with the b-galact side staining solution provided in the kit, for 24 hours at 37uC in dry incubator (with no carbon dioxide).Finally cells were washed in PBS and visualized under microscope.


Electron microscopy

For EM analysis cells were washed in PBS and fixed in cacodylate buffer containing 2% glutaraldehyde and stored at 4uC.Samples were then sectioned and analyzed by transmission electron micros opy [10,11].


Western blots

The cells were collected by trypsinization and washed twice in PBS.They were lysed in RIPA buffer (supplemented with protease inhibitors) and 15-20 mg of protein was separated on 4-12% bistris gel.The protein bands were transferred to PVDF membrane and incubated with blocking solution (5% BSA) 1-2 hours.Following this the membranes were probed with appropriate primary and secondary antibodies and detected by chemiluminiscence.


Immunocytochemistry

For Golgi staining, adherent cells were grown on glass bottom dishes coated with poly-lysine (MatTeK, Ashland, MA), and were fixed with 4% paraformaldehyde for 30 min at room temperature.After Triton X-100 permeabilization, cells were blocked for 1 h

r with 5% horse seru
in PBS and then incubated with anti-GM130 antibody (610822; BD Transduction Laboratories) for 90 minutes and secondary antibody (Alexa 488 goat anti-mouse IgG) for 1 hour.Cells were extensively washed with

BS after incub
tions with primary and secondary antibodies and were counterstained with DAPI for nuclei and mounted with Vectashield.Cells stained with secondary antibody alone were used as negative controls.

Fluorescence microscopy was performed using a fluorescence microscope (LSM 510 META; Zeiss) equipped with 63x/1.4NAoil immersion objective.Images were acquired with the use of proprietary Zeiss software package.

For LC3B staining cells we

grown on 35 mm glas
bottom dish, washed with PBS, fixed in 4% paraformaldehyde solution for 10 min at room temperature, and permeabilized with 0.2% Triton +1% BSA in PBS for 10 min at room temperature.Immunofluorescence analysis was performed using anti LC3B antibody (Cell Signaling) and Alexa Fluor 488-conjugated secondary antibody (Invitrogen).Confocal laser-scanning microscopic analysis was performed using a LCI510 (Zeiss).Only cells with more than 5 punctae were considered positive for the analysis.200 cells were counted in each and the data represents average of at least 2 KO MEF lines.

Live cell trafficking of ceramide from ER to the Golgi complex was monitored by incubating the MEFs with 5 mM DM -C5-Cer (Bodipy-C5-ceramide) for 30 min at 4uC.Cells were then washed and further kept at 37uC for another 20 min.


Fluorescence recovery after photobleaching

Cells were incubated with 1 mg/ml AF488 Ctx B (invitr gen) for 30 min in cold (4uC), washed and further incubated for 60 min at 37uC.CTxB was internalized and accumulated in a perinuclear region corresponding to Golgi apparatus.The whole Golgi area was emptied of fluorescence by bleaching using a high-energy laser scan of the confocal microscope.Low intensity illumination was then used to monitor recovery of fluorescence into the bleached area and images were acquired at intervals of 2 min, until level of fluorescence remained constant between consecutive scans.


Image Acquisition

To quantify the mitochondrial dynamics, time-lapse 3-D stacks for both cell types were acquired u ing Zeiss LSM 510 confocal microscope (Carl Zeiss Gmbh, Zena, Germany) equipped with environmental chamber, 63x/1.4NAoil immersion objective and a diode laser (excitation wavelength of 561 nm).The acquisition parameters were as f

lowed: approx.1% laser power for excitation
of the mitoTracker Red CMX; zoom of 1.5 with line averaging of 2; pinhole of 1 Airy unit, X-Y pixel size of 0.09 mm, z-spacing of 1 mm, and a time step of 109 s.All images were 8-bit and covered an area of 102461024 pixels in the X-Y plane (,84684 mm), 4-6 z-sections (,4-6 mm), and at least 8 time intervals (i.e., the experiment was $16 min).


Image Analysis

First, a best-in-focus plane along the z-axis was visually selected from the 3-D time series stack and then 3-4 regions of interest (ROIs) were selected along the time-series from the perinuclear region of a c

l.

In the WT, we
sed a semi-automatic segmentation, Simple Neurite Tracer plug-in (SNT) from FIJI, to identify mitochondria [14].SNT uses a Hessian-based analysis of the image to identify the best (mathematically) path (centerline) between user-selected start and end points.The result of this semi-automatic operation is typically a single-pixel wide segmentation representing the underlying tube-like structure (e.g., mitochondria in WT cells).

