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De novo phosphoinositide synthesis in zebrafish is required for triad formation but not essential for myogenesis

  • Lindsay Smith,

    Roles Conceptualization, Data curation, Formal analysis, Investigation, Methodology, Project administration, Validation, Visualization, Writing – original draft, Writing – review & editing

    Affiliations Genetics and Genome Biology Program, The Hospital for Sick Children, Toronto, Ontario, Canada, Ontario Institute for Cancer Research, Toronto, Ontario, Canada

  • Lacramioara Fabian,

    Roles Data curation, Formal analysis, Investigation, Project administration, Validation, Visualization, Writing – review & editing

    Affiliation Genetics and Genome Biology Program, The Hospital for Sick Children, Toronto, Ontario, Canada

  • Almundher Al-Maawali,

    Roles Investigation, Writing – review & editing

    Affiliations Genetics and Genome Biology Program, The Hospital for Sick Children, Toronto, Ontario, Canada, Department of Genetics, College of Medicine and Health Sciences, Sultan Qaboos University & Sultan Qaboos University Hospital, Muscat, Oman

  • Ramil R. Noche,

    Roles Formal analysis, Investigation, Writing – review & editing

    Affiliation Zebrafish Genetics and Disease Models Core Facility, The Hospital for Sick Children, Toronto, Ontario, Canada

  • James J. Dowling

    Roles Conceptualization, Funding acquisition, Project administration, Supervision, Writing – review & editing

    james.dowling@sickkids.ca

    Affiliations Genetics and Genome Biology Program, The Hospital for Sick Children, Toronto, Ontario, Canada, Division of Neurology, The Hospital for Sick Children, Toronto, Ontario, Canada, Departments of Paediatrics and Molecular Genetics, University of Toronto, Toronto, Ontario, Canada

Abstract

Phosphoinositides (PIPs) and their regulatory enzymes are key players in many cellular processes and are required for aspects of vertebrate development. Dysregulated PIP metabolism has been implicated in several human diseases, including a subset of skeletal myopathies that feature structural defects in the triad. The role of PIPs in skeletal muscle formation, and particularly triad biogenesis, has yet to be determined. CDP-diacylglycerol-inositol 3-phosphatidyltransferase (CDIPT) catalyzes the formation of phosphatidylinositol, which is the base of all PIP species. Loss of CDIPT should, in theory, result in the failure to produce PIPs, and thus provide a strategy for establishing the requirement for PIPs during embryogenesis. In this study, we generated cdipt mutant zebrafish and determined the impact on skeletal myogenesis. Analysis of cdipt mutant muscle revealed no apparent global effect on early muscle development. However, small but significant defects were observed in triad size, with T-tubule area, inter terminal cisternae distance and gap width being smaller in cdipt mutants. This was associated with a decrease in motor performance. Overall, these data suggest that myogenesis in zebrafish does not require de novo PIP synthesis but does implicate a role for CDIPT in triad formation.

Introduction

The primary function of skeletal muscle is to produce the force that initiates and controls movement. Muscle has a number of unique substructures that are dedicated to force production, including the sarcomere, the neuromuscular junction (NMJ) and the triad [1]. As our understanding of the molecular basis of human muscle diseases grows, it is becoming more apparent that many myopathies involve alterations to at least one of these structures [13]. Of increasing significance are the abnormalities in the structure and function of the triad, which represents the apposition of sarcolemmal invaginations called T-tubules and the terminal cisternae of the sarcoplasmic reticulum (SR). The key role of the triad is to mediate excitation-contraction coupling (ECC), the process by which skeletal muscle translates neuronal signals into muscle contraction [4, 5].

Triad malformations are considered the major driver of muscle weakness in many myopathies [1, 6]. For example, loss of function mutations in CACNA1S and RYR1, genes that encode two critical components of the triad, result in subtypes of congenital myopathies, severe childhood conditions characterized by muscle weakness and severe disability [6, 7]. There are also a group of conditions referred to as secondary triadopathies, where gene mutations result in secondary structural and/or functional disruption of the triad [1]. Most relevant for this study are the centronuclear myopathies (discussed further below), the genetic causes of which primarily encode proteins that regulate membrane trafficking [5, 8, 9].

