<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="2.3" xml:lang="EN">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Aging Neurosci.</journal-id>
<journal-title>Frontiers in Aging Neuroscience</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Aging Neurosci.</abbrev-journal-title>
<issn pub-type="epub">1663-4365</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fnagi.2023.1223911</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Aging Neuroscience</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Rapamycin reduces neuronal mutant huntingtin aggregation and ameliorates locomotor performance in <italic>Drosophila</italic></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Roth</surname>
<given-names>Jonathan R.</given-names>
</name>
<xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
<xref rid="aff2" ref-type="aff"><sup>2</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/2172657/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Moraes</surname>
<given-names>Ruan Carlos Macedo de</given-names>
</name>
<xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Xu</surname>
<given-names>Brittney P.</given-names>
</name>
<xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Crawley</surname>
<given-names>Savannah R.</given-names>
</name>
<xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Khan</surname>
<given-names>Malghalara A.</given-names>
</name>
<xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/2378289/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Melkani</surname>
<given-names>Girish C.</given-names>
</name>
<xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
<xref rid="c001" ref-type="corresp"><sup>&#x002A;</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/1207717/overview"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Department of Pathology, Cellular and Molecular Division, Heersink School of Medicine, University of Alabama at Birmingham</institution>, <addr-line>Birmingham, AL</addr-line>, <country>United States</country></aff>
<aff id="aff2"><sup>2</sup><institution>Department of Neurobiology, Heersink School of Medicine, University of Alabama at Birmingham</institution>, <addr-line>Birmingham, AL</addr-line>, <country>United States</country></aff>
<author-notes>
<fn fn-type="edited-by" id="fn0002"><p>Edited by: Bogdan O. Popescu, Carol Davila University of Medicine and Pharmacy, Romania</p></fn>
<fn fn-type="edited-by" id="fn0003"><p>Reviewed by: Xiaolan Fan, Cheng Du, China; Charles K. Meshul, Oregon Health &#x0026; Sciences University, United States</p></fn>
<corresp id="c001">&#x002A;Correspondence: Girish C. Melkani, <email>girishmelkani@uabmc.edu</email></corresp>
</author-notes>
<pub-date pub-type="epub">
<day>26</day>
<month>09</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="collection">
<year>2023</year>
</pub-date>
<volume>15</volume>
<elocation-id>1223911</elocation-id>
<history>
<date date-type="received">
<day>16</day>
<month>05</month>
<year>2023</year>
</date>
<date date-type="accepted">
<day>05</day>
<month>09</month>
<year>2023</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2023 Roth, Moraes, Xu, Crawley, Khan and Melkani.</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Roth, Moraes, Xu, Crawley, Khan and Melkani</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Huntington&#x2019;s disease (HD) is a neurodegenerative disease characterized by movement and cognitive dysfunction. HD is caused by a CAG expansion in exon 1 of the <italic>HTT</italic> gene that leads to a polyglutamine (PQ) repeat in the huntingtin protein, which aggregates in the brain and periphery. Previously, we used <italic>Drosophila</italic> models to determine that Htt-PQ aggregation in the heart causes shortened lifespan and cardiac dysfunction that is ameliorated by promoting chaperonin function or reducing oxidative stress. Here, we further study the role of neuronal mutant huntingtin and how it affects peripheral function. We overexpressed normal (<italic>Htt-PQ25</italic>) or expanded mutant (<italic>Htt-PQ72</italic>) exon 1 of huntingtin in <italic>Drosophila</italic> neurons and found that mutant huntingtin caused age-dependent Htt-PQ aggregation in the brain and could cause a loss of synapsin. To determine if this neuronal dysfunction led to peripheral dysfunction, we performed a negative geotaxis assay to measure locomotor performance and found that neuronal mutant huntingtin caused an age-dependent decrease in locomotor performance. Next, we found that rapamycin reduced Htt-PQ aggregation in the brain. These results demonstrate the role of neuronal Htt-PQ in dysfunction in models of HD, suggest that brain-periphery crosstalk could be important to the pathogenesis of HD, and show that rapamycin reduces mutant huntingtin aggregation in the brain.</p>
</abstract>
<kwd-group>
<kwd>Huntington&#x2019;s disease</kwd>
<kwd>aggregation</kwd>
<kwd>Htt-polyQ</kwd>
<kwd>rapamycin</kwd>
<kwd>locomotion</kwd>
<kwd>neurodegeneration</kwd>
<kwd>
<italic>Drosophila</italic>
</kwd>
</kwd-group>
<contract-num rid="cn1">AG065992</contract-num>
<contract-num rid="cn1">AG068550</contract-num>
<contract-sponsor id="cn1">National Institutes of Health<named-content content-type="fundref-id">10.13039/100000002</named-content></contract-sponsor>
<counts>
<fig-count count="4"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="72"/>
<page-count count="11"/>
<word-count count="8025"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Parkinson&#x2019;s Disease and Aging-related Movement Disorders</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="sec1">
<label>1.</label>
<title>Introduction</title>
<p>Huntington&#x2019;s disease (HD) is a devastating neurodegenerative disease that is characterized by progressive degeneration of the basal ganglia in the brain. This results in a clinical presentation of chorea, which is the spontaneous arrhythmic movement of limbs, alongside cognitive and psychiatric dysfunction. HD is monogenic and is caused by a CAG repeat expansion in exon 1 of the <italic>HTT</italic> gene, leading to a polyglutamine (PQ) expansion in the huntingtin protein. Typically, healthy people have 26 or fewer CAG repeats in <italic>HTT</italic>, while greater than 35 repeats leads to HD, and the age of onset correlates with the CAG repeat number (<xref ref-type="bibr" rid="ref19">Duyao et al., 1993</xref>; <xref ref-type="bibr" rid="ref28">Lee et al., 2012</xref>). Currently, there are no effective disease-modifying therapies for HD (<xref ref-type="bibr" rid="ref15">Dash and Mestre, 2020</xref>).</p>
<p>HD displays prominent dysfunction in both the brain and periphery, especially in muscles. <italic>HTT</italic> is expressed in multiple tissues throughout the body (<xref ref-type="bibr" rid="ref61">Strong et al., 1993</xref>) and PQ aggregates are present in the brain (<xref ref-type="bibr" rid="ref16">Difiglia et al., 1997</xref>) and in skeletal and cardiac muscle (<xref ref-type="bibr" rid="ref55">Sathasivam et al., 1999</xref>), where it can contribute to dysfunction (<xref ref-type="bibr" rid="ref65">Van Der Burg et al., 2009</xref>). We previously studied the role of mutant huntingtin in the heart because HD patients are at higher risk of dying from cardiac dysfunction (<xref ref-type="bibr" rid="ref27">Lanska et al., 1988</xref>) and found that mutant huntingtin expressed in the heart causes PQ aggregation, premature mortality, and cardiac dysfunction in <italic>Drosophila</italic> (<xref ref-type="bibr" rid="ref38">Melkani et al., 2013</xref>). The importance of huntingtin in the periphery is supported by the finding that a mouse model expressing mutant huntingtin ubiquitously has severe cardiac dysfunction (<xref ref-type="bibr" rid="ref39">Mihm et al., 2007</xref>). Beyond the heart, there is significant evidence that <italic>HTT</italic> is important in skeletal muscle, as movement dysfunction and skeletal muscle weakness are hallmarks of HD (<xref ref-type="bibr" rid="ref8">Busse et al., 2008</xref>; <xref ref-type="bibr" rid="ref72">Zielonka et al., 2014</xref>). Additionally, it is possible that brain-muscle crosstalk contributes to dysfunction in HD (<xref ref-type="bibr" rid="ref10">Chuang and Demontis, 2021</xref>), especially with recent evidence showing that muscle-specific manipulations can affect brain function (<xref ref-type="bibr" rid="ref20">Ehlen et al., 2017</xref>). However, there is still a gap in knowledge for how brain-muscle crosstalk contributes to dysfunction in HD, and how neuronal <italic>HTT</italic> affects muscle function.</p>
<p>Understanding the mechanisms underlying HD is important for developing effective therapies. <italic>HTT</italic> is involved in axonal trafficking, transcriptional regulation, and cell survival (<xref ref-type="bibr" rid="ref56">Schulte and Littleton, 2011</xref>). Beyond these important endogenous roles for normal huntingtin, we previously found that oxidative stress and protein misfolding stress contribute to mutant huntingtin&#x2013;induced dysfunction in the heart (<xref ref-type="bibr" rid="ref38">Melkani et al., 2013</xref>). Additionally, huntingtin has key roles in regulating autophagy (<xref ref-type="bibr" rid="ref12">Cortes and La Spada, 2014</xref>), and either huntingtin knockdown or overexpressing mutant huntingtin disrupts autophagosome dynamics (<xref ref-type="bibr" rid="ref68">Wong and Holzbaur, 2014</xref>). Autophagy dysfunction can contribute to abnormal protein aggregation (<xref ref-type="bibr" rid="ref64">Tyedmers et al., 2010</xref>), impaired autophagy worsens huntingtin aggregation (<xref ref-type="bibr" rid="ref48">Ravikumar et al., 2002</xref>), and autophagy is disrupted in models of HD (<xref ref-type="bibr" rid="ref36">Martinez-Vicente et al., 2010</xref>). Thus, improving autophagy could be beneficial for HD, and it has been proposed to do this with rapamycin (<xref ref-type="bibr" rid="ref52">Rubinsztein et al., 2007</xref>), which stimulates autophagy by inhibiting TOR (<xref ref-type="bibr" rid="ref47">Raught et al., 2001</xref>; <xref ref-type="bibr" rid="ref31">Li et al., 2014</xref>) and improves lifespan in flies and mice (<xref ref-type="bibr" rid="ref7">Bjedov et al., 2010</xref>). This approach has yielded positive results, as rapamycin reduces mutant huntingtin-associated dysfunction in cell culture and animal models of HD (<xref ref-type="bibr" rid="ref49">Ravikumar et al., 2004</xref>; <xref ref-type="bibr" rid="ref6">Berger et al., 2006</xref>; <xref ref-type="bibr" rid="ref25">King et al., 2008</xref>; <xref ref-type="bibr" rid="ref54">Sarkar et al., 2008</xref>; <xref ref-type="bibr" rid="ref4">Bailus et al., 2021</xref>). These studies have focused on the effects of rapamycin on molecular and photoreceptor neuron outcomes, however, and its effects on <italic>in vivo</italic> aggregation and locomotor performance has been understudied in <italic>Drosophila</italic>.</p>
<p>Here, we determined the effects of mutant huntingtin in neurons using well-characterized <italic>Drosophila</italic> models of HD that have proven to be powerful tools (<xref ref-type="bibr" rid="ref26">Krench and Littleton, 2013</xref>; <xref ref-type="bibr" rid="ref30">Lewis and Smith, 2016</xref>). We measured the age-dependent effects of neuronal mutant huntingtin on PQ aggregation in the brain and on synapsin levels. We next studied brain-muscle crosstalk to determine whether neuronal mutant huntingtin affects locomotor performance, and if neuron-to-muscle signaling could contribute to dysfunction in the context of HD. Finally, we determined the effects of rapamycin on PQ aggregation in the brain and climbing muscle locomotor performance. Our results determine the age-dependent effects of mutant huntingtin in the brain, support the importance of autophagy in HD, and highlight the potential of rapamycin to prevent aggregation of mutant huntingtin.</p>
</sec>
<sec sec-type="materials|methods" id="sec2">
<label>2.</label>
<title>Materials and methods</title>
<sec id="sec3">
<label>2.1.</label>
<title><italic>Drosophila</italic> stocks and maintenance</title>
<p>As before (<xref ref-type="bibr" rid="ref38">Melkani et al., 2013</xref>; <xref ref-type="bibr" rid="ref21">Gill et al., 2015</xref>; <xref ref-type="bibr" rid="ref66">Villanueva et al., 2019</xref>; <xref ref-type="bibr" rid="ref34">Livelo et al., 2023</xref>), flies were housed together (about 10 flies per 25&#x2009;mm vial) in an incubator at 25&#x00B0;C with constant humidity under a 12&#x2009;h light:12&#x2009;h dark cycle. Flies were maintained on standard <italic>Drosophila</italic> cornmeal food diet and changed to new food every 4&#x2013;7&#x2009;days. We used the following drivers lines: <italic>Elav(X)-Gal4</italic> from Bloomington Drosophila Stock Center (BDSC) (BL#458) and <italic>Elav(II)-Gal4</italic> (BL#8765). We used the following UAS lines: <italic>UAS-eGFP</italic> from BDSC (BL#5431), and HD model lines that expressed huntingtin exon 1 with 72 CAG repeats (<italic>HTTex1-PQ72-GFP</italic>) or 25 CAG repeats (<italic>HTTex1-PQ25-GFP</italic>) tagged with GFP from Dr. Norbert Perrimon (<xref ref-type="bibr" rid="ref70">Zhang et al., 2010</xref>). Progeny of <italic>Elav</italic> drivers crossed with w<sup>1118</sup> flies were used as a driver control throughout because the lines were on a w<sup>1118</sup> background.</p>
</sec>
<sec id="sec4">
<label>2.2.</label>
<title>Sample preparation for fluorescent imaging</title>