This process was repeated for all time steps.The single-pixel wide tube-like representation was then saved as a binary TIFF stack (0 represent background where as 1 represents the segmented mitochondria).

The mitochondria in mutant cells were automatically segmented using an adaptive local

hresholding tec
nique.Briefly, this method entails examining the mean of the minimum and maximum intensity values of the local neighborhood (radius = 15 pixels) at each pixel in the image to estimate a local threshold value [15].A implementation of this method was readily available as plugin in FIJI, MidGrey method in Auto Local Threshold [14].A medial-axis transform (MAT) was applied to extract the centerline representation of mitochondria.The resulting single-pixel wide centerlines were saved as a binary TIFF stack as above.

Note that several techniques were tested to unify the segmentation process in both cell types; however, none yielded satisfactory results.This s not surprising because of the vast difference in mitochondria morphology in WT and mutants.


Tracking

To quantify mitochondrial dynamics, the centerline representing mitochondria had to be linked in eac time step.A robust, automatic tracking algorithm proposed by Crocker et al was used in our studies [16].A MATLAB (Mathworks, Inc., Natick, MA) implementation of their algorithm (track.m)was used to automatically link/track the objects in the time-series.The segmented time-series TIFF stacks were preprocessed to conform to the input requirements of their algorithm.This entailed calculating the geometric center (centroid) of single-pixel wide centerline representation of the mitochondria at each time step.Additional parameters, most importantly, the estimate of maximum distance that each mitochondrion can move in a sin le time step and allowance for mitochondria to reappear after being lost in few time steps, were adjusted accordingly.After the mitochondria were tracked, their length, displacement, and directionality were calculated using an in-house MAT

B algorit
m.


Mitochondrial superoxide generation

MitoSOX 5.0 mM was added to the cells and incubated for 20 min at 37uC in 5% CO 2 atmosphere.After this period, cells were washed with pre-warmed buffer and counterstained with DAPI.Fluorescent images were taken using an inverted confocal laser scanning microscope (LSM 510 META; Zeiss, Germany) equipped with 63x/1.4NAoil immersion objective at 5126512 pixels.An excitation wavelength of 514 was used to excite MitoSOX dye.


Results and Discussion

Cert gt/gt cells undergo senescence Cert gt/gt primary mouse embryonic fibroblasts (MEFs) could only be derived from E9.5 to E10.5 embryos and cultured ex vivo under lower oxygen conditions (3% oxygen) as compared to routinely used atmospheric oxygen levels (22% oxygen).The lower oxygen conditions are thought to reflect the physiological conditions of oxygen availability for many of the tissue cells [17].Even under 3% oxygen, when control MEFs can easily grow past 20 passages most Cert gt/g

MEFs stop growing by passage 5 and a
great majority of them cease to divide by passage 10.

The proliferation rates of the MEFs were assessed by MTT assay.As shown in Fig. 1A, Cert gt/gt cells have decreased proliferation rate compared to Cert +/+ cells and stop dividing by passage 6 (Fig. 1B).FACS analysis using propidium iodide stained cells indicated that mutant cells might be arrested in G1-S transition phase (Fig. 1C).In addition to this we found that in th

e cells, the levels of
he senescence marker p16 was increased [18] (Fig. 1D).Most primary Cert gt/gt MEFs acquired a flattened morphology, characteristic for senescent phenotype (Fig. 1E) and also stained intensely positive for senescence activated b-galactosidase activity.

CERT deficiency is expected to accumulate ceramide in the ER and it is a known pro-apoptotic molecule.Therefore, we decided to investigate the possible link between CERT deficiency and senescence in the primary MEFs.


CERT deficiency results in increased generation of hexosylceramide

We quantified the steady state levels of sphingoli ids in Cert +/+ and Cert gt/gt MEFs using a combination of normal phase chromatography (NPC), electrospray ionization (ESI) and single reaction monitor (SRM) tandem spectrometry as described previously [10,11].We observed that the sphingomyelin levels were relatively low in the Cert gt/gt as compared to Cert +/+ MEFs (Fig. 1F).The de novo pathway generates ceramide in the ER.In the absence of CERT, we expect ceramide accumulation in the mutant cells.Surprisingly, the total ceramide levels were decreased in the mutant MEFs (Fig. 1G).We also found that total monohexosylceramides were increased (by about 50%) in the mutant MEFs compared to the Cert +/ controls (Fig. 1H and I).To evaluate if hexosylceramide was indeed generated by the de novo pathway we employed a pulse chase paradigm and followed the fate of newly synthesized sphingolipids using radiolabeled serine