The factors that govern the development and maintenance of the triad remain unclear. Recent data has suggested that phosphoinositides may play an important role in triad formation and/or maintenance. Phosphoinositides (PIPs) are a family of membrane phospholipids involved in many essential cell functions, including cellular signaling, endocytosis, and autophagy, and are present in almost all cell types across eukaryotic species [10, 11]. Formation and turnover of the various PIP species are catalyzed by evolutionarily conserved families of kinases and phosphatases [12, 13]. Dysregulation of PIPs and their metabolic enzymes has been implicated in a number of human diseases, such as centronuclear myopathy, Charcot-Marie-Tooth Disease (CMT), Alzheimer’s disease, and some forms of cancer [1417]

The consideration of a potential role for PIPs in muscle development comes from two areas of study. One is the work surrounding BIN1, a BAR domain-containing protein that is known to recognize and induce membrane curvature [18, 19]. BIN1 has a PIP-binding domain that interacts with PIP2 (one of the seven PIP sub-species), and this interaction plays a critical role in the formation of T-tubules [20]. Recessive mutations in BIN1 result in centronuclear myopathy, a severe congenital muscle disease featuring abnormal muscle structure including disturbance of the T-tubule and the triad as a whole [21]. The second line of evidence comes from another form of centronuclear myopathy called X-linked myotubular myopathy or XLMTM [22]. XLMTM is caused by mutations in the PIP phosphatase myotubularin [23]. Mutation in myotubularin causes accumulation of PI3P and leads to abnormalities in the appearance and number of the triad [24, 25].

In this study, we investigated the role of PIPs in skeletal muscle triad development using the zebrafish model system. Zebrafish is an elegant model for studying skeletal muscle development [2631]. Skeletal muscle develops rapidly in zebrafish, muscle fibers are already developing by 24 hours post fertilization (hpf), with elongated fibers visible by 2 days post fertilization (dpf) [32]. Skeletal muscle is highly prominent in embryos and larvae, and the transparency of developing fish allows muscle fibers to be easily observed [28]. Additionally, zebrafish muscle shares many structural and histological features with mammalian muscle [33].

To determine the overall requirement for PIPs in muscle development we used the CRISPR/Cas9 technology to generate a cdipt zebrafish mutant. CDIPT, also known as phosphatidylinositol synthase (PIS), catalyzes the addition of a myo-inositol ring to a phospholipid backbone, cytidine diphosphate-diacylglycerol (CDP-DAG), to generate the base of all PIPs, phosphatidylinositol (PI) [34] (Fig 1A). It is the only protein currently known to perform this function in zebrafish [35]. CDIPT is a highly conserved integral membrane protein found on the cytoplasmic side of the endoplasmic reticulum (ER).

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Fig 1. Development of a CRISPR/Cas9 cdipt mutant zebrafish.

A) Schematic representation of phosphoinositide signaling pathway. CDIPT catalyzes the addition of the myo-inositol to the CDP-DAG to generate PI, which is the base precursor for all species of PIPs. B) Schematic representing exon organization of cdipt. Exon 3 was targeted by CRISPR/Cas9 gene editing. C) Sanger sequencing of wildtype (WT) and homozygous cdipt mutant (MUT) larvae showing a 10-bp deletion in exon 3 of cdipt. D) Fold change of mRNA levels between WT and MUT fish at both 3 dpf and 6 dpf. There is a significant change in cdipt mRNA levels between WT and MUT zebrafish at both 3 dpf (0.5-fold reduction; *p = 0.0035) and 6 dpf (0.6-fold reduction; **p = 0.0073). Each replicate is represented by a point, n = 30 per replicate; Student’s t test, 2-tailed. Error bars indicate SEM.

https://doi.org/10.1371/journal.pone.0231364.g001

Previous study of a zebrafish cdipt mutant revealed a liver phenotype reminiscent of phenotypes seen in other models of PIP dysregulation [35]. This study, however, did not examine skeletal muscle. In the current study, we examine the skeletal muscle in a new cdipt mutant. We show that loss of CDIPT has no effect on early muscle development, suggesting that skeletal myogenesis does not require de novo PIP synthesis. Instead, CDIPT appears to be required for proper formation of the triad.