<p>Fly heads were removed under a dissecting microscope and fixed with 4% PFA in PBS for 30&#x2009;min at room temperature with mild agitation, then washed 3&#x2009;&#x00D7;&#x2009;10&#x2009;min in 1&#x00D7; PBS and stored at 4&#x00B0;C in PBS before cryosectioning. Heads were placed in a mold with OTC and sectioned at 20&#x2009;&#x03BC;m with a Leica CM3050 S cryostat and placed on glass slides (Fisher #15-188-48). After drying for 30&#x2009;min, slides were washed 3&#x2009;&#x00D7;&#x2009;10&#x2009;min with 1&#x00D7; PBS to remove dried OTC, then permeabilized with 1&#x00D7; TBST for 10&#x2009;min. We blocked the slides with 3% BSA in TBST for 30&#x2009;min and incubated with primary antibody for synapsin (1:500, UI Developmental Studies Hybirdoma Bank #3C11) in 1% BSA in TBST overnight at 4&#x00B0;C in a humidity chamber. Slides were then washed 3&#x2009;&#x00D7;&#x2009;10 with PBS and incubated for 1&#x2009;h at room temperature in AlexaFluor-594 anti-mouse fluorescent secondary antibody (1:1000, ThermoFisher # A-11032). Finally, slides were washed 3&#x2009;&#x00D7;&#x2009;10&#x2009;min with 1&#x00D7; PBS and mounted with ProLong Diamond Antifade Mountant with DAPI (ThermoFisher # P36971). After setting overnight, multichannel fluorescence images were taken with an Olympus BX63F fluorescence microscope using CellSens Software at 10&#x00D7; magnification to view one head section per image.</p>
</sec>
<sec id="sec5">
<label>2.3.</label>
<title>Htt-PQ-GFP imaging and aggregation quantification</title>
<p>PQ-GFP aggregation was quantified using FIJI software (ImageJ v1.53v) similar to how we have quantified punctate proximity ligation signal before (<xref ref-type="bibr" rid="ref53">Rush et al., 2020</xref>). The FITC channel images were adjusted in a batch to maximize signal-to-noise, then thresholded to exclude any background signal. ImageJ particle analyzer was run with size and circularity specified to exclude non-punctate signal on a region of interest selected around the brain, and number of puncta per section was reported.</p>
</sec>
<sec id="sec6">
<label>2.4.</label>
<title>Immunofluorescent imaging synapsin quantification</title>
<p>Syanpsin immunofluorescence intensity was quantified using FIJI software (ImageJ v1.53v) similar to how we have quantified BIN1 protein levels before (<xref ref-type="bibr" rid="ref67">Voskobiynyk et al., 2020</xref>). The TRITC channel images were adjusted in a batch to maximize signal-to-noise, then mean fluorescent intensity for each image was measured in a region of interest selected around the brain. For each experiment, we ran samples in parallel but with no primary antibody to measure background fluorescence. We measured this background fluorescence in the brain and subtracted mean background fluorescence from the fluorescence value for each image. At least two sections per fly were imaged and mean fluorescence from each fly was calculated and reported.</p>
</sec>
<sec id="sec7">
<label>2.5.</label>
<title>Negative geotaxis assay</title>
<p>We conducted negative geotaxis assay as before (<xref ref-type="bibr" rid="ref1">Ali et al., 2011</xref>; <xref ref-type="bibr" rid="ref66">Villanueva et al., 2019</xref>). Briefly, flies were transferred into clean vials (about 10 per vial) and briefly allowed to acclimate. The vial was sharply tapped onto a pad to stimulate negative geotaxis response, and the proportion of flies the climbed to a 7&#x2009;cm mark within 10&#x2009;s was recorded by video for analysis. This was repeated a total of four times for each vial of flies, and the average of the four runs was calculated.</p>
</sec>
<sec id="sec8">
<label>2.6.</label>
<title>Flight index assay</title>
<p>We conducted flight index assay as before (<xref ref-type="bibr" rid="ref18">Drummond et al., 1991</xref>; <xref ref-type="bibr" rid="ref66">Villanueva et al., 2019</xref>). Briefly, one fly at a time was released into a large plexiglass box with a light at the top. Flight index was determined by the fly&#x2019;s ability to fly up (a flight index value of 6), horizontally (4), down (2), or unable to fly (0). The average flight index was calculated by dividing the sum of individual flight index values by the number of flies for each group.</p>
</sec>
<sec id="sec9">
<label>2.7.</label>
<title>Rapamycin treatment</title>
<p>Rapamycin (LC Laboratories # R-5000) was dissolved to 50&#x2009;mM in ethanol, then added to food at 1:250 before pouring into vials for a final concentration of 200&#x2009;&#x03BC;M, which is sufficient to extend fly lifespan (<xref ref-type="bibr" rid="ref7">Bjedov et al., 2010</xref>). For vehicle control, ethanol alone was added at 1:250. To avoid developmental effects of rapamycin (<xref ref-type="bibr" rid="ref71">Zhang et al., 2000</xref>), flies were kept on standard <italic>Drosophila</italic> cornmeal food for 1&#x2009;week post-eclosion, then split into two groups and put on either rapamycin or vehicle control. Flies were kept on rapamycin or vehicle control for 3&#x2009;weeks before conducting experiments at 4&#x2009;weeks of age.</p>
</sec>
<sec id="sec10">
<label>2.8.</label>
<title>qPCR gene expression</title>
<p>About 10 flies per group per cohort were flash-frozen together and stored at &#x2212;80&#x00B0;C until use. Heads were removed and put in 150&#x2009;&#x03BC;L Zymo Lysis Buffer and homogenized at room temperature using the Zymo Quick-RNA MicroPrep Kit (Zymo Research #R1051). RNA was purified using minicolumns and digested with DNAse I for 15&#x2009;min. Next, the RNA was suspended in RNAse/DNAse free water and quantified with an Aligent Bio Tek Synergy LX Multi-mode and stored at &#x2212;80&#x00B0;C until use. Next, we used 250&#x2009;ng of RNA and 4&#x2009;&#x03BC;L iScript RT Supermax (Bio-Rad #1708840) to synthesize cDNA. Reverse transcription was performed with 5&#x2009;min of priming at 25&#x00B0;C, 20&#x2009;min of reverse transcriptase at 46&#x00B0;C, then 1&#x2009;min of inactivation at 95&#x00B0;C. We used 5&#x2009;ng of cDNA for qPCR with 200&#x2009;ng primers per reaction, using Ssa Advanced Universal SYBR Green Supermix (Bio-Rad #1725275) in a CFX Opus Real-Time PCR System (Bio-Rad). Expression was normalized to <italic>Rpl11</italic> (60S ribosomal protein) and <italic>Tbp</italic> (TATA-box binding protein). PCR specificity was verified by comparing the melting curve to a predicted melting curve for the specific sequence generated by the software &#x03BC;MELT Quartz.<xref rid="fn0001" ref-type="fn"><sup>1</sup></xref> Results are presented as 2&#x2009;&#x2212;&#x2009;&#x0394;&#x0394;Ct values normalized to the expression of Rpl11 and Tbp and control samples. All reactions were performed in triplicate.</p>
<p>The following primers were used: <italic>Atg1</italic>-F: CGTCAGCCTGGTCATGGAGTA; <italic>Atg1</italic>-R: TAACGGTATCCTCGCTGAG; <italic>Hid</italic>-F: CACCGACCAAGTGCTATACG; <italic>Hid</italic>-R: GGCGGATACTGGAAGATTTGC; <italic>Pten</italic>-F: GTGCAAACGCAAACAGCCTA; <italic>Pten</italic>-R: ATCCAGTTCTGGTGGCTTCG; <italic>Ilp5</italic>-F: GCGGATTTGGATAGCTCCGA; <italic>Ilp5</italic>-R: AAAGGAACACGATTTGCGGC; <italic>Rpl11</italic>-F: CGATCTGGGCATCAAGTACGA; <italic>Rpl11</italic>-R: TTGCGCTTCCTGTGGTTCAC; <italic>Tbp</italic>-F: ATGCCCTGAGCAACATCCAC; <italic>Tbp</italic>-R: GGATCAGCGGAACCTGGTG.</p>
</sec>
<sec id="sec11">
<label>2.9.</label>
<title>Statistics</title>
<p>Statistics and test values are described in each figure legend. 1-way or 2-way ANOVA were used, and which effect was tested is reported in each legend along with sample sizes. We used Dunnett&#x2019;s <italic>post hoc</italic> to compare means to GFP mean. Data values were organized in Microsoft Excel and plotted using Graphpad Prism 9, which was also used for statistical analyses. <italic>&#x03B1;</italic>&#x2009;&#x003C;&#x2009;0.05 was defined as our significance threshold. Data were presented as mean&#x2009;&#x00B1;&#x2009;SEM.</p>
</sec>
</sec>
<sec sec-type="results" id="sec12">
<label>3.</label>
<title>Results</title>
<sec id="sec13">
<label>3.1.</label>
<title>Neuronal <italic>Htt-PQ72</italic> induces age-dependent aggregation in the brain</title>
<p>First, we used the UAS-Gal4 system in <italic>Drosophila</italic> (<xref ref-type="bibr" rid="ref45">Osterwalder et al., 2001</xref>) to express different huntingtin constructs in neurons. We used the <italic>Elav-Gal4</italic> driver on the 2nd chromosome (<italic>Elav(II)</italic>) to target expression to mature neurons (<xref ref-type="bibr" rid="ref51">Robinow and White, 1988</xref>), and, along with a driver control crossed with wildtype W<sup>1118</sup> flies (/+), expressed three UAS constructs in neurons: <italic>GFP</italic> as an expression control, <italic>HTT</italic> exon 1 with 72 CAG repeats fused to GFP (which we refer to as <italic>Htt-PQ72</italic>), and <italic>HTT</italic> exon 1 with 25 CAG repeats fused to GFP (<italic>Htt-PQ25</italic>) (<xref ref-type="bibr" rid="ref70">Zhang et al., 2010</xref>). We confirmed with fluorescent imaging that the GFP constructs expressed a similar amount (<xref ref-type="supplementary-material" rid="SM1">Supplementary Figure S1</xref>). While we did not observe any aggregation at eclosion (P0) or 1&#x2009;week post-eclosion (P7), we found significant PQ-GFP aggregation in the <italic>Elav(II)</italic>&#x2009;&#x003E;&#x2009;<italic>Htt-PQ72</italic> fly brains at beginning at 2&#x2009;weeks pose-eclosion (P14) and at 4&#x2009;weeks post-eclosion (<xref rid="fig1" ref-type="fig">Figures 1A</xref>&#x2013;<xref rid="fig1" ref-type="fig">C</xref>). We next verified whether these results were reproducible using a different <italic>Elav-Gal4</italic> line, so we crossed the same UAS constructs with an <italic>Elav-Gal4</italic> driver on the X chromosome (<italic>Elav(X)</italic>). In contrast to when driven by <italic>Elav(II)</italic>, 45% of <italic>Elav(X)</italic>&#x2009;&#x003E;&#x2009;<italic>Htt-PQ72</italic> died before P28. To avoid survivorship bias, we measured PQ-GFP aggregation at an earlier timepoint at P21. PQ-GFP aggregated much faster in the <italic>Elav(X)</italic>&#x2009;&#x003E;&#x2009;<italic>Htt-PQ72</italic> flies than the <italic>Elav(II)</italic>&#x2009;&#x003E;&#x2009;<italic>Htt-PQ72</italic> flies, beginning by P7, and having much higher aggregation by 3&#x2009;weeks (P21) than then <italic>Elav(II)</italic>&#x2009;&#x003E;&#x2009;<italic>Htt-PQ72</italic> flies had at P28 (<xref rid="fig1" ref-type="fig">Figures 1D</xref>&#x2013;<xref rid="fig1" ref-type="fig">F</xref>). We interpreted that this could be due to higher expression with the <italic>Elav(X)</italic> driver than with the <italic>Elav(II)</italic> driver, which could also explain the differences in premature mortality between the drivers. Together, these results show that overexpressing mutant huntingtin in neurons causes an age- and driver-dependent aggregation of PQ-GFP in the brain.</p>
<fig position="float" id="fig1">
<label>Figure 1</label>
<caption>
<p>Neuronal <italic>Htt-PQ72</italic> aggregates in the brain. <bold>(A)</bold> Quantification of aggregates in the brain show that PQ-GFP aggregates only in the brains of <italic>Elav(II)</italic>&#x2009;&#x003E;&#x2009;<italic>Htt-PQ72</italic> flies with age starting at 2&#x2009;weeks of age (P14), but not in driver control, GFP, or Htt-PQ25 flies (ANOVA for all, P0: <italic>p</italic>&#x2009;=&#x2009;1.0 because no variability, <italic>N</italic>&#x2009;=&#x2009;8&#x2013;9 flies per group; P7: <italic>F</italic>(3,19)&#x2009;=&#x2009;0.74, <italic>p</italic>&#x2009;=&#x2009;0.54, <italic>N</italic>&#x2009;=&#x2009;4&#x2013;7 flies per group; P14: <italic>F</italic>(3,26)&#x2009;=&#x2009;4.3, <italic>p</italic>&#x2009;=&#x2009;0.01, <italic>N</italic>&#x2009;=&#x2009;7&#x2013;8 flies per group; P28: <italic>F</italic>(3,42)&#x2009;=&#x2009;16.6, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.0001, <italic>N</italic>&#x2009;=&#x2009;8&#x2013;13 flies per group). <bold>(B)</bold> Representative images of flies at eclosion (P0). Scale bar&#x2009;=&#x2009;100&#x2009;&#x03BC;m. <bold>(C)</bold> Representative images of heads at 4&#x2009;weeks of age (P28) showing aggregation. Yellow boxes show inset displayed below of brains of <italic>Elav(II)</italic>&#x2009;&#x003E;&#x2009;<italic>GFP</italic> flies (i) without aggregates and <italic>Elav(II)</italic>&#x2009;&#x003E;&#x2009;<italic>Htt-PQ72</italic> flies (ii) with aggregates. Scale bar&#x2009;=&#x2009;100&#x2009;&#x03BC;m. <bold>(D)</bold> Quantification of aggregates in the brain show that PQ-GFP aggregates only in the brains of <italic>Elav(X)</italic>&#x2009;&#x003E;&#x2009;<italic>Htt-PQ72</italic> flies with age starting by 1&#x2009;week of age (ANOVA for all, P0: <italic>p</italic>&#x2009;=&#x2009;1.0 because no variability, <italic>N</italic>&#x2009;=&#x2009;7&#x2013;9 flies per group; P7: <italic>F</italic>(3,29)&#x2009;=&#x2009;35.5, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.0001, <italic>N</italic>&#x2009;=&#x2009;8&#x2013;9 flies per group; P14: <italic>F</italic>(3,25)&#x2009;=&#x2009;107.5, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.0001, <italic>N</italic>&#x2009;=&#x2009;6&#x2013;8 flies per group; P21: <italic>F</italic>(3,40)&#x2009;=&#x2009;37.7, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.0001, <italic>N</italic>&#x2009;=&#x2009;6&#x2013;14 flies per group). Note the change in <italic>y</italic>-axis between P7 and P14. <bold>(E)</bold> Representative images of heads at eclosion (P0). Scale bar&#x2009;=&#x2009;100&#x2009;&#x03BC;m. <bold>(F)</bold> Representative images of heads at 3&#x2009;weeks of age (P21) showing aggregation. Yellow boxes show inset displayed below of brains of <italic>Elav(X)</italic>&#x2009;&#x003E;&#x2009;<italic>GFP</italic> flies (i) without aggregates and <italic>Elav(X)</italic>&#x2009;&#x003E;&#x2009;<italic>Htt-PQ72</italic> flies (ii) with aggregates. Note the higher levels of aggregation when driven by <italic>Elav(X)</italic> compared to <italic>Elav(II)</italic>. All: Data displayed as mean&#x2009;&#x00B1;&#x2009;SEM. Dunnett&#x2019;s <italic>post hoc</italic>. &#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.05 and &#x002A;&#x002A;&#x002A;&#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.0001 compared to GFP. Red arrows point to PQ-GFP aggregates in the insets.</p>