which condenses with a fatty acyl CoA (generally palmitoyl CoA) in
he first committed step of de novo biosynthesis and is converted to ceramide.Our results indicate that the de novo biosynthetic pathway is compromised in the mutant (Fig. 1I).The amount of sphingomyelin synthesized, from labeled serine, is consistently reduced by about 2.5 fold, in mutant cells.Also, the amounts of hexosylceramides generated are higher by a factor of 2 in Cert gt/gt MEFs (Fig. 1J).Accordingly, the increased steady state levels of hexosylceramides seen in Cert gt/gt MEFs are mostly derived from the de novo biosynthetic pathway.

CERT mutant MEFs (Cert gt/gt ) display incipient ER stress Since CERT transports ceramide out of the ER to the Golgi complex, we anticipate ceramide levels to be increased in the ER of Cert gt/gt MEFs.Therefore, we isolated ER by density gradient centrifugation and estimated steady state ceramide and hexosylceramide levels in the ER.Surprisingly, we observe that ceramide levels are decreased in the endoplasmic reticulum in the Cert gt/gt MEFs (Fig. 2A).It was likely, that in MEFs the increased ceramide was being shunted to hexosylceramide to perhaps mitigate the toxic effects of ceramide.We see a 250% increase in their level (Fig. 2B).To test if the perturbed sphingolipid metabolism has a deleterious effect on the ER, we performed Western blot analysis to compare the steady-state levels of several proteins implicated in the ER stress response and found changes in the levels of BiP, protein disulfide isomerase (PDI) and IRE1a under some conditions.Notably, the levels of PDI were constitutivel

elevated in the mutant MEFs.IRE1a is a proximal sensor of t
e ER stress and contributes to monitoring the quality of the proteins synthesized in the ER.PDI and BiP are chaperones in the ER stress pathway [11].In the presence of serum, Cert gt/gt MEFs did not show a marked increase in IRE1a and Bip levels.But upon serum starvation for 24-48 hours, there was an increase in the levels of both Bip and IRE1a in Cert gt/gt compared to Cert +/+ MEFs (Fig. 2C) Finally, we stained the ERs from control and mutant MEFs with ER-tracker green and observed the dynamics of ER.We found a significant change in the rate of reorganization of ER network in the mutant MEFs compared to Cert +/+ control MEFs as observed by time-lapse video of the ER stained ER network over a period of 5 min (Fig. 2D and videos S1 and S2).While noteworthy it is difficult to link this with underlying biochemical defects in the sphingolipid metabolism or ER stress.Alterations in the de novo sphingolipid biosynthetic pathway could indirectly affect lipid biosynthetic pathways in the ER by compromising ER's function.Therefore, we evaluated the phospholipid biosynthetic potential of the cells using 32 P-orthophosphoric acid as substrate and observed synthesis over a period of 24 hours.As can be seen in Fig. 2E there is no deficiency in phospholipid biosynthesis in the in Cert gt/gt MEFs.Serine labeling that gets incorporated into phosphatidylserine and phosphatidylethanolamine also shows no difference (Fig. 1I).

To evaluate protein trafficking we transfected the cells with VSVG-GFP and monitored its synthesis and transport [12].At 0 min after induction we observe VSVG-GFP co-localizes with PDI both in the control and the mutant cells (Figure S1).At 30 min after induction we begin to see co-localization with a Golgi marker (GM130) that is pronounced at 60 min and at about 180 min we see plasma membrane localization of VSVG-GFP in both wild type and mutant MEFs.

The conversion of ceramide to hexosylceramide could be facilitated by galactosylceramides synthase (GALCS), an ER resident protein or glucosylceramides synthase (GLUCS) [19].GLUCS is generally described as an enzyme residing on the cytosolic side of the medial Golgi, but the Drosophila enzyme has been shown to localize to the ER and one group has purified it in the mitochondria associated membranes a specialized compartment of the ER [20,21,22,23].qPCR analyses of P5 MEFs suggest that transcripts for both genes are increased in the mutant MEFs (Fig. 2F).Thus, t e ceramide that is not transferred to the Golgi complex in the mutant could be acted by both these enzymes and converted to either galactosylceramides or glucosylceramides.While this mitigates the acute toxic effects of ceramide, and supports basal protein transport or other lipid biosynthetic pathway, the ER is still undergoing incipient ER stress.