Materials and methods

Zebrafish maintenance

Zebrafish stocks were maintained at the Zebrafish Facility at the Hospital for Sick Children, Toronto, ON, Canada. All zebrafish procedures were performed in compliance with the Animals for Research Act of Ontario and the Guidelines of the Canadian Council on Animal Care. Approved by Animal Care Committee at SickKids, Toronto, Ontario, Canada. Assigned Protocol #: 1000052731. Zebrafish were anesthetized using Tricaine. The cdipthi559 zebrafish line was obtained from the Zebrafish International Resource Center (ZIRC)

Generation of zebrafish cdipt mutants

A detailed procedure for CRISPR/Cas9 editing in zebrafish has been described previously [36]. Blast search of the zebrafish genome confirmed the existence of a single cdipt paralog in zebrafish (NM_207088). The cdipt target in this study was 5’- GGTTCACCAGCAAACACATGGTGG-3’ in exon 3. One-cell-stage AB WT embryos were injected with gRNA and Ca9 mRNA with a Picopump (World Precision Instruments). Potential founders (F0) were outcrossed to AB WT fish. Genomic DNA was isolated from single F1 embryos at 6 dpf and genotyped using high resolution melt (HRM) analysis. A cdipt sequence spanning the CRISPR/Cas9 target site was amplified with the following primers: F: 5’-AGCTGGAACAGAAAAGTGTAGGA-3’; and R: 5’-TAGGTACAAAATTTGGTGCAATG-3’. Carriers were identified and outcrossed ultimately to the F3 generation. In-cross progeny from the F3 and F4 generations were characterized in this study.

Real-time PCR (qPCR)

RNA was extracted from 3 dpf and 6 dpf cdipt mutant zebrafish and their wildtype siblings using RNAeasy (Qiagen). RNA samples were reverse transcribed into cDNA using the iScript cDNA synthesis kit (BioRad). Primers were designed to result in a product spanning exons 4–6 of cdipt: F: 5’-ACCCCATTTTACGGCTGTACT-‘3; and R: 5’-TACCTGGGGTTCTTCGATGT-‘3. Products were amplified using Step-One-Plus Real-Time PCR System (Applied Biosystems). The zebrafish beta-actin gene, actb1, was used as an endogenous control.

Birefringence

Tricaine-anaesthetised larvae were mounted in 3% methylcellulose on glass slides and imaged under polarized light on a dissecting microscope (Olympus SZX7).

Skeletal myofiber preparations

Myofiber preparations of 6 dpf wildtype and cdipt mutant zebrafish were made following the protocol described previously [37]. Briefly, 10–20 embryos from each genotype were dissociated with 3.125 mg/ml collagenase II (Worthington Biochemical Corp., NJ, USA) in CO2-independent media (ThermoFischer Scientific) for 1.5–2 hours. After centrifugation and washes, the pelleted myofibers were resuspended in 1 ml of CO2-independent media and filtered through 70 μm and 40 μm filters. The filtered myofiber suspensions were plated on poly-L-lysine-coated coverslips and allowed to settle at room temperature for at least 1 hour. Coverslips were then fixed immediately with 4% PFA in PBS, rinsed, and stored at 4°C in PBS until processed for immunostaining.

Immunofluorescence staining

Immunostaining of myofiber preparations was performed as previously described [37]. Briefly, myofiber preparations were fixed with 4% PFA, for 20 min, permeabilized with PBST (0.3% TritonX in PBS), blocked for 1 hour with PBSTB (5% BSA in PBT) and incubated overnight at 4°C with primary antibodies. The following primary antibodies were used: mouse anti-DHPR (1:200; DHPRa1A; Abcam), mouse anti-α-Actinin (1:100; Sigma), mouse anti-RyR1 (1:100; 34C; DSHB), rabbit anti-Junctin (1:350; gift from Dulhunty lab), mouse anti-PI(3)P (1:100; Echelon Biosciences Inc.), mouse anti-PI(3,4)P2 (1:100; Echelon Biosciences Inc.), mouse anti-PI(4,5)P2 (1:100; Echelon Biosciences Inc.). Alexa Fluor-conjugated secondary antibodies were used at 1:1000 (Invitrogen). Rhodamine phalloidin (Phalloidin 555) was used to visualize filamentous actin (1:300, Molecular Probes). Preparations were mounted with ProLong Gold with DAPI (Invitrogen). Images were acquired with a Nikon Eclipse Ti laser scanning confocal using NIS Elements software (Nikon Corporation, Tokyo, Japan) and only adjusted for brightness and contrast using Adobe Photoshop.