</caption>
<graphic xlink:href="fnagi-15-1223911-g001.tif"/>
</fig>
</sec>
<sec id="sec14">
<label>3.2.</label>
<title>Neuronal <italic>Htt-PQ72</italic> can induce synapsin loss in the brain</title>
<p>Synaptic dysfunction is a common early feature in neurodegeneration, especially HD (<xref ref-type="bibr" rid="ref59">Smith-Dijak et al., 2019</xref>), and synapse loss often precedes neuronal loss (<xref ref-type="bibr" rid="ref40">Milnerwood and Raymond, 2010</xref>). Thus, we used immunohistochemistry to measure synapsin levels to determine whether <italic>Htt-PQ72</italic> could induce changes at the synapse that are consistent with synaptic dysfunction. Synapsin is critical for neurotransmitter vesicle release (<xref ref-type="bibr" rid="ref9">Cesca et al., 2010</xref>) and binds mutant huntingtin in the presynaptic compartment to inhibit its phosphorylation (<xref ref-type="bibr" rid="ref69">Xu et al., 2013</xref>), which predicts dysfunction in HD models (<xref ref-type="bibr" rid="ref32">Li&#x00E9;vens et al., 2002</xref>). We found that at 3&#x2009;weeks of age, <italic>Elav(X)</italic>&#x2009;&#x003E;&#x2009;<italic>Htt-PQ72</italic> flies had reduced synapsin levels in the brain relative to <italic>GFP</italic>, while <italic>Elav(X)</italic>&#x2009;&#x003E;&#x2009;<italic>Htt-PQ25</italic> flies did not (<xref rid="fig2" ref-type="fig">Figures 2A</xref>,<xref rid="fig2" ref-type="fig">C</xref>). However, we did not see a significant change in synapsin staining in any flies using the <italic>Elav(II)</italic> driver at 4&#x2009;weeks of age (<xref rid="fig2" ref-type="fig">Figures 2B</xref>,<xref rid="fig2" ref-type="fig">D</xref>). To determine whether synapsin loss occurs with PQ-GFP aggregation or after significant aggregation, we stained for synapsin in P7 <italic>Elav(X)</italic> flies, when PQ-GFP aggregation has already occurred (<xref rid="fig1" ref-type="fig">Figure 1A</xref>), and found that there was no difference in synapsin staining (<xref rid="fig2" ref-type="fig">Figures 2E</xref>,<xref rid="fig2" ref-type="fig">F</xref>). Thus, PQ-GFP aggregation precedes synapsin loss in the brain of <italic>Elav(X)</italic>&#x2009;&#x003E;&#x2009;<italic>Htt-PQ72</italic> flies, which occurs with age.</p>
<fig position="float" id="fig2">
<label>Figure 2</label>
<caption>
<p>Neuronal <italic>Htt-PQ72</italic> can induce synapsin loss in the brain. <bold>(A)</bold> Quantification of synapsin staining shows a decrease of synapsin in <italic>Elav(X)</italic>&#x2009;&#x003E;&#x2009;<italic>Htt-PQ72</italic> flies at P21 (ANOVA <italic>F</italic>(3,39)&#x2009;=&#x2009;13.6, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.0001, Dunnett&#x2019;s <italic>post hoc</italic> &#x002A;&#x002A;&#x002A;&#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.0001 compared to <italic>GFP</italic>, <italic>N</italic>&#x2009;=&#x2009;6&#x2013;14 flies per group). <bold>(B)</bold> Quantification of synapsin staining shows no differences in synapsin levels in the brains of flies driven by <italic>Elav(II)</italic> at P28 (ANOVA <italic>F</italic>(3,49)&#x2009;=&#x2009;1.1, <italic>p</italic>&#x2009;=&#x2009;0.37, <italic>N</italic>&#x2009;=&#x2009;12&#x2013;16 flies per group). <bold>(C)</bold> Representative immunofluorescent images stained for presynaptic marker synapsin in the brain of P21 flies driven by <italic>Elav(X)</italic>. Scale bar&#x2009;=&#x2009;100&#x2009;&#x03BC;m. <bold>(D)</bold> Representative images of P28 <italic>Elav(II)</italic> fly heads stained for synapsin. <bold>(E)</bold> Quantification of synapsin staining shows no difference between any groups driven by <italic>Elav(X)</italic> at P7, when aggregates start to form (ANOVA <italic>F</italic>(3,29)&#x2009;=&#x2009;1.0, <italic>p</italic>&#x2009;=&#x2009;0.39, <italic>N</italic>&#x2009;=&#x2009;8&#x2013;9 flies per group). <bold>(F)</bold> Representative images of P7 <italic>Elav(X)</italic> fly heads stained for synapsin. All: Data displayed as mean&#x2009;&#x00B1;&#x2009;SEM.</p>
</caption>
<graphic xlink:href="fnagi-15-1223911-g002.tif"/>
</fig>
</sec>
<sec id="sec15">
<label>3.3.</label>
<title>Neuronal <italic>Htt-PQ72</italic> causes age-dependent dysfunction in peripheral locomotor dysfunction</title>
<p>HD is characterized by muscle dysfunction, and we have previously found that <italic>Htt-PQ72</italic> causes dysfunction in cardiac and skeletal muscle (<xref ref-type="bibr" rid="ref38">Melkani et al., 2013</xref>; <xref ref-type="bibr" rid="ref5">Barwell et al., 2023</xref>). It has been proposed that this peripheral muscle dysfunction is primarily caused by peripheral expression of mutant huntingtin, and that peripheral mutant huntingtin could cause neuronal dysfunction in the brain (<xref ref-type="bibr" rid="ref10">Chuang and Demontis, 2021</xref>). We wanted to complement this idea and test the converse &#x2013; whether neuronal huntingtin can disrupt locomotor performance independent from expression in the muscle. To do so, we conducted two assays to measure the performance of two types of skeletal muscle: negative geotaxis assay, which measures climbing muscle performance, and flight index assay, which measures flight muscle performance (<xref ref-type="bibr" rid="ref66">Villanueva et al., 2019</xref>). We chose to use the <italic>Elav(II)</italic> driver to allow for observing more subtle phenotypes induced by lower aggregation or expression of constructs. While there were no significant changes in climbing muscle performance at P7, before PQ-GFP aggregation, or at P14, when aggregation is beginning (<xref rid="fig1" ref-type="fig">Figure 1A</xref>), <italic>Elav(II)</italic>&#x2009;&#x003E;&#x2009;<italic>Htt-PQ72</italic> flies displayed progressive dysfunction in climbing muscle performance starting at P21, beyond the loss of muscle performance associated with normal aging (<xref rid="fig3" ref-type="fig">Figure 3A</xref>). There was also some climbing muscle dysfunction in <italic>Elav(II)</italic>&#x2009;&#x003E;&#x2009;<italic>Htt-PQ25</italic> flies at P28, which is not surprising since some dysfunction has been reported by overexpression of shorter PQ chains with aging <italic>in vivo</italic> (<xref ref-type="bibr" rid="ref42">Morley et al., 2002</xref>). To determine if neuronal mutant huntingtin causes general muscle performance loss, we performed a flight index assay to measure flight muscle performance. To our surprise, we found no change in flight muscle performance at P28 (<xref rid="fig3" ref-type="fig">Figure 3B</xref>). As it is possible that higher PQ-GFP in neurons could decrease flight muscle performance, we repeated the flight index assay using the <italic>Elav(X)</italic> driver. Again, we observed no change in flight muscle performance at 3&#x2009;weeks of age (<xref rid="fig3" ref-type="fig">Figure 3C</xref>). Together, these results show that neuronal <italic>Htt-PQ72</italic> can decrease climbing muscle performance in an age-dependent manner without decreasing flight muscle performance.</p>
<fig position="float" id="fig3">
<label>Figure 3</label>
<caption>
<p>Neuronal <italic>Htt-PQ72</italic> decreases climbing muscle performance with age. <bold>(A)</bold> Negative geotaxis assay demonstrates progressive loss of climbing muscle performance in <italic>Elav(II)</italic>&#x2009;&#x003E;&#x2009;<italic>Htt-PQ72</italic> flies beginning at P21 (ANOVA for all, P7: <italic>F</italic>(3,56)&#x2009;=&#x2009;1.2, <italic>p</italic>&#x2009;=&#x2009;0.31, <italic>n</italic>&#x2009;=&#x2009;12&#x2013;19 cohorts per group; P14: <italic>F</italic>(3,27)&#x2009;=&#x2009;2.9, <italic>p</italic>&#x2009;=&#x2009;0.06, <italic>n</italic>&#x2009;=&#x2009;6&#x2013;9 cohorts per group; P21: <italic>F</italic>(3,50)&#x2009;=&#x2009;3.2, <italic>p</italic>&#x2009;=&#x2009;0.03, <italic>n</italic>&#x2009;=&#x2009;11&#x2013;15 cohorts per group; P28: <italic>F</italic>(3,46)&#x2009;=&#x2009;5.6, <italic>p</italic>&#x2009;=&#x2009;0.002, <italic>n</italic>&#x2009;=&#x2009;9&#x2013;15 cohorts per group. All: Dunnett&#x2019;s <italic>post hoc</italic> &#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.05 and &#x002A;&#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.01 compared to GFP). <bold>(B)</bold> Flight index assay demonstrates no significant difference in flight muscle performance in <italic>Elav(II)</italic>-driven flies at P28 (ANOVA <italic>F</italic>(2,7)&#x2009;=&#x2009;2.2, <italic>p</italic>&#x2009;=&#x2009;0.19, <italic>n</italic>&#x2009;=&#x2009;3&#x2013;4 cohorts with <italic>N</italic>&#x2009;=&#x2009;14&#x2013;19 flies per group). <bold>(C)</bold> Flight index assay demonstrates no significant difference in flight muscle performance in <italic>Elav(X)</italic>-driven flies at P21 (ANOVA <italic>F</italic>(2,10)&#x2009;=&#x2009;1.5, <italic>p</italic>&#x2009;=&#x2009;0.29, <italic>n</italic>&#x2009;=&#x2009;3&#x2013;5 cohorts with <italic>N</italic>&#x2009;=&#x2009;11&#x2013;35 flies per group). All: Data displayed as mean&#x2009;&#x00B1;&#x2009;SEM.</p>
</caption>
<graphic xlink:href="fnagi-15-1223911-g003.tif"/>
</fig>
</sec>
<sec id="sec16">
<label>3.4.</label>
<title>Rapamycin treatment reduces <italic>Htt-PQ72</italic> aggregation in the brain and ameliorates locomotor performance</title>
<p>Autophagy plays an important role in aging and metabolism, and has been implicated in many neurodegenerative diseases including HD (<xref ref-type="bibr" rid="ref13">Croce and Yamamoto, 2019</xref>). Rapamycin stimulates autophagy and prevents some mutant huntingtin-induced dysfunction (<xref ref-type="bibr" rid="ref17">Djajadikerta et al., 2020</xref>), so we next tested whether it impacted PQ-GFP aggregation in the brain. We placed 1&#x2009;week-old flies on food supplemented with 200&#x2009;&#x03BC;M rapamycin or vehicle control food for 3&#x2009;weeks. First, we verified the mechanism of action of rapamycin by isolating heads and conducting PCR for genes associated with autophagy and TOR signaling (<xref rid="fig4" ref-type="fig">Figure 4A</xref>). We found that rapamycin significantly increases expression of <italic>Atg1</italic>, which is responsible for the formation of autophagosomes (<xref ref-type="bibr" rid="ref41">Mizushima, 2010</xref>; <xref ref-type="bibr" rid="ref60">Stjepanovic et al., 2014</xref>). Additionally, we measured expression of <italic>Hid</italic>, which can induce autophagy (<xref ref-type="bibr" rid="ref3">Baehrecke, 2003</xref>; <xref ref-type="bibr" rid="ref23">Juh&#x00E1;sz and Sass, 2005</xref>), and <italic>pten</italic>, which is negatively associated with TOR activity (<xref ref-type="bibr" rid="ref35">Manning and Cantley, 2007</xref>; <xref ref-type="bibr" rid="ref14">Das et al., 2012</xref>), and found them increased by rapamycin, demonstrating that rapamycin treatment led to inhibition of TOR as expected. As an independent measure of TOR activity, we measured <italic>ilp5</italic> expression, which is positively regulated by TOR and is important for nutrient signaling and metabolism (<xref ref-type="bibr" rid="ref63">Texada et al., 2022</xref>; <xref ref-type="bibr" rid="ref33">Ling and Raikhel, 2023</xref>). Rapamycin significantly decreased <italic>ilp5</italic>, again demonstrating that rapamycin inhibited TOR signaling (<xref rid="fig4" ref-type="fig">Figure 4B</xref>). Next, we determined whether rapamycin prevented PQ-GFP aggregation and other mHTT-associated dysfunction. We found that rapamycin reduced PQ-GFP aggregation, though it did not prevent a loss of synapsin in aged <italic>Elav(X)</italic> flies (<xref rid="fig4" ref-type="fig">Figures 4C</xref>&#x2013;<xref rid="fig4" ref-type="fig">E</xref>). Next, we determined whether rapamycin was sufficient to prevent PQ-GFP aggregation and locomotor performance loss in <italic>Elav(II)</italic> flies. We found that rapamycin again reduced PQ-GFP aggregation and also prevented a loss of locomotor performance in <italic>Elav(II)</italic>&#x2009;&#x003E;&#x2009;<italic>Htt-PQ72</italic> flies (<xref rid="fig4" ref-type="fig">Figures 4F</xref>&#x2013;<xref rid="fig4" ref-type="fig">H</xref>). There was a decrease in climbing performance in the control flies relative to prior experiments (<xref rid="fig3" ref-type="fig">Figure 3</xref>), likely due to chronic ethanol exposure (<xref ref-type="bibr" rid="ref11">Chvilicek et al., 2020</xref>; <xref ref-type="bibr" rid="ref44">Nu&#x00F1;ez et al., 2023</xref>) as ethanol was used to dissolve the rapamycin and was included in the control food as a vehicle. Altogether, these results show that rapamycin is sufficient to prevent aggregation of mutant huntingtin in the brains of flies and can prevent the loss of locomotor performance.</p>
<fig position="float" id="fig4">
<label>Figure 4</label>
<caption>