Alterations in Golgi functions in Cert gt/gt cells

We found the Golgi morphology was similar in Cert +/+ nd Cert gt/gt cells when examined for Golgi marker GM130 (Fig. 3A) or by electron microscopy (Fig. 3B).Since CERT is responsible for the transfer of ceramide from ER to Golgi, we checked whether transfer of ceramide to Golgi is compromised in Cert gt/gt MEFs by monitoring BODIPY-C5-Cer redistribution in cells [24,25].BODIPY-C5-Cer is a lipid fluorescent analog that, when exogenously added in cold (4uC) to the cells and then chased at 37uC for a short period of time (0-5 min), is localized to cytoplasm and ER.After longer chase period, it is redistributed to Golgi apparatus, representing a useful tool to track ceramide movement between the two organelles.

In both Cert +/+ and Cert gt/gt , BODIPY-C5-Cer was localized to the cytoplasm and ER immediately after incubation at 4uC.However, following 20 minutes of incubation at 37uC, most of the fluorescence accumulated in the perinuclear region representative of the

lgi apparatus only in Cert +/+ cells (Fig. 3C).In c
ntrast, in Cert gt/gt mutant cells, lack of CERT function led to almost no distribution of the fluorescent lipid between ER and Golgi, indicating the absence of ceramide transport between the two organelles.

CERT function has been implicated in protein trafficking [26].Surprisingly as described earlier, we did not notice a difference in the ability of Cert gt/gt cells to synthesize and traffic VSVG-GFP from ER to the Golgi complex or from the latter to the plasma membrane (Figure S1).Thus, at least the trafficking of VSVG-GFP seems to be not compromised in the Cert gt/gt cells.

We then examined the retrograde transport of Cholera toxin B (CTxB) from the plasma membrane to the Golgi complex.CTxB binds to cell s rface GM1which acts as a receptor and CTxB moves along the endocytic compartments to the trans-Golgi network before being transported to the ER [27,28].We employed fluorescence recovery after photobleaching (FRAP) to determine the intracellular mobility of fluorescent CTxB, specifically from the plasma membrane to the Golgi complex.FRAP provides the relative extents of fluorescent recovery (mobile fractions), that qualitatively describe the proportion of protein that is able to move between the two organelles.After inc bation at 37uC for 60 min, CTxB is trafficked to Golgi both in Cert +/+ and Cert gt/gt cells.We bleached the whole Golgi compartment and after 15 min the recovery of fluorescence was 50610% in the mutant, while in the control there was an almost complete recovery of 9065% (Fig. 3D  and E).This indicates that in Cert +/+ CTxB traverses through intracellular compartments efficien ly, while in mutant the exchange of cargo between Golgi and PM is impaired in Cert gt/gt cells.

Thus, deficiency of CERT affects some of the trafficking events related to Golgi such as the trafficking of CTxB while trafficking of a protein such as VSV-G was not severely compromised.


Cert gt/gt cells show compromised mitochondrial dynamics and function

Since ER is functionally linked to mitochondria and sphingolipid metabolism in ER of Cert gt/gt cells is compromised, we evaluated if the structural and functional integrity of mitochondria was compromised and was a contributing factor to the senescence phenotype of these cells.

We stained the live cells with MitoTracker Red CMX, a cellpermeant mitochondrion-selective dye.The mitochondrial morphology in the control Cert +/+ MEFs showed a regular tubular network (Fig. 4A), while the Cert gt/gt MEFs exhibited a severely damaged mitochondrial network with short and fragmented mitochondria (Fig. 4A).The average size of mitochondrial filament was 5-10 mm in the control, while it was 1-3 mm in the mutant.Mitochondrial dynamics, e.g., motility and displacement, extracted from time lapse experiments on both cell types showed drastic difference (see videos S3 and S4).In the mutant MEFs the mitochondria were less mobile than in control, with fusion/fission events being

ractically arrested.Quantization of mitochondrial dynamics showed that
in Cert +/+ mitochondria the dynamic range is 100% of their length where as in case of mutant it is only about 15% i.e., wild type mitochondrial filaments varied from half the average size to twice as long, whereas the variation was only 15% in the average length in the mutant, d ring the period of observation (Fig. 4B).These results indicate that the mitochondrial integrity was compromised in the mutant cells.