Live confocal imaging

One-cell stage zebrafish embryos were injected with 10 pg of a cDNA construct containing a fluorescent protein attached to a PIP-binding protein domain [Bodipy-PI (Echelon Biosciences Inc)]; PLC-δ-PH-GFP (Tobias Meyer Lab, Stanford University, CA) using a Picopump (World Precision Instruments). At 1 dpf, injected zebrafish were incubated in 0.2 mM phenylthiourea to prevent pigment formation. To image, zebrafish were screened for fluorescent myofibers on a macroscope (Zeiss Axio Zoom) and mounted in 1.5% low-melt agarose on a 3 cm glass-bottom petri dish. All confocal images were taken with a Nikon Eclipse Ti confocal microscope using a 40x oil-immersion lens.

Transmission electron microscopy

Zebrafish clutches at 6 dpf were anaesthetised in tricaine and fixed in Karnovsky’s fixative overnight at 4°C. Samples were sent to the Advanced Bioimaging Center (Sickkids Peter Gilgan Centre for Research and Learning, Toronto) where larvae were processed. Briefly, larvae were rinsed in buffer, post-fixed in 1% osmium tetroxide in buffer, dehydrated, and embedded in Quetol-Spurr resin. Following this, 70 nm sections thick were cut with a Leica UC7 ultramicrotome, stained with uranyl acetate and lead citrate, and viewed either with an FEI Tecnai 20 transmission electron microscope (Technai, Oregon, USA) (Bioimaging Facility at The Hospital for Sick Children, Toronto) or with a JEOL JEM 1200EX TEM (JEOL, Massachusetts, USA) (Electron Microscopy Facility at the Laboratory of Pathology, The Hospital for Sick Children, Toronto). Images were obtained using Gatan Digital Micrograph acquisition software or AmtV542, and were manipulated only for brightness and contrast using Adobe Photoshop.

Immuno-electron microscopy

6 dpf zebrafish embryos were anaesthetised in tricaine and fixed for 2h at room temperature followed by overnight fixation at 4°C in 4% PFA, 0.1% glutaraldehyde in 0.1M sodium cacodylate buffer with 0.2M sucrose. Samples were rinsed in 0.1M sodium cacodylate buffer and dehydrated in ethanol series (70% ethanol for 1h at 4°C; 90% ethanol for 1h at 20°C; 100% ethanol for 1h at -20°C, twice). Samples were then embedded in 50/50 LR White resin/ethanol for 1h at -20°C, followed by 70/30 LR White resin/ethanol for 1h at -20°C and 100% LR White resin for 1h at -20°C. Samples were then left overnight at -20°C in 100% LR White resin. Embryos were then placed in capsules filled with LR White resin mixed with benzoin methyl ether (0.1 g in 100 ml LR White), sealed, and placed in the oven for polymerization at 65°C for at least 72h.

70 nm ultrathin sections were cut with a Leica UC7 ultramicrotome and placed on formvar-coated grids, which were then processed for gold labelled immunostaining. Grids were treated with 0.15M glycine in PBS for 15 minutes, rinsed with PBS, followed by Aurion blocking solution (Aurion, The Netherlands) for 15 minutes. Primary antibodies were diluted in 0.1% BSA-c (Aurion, The Netherlands) at the following concentrations: 1:25 mouse anti-PI(4,5)P2; 1:10 mouse anti-PI(3,4)P2; 1:10 mouse anti-PI(3)P (Echelon Biosciences, Inc.). Samples were incubated with primary antibodies for 1h at room temperature. After rinsing the samples with PBS 5 x 5 minutes, these were incubated with 10nm gold-conjugated goat anti-mouse secondary antibody (1:10; Electron Microscope Sciences, Hatfield, PA) for 1h at room temperature. Samples were then rinsed 5 x 5 minutes with PBS, treated with 2% glutaraldehyde (in PBS) for 5 minutes, rinsed 5 x 5 minutes with distilled water and air dried. Gold immunolabelled samples were counter-stained with uranyl acetate and lead citrate and viewed with a JEOL JEM 1200EX TEM (JEOL, Massachusetts, USA) (Electron Microscopy Facility at the Laboratory of Pathology, The Hospital for Sick Children, Toronto). Images were obtained using AmtV542 software, and were manipulated only for brightness and contrast using Adobe Photoshop.