<p>Rapamycin reduces <italic>Htt-PQ72</italic> aggregation in the brain and ameliorates flight muscle performance. <bold>(A)</bold> qPCR workflow. Fly heads were isolated for RNA extraction and qPCR was used to compare transcript levels between groups. This image was created in Biorender. <bold>(B)</bold> Rapamycin increases <italic>Atg1</italic> expression (<italic>F</italic>(1,14)&#x2009;=&#x2009;7.218, <italic>p</italic>&#x2009;=&#x2009;0.0173), <italic>Hid</italic> expression (<italic>F</italic>(1,14)&#x2009;=&#x2009;13.25, <italic>p</italic>&#x2009;=&#x2009;0.0027), and <italic>pten</italic> expression (2-way ANOVA main effect of rapamycin <italic>F</italic>(1, 14)&#x2009;=&#x2009;39.7, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.0001); and decreases <italic>ilp5</italic> expression (2-way ANOVA main effect of rapamycin <italic>F</italic>(1, 14)&#x2009;=&#x2009;10.0, <italic>p</italic>&#x2009;=&#x2009;0.007). <italic>N</italic>&#x2009;=&#x2009;2&#x2013;3 cohorts with <italic>n</italic>&#x2009;=&#x2009;about 10 flies per group per cohort of fly heads. <bold>(C)</bold> Quantification of PQ-GFP aggregates in <italic>Elav(X)</italic>-driven flies treated with 200&#x2009;&#x03BC;M rapamycin or vehicle control for 3&#x2009;weeks. Rapamycin decreases aggregation in <italic>Elav(X)</italic>&#x2009;&#x003E;&#x2009;<italic>Htt-PQ72</italic> fly brains (2-way ANOVA interaction <italic>F</italic>(1,14)&#x2009;=&#x2009;15.26, <italic>p</italic>&#x2009;=&#x2009;0.002, Dunnett&#x2019;s <italic>post hoc</italic> &#x002A;&#x002A;&#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.001 compared to vehicle control, <italic>N</italic>&#x2009;=&#x2009;2&#x2013;7 flies per group). <bold>(D)</bold> Representative fluorescent images of P28 <italic>Elav(X)</italic>-driven GFP and Htt-PQ72 flies with vehicle control or Rapamycin for 3&#x2009;weeks. Scale bar&#x2009;=&#x2009;100&#x2009;&#x03BC;m. <bold>(E)</bold> Quantification of synapsin staining shows a decrease of synapsin in <italic>Elav(X)</italic>&#x2009;&#x003E;&#x2009;<italic>Htt-PQ72</italic> flies at with no effect of rapamycin (2-way ANOVA main effect of genotype <italic>F</italic>(1,14)&#x2009;=&#x2009;6.4, <italic>p</italic>&#x2009;=&#x2009;0.02, <italic>N</italic>&#x2009;=&#x2009;2&#x2013;7 flies per group). <bold>(F)</bold> Quantification of PQ-GFP aggregates in <italic>Elav(II)</italic>-driven flies treated with 200&#x2009;&#x03BC;M rapamycin or vehicle control for 3&#x2009;weeks. Rapamycin decreases aggregation in <italic>Elav(II)</italic>&#x2009;&#x003E;&#x2009;<italic>Htt-PQ72</italic> fly brains (2-way ANOVA interaction <italic>F</italic>(1,30)&#x2009;=&#x2009;6.9, <italic>p</italic>&#x2009;=&#x2009;0.014, Dunnett&#x2019;s <italic>post hoc</italic> &#x002A;&#x002A;&#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.001 compared to vehicle control, <italic>N</italic>&#x2009;=&#x2009;6&#x2013;10 flies per group). <bold>(G)</bold> Representative fluorescent images of P28 <italic>Elav(II)</italic>&#x2009;&#x003E;&#x2009;<italic>Htt-PQ72</italic> flies treated with vehicle control or rapamycin for 3&#x2009;weeks. <bold>(H)</bold> Rapamycin modifies the loss of climbing performance in <italic>Elav(II)</italic>&#x2009;&#x003E;&#x2009;<italic>Htt-PQ72</italic> flies at P28 (2-way ANOVA interaction <italic>F</italic>(1,20)&#x2009;=&#x2009;5.2, <italic>p</italic>&#x2009;=&#x2009;0.03, <italic>n</italic>&#x2009;=&#x2009;5&#x2013;7 cohorts with <italic>N</italic>&#x2009;=&#x2009;34&#x2013;73 flies per group).</p>
</caption>
<graphic xlink:href="fnagi-15-1223911-g004.tif"/>
</fig>
</sec>
</sec>
<sec sec-type="discussions" id="sec17">
<label>4.</label>
<title>Discussion</title>
<p>In this work, we describe the effect of expressing <italic>Htt-PQ72</italic> in <italic>Drosophila</italic> neurons. We characterized age-dependent aggregation of PQ-GFP that was greater when driven by <italic>Elav(X)</italic> than <italic>Elav(II)</italic>, and that it can reduce synapsin in the brain after PQ-GFP aggregation occurs. We next explored the role of neuronal <italic>Htt-PQ72</italic> in walking muscle performance and found that it causes age-dependent loss of climbing muscle performance but no effect on flight muscle performance. Finally, we found that rapamycin reduces aggregation of PQ-GFP in the brain and prevents the loss of locomotor performance, supporting the importance of autophagy in HD models and that rapamycin could be beneficial to prevent mutant huntingtin&#x2013;induced dysfunction.</p>
<p>Brain-periphery crosstalk is likely important in many neurodegenerative diseases, especially HD. Huntingtin is expressed in many tissues throughout the body and mutant huntingtin aggregates have been found in multiple tissues (<xref ref-type="bibr" rid="ref65">Van Der Burg et al., 2009</xref>). Most preclinical work in HD has studied the role of neuronal huntingtin in the brain and peripheral huntingtin in periphery, though new studies in brain-periphery crosstalk have demonstrated that the periphery can affect the brain, especially skeletal muscles (<xref ref-type="bibr" rid="ref20">Ehlen et al., 2017</xref>; <xref ref-type="bibr" rid="ref37">Matthews et al., 2022</xref>). Our results complement these studies and add to the evidence supporting the importance of brain-periphery crosstalk, as neuronal mutant huntingtin is sufficient to reduce locomotor performance without expression of mutant huntingtin in the muscles themselves.</p>
<p>We found it interesting that <italic>Htt-PQ72</italic> caused a loss of climbing muscle performance but not flight muscle performance. This suggests that there are specific effects of neuronal mutant huntingtin on specific peripheral tissues, and highlights the importance of studying multiple types of skeletal muscle in models of movement disorders like HD. One potential caveat to these results is that the negative geotaxis assay is dependent on neuronal function (<xref ref-type="bibr" rid="ref62">Sun et al., 2018</xref>), so it is possible that the climbing muscles themselves were not disrupted, <italic>per se</italic>, but were impacted by neuronal dysfunction caused by <italic>Htt-PQ72</italic>. This is supported by the lack of phenotype in the flight muscle performance assay, which is not primarily driven by neuronal function. Additionally, <italic>Elav</italic> is expressed in peripheral neurons in addition to central nervous system neurons (<xref ref-type="bibr" rid="ref51">Robinow and White, 1988</xref>), so it is possible that the locomotor dysfunction is due to peripheral neuron dysfunction outside of the brain. Alternatively, it is possible that mHTT toxicity in areas of the brain that control movement could contribute to the locomotor dysfunction, as is hypothesized to occur in humans (<xref ref-type="bibr" rid="ref58">Smith et al., 2000</xref>). Altogether, it is notable that neuronal mutant huntingtin is sufficient to specifically reduce skeletal muscle performance, likely due to neuronal dysfunction, especially with the prominence of locomotor dysfunction present in HD.</p>
<p>Another potential caveat to our results is the differences seen with using the <italic>Elav(II)</italic> and <italic>Elav(X)</italic> drivers, especially regarding the synapsin loss (<xref rid="fig2" ref-type="fig">Figure 2</xref>). Two potential explanations for the differences are that they are due to either differences in expression location or different expression levels. Both driver lines are well-established models to express constructs in mature neurons that endogenously express <italic>Elav</italic>, and there is typically minimal leakage with the UAS-Gal4 system (<xref ref-type="bibr" rid="ref45">Osterwalder et al., 2001</xref>). Our results were consistent with differences being due to higher expression with the <italic>Elav(X)</italic> driver, namely the early mortality, higher level of aggregation at an earlier age, and the reduced synapsin. It is notable that PQ-GFP aggregation in P7 <italic>Elav(X)</italic>&#x2009;&#x003E;&#x2009;<italic>Htt-PQ72</italic> flies and P28 <italic>Elav(II)</italic>&#x2009;&#x003E;&#x2009;<italic>Htt-PQ72</italic> flies (1.78 vs. 3.36 aggregates per brain section) was closer than differences in aggregation between P21 <italic>Elav(X)</italic>&#x2009;&#x003E;&#x2009;<italic>Htt-PQ72</italic> flies and P28 <italic>Elav(II)</italic>&#x2009;&#x003E;&#x2009;<italic>Htt-PQ72</italic> flies (21.57 vs. 3.36 aggregates per brain section), so we speculate that it is possible that a reduction of synapsin levels would occur in the <italic>Elav(II)</italic>&#x2009;&#x003E;&#x2009;<italic>Htt-PQ72</italic> flies with more age and PQ-GFP aggregation. Thus, we expect that the differences were due to <italic>Elav(X)</italic> driving higher expression than <italic>Elav(II)</italic>, though we cannot exclude the possibility of different cell-specific expression of the drivers or Gal4 leakage.</p>
<p>The difference between models is also seen in effects of rapamycin, which reduces PQ-GFP aggregation in both models and prevents the loss of locomotor performance in <italic>Elav(II)</italic>&#x2009;&#x003E;&#x2009;<italic>Htt-PQ72</italic> flies, but does not prevent the loss of synapsin in <italic>Elav(X)</italic>&#x2009;&#x003E;&#x2009;<italic>Htt-PQ72</italic> flies (<xref rid="fig4" ref-type="fig">Figure 4</xref>). There are several possible explanations for this. It is possible that the more severe model (<italic>Elav(X)</italic>) had too much mHTT-associated toxicity for this dose of rapamycin to prevent synapsin loss, that treating with rapamycin after aggregation occurred was insufficient to prevent it, or that synapsin loss is a downstream effect of mHTT that is independent of its effects of aggregation and locomotor performance. We speculate that it is due to a ceiling effect such that the <italic>Elav(X)</italic> model has high enough expression that mHTT toxicity has either already occurred or that the dose of rapamycin used was not sufficient to prevent mHTT toxicity.</p>
<p>Both PQ-GFP aggregation and synapsin loss were spread uniformly throughout the brain. This was expected, as <italic>Elav-Gal4</italic> drives expression pan-neuronally in all parts of the brain, so <italic>Elav</italic>&#x2009;&#x003E;&#x2009;<italic>Htt-PQ72</italic> will be expressed in all brain regions and can aggregate throughout. Additionally, since soluble mHTT can be toxic (<xref ref-type="bibr" rid="ref29">Leitman et al., 2013</xref>), aggregation is not necessary for downstream dysfunction, as is seen with synapsin loss (<xref rid="fig2" ref-type="fig">Figure 2</xref>). Altogether, our results support the idea that high levels of non-aggregated mHTT can cause neuronal dysfunction in multiple neuron subtypes throughout the brain, namely a decrease in synapsin.</p>
<p>Currently, there are no highly effective treatments for HD. Rapamycin has been proposed as a potential therapeutic strategy because mutant huntingtin impairs autophagy, leading to neuronal dysfunction (<xref ref-type="bibr" rid="ref46">Pircs et al., 2018</xref>). Multiple preclinical studies have demonstrated that rapamycin can delay aging (<xref ref-type="bibr" rid="ref22">Harrison et al., 2009</xref>; <xref ref-type="bibr" rid="ref7">Bjedov et al., 2010</xref>; <xref ref-type="bibr" rid="ref50">Robida-Stubbs et al., 2012</xref>), even after just brief treatment during adulthood (<xref ref-type="bibr" rid="ref24">Juricic et al., 2022</xref>), and that it prevents mutant huntingtin-induced dysfunction (<xref ref-type="bibr" rid="ref49">Ravikumar et al., 2004</xref>; <xref ref-type="bibr" rid="ref54">Sarkar et al., 2008</xref>). Our data support this approach as we found that rapamycin reduces mutant huntingtin&#x2013;induced dysfunction in the brain and periphery. It is important to note that rapamycin can inhibit huntingtin aggregation independent of autophagy (<xref ref-type="bibr" rid="ref25">King et al., 2008</xref>), and that aggregation may in fact be protective by reducing toxic, soluble forms of mutant huntingtin (<xref ref-type="bibr" rid="ref2">Arrasate et al., 2004</xref>). Thus, it is important that we found that rapamycin prevented reduced behavioral dysfunction, especially progressive muscle performance dysfunction caused by neuronal mutant huntingtin. HD is rare within neurodegenerative diseases in that it is autosomal dominant and monogenic (<xref ref-type="bibr" rid="ref43">Myers, 2004</xref>). Thus, it could be possible to identify individuals who will develop HD and treat them before symptom onset if rapamycin is found to prevent development of motor dysfunction in HD. Interestingly, HD is part of a class of neurodegenerative diseases that are characterized by PQ repeat expansions, including several ataxias (<xref ref-type="bibr" rid="ref57">Shao and Diamond, 2007</xref>), so we speculate that rapamycin could be beneficial in these diseases if there are common mechanisms underlying PQ expansion disorders.</p>
<p>In summary, this study explores the role of mutant huntingtin in neurons. It shows that expressing mutant huntingtin in <italic>Drosophila</italic> neurons causes an age-dependent increase in mutant huntingtin aggregation in the brain, which can be associated with synapsin loss. Additionally, it supports the importance of brain-muscle crosstalk in HD models, as we found age-dependent loss of climbing muscle performance caused by mutant huntingtin in neurons. Finally, this study adds to the body of work showing the importance of autophagy in HD and the potential therapeutic benefits of rapamycin in HD models.</p>
</sec>
<sec sec-type="data-availability" id="sec18">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/<xref ref-type="supplementary-material" rid="SM1">Supplementary material</xref>, further inquiries can be directed to the corresponding author.</p>
</sec>
<sec sec-type="ethics-statement" id="sec19">
<title>Ethics statement</title>
<p>The manuscript presents research on animals that do not require ethical approval for their study.</p>
</sec>
<sec id="sec20">