Mitochondrial integrity is important for tight coupling of electron transport with redox reactions and ATP generation.Structural defects in mitochondria result in electron leak during oxidative phosphorylation that results in the generation of reactive oxygen species and oxidative stress [29,30,31].Since mitochondria seemed compromised in Cert gt/gt MEFs we evaluated the level of superoxide in the mitochondria.Superoxide anion production was increased in the mutant mitochondria, indicating that the cells were under oxidative stress (Fig. 4C).During oxidative stress antioxidant enzymes are elevated as a defense response.Glutathione reductase is one of the antioxidant enzymes used by cells as a protective mechanism against stress [32].CERT mutant cells seem to be trying to counteract the oxidative stress by elevating the glutathione reductase activity up to 10 fold (Fig. 4D).Apparently this level of activation seems insufficient to cope with the mitochondrial oxidative stress.

Since mitochondrion is the site of oxidative phosphorylation nd a major source of ATP, we hypothesized that damaged mitochondria could be less efficient in ATP production.Therefore, we measured the levels of total ATP in these cells and we found that the mutant mitochondrial ATP level was about 70% relative to the Cert +/+ MEFs (Fig. 4E).Finally, we evaluated whether altered sphingolipid composition was a contributing factor in mitochondrial pathology.Indeed we saw a reduction in relative amounts of ceramide in the mitochondria prepared from Cert gt/gt MEFs while the levels of monohexosylceramide showed an increase, a trend similar to that observed in ER sphingolipid estimations (Fig. 4F  and G).These results strongly suggest that altered sphingolipid metabolism disrupted mitochondrial function even without increased ceramide levels.

Compromised ER and mitochondrial functions lead to autophagy in Cert gt/gt cells One of the defects observed during electron microscopic examination of the late passage (P5-P6) Cert gt/gt MEFs was the accumulati n of multi-membrane vesicular structures in the close proximity of mitochondria (Fig. 4H).Upon careful examination, we found that mutant cells exhibited increased mitophagy Although some amount of autophagy does occur even in wild type primary MEFs there were abnormally high amounts of mitochondria that were undergoing mitophagy in the Cert gt/gt MEFS.We found both early and late stage autophagosome structures surrounding degrading mitochondria in the mutant (Fig. 4H lower panels).The number of autophagosomes was counted in several fields and defined as autophagy index.The amount of autophagic vesicles in passage 3 cells of Cert gt/gt was 2.5 fold higher than in the Cert +/+ MEFs (Fig. 4I).

We also established increased incidence of autophagy in the Cert gt/gt cells by LC3B staining as shown in Fig. 4J [33].During autophagy, LC3 is lipid ted by an ubiquitin-like system involving Atg7 to become associated with autophagic vesicles.Immunofluorescence imaging of Cert gt/gt showed almost 3-4 fold increase in LC3B staining of cells compared to Cert +/+ cells (Fig. 4K).

We evaluated the mutant cells for biochemical evidence of autophagy.We found an increase in the basal levels of LC3-II in the Cert gt/gt compared to Cert +/+ cell (Fig. 4L).Serum starvation, a condition that is known to induce autophagy even in wild type cells, caused further increase in the levels of LC3-I and II in mutant cells compared to the wild-type control (Fig. 4L).