<title>Author contributions</title>
<p>JRR, RCM, and GCM contributed to the initial study and experimental design. JRR, RCM, BPX, SRC, and MAK conducted experiments, analysed, and interpreted results. JRR wrote the manuscript with input from RCM, BPX, SRC, MAK, and GCM. All authors contributed to the article and approved the submitted version.</p>
</sec>
</body>
<back>
<sec sec-type="funding-information" id="sec21">
<title>Funding</title>
<p>This work was supported by National Institutes of Health (NIH) grants AG065992 and AG068550, and UAB Startup funds 3123226 and 3123227 to GCM.</p>
</sec>
<ack>
<p>We would like to thank members of the Melkani lab for input on the project and for technical help with fly stocks. We thank Perrimon and the Bloomington <italic>Drosophila</italic> Stock Center for the fly stocks.</p>
</ack>
<sec sec-type="COI-statement" id="sec22">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="sec100" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec sec-type="supplementary-material" id="sec23">
<title>Supplementary material</title>
<p>The Supplementary material for this article can be found online at: <ext-link xlink:href="https://www.frontiersin.org/articles/10.3389/fnagi.2023.1223911/full#supplementary-material" ext-link-type="uri">https://www.frontiersin.org/articles/10.3389/fnagi.2023.1223911/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Presentation_1.pdf" id="SM1" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
<fn-group>
<fn id="fn0001"><p><sup>1</sup><ext-link xlink:href="http://www.dna-utah.org/umelt/quartz/" ext-link-type="uri">www.dna-utah.org/umelt/quartz/</ext-link></p></fn>
</fn-group>
<ref-list>
<title>References</title>
<ref id="ref1"><citation citation-type="gov"><person-group person-group-type="author"><name><surname>Ali</surname> <given-names>Y. O.</given-names></name> <name><surname>Escala</surname> <given-names>W.</given-names></name> <name><surname>Ruan</surname> <given-names>K.</given-names></name> <name><surname>Zhai</surname> <given-names>R. G.</given-names></name></person-group>, (<year>2011</year>). <article-title>Assaying locomotor, learning, and memory deficits in Drosophila models of neurodegeneration</article-title>. <publisher-loc>J. Vis. Exp.</publisher-loc>, <volume>11</volume>, <fpage>2504</fpage>, doi: <pub-id pub-id-type="doi">10.3791/2504</pub-id></citation></ref>
<ref id="ref2"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Arrasate</surname> <given-names>M.</given-names></name> <name><surname>Mitra</surname> <given-names>S.</given-names></name> <name><surname>Schweitzer</surname> <given-names>E. S.</given-names></name> <name><surname>Segal</surname> <given-names>M. R.</given-names></name> <name><surname>Finkbeiner</surname> <given-names>S.</given-names></name></person-group> (<year>2004</year>). <article-title>Inclusion body formation reduces levels of mutant huntingtin and the risk of neuronal death</article-title>. <source>Nature</source> <volume>431</volume>, <fpage>805</fpage>&#x2013;<lpage>810</lpage>. doi: <pub-id pub-id-type="doi">10.1038/nature02998</pub-id>, PMID: <pub-id pub-id-type="pmid">15483602</pub-id></citation></ref>
<ref id="ref3"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Baehrecke</surname> <given-names>E. H.</given-names></name></person-group> (<year>2003</year>). <article-title>Autophagic programmed cell death in Drosophila</article-title>. <source>Cell Death Diff.</source> <volume>10</volume>, <fpage>940</fpage>&#x2013;<lpage>945</lpage>. doi: <pub-id pub-id-type="doi">10.1038/sj.cdd.4401280</pub-id>, PMID: <pub-id pub-id-type="pmid">37607937</pub-id></citation></ref>
<ref id="ref4"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bailus</surname> <given-names>B. J.</given-names></name> <name><surname>Scheeler</surname> <given-names>S. M.</given-names></name> <name><surname>Simons</surname> <given-names>J.</given-names></name> <name><surname>Sanchez</surname> <given-names>M. A.</given-names></name> <name><surname>Tshilenge</surname> <given-names>K.-T.</given-names></name> <name><surname>Creus-Muncunill</surname> <given-names>J.</given-names></name> <etal/></person-group>. (<year>2021</year>). <article-title>Modulating Fkbp5/Fkbp51 and autophagy lowers Htt (huntingtin) levels</article-title>. <source>Autophagy</source> <volume>17</volume>, <fpage>4119</fpage>&#x2013;<lpage>4140</lpage>. doi: <pub-id pub-id-type="doi">10.1080/15548627.2021.1904489</pub-id>, PMID: <pub-id pub-id-type="pmid">34024231</pub-id></citation></ref>
<ref id="ref5"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Barwell</surname> <given-names>T.</given-names></name> <name><surname>Raina</surname> <given-names>S.</given-names></name> <name><surname>Page</surname> <given-names>A.</given-names></name> <name><surname>Maccharles</surname> <given-names>H.</given-names></name> <name><surname>Seroude</surname> <given-names>L.</given-names></name></person-group> (<year>2023</year>). <article-title>Juvenile and adult expression of polyglutamine expanded huntingtin produce distinct aggregate distributions in Drosophila muscle</article-title>. <source>Hum. Mol. Genet.</source> <volume>32</volume>, <fpage>2656</fpage>&#x2013;<lpage>2668</lpage>. doi: <pub-id pub-id-type="doi">10.1093/hmg/ddad098</pub-id>, PMID: <pub-id pub-id-type="pmid">37369041</pub-id></citation></ref>
<ref id="ref6"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Berger</surname> <given-names>Z.</given-names></name> <name><surname>Ravikumar</surname> <given-names>B.</given-names></name> <name><surname>Menzies</surname> <given-names>F. M.</given-names></name> <name><surname>Oroz</surname> <given-names>L. G.</given-names></name> <name><surname>Underwood</surname> <given-names>B. R.</given-names></name> <name><surname>Pangalos</surname> <given-names>M. N.</given-names></name> <etal/></person-group>. (<year>2006</year>). <article-title>Rapamycin alleviates toxicity of different aggregate-prone proteins</article-title>. <source>Hum. Mol. Genet.</source> <volume>15</volume>, <fpage>433</fpage>&#x2013;<lpage>442</lpage>. doi: <pub-id pub-id-type="doi">10.1093/hmg/ddi458</pub-id>, PMID: <pub-id pub-id-type="pmid">16368705</pub-id></citation></ref>
<ref id="ref7"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bjedov</surname> <given-names>I.</given-names></name> <name><surname>Toivonen</surname> <given-names>J. M.</given-names></name> <name><surname>Kerr</surname> <given-names>F.</given-names></name> <name><surname>Slack</surname> <given-names>C.</given-names></name> <name><surname>Jacobson</surname> <given-names>J.</given-names></name> <name><surname>Foley</surname> <given-names>A.</given-names></name> <etal/></person-group>. (<year>2010</year>). <article-title>Mechanisms of life span extension by rapamycin in the fruit Fly Drosophila Melanogaster</article-title>. <source>Cell Metab.</source> <volume>11</volume>, <fpage>35</fpage>&#x2013;<lpage>46</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.cmet.2009.11.010</pub-id>, PMID: <pub-id pub-id-type="pmid">20074526</pub-id></citation></ref>
<ref id="ref8"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Busse</surname> <given-names>M. E.</given-names></name> <name><surname>Hughes</surname> <given-names>G.</given-names></name> <name><surname>Wiles</surname> <given-names>C. M.</given-names></name> <name><surname>Rosser</surname> <given-names>A. E.</given-names></name></person-group> (<year>2008</year>). <article-title>Use of hand-held dynamometry in the evaluation of lower limb muscle strength in people with Huntington&#x2019;s disease</article-title>. <source>J. Neurol.</source> <volume>255</volume>, <fpage>1534</fpage>&#x2013;<lpage>1540</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s00415-008-0964-x</pub-id>, PMID: <pub-id pub-id-type="pmid">19005627</pub-id></citation></ref>
<ref id="ref9"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cesca</surname> <given-names>F.</given-names></name> <name><surname>Baldelli</surname> <given-names>P.</given-names></name> <name><surname>Valtorta</surname> <given-names>F.</given-names></name> <name><surname>Benfenati</surname> <given-names>F.</given-names></name></person-group> (<year>2010</year>). <article-title>The synapsins: key actors of synapse function and plasticity</article-title>. <source>Prog. Neurobiol.</source> <volume>91</volume>, <fpage>313</fpage>&#x2013;<lpage>348</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.pneurobio.2010.04.006</pub-id>, PMID: <pub-id pub-id-type="pmid">20438797</pub-id></citation></ref>
<ref id="ref10"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chuang</surname> <given-names>C. L.</given-names></name> <name><surname>Demontis</surname> <given-names>F.</given-names></name></person-group> (<year>2021</year>). <article-title>Systemic manifestation and contribution of peripheral tissues to Huntington&#x2019;s disease pathogenesis</article-title>. <source>Ageing Res. Rev.</source> <volume>69</volume>:<fpage>101358</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.arr.2021.101358</pub-id>, PMID: <pub-id pub-id-type="pmid">33979693</pub-id></citation></ref>
<ref id="ref11"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chvilicek</surname> <given-names>M. M.</given-names></name> <name><surname>Titos</surname> <given-names>I.</given-names></name> <name><surname>Rothenfluh</surname> <given-names>A.</given-names></name></person-group> (<year>2020</year>). <article-title>The neurotransmitters involved in Drosophila alcohol-induced behaviors</article-title>. <source>Front. Behav. Neurosci.</source> <volume>14</volume>:<fpage>607700</fpage>. doi: <pub-id pub-id-type="doi">10.3389/fnbeh.2020.607700</pub-id>, PMID: <pub-id pub-id-type="pmid">33384590</pub-id></citation></ref>
<ref id="ref12"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cortes</surname> <given-names>C. J.</given-names></name> <name><surname>La Spada</surname> <given-names>A. R.</given-names></name></person-group> (<year>2014</year>). <article-title>The many faces of autophagy dysfunction in Huntington&#x2019;s disease: from mechanism to therapy</article-title>. <source>Drug Discov. Today</source> <volume>19</volume>, <fpage>963</fpage>&#x2013;<lpage>971</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.drudis.2014.02.014</pub-id>, PMID: <pub-id pub-id-type="pmid">24632005</pub-id></citation></ref>
<ref id="ref13"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Croce</surname> <given-names>K. R.</given-names></name> <name><surname>Yamamoto</surname> <given-names>A.</given-names></name></person-group> (<year>2019</year>). <article-title>A role for autophagy in Huntington&#x2019;s disease</article-title>. <source>Neurobiol. Dis.</source> <volume>122</volume>, <fpage>16</fpage>&#x2013;<lpage>22</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.nbd.2018.08.010</pub-id>, PMID: <pub-id pub-id-type="pmid">30149183</pub-id></citation></ref>
<ref id="ref14"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Das</surname> <given-names>F.</given-names></name> <name><surname>Ghosh-Choudhury</surname> <given-names>N.</given-names></name> <name><surname>Dey</surname> <given-names>N.</given-names></name> <name><surname>Mandal</surname> <given-names>C. C.</given-names></name> <name><surname>Mahimainathan</surname> <given-names>L.</given-names></name> <name><surname>Kasinath</surname> <given-names>B. S.</given-names></name> <etal/></person-group>. (<year>2012</year>). <article-title>Unrestrained mammalian target of rapamycin complexes 1 and 2 increase expression of phosphatase and tensin homolog deleted on chromosome 10 to regulate phosphorylation of Akt kinase</article-title>. <source>J. Biol. Chem.</source> <volume>287</volume>, <fpage>3808</fpage>&#x2013;<lpage>3822</lpage>. doi: <pub-id pub-id-type="doi">10.1074/jbc.M111.246397</pub-id>, PMID: <pub-id pub-id-type="pmid">22184110</pub-id></citation></ref>
<ref id="ref15"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Dash</surname> <given-names>D.</given-names></name> <name><surname>Mestre</surname> <given-names>T. A.</given-names></name></person-group> (<year>2020</year>). <article-title>Therapeutic update on Huntington&#x2019;s disease: symptomatic treatments and emerging disease-modifying therapies</article-title>. <source>Neurotherapeutics</source> <volume>17</volume>, <fpage>1645</fpage>&#x2013;<lpage>1659</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s13311-020-00891-w</pub-id>, PMID: <pub-id pub-id-type="pmid">32705582</pub-id></citation></ref>
<ref id="ref16"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Difiglia</surname> <given-names>M.</given-names></name> <name><surname>Sapp</surname> <given-names>E.</given-names></name> <name><surname>Chase</surname> <given-names>K. O.</given-names></name> <name><surname>Davies</surname> <given-names>S. W.</given-names></name> <name><surname>Bates</surname> <given-names>G. P.</given-names></name> <name><surname>Vonsattel</surname> <given-names>J. P.</given-names></name> <etal/></person-group>. (<year>1997</year>). <article-title>Aggregation of huntingtin in neuronal intranuclear inclusions and dystrophic neurites in brain</article-title>. <source>Science</source> <volume>277</volume>, <fpage>1990</fpage>&#x2013;<lpage>1993</lpage>. doi: <pub-id pub-id-type="doi">10.1126/science.277.5334.1990</pub-id>, PMID: <pub-id pub-id-type="pmid">9302293</pub-id></citation></ref>