Earlier studies from our laboratory demonstrated that at the organismal level CERT function is essential for stress response, aging and organogenesis [10,11].Mice lacking functional CERT protein are embryonic lethal and show defects in organogenesis.Embryos showed increase in the intracellular levels of ce amide in the ER and the mitochondria that compromises mitochondrial function and affects cardiogenesis.Ceramide has been shown to be a pro-apoptotic molecule.There are studies, which indicate that endogenous levels of ceramide increase in response to several proapoptotic stimuli [35].In addition to this, Cert gt/gt MEFs exhibit ER stress which is shown to be one of the triggers f r pro apoptotic signaling [36].Besides, the mitochondria suffer from elevated levels of superoxide and decreased ATP production.An extreme consequence of these events would be cell death mediated through apoptosis.However, preliminary study indicated that Cert gt/gt MEFs did not undergo apoptosis but were capable of undergoing apoptotic cell death upon exposure to Actinomycin 11].This has also shown to be the case in the primary MEFs derived from Cert gt/ gt embryos.One can expect that, in the absence of CERT function, ceramide accumulates in the ER and subsequently might move toward mitochondria as we observed in the embryos.Mass spectrometric data and pulse labeling studies show that levels of intracellular sphingolipids are altered in Cert gt/gt MEFs.However, the mutant MEFs do not show accumulation of ceramide in the ER and mitochondria, rather the levels of hexosylceramides are increased in both organelles.The conversion of ceramide to hexosylceramide could be facilitated by galactosylceramides synthase, an ER resident protein [19].Upregulation of hexosylceramide could also be catalyzed by glucosylceramides synthase (GCS).GCS is generally described as an enzyme residing on the cytosolic side of the medial Golgi, but the Drosophila enzyme has (A) Live cell imaging of mitochondria show that mutant mitochondria appear fragmented and have decreased fusion and fission events (see videos S3 and S4).(B) A measure of pixel variation was used to quantitate the mitochondrial dynamics as described in materials and methods under mitochondria segmentation and tracking.While pixel length change dramatically in the wild type over the period of observation (16 min) the movement of the mutant mitochondria was dramatically reduced viz.the length of the mitochondria measured in pixels is changed in wild-type much more than in the mutants (C) The amount of ROS generated was detected using MitoSox reagent and imaged under 514 nm excitation.Increased ROS generation can be observed in Cert gt/gt MEFs.(D) Glutathione reductase activity is increased while (E) ATP levels are decreased in the mutant cells.(F) Mitochondrial ceramide levels are decreased while (G) the monohexosylceramides are increased in the Cert gt/gt cells.(H-I) Electron micrographs of passage 6 Cert +/+ MEF (upper left panel) and a passage 5 Cert gt/gt MEF (upper right panel) shows increased autophagic vacuoles in the latter seen as dark multivesicular structures.A passage 3 Cert gt/gt MEF showing active mitophagy (lower left panel).The boxed area has been enlarged in the lower right panel showing several mitochondria in various stages of mitophagy.Black arrows show double membrane structure enveloping intact mitochondrion and some in early to mid-stage autophagic degradation.White arrow heads late stage autophagosome.(I) The number of autophagic vacuoles counted from EM images of passage 3 MEFs was counted (n = 15) and the average number was plotted as autophagic index.(J) LC3B staining of Cert gt/gt and Cert +/+ MEFs.(K) More than 200 cells were counted for each genotype and cells showing more than 5 punctae that were larger and brighter than background staining were considered positive and plotted.(L) Western analysis of LC3 in the control and mutant MEFs.doi:10.1371/journal.pone.0092142.g004been shown to localize to the ER and one group has purified it in the mitochondria associated membranes a specialized compartment of the ER [20,21,22,23].Whilst conversion of ceramide to hexosylceramide might mitigate some of the acute toxic effects of the former the cell is still functioning under stress.The slow but continued generation of hexosylceramide could interfere with the structure and function of ER perhaps manifested as incipient ER stress and altered dynamics.Also, the altered ER sphingolipid flux affects mitochondrial structure and function that culminates in mitophagy.One can expect that in Cert gt/gt MEFs, in the absence of CERT function, ceramide accumulates in the ER and subsequently might move toward mitochondria as we observed in the embryos.Ceramide has been shown to be a pro-apoptotic molecule.There are studies, which indicate that endogenous levels of ceramide increase in response to several pro-apoptotic stimuli [35].In addition to this, Cert gt/gt MEFs exhibit ER stress which is shown to be one of the triggers for pro apoptotic signaling [36].However our studies with mass spectrometric analysis and pulse labeling studies show that although levels of intracellular sphingolipids are altered in Cert gt/gt MEFs, they do not show accumulation of ceramide in the ER and mitochondria, rather the levels of hexosylceramide are increase in both organelles.Whilst conversion of ceramide to hexosylceramide might mitigate some of the acute toxic effects of the former the conversion cannot correct the abnormal flux of sphingolipids in the absence of CERT.The slow but continued generation of hexosylceramide could interfere with the structure and function of ER, which perhaps manifested as incipient stress and altered dynamics of the ER.The altered ER sphingolipid flux also affects mitochondrial structure and function that culminates in mitophagy.

Cert gt/gt cells could have sustained metabolism and viability by activation of autophagic machinery.However, autophagy does not always represent a metabolic end point, rather it is a transient means though which cells attempt to mitigate damage and temporarily maintain homeostasis and quality control.In some instances it can delay cell death and allow them to recover.If the cell stress continues unabated during autophagy, then the cells are diverted into irreversible cell cycle exit (senescence) or are eliminated through programmed cell death (apoptosis) [34].Trypan blue staining of ear