<ref id="ref17"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Djajadikerta</surname> <given-names>A.</given-names></name> <name><surname>Keshri</surname> <given-names>S.</given-names></name> <name><surname>Pavel</surname> <given-names>M.</given-names></name> <name><surname>Prestil</surname> <given-names>R.</given-names></name> <name><surname>Ryan</surname> <given-names>L.</given-names></name> <name><surname>Rubinsztein</surname> <given-names>D. C.</given-names></name></person-group> (<year>2020</year>). <article-title>Autophagy induction as a therapeutic strategy for neurodegenerative diseases</article-title>. <source>J. Mol. Biol.</source> <volume>432</volume>, <fpage>2799</fpage>&#x2013;<lpage>2821</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.jmb.2019.12.035</pub-id>, PMID: <pub-id pub-id-type="pmid">31887286</pub-id></citation></ref>
<ref id="ref18"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Drummond</surname> <given-names>D. R.</given-names></name> <name><surname>Hennessey</surname> <given-names>E. S.</given-names></name> <name><surname>Sparrow</surname> <given-names>J. C.</given-names></name></person-group> (<year>1991</year>). <article-title>Characterisation of missense mutations in the Act88f gene of Drosophila Melanogaster</article-title>. <source>Mol. Gen. Genet.</source> <volume>226</volume>, <fpage>70</fpage>&#x2013;<lpage>80</lpage>. doi: <pub-id pub-id-type="doi">10.1007/BF00273589</pub-id>, PMID: <pub-id pub-id-type="pmid">1851957</pub-id></citation></ref>
<ref id="ref19"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Duyao</surname> <given-names>M.</given-names></name> <name><surname>Ambrose</surname> <given-names>C.</given-names></name> <name><surname>Myers</surname> <given-names>R.</given-names></name> <name><surname>Novelletto</surname> <given-names>A.</given-names></name> <name><surname>Persichetti</surname> <given-names>F.</given-names></name> <name><surname>Frontali</surname> <given-names>M.</given-names></name> <etal/></person-group>. (<year>1993</year>). <article-title>Trinucleotide repeat length instability and age of onset in Huntington&#x2019;s disease</article-title>. <source>Nat. Genet.</source> <volume>4</volume>, <fpage>387</fpage>&#x2013;<lpage>392</lpage>. doi: <pub-id pub-id-type="doi">10.1038/ng0893-387</pub-id>, PMID: <pub-id pub-id-type="pmid">8401587</pub-id></citation></ref>
<ref id="ref20"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ehlen</surname> <given-names>J. C.</given-names></name> <name><surname>Brager</surname> <given-names>A. J.</given-names></name> <name><surname>Baggs</surname> <given-names>J.</given-names></name> <name><surname>Pinckney</surname> <given-names>L.</given-names></name> <name><surname>Gray</surname> <given-names>C. L.</given-names></name> <name><surname>Debruyne</surname> <given-names>J. P.</given-names></name> <etal/></person-group>. (<year>2017</year>). <article-title>Bmal1 function in skeletal muscle regulates sleep</article-title>. <source>elife</source> <volume>6</volume>:<fpage>26557</fpage>. doi: <pub-id pub-id-type="doi">10.7554/eLife.26557</pub-id>, PMID: <pub-id pub-id-type="pmid">28726633</pub-id></citation></ref>
<ref id="ref21"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gill</surname> <given-names>S.</given-names></name> <name><surname>Le</surname> <given-names>H. D.</given-names></name> <name><surname>Melkani</surname> <given-names>G. C.</given-names></name> <name><surname>Panda</surname> <given-names>S.</given-names></name></person-group> (<year>2015</year>). <article-title>Time-restricted feeding attenuates age-related cardiac decline in Drosophila</article-title>. <source>Science</source> <volume>347</volume>, <fpage>1265</fpage>&#x2013;<lpage>1269</lpage>. doi: <pub-id pub-id-type="doi">10.1126/science.1256682</pub-id>, PMID: <pub-id pub-id-type="pmid">25766238</pub-id></citation></ref>
<ref id="ref22"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Harrison</surname> <given-names>D. E.</given-names></name> <name><surname>Strong</surname> <given-names>R.</given-names></name> <name><surname>Sharp</surname> <given-names>Z. D.</given-names></name> <name><surname>Nelson</surname> <given-names>J. F.</given-names></name> <name><surname>Astle</surname> <given-names>C. M.</given-names></name> <name><surname>Flurkey</surname> <given-names>K.</given-names></name> <etal/></person-group>. (<year>2009</year>). <article-title>Rapamycin fed late in life extends lifespan in genetically heterogeneous mice</article-title>. <source>Nature</source> <volume>460</volume>, <fpage>392</fpage>&#x2013;<lpage>395</lpage>. doi: <pub-id pub-id-type="doi">10.1038/nature08221</pub-id>, PMID: <pub-id pub-id-type="pmid">19587680</pub-id></citation></ref>
<ref id="ref23"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Juh&#x00E1;sz</surname> <given-names>G.</given-names></name> <name><surname>Sass</surname> <given-names>M.</given-names></name></person-group> (<year>2005</year>). <article-title>Hid can induce, but is not required for autophagy in polyploid larval Drosophila tissues</article-title>. <source>Eur. J. Cell Biol.</source> <volume>84</volume>, <fpage>491</fpage>&#x2013;<lpage>502</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.ejcb.2004.11.010</pub-id></citation></ref>
<ref id="ref24"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Juricic</surname> <given-names>P.</given-names></name> <name><surname>Lu</surname> <given-names>Y.-X.</given-names></name> <name><surname>Leech</surname> <given-names>T.</given-names></name> <name><surname>Drews</surname> <given-names>L. F.</given-names></name> <name><surname>Paulitz</surname> <given-names>J.</given-names></name> <name><surname>Lu</surname> <given-names>J.</given-names></name> <etal/></person-group>. (<year>2022</year>). <article-title>Long-lasting Geroprotection from brief rapamycin treatment in early adulthood by persistently increased intestinal autophagy</article-title>. <source>Nat. Aging</source> <volume>2</volume>, <fpage>824</fpage>&#x2013;<lpage>836</lpage>. doi: <pub-id pub-id-type="doi">10.1038/s43587-022-00278-w</pub-id>, PMID: <pub-id pub-id-type="pmid">37118497</pub-id></citation></ref>
<ref id="ref25"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>King</surname> <given-names>M. A.</given-names></name> <name><surname>Hands</surname> <given-names>S.</given-names></name> <name><surname>Hafiz</surname> <given-names>F.</given-names></name> <name><surname>Mizushima</surname> <given-names>N.</given-names></name> <name><surname>Tolkovsky</surname> <given-names>A. M.</given-names></name> <name><surname>Wyttenbach</surname> <given-names>A.</given-names></name></person-group> (<year>2008</year>). <article-title>Rapamycin inhibits polyglutamine aggregation independently of autophagy by reducing protein synthesis</article-title>. <source>Mol. Pharmacol.</source> <volume>73</volume>, <fpage>1052</fpage>&#x2013;<lpage>1063</lpage>. doi: <pub-id pub-id-type="doi">10.1124/mol.107.043398</pub-id>, PMID: <pub-id pub-id-type="pmid">18199701</pub-id></citation></ref>
<ref id="ref26"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Krench</surname> <given-names>M.</given-names></name> <name><surname>Littleton</surname> <given-names>J. T.</given-names></name></person-group> (<year>2013</year>). <article-title>Modeling Huntington disease in Drosophila: insights into axonal transport defects and modifiers of toxicity</article-title>. <source>Fly (Austin)</source> <volume>7</volume>, <fpage>229</fpage>&#x2013;<lpage>236</lpage>. doi: <pub-id pub-id-type="doi">10.4161/fly.26279</pub-id>, PMID: <pub-id pub-id-type="pmid">24022020</pub-id></citation></ref>
<ref id="ref27"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lanska</surname> <given-names>D. J.</given-names></name> <name><surname>Lavine</surname> <given-names>L.</given-names></name> <name><surname>Lanska</surname> <given-names>M. J.</given-names></name> <name><surname>Schoenberg</surname> <given-names>B. S.</given-names></name></person-group> (<year>1988</year>). <article-title>Huntington&#x2019;s disease mortality in the United States</article-title>. <source>Neurology</source> <volume>38</volume>, <fpage>769</fpage>&#x2013;<lpage>772</lpage>. doi: <pub-id pub-id-type="doi">10.1212/WNL.38.5.769</pub-id>, PMID: <pub-id pub-id-type="pmid">2966305</pub-id></citation></ref>
<ref id="ref28"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lee</surname> <given-names>J.-M.</given-names></name> <name><surname>Ramos</surname> <given-names>E. M.</given-names></name> <name><surname>Lee</surname> <given-names>J.-H.</given-names></name> <name><surname>Gillis</surname> <given-names>T.</given-names></name> <name><surname>Mysore</surname> <given-names>J. S.</given-names></name> <name><surname>Hayden</surname> <given-names>M. R.</given-names></name> <etal/></person-group>. (<year>2012</year>). <article-title>Cag repeat expansion in Huntington disease determines age at onset in a fully dominant fashion</article-title>. <source>Neurology</source> <volume>78</volume>, <fpage>690</fpage>&#x2013;<lpage>695</lpage>. doi: <pub-id pub-id-type="doi">10.1212/WNL.0b013e318249f683</pub-id>, PMID: <pub-id pub-id-type="pmid">22323755</pub-id></citation></ref>
<ref id="ref29"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Leitman</surname> <given-names>J.</given-names></name> <name><surname>Ulrich Hartl</surname> <given-names>F.</given-names></name> <name><surname>Lederkremer</surname> <given-names>G. Z.</given-names></name></person-group> (<year>2013</year>). <article-title>Soluble forms of Polyq-expanded huntingtin rather than large aggregates cause endoplasmic reticulum stress</article-title>. <source>Nat. Commun.</source> <volume>4</volume>:<fpage>2753</fpage>. doi: <pub-id pub-id-type="doi">10.1038/ncomms3753</pub-id>, PMID: <pub-id pub-id-type="pmid">24217578</pub-id></citation></ref>
<ref id="ref30"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lewis</surname> <given-names>E. A.</given-names></name> <name><surname>Smith</surname> <given-names>G. A.</given-names></name></person-group> (<year>2016</year>). <article-title>Using Drosophila models of Huntington&#x2019;s disease as a translatable tool</article-title>. <source>J. Neurosci. Methods</source> <volume>265</volume>, <fpage>89</fpage>&#x2013;<lpage>98</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.jneumeth.2015.07.026</pub-id>, PMID: <pub-id pub-id-type="pmid">26241927</pub-id></citation></ref>
<ref id="ref31"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Li</surname> <given-names>J.</given-names></name> <name><surname>Kim</surname> <given-names>S. G.</given-names></name> <name><surname>Blenis</surname> <given-names>J.</given-names></name></person-group> (<year>2014</year>). <article-title>Rapamycin: one drug, many effects</article-title>. <source>Cell Metab.</source> <volume>19</volume>, <fpage>373</fpage>&#x2013;<lpage>379</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.cmet.2014.01.001</pub-id>, PMID: <pub-id pub-id-type="pmid">24508508</pub-id></citation></ref>
<ref id="ref32"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Li&#x00E9;vens</surname> <given-names>J. C.</given-names></name> <name><surname>Woodman</surname> <given-names>B.</given-names></name> <name><surname>Mahal</surname> <given-names>A.</given-names></name> <name><surname>Bates</surname> <given-names>G. P.</given-names></name></person-group> (<year>2002</year>). <article-title>Abnormal phosphorylation of Synapsin I predicts a neuronal transmission impairment in the R6/2 Huntington&#x2019;s disease transgenic mice</article-title>. <source>Mol. Cell. Neurosci.</source> <volume>20</volume>, <fpage>638</fpage>&#x2013;<lpage>648</lpage>. doi: <pub-id pub-id-type="doi">10.1006/mcne.2002.1152</pub-id>, PMID: <pub-id pub-id-type="pmid">12213445</pub-id></citation></ref>
<ref id="ref33"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ling</surname> <given-names>L.</given-names></name> <name><surname>Raikhel</surname> <given-names>A. S.</given-names></name></person-group> (<year>2023</year>). <article-title>Amino acid-dependent regulation of insulin-like peptide signaling is mediated by Tor and Gata factors in the disease vector mosquito Aedes Aegypti</article-title>. <source>Proc. Natl. Acad. Sci. U. S. A.</source> <volume>120</volume>:<fpage>E2303234120</fpage>. doi: <pub-id pub-id-type="doi">10.1073/pnas.2303234120</pub-id>, PMID: <pub-id pub-id-type="pmid">37579141</pub-id></citation></ref>
<ref id="ref34"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Livelo</surname> <given-names>C.</given-names></name> <name><surname>Guo</surname> <given-names>Y.</given-names></name> <name><surname>Abou Daya</surname> <given-names>F.</given-names></name> <name><surname>Rajasekaran</surname> <given-names>V.</given-names></name> <name><surname>Varshney</surname> <given-names>S.</given-names></name> <name><surname>Le</surname> <given-names>H. D.</given-names></name> <etal/></person-group>. (<year>2023</year>). <article-title>Time-restricted feeding promotes muscle function through purine cycle and Ampk signaling in Drosophila obesity models</article-title>. <source>Nat. Commun.</source> <volume>14</volume>:<fpage>949</fpage>. doi: <pub-id pub-id-type="doi">10.1038/s41467-023-36474-4</pub-id>, PMID: <pub-id pub-id-type="pmid">36810287</pub-id></citation></ref>
<ref id="ref35"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Manning</surname> <given-names>B. D.</given-names></name> <name><surname>Cantley</surname> <given-names>L. C.</given-names></name></person-group> (<year>2007</year>). <article-title>Akt/Pkb signaling: navigating downstream</article-title>. <source>Cells</source> <volume>129</volume>, <fpage>1261</fpage>&#x2013;<lpage>1274</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.cell.2007.06.009</pub-id>, PMID: <pub-id pub-id-type="pmid">17604717</pub-id></citation></ref>
<ref id="ref36"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Martinez-Vicente</surname> <given-names>M.</given-names></name> <name><surname>Talloczy</surname> <given-names>Z.</given-names></name> <name><surname>Wong</surname> <given-names>E.</given-names></name> <name><surname>Tang</surname> <given-names>G.</given-names></name> <name><surname>Koga</surname> <given-names>H.</given-names></name> <name><surname>Kaushik</surname> <given-names>S.</given-names></name> <etal/></person-group>. (<year>2010</year>). <article-title>Cargo recognition failure is responsible for inefficient autophagy in Huntington&#x2019;s disease</article-title>. <source>Nat. Neurosci.</source> <volume>13</volume>, <fpage>567</fpage>&#x2013;<lpage>576</lpage>. doi: <pub-id pub-id-type="doi">10.1038/nn.2528</pub-id>, PMID: <pub-id pub-id-type="pmid">20383138</pub-id></citation></ref>
<ref id="ref37"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Matthews</surname> <given-names>I.</given-names></name> <name><surname>Birnbaum</surname> <given-names>A.</given-names></name> <name><surname>Gromova</surname> <given-names>A.</given-names></name> <name><surname>Coutinho</surname> <given-names>K.</given-names></name> <name><surname>Mcgraw</surname> <given-names>M.</given-names></name> <name><surname>Patterson</surname> <given-names>D.</given-names></name> <etal/></person-group>. (<year>2022</year>, <year>2022</year>). <article-title>Skeletal muscle proteostasis promotes central nervous system rejuvenation and reduces neuroinflammation during aging and neurodegenerative disease</article-title>. <source>Biorxiv</source> <volume>7</volume>:<fpage>482891</fpage>. doi: <pub-id pub-id-type="doi">10.1101/2022.03.07.482891</pub-id></citation></ref>
<ref id="ref38"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Melkani</surname> <given-names>G. C.</given-names></name> <name><surname>Trujillo</surname> <given-names>A. S.</given-names></name> <name><surname>Ramos</surname> <given-names>R.</given-names></name> <name><surname>Bodmer</surname> <given-names>R.</given-names></name> <name><surname>Bernstein</surname> <given-names>S. I.</given-names></name> <name><surname>Ocorr</surname> <given-names>K.</given-names></name></person-group> (<year>2013</year>). <article-title>Huntington&#x2019;s disease induced cardiac amyloidosis is reversed by modulating protein folding and oxidative stress pathways in the Drosophila heart</article-title>. <source>PLoS Genet.</source> <volume>9</volume>:<fpage>E1004024</fpage>. doi: <pub-id pub-id-type="doi">10.1371/journal.pgen.1004024</pub-id></citation></ref>
<ref id="ref39"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mihm</surname> <given-names>M. J.</given-names></name> <name><surname>Amann</surname> <given-names>D. M.</given-names></name> <name><surname>Schanbacher</surname> <given-names>B. L.</given-names></name> <name><surname>Altschuld</surname> <given-names>R. A.</given-names></name> <name><surname>Bauer</surname> <given-names>J. A.</given-names></name> <name><surname>Hoyt</surname> <given-names>K. R.</given-names></name></person-group> (<year>2007</year>). <article-title>Cardiac dysfunction in the R6/2 mouse model of Huntington's disease</article-title>. <source>Neurobiol. Dis.</source> <volume>25</volume>, <fpage>297</fpage>&#x2013;<lpage>308</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.nbd.2006.09.016</pub-id>, PMID: <pub-id pub-id-type="pmid">17126554</pub-id></citation></ref>
<ref id="ref40"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Milnerwood</surname> <given-names>A. J.</given-names></name> <name><surname>Raymond</surname> <given-names>L. A.</given-names></name></person-group> (<year>2010</year>). <article-title>Early synaptic pathophysiology in neurodegeneration: insights from Huntington&#x2019;s disease</article-title>. <source>Trends Neurosci.</source> <volume>33</volume>, <fpage>513</fpage>&#x2013;<lpage>523</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.tins.2010.08.002</pub-id>, PMID: <pub-id pub-id-type="pmid">20850189</pub-id></citation></ref>
<ref id="ref41"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mizushima</surname> <given-names>N.</given-names></name></person-group> (<year>2010</year>). <article-title>The role of the Atg1/Ulk1 complex in autophagy regulation</article-title>. <source>Curr. Opin. Cell Biol.</source> <volume>22</volume>, <fpage>132</fpage>&#x2013;<lpage>139</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.ceb.2009.12.004</pub-id>, PMID: <pub-id pub-id-type="pmid">20056399</pub-id></citation></ref>
<ref id="ref42"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Morley</surname> <given-names>J. F.</given-names></name> <name><surname>Brignull</surname> <given-names>H. R.</given-names></name> <name><surname>Weyers</surname> <given-names>J. J.</given-names></name> <name><surname>Morimoto</surname> <given-names>R. I.</given-names></name></person-group> (<year>2002</year>). <article-title>The threshold for polyglutamine-expansion protein aggregation and cellular toxicity is dynamic and influenced by aging in Caenorhabditis Elegans</article-title>. <source>Proc. Natl. Acad. Sci. U. S. A.</source> <volume>99</volume>, <fpage>10417</fpage>&#x2013;<lpage>10422</lpage>. doi: <pub-id pub-id-type="doi">10.1073/pnas.152161099</pub-id>, PMID: <pub-id pub-id-type="pmid">12122205</pub-id></citation></ref>
<ref id="ref43"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Myers</surname> <given-names>R. H.</given-names></name></person-group> (<year>2004</year>). <article-title>Huntington&#x2019;s disease genetics</article-title>. <source>NeuroRx</source> <volume>1</volume>, <fpage>255</fpage>&#x2013;<lpage>262</lpage>. doi: <pub-id pub-id-type="doi">10.1602/neurorx.1.2.255</pub-id>, PMID: <pub-id pub-id-type="pmid">15717026</pub-id></citation></ref>
<ref id="ref44"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Nu&#x00F1;ez</surname> <given-names>K. M.</given-names></name> <name><surname>Catalano</surname> <given-names>J. L.</given-names></name> <name><surname>Scaplen</surname> <given-names>K. M.</given-names></name> <name><surname>Kaun</surname> <given-names>K. R.</given-names></name></person-group> (<year>2023</year>). <article-title>Ethanol behavioral responses in Drosophila</article-title>. <source>Cold Spring Harb. Protoc.</source> doi: <pub-id pub-id-type="doi">10.1101/pdb.top107887</pub-id></citation></ref>
<ref id="ref45"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Osterwalder</surname> <given-names>T.</given-names></name> <name><surname>Yoon</surname> <given-names>K. S.</given-names></name> <name><surname>White</surname> <given-names>B. H.</given-names></name> <name><surname>Keshishian</surname> <given-names>H.</given-names></name></person-group> (<year>2001</year>). <article-title>A conditional tissue-specific transgene expression system using inducible Gal4</article-title>. <source>Proc. Natl. Acad. Sci. U. S. A.</source> <volume>98</volume>, <fpage>12596</fpage>&#x2013;<lpage>12601</lpage>. doi: <pub-id pub-id-type="doi">10.1073/pnas.221303298</pub-id>, PMID: <pub-id pub-id-type="pmid">11675495</pub-id></citation></ref>
<ref id="ref46"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Pircs</surname> <given-names>K.</given-names></name> <name><surname>Petri</surname> <given-names>R.</given-names></name> <name><surname>Madsen</surname> <given-names>S.</given-names></name> <name><surname>Bratt&#x00E5;s</surname> <given-names>P. L.</given-names></name> <name><surname>Vuono</surname> <given-names>R.</given-names></name> <name><surname>Ottosson</surname> <given-names>D. R.</given-names></name> <etal/></person-group>. (<year>2018</year>). <article-title>Huntingtin aggregation impairs autophagy, leading to Argonaute-2 accumulation and global microrna dysregulation</article-title>. <source>Cell Rep.</source> <volume>24</volume>, <fpage>1397</fpage>&#x2013;<lpage>1406</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.celrep.2018.07.017</pub-id>, PMID: <pub-id pub-id-type="pmid">30089251</pub-id></citation></ref>
<ref id="ref47"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Raught</surname> <given-names>B.</given-names></name> <name><surname>Gingras</surname> <given-names>A. C.</given-names></name> <name><surname>Sonenberg</surname> <given-names>N.</given-names></name></person-group> (<year>2001</year>). <article-title>The target of rapamycin (Tor) proteins</article-title>. <source>Proc. Natl. Acad. Sci. U. S. A.</source> <volume>98</volume>, <fpage>7037</fpage>&#x2013;<lpage>7044</lpage>. doi: <pub-id pub-id-type="doi">10.1073/pnas.121145898</pub-id>, PMID: <pub-id pub-id-type="pmid">11416184</pub-id></citation></ref>
<ref id="ref48"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ravikumar</surname> <given-names>B.</given-names></name> <name><surname>Duden</surname> <given-names>R.</given-names></name> <name><surname>Rubinsztein</surname> <given-names>D. C.</given-names></name></person-group> (<year>2002</year>). <article-title>Aggregate-prone proteins with polyglutamine and polyalanine expansions are degraded by autophagy</article-title>. <source>Hum. Mol. Genet.</source> <volume>11</volume>, <fpage>1107</fpage>&#x2013;<lpage>1117</lpage>. doi: <pub-id pub-id-type="doi">10.1093/hmg/11.9.1107</pub-id>, PMID: <pub-id pub-id-type="pmid">11978769</pub-id></citation></ref>
<ref id="ref49"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ravikumar</surname> <given-names>B.</given-names></name> <name><surname>Vacher</surname> <given-names>C.</given-names></name> <name><surname>Berger</surname> <given-names>Z.</given-names></name> <name><surname>Davies</surname> <given-names>J. E.</given-names></name> <name><surname>Luo</surname> <given-names>S.</given-names></name> <name><surname>Oroz</surname> <given-names>L. G.</given-names></name> <etal/></person-group>. (<year>2004</year>). <article-title>Inhibition of MTor induces autophagy and reduces toxicity of polyglutamine expansions in fly and mouse models of Huntington disease</article-title>. <source>Nat. Genet.</source> <volume>36</volume>, <fpage>585</fpage>&#x2013;<lpage>595</lpage>. doi: <pub-id pub-id-type="doi">10.1038/ng1362</pub-id>, PMID: <pub-id pub-id-type="pmid">15146184</pub-id></citation></ref>
<ref id="ref50"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Robida-Stubbs</surname> <given-names>S.</given-names></name> <name><surname>Glover-Cutter</surname> <given-names>K.</given-names></name> <name><surname>Lamming</surname> <given-names>D. W.</given-names></name> <name><surname>Mizunuma</surname> <given-names>M.</given-names></name> <name><surname>Narasimhan</surname> <given-names>S. D.</given-names></name> <name><surname>Neumann-Haefelin</surname> <given-names>E.</given-names></name> <etal/></person-group>. (<year>2012</year>). <article-title>Tor signaling and rapamycin influence longevity by regulating Skn-1/Nrf and Daf-16/Foxo</article-title>. <source>Cell Metab.</source> <volume>15</volume>, <fpage>713</fpage>&#x2013;<lpage>724</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.cmet.2012.04.007</pub-id>, PMID: <pub-id pub-id-type="pmid">22560223</pub-id></citation></ref>
<ref id="ref51"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Robinow</surname> <given-names>S.</given-names></name> <name><surname>White</surname> <given-names>K.</given-names></name></person-group> (<year>1988</year>). <article-title>The locus Elav of Drosophila Melanogaster is expressed in neurons at all developmental stages</article-title>. <source>Dev. Biol.</source> <volume>126</volume>, <fpage>294</fpage>&#x2013;<lpage>303</lpage>. doi: <pub-id pub-id-type="doi">10.1016/0012-1606(88)90139-X</pub-id>, PMID: <pub-id pub-id-type="pmid">3127258</pub-id></citation></ref>
<ref id="ref52"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rubinsztein</surname> <given-names>D. C.</given-names></name> <name><surname>Gestwicki</surname> <given-names>J. E.</given-names></name> <name><surname>Murphy</surname> <given-names>L. O.</given-names></name> <name><surname>Klionsky</surname> <given-names>D. J.</given-names></name></person-group> (<year>2007</year>). <article-title>Potential therapeutic applications of autophagy</article-title>. <source>Nat. Rev. Drug Discov.</source> <volume>6</volume>, <fpage>304</fpage>&#x2013;<lpage>312</lpage>. doi: <pub-id pub-id-type="doi">10.1038/nrd2272</pub-id>, PMID: <pub-id pub-id-type="pmid">17396135</pub-id></citation></ref>
<ref id="ref53"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rush</surname> <given-names>T.</given-names></name> <name><surname>Roth</surname> <given-names>J. R.</given-names></name> <name><surname>Thompson</surname> <given-names>S. J.</given-names></name> <name><surname>Aldaher</surname> <given-names>A. R.</given-names></name> <name><surname>Cochran</surname> <given-names>J. N.</given-names></name> <name><surname>Roberson</surname> <given-names>E. D.</given-names></name></person-group> (<year>2020</year>). <article-title>A peptide inhibitor of tau-Sh3 interactions ameliorates amyloid-&#x0392; toxicity</article-title>. <source>Neurobiol. Dis.</source> <volume>134</volume>:<fpage>104668</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.nbd.2019.104668</pub-id>, PMID: <pub-id pub-id-type="pmid">31698056</pub-id></citation></ref>
<ref id="ref54"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sarkar</surname> <given-names>S.</given-names></name> <name><surname>Krishna</surname> <given-names>G.</given-names></name> <name><surname>Imarisio</surname> <given-names>S.</given-names></name> <name><surname>Saiki</surname> <given-names>S.</given-names></name> <name><surname>O&#x2019;kane</surname> <given-names>C. J.</given-names></name> <name><surname>Rubinsztein</surname> <given-names>D. C.</given-names></name></person-group> (<year>2008</year>). <article-title>A rational mechanism for combination treatment of Huntington&#x2019;s disease using Lithium and rapamycin</article-title>. <source>Hum. Mol. Genet.</source> <volume>17</volume>, <fpage>170</fpage>&#x2013;<lpage>178</lpage>. doi: <pub-id pub-id-type="doi">10.1093/hmg/ddm294</pub-id>, PMID: <pub-id pub-id-type="pmid">17921520</pub-id></citation></ref>
<ref id="ref55"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sathasivam</surname> <given-names>K.</given-names></name> <name><surname>Hobbs</surname> <given-names>C.</given-names></name> <name><surname>Turmaine</surname> <given-names>M.</given-names></name> <name><surname>Mangiarini</surname> <given-names>L.</given-names></name> <name><surname>Mahal</surname> <given-names>A.</given-names></name> <name><surname>Bertaux</surname> <given-names>F.</given-names></name> <etal/></person-group>. (<year>1999</year>). <article-title>Formation of polyglutamine inclusions in non-Cns tissue</article-title>. <source>Hum. Mol. Genet.</source> <volume>8</volume>, <fpage>813</fpage>&#x2013;<lpage>822</lpage>. doi: <pub-id pub-id-type="doi">10.1093/hmg/8.5.813</pub-id>, PMID: <pub-id pub-id-type="pmid">10196370</pub-id></citation></ref>
<ref id="ref56"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Schulte</surname> <given-names>J.</given-names></name> <name><surname>Littleton</surname> <given-names>J. T.</given-names></name></person-group> (<year>2011</year>). <article-title>The biological function of the huntingtin protein and its relevance to Huntington&#x2019;s disease pathology</article-title>. <source>Curr Trends Neurol</source> <volume>5</volume>, <fpage>65</fpage>&#x2013;<lpage>78</lpage>. PMID: <pub-id pub-id-type="pmid">22180703</pub-id></citation></ref>
<ref id="ref57"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Shao</surname> <given-names>J.</given-names></name> <name><surname>Diamond</surname> <given-names>M. I.</given-names></name></person-group> (<year>2007</year>). <article-title>Polyglutamine diseases: emerging concepts in pathogenesis and therapy</article-title>. <source>Hum. Mol. Genet.</source> <volume>16</volume>, <fpage>R115</fpage>&#x2013;<lpage>R123</lpage>. doi: <pub-id pub-id-type="doi">10.1093/hmg/ddm213</pub-id>, PMID: <pub-id pub-id-type="pmid">17911155</pub-id></citation></ref>
<ref id="ref58"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Smith</surname> <given-names>M. A.</given-names></name> <name><surname>Brandt</surname> <given-names>J.</given-names></name> <name><surname>Shadmehr</surname> <given-names>R.</given-names></name></person-group> (<year>2000</year>). <article-title>Motor disorder in Huntington&#x2019;s disease begins as a dysfunction in error feedback control</article-title>. <source>Nature</source> <volume>403</volume>, <fpage>544</fpage>&#x2013;<lpage>549</lpage>. doi: <pub-id pub-id-type="doi">10.1038/35000576</pub-id>, PMID: <pub-id pub-id-type="pmid">10676962</pub-id></citation></ref>
<ref id="ref59"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Smith-Dijak</surname> <given-names>A. I.</given-names></name> <name><surname>Sepers</surname> <given-names>M. D.</given-names></name> <name><surname>Raymond</surname> <given-names>L. A.</given-names></name></person-group> (<year>2019</year>). <article-title>Alterations in synaptic function and plasticity in Huntington disease</article-title>. <source>J. Neurochem.</source> <volume>150</volume>, <fpage>346</fpage>&#x2013;<lpage>365</lpage>. doi: <pub-id pub-id-type="doi">10.1111/jnc.14723</pub-id>, PMID: <pub-id pub-id-type="pmid">31095731</pub-id></citation></ref>
<ref id="ref60"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Stjepanovic</surname> <given-names>G.</given-names></name> <name><surname>Davies</surname> <given-names>C. W.</given-names></name> <name><surname>Stanley</surname> <given-names>R. E.</given-names></name> <name><surname>Ragusa</surname> <given-names>M. J.</given-names></name> <name><surname>Kim</surname> <given-names>D. J.</given-names></name> <name><surname>Hurley</surname> <given-names>J. H.</given-names></name></person-group> (<year>2014</year>). <article-title>Assembly and dynamics of the autophagy-initiating Atg1 complex</article-title>. <source>Proc. Natl. Acad. Sci.</source> <volume>111</volume>, <fpage>12793</fpage>&#x2013;<lpage>12798</lpage>. doi: <pub-id pub-id-type="doi">10.1073/pnas.1407214111</pub-id>, PMID: <pub-id pub-id-type="pmid">25139988</pub-id></citation></ref>
<ref id="ref61"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Strong</surname> <given-names>T. V.</given-names></name> <name><surname>Tagle</surname> <given-names>D. A.</given-names></name> <name><surname>Valdes</surname> <given-names>J. M.</given-names></name> <name><surname>Elmer</surname> <given-names>L. W.</given-names></name> <name><surname>Boehm</surname> <given-names>K.</given-names></name> <name><surname>Swaroop</surname> <given-names>M.</given-names></name> <etal/></person-group>. (<year>1993</year>). <article-title>Widespread expression of the human and rat Huntington&#x2019;s disease gene in brain and nonneural tissues</article-title>. <source>Nat. Genet.</source> <volume>5</volume>, <fpage>259</fpage>&#x2013;<lpage>265</lpage>. doi: <pub-id pub-id-type="doi">10.1038/ng1193-259</pub-id>, PMID: <pub-id pub-id-type="pmid">8275091</pub-id></citation></ref>
<ref id="ref62"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sun</surname> <given-names>J.</given-names></name> <name><surname>Xu</surname> <given-names>A. Q.</given-names></name> <name><surname>Giraud</surname> <given-names>J.</given-names></name> <name><surname>Poppinga</surname> <given-names>H.</given-names></name> <name><surname>Riemensperger</surname> <given-names>T.</given-names></name> <name><surname>Fiala</surname> <given-names>A.</given-names></name> <etal/></person-group>. (<year>2018</year>). <article-title>Neural control of startle-induced locomotion by the mushroom bodies and associated neurons in Drosophila</article-title>. <source>Front. Syst. Neurosci.</source> <volume>12</volume>:<fpage>e00006</fpage>. doi: <pub-id pub-id-type="doi">10.3389/fnsys.2018.00006</pub-id></citation></ref>
<ref id="ref63"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Texada</surname> <given-names>M. J.</given-names></name> <name><surname>Lassen</surname> <given-names>M.</given-names></name> <name><surname>Pedersen</surname> <given-names>L. H.</given-names></name> <name><surname>Koyama</surname> <given-names>T.</given-names></name> <name><surname>Malita</surname> <given-names>A.</given-names></name> <name><surname>Rewitz</surname> <given-names>K.</given-names></name></person-group> (<year>2022</year>). <article-title>Insulin signaling couples growth and early maturation to cholesterol intake in Drosophila</article-title>. <source>Curr. Biol.</source> <volume>32</volume>, <fpage>1548</fpage>&#x2013;<lpage>1562</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.cub.2022.02.021</pub-id></citation></ref>
<ref id="ref64"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Tyedmers</surname> <given-names>J.</given-names></name> <name><surname>Mogk</surname> <given-names>A.</given-names></name> <name><surname>Bukau</surname> <given-names>B.</given-names></name></person-group> (<year>2010</year>). <article-title>Cellular strategies for controlling protein aggregation</article-title>. <source>Nat. Rev. Mol. Cell Biol.</source> <volume>11</volume>, <fpage>777</fpage>&#x2013;<lpage>788</lpage>. doi: <pub-id pub-id-type="doi">10.1038/nrm2993</pub-id>, PMID: <pub-id pub-id-type="pmid">20944667</pub-id></citation></ref>
<ref id="ref65"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Van Der Burg</surname> <given-names>J. M. M.</given-names></name> <name><surname>Bj&#x00F6;rkqvist</surname> <given-names>M.</given-names></name> <name><surname>Brundin</surname> <given-names>P.</given-names></name></person-group> (<year>2009</year>). <article-title>Beyond the brain: widespread pathology in Huntington&#x2019;s disease</article-title>. <source>Lancet Neurol.</source> <volume>8</volume>, <fpage>765</fpage>&#x2013;<lpage>774</lpage>. doi: <pub-id pub-id-type="doi">10.1016/S1474-4422(09)70178-4</pub-id>, PMID: <pub-id pub-id-type="pmid">19608102</pub-id></citation></ref>
<ref id="ref66"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Villanueva</surname> <given-names>J. E.</given-names></name> <name><surname>Livelo</surname> <given-names>C.</given-names></name> <name><surname>Trujillo</surname> <given-names>A. S.</given-names></name> <name><surname>Chandran</surname> <given-names>S.</given-names></name> <name><surname>Woodworth</surname> <given-names>B.</given-names></name> <name><surname>Andrade</surname> <given-names>L.</given-names></name> <etal/></person-group>. (<year>2019</year>). <article-title>Time-restricted feeding restores muscle function in Drosophila models of obesity and circadian-rhythm disruption</article-title>. <source>Nat. Commun.</source> <volume>10</volume>:<fpage>2700</fpage>. doi: <pub-id pub-id-type="doi">10.1038/s41467-019-10563-9</pub-id>, PMID: <pub-id pub-id-type="pmid">31221967</pub-id></citation></ref>
<ref id="ref67"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Voskobiynyk</surname> <given-names>Y.</given-names></name> <name><surname>Roth</surname> <given-names>J. R.</given-names></name> <name><surname>Cochran</surname> <given-names>J. N.</given-names></name> <name><surname>Rush</surname> <given-names>T.</given-names></name> <name><surname>Carullo</surname> <given-names>N. V.</given-names></name> <name><surname>Mesina</surname> <given-names>J. S.</given-names></name> <etal/></person-group>. (<year>2020</year>). <article-title>Alzheimer's disease risk gene Bin1 induces tau-dependent network hyperexcitability</article-title>. <source>elife</source> <volume>9</volume>:<fpage>57354</fpage>. doi: <pub-id pub-id-type="doi">10.7554/eLife.57354</pub-id>, PMID: <pub-id pub-id-type="pmid">32657270</pub-id></citation></ref>
<ref id="ref68"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wong</surname> <given-names>Y. C.</given-names></name> <name><surname>Holzbaur</surname> <given-names>E. L. F.</given-names></name></person-group> (<year>2014</year>). <article-title>The regulation of autophagosome dynamics by huntingtin and Hap1 is disrupted by expression of mutant huntingtin, leading to defective cargo degradation</article-title>. <source>J. Neurosci.</source> <volume>34</volume>, <fpage>1293</fpage>&#x2013;<lpage>1305</lpage>. doi: <pub-id pub-id-type="doi">10.1523/JNEUROSCI.1870-13.2014</pub-id>, PMID: <pub-id pub-id-type="pmid">24453320</pub-id></citation></ref>
<ref id="ref69"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Xu</surname> <given-names>Q.</given-names></name> <name><surname>Huang</surname> <given-names>S.</given-names></name> <name><surname>Song</surname> <given-names>M.</given-names></name> <name><surname>Wang</surname> <given-names>C. E.</given-names></name> <name><surname>Yan</surname> <given-names>S.</given-names></name> <name><surname>Liu</surname> <given-names>X.</given-names></name> <etal/></person-group>. (<year>2013</year>). <article-title>Synaptic mutant huntingtin inhibits synapsin-1 phosphorylation and causes neurological symptoms</article-title>. <source>J. Cell Biol.</source> <volume>202</volume>, <fpage>1123</fpage>&#x2013;<lpage>1138</lpage>. doi: <pub-id pub-id-type="doi">10.1083/jcb.201303146</pub-id>, PMID: <pub-id pub-id-type="pmid">24081492</pub-id></citation></ref>
<ref id="ref70"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname> <given-names>S.</given-names></name> <name><surname>Binari</surname> <given-names>R.</given-names></name> <name><surname>Zhou</surname> <given-names>R.</given-names></name> <name><surname>Perrimon</surname> <given-names>N.</given-names></name></person-group> (<year>2010</year>). <article-title>A genomewide Rna interference screen for modifiers of aggregates formation by mutant huntingtin in Drosophila</article-title>. <source>Genetics</source> <volume>184</volume>, <fpage>1165</fpage>&#x2013;<lpage>1179</lpage>. doi: <pub-id pub-id-type="doi">10.1534/genetics.109.112516</pub-id>, PMID: <pub-id pub-id-type="pmid">20100940</pub-id></citation></ref>
<ref id="ref71"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname> <given-names>H.</given-names></name> <name><surname>Stallock</surname> <given-names>J. P.</given-names></name> <name><surname>Ng</surname> <given-names>J. C.</given-names></name> <name><surname>Reinhard</surname> <given-names>C.</given-names></name> <name><surname>Neufeld</surname> <given-names>T. P.</given-names></name></person-group> (<year>2000</year>). <article-title>Regulation of cellular growth by the Drosophila target of rapamycin Dtor</article-title>. <source>Genes Dev.</source> <volume>14</volume>, <fpage>2712</fpage>&#x2013;<lpage>2724</lpage>. doi: <pub-id pub-id-type="doi">10.1101/gad.835000</pub-id>, PMID: <pub-id pub-id-type="pmid">11069888</pub-id></citation></ref>
<ref id="ref72"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zielonka</surname> <given-names>D.</given-names></name> <name><surname>Piotrowska</surname> <given-names>I.</given-names></name> <name><surname>Marcinkowski</surname> <given-names>J. T.</given-names></name> <name><surname>Mielcarek</surname> <given-names>M.</given-names></name></person-group> (<year>2014</year>). <article-title>Skeletal muscle pathology in Huntington's disease</article-title>. <source>Front. Physiol.</source> <volume>5</volume>:<fpage>380</fpage>. doi: <pub-id pub-id-type="doi">10.3389/fphys.2014.00380</pub-id>, PMID: <pub-id pub-id-type="pmid">25339908</pub-id></citation></ref>
</ref-list>
</back>
</article>