Triad size measurement

To determine total triad area (A1+A2+A3), the following features were measured: area of T-tubule (A1), areas of the two terminal cisternae (A2, A3), the distance between the membranes of the two terminal cisternae (D1) and the width of the gap between the membrane of the terminal cisternae and the T-tubule membrane (*). Measurements were done using the open source software Image J. Data and statistical analyses were performed using GraphPad Prism 8 (GraphPad Software Inc., San Diego, CA). Data set for quantification is available on figshare. DOI: https://doi.org/10.6084/m9.figshare.12490589.v1

Swim test and photoactivation assay

All motor behaviour analysis was performed using Zebrabox software (Viewpoint, France) as previously described [30]. To perform the photoactivation assay, zebrafish were incubated for 5 min at 28.5°C with optovin 6b8 (ID 5705191l; ChemBridge), an optovin analog [38]. Optovin is a reversible TRPA1 ligand that elicits motor excitation following exposure to light. After incubation, the Zebrabox platform monitored larvae for 20 second cycles over 10 minutes. Parameters were set to capture 5 seconds of exposure to white light to elicit ambulatory movement, followed by 15 seconds of recovery behaviour in the dark. This was repeated 30 times, to get a total experiment time of 10 minutes. The average speed traveled during the 20 second cycle was used to compare groups (i.e., cdipt mutants vs. WT siblings). To perform the spontaneous swim assay, zebrafish in system water were followed for 1 hour. Data were analyzed using statistics software (GraphPad Prism). Data set for quantification is available on figshare. DOI: https://doi.org/10.6084/m9.figshare.12490589.v1

Morpholino studies

For knockdown of maternal cdipt, the following ATG-targeting MO was designed: 5’-CCGAGAGTTTCTTTCTTTGGACGGA-‘3 (GeneTools LLC). An MO designed to a random sequence (5′-CCTCTTACCTCAGTTACAATTTATA-3′) with no homology by Basic Local Alignment Search Tool (BLAST) analysis in the zebrafish genome was used as a control (GeneTools LLC). Fertilized eggs were collected after timed matings of adult zebrafish and injected at the 1-cell stage using a Picopump (World Precision Instruments). Embryos were injected with concentrations ranging from 0.15–0.5 mM in a volume of 1 nl.

Results

Developing a new cdipt mutant zebrafish line

Exon 3 of the cdipt gene was targeted using the CRISPR/Cas9 system (Fig 1B). A 10 bp deletion allele, hereafter referred to as cdipt mutant when present in homozygosity, was identified after Sanger sequencing (Fig 1C). Due to lack of commercially available antibodies against zebrafish CDIPT, we performed real-time PCR (qPCR) on total RNA from whole embryos to confirm that cdipt transcript is reduced by this mutation. There was a significant difference in cdipt mRNA levels between wildtype (WT) and mutants at both 3 dpf and 6 dpf (Fig 1D) (P < 0.05, n = 30). This suggests that mutant cdipt mRNA transcripts are being directed to the nonsense-mediated decay pathway, and is consistent with this mutation being a loss of expression and function allele.

cdipt zebrafish exhibit morphological and gastrointestinal system abnormalities

Homozygous cdipt mutant fish appeared phenotypically normal until 5 dpf, when gastrointestinal system abnormalities are visible with bright-field microscopy. The mutant phenotype is fully penetrant at 6 dpf and includes a dark, globular liver and small intestine, partial deterioration of the ventral fin (folds, incisions, missing areas), tissue degradation around the cloaca, and abnormal jaw structure (Fig 2A and S1 Fig). The gastrointestinal features are reminiscent of the mutant cdipthi559/hi559 phenotype, and have already been well characterized [35]. Of note, we validated our cdipt mutant by crossing heterozygous fish with cdipthi559/+ fish (obtained from ZIRC). The resulting compound heterozygous offspring manifested a liver phenotype identical in appearance to both cdipthi559/hi559 and our newly generated cdipt mutant.

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Fig 2. Characterization of the cdipt mutant phenotype at 6dpf.

A) cdipt mutant zebrafish exhibit a gastrointestinal phenotype with a dark, globular and oversized liver (yellow outline) and a small intestine (yellow arrows), abnormal jaw structure (black arrows), tissue degradation around the cloaca (black arrowhead), and defective ventral fin (yellow arrowhead). B) Representative image of cdipt mutants at 6dpf, showing normal birefringence pattern indistinguishable from WT siblings, indicative of normal sarcomere organization. C) Confocal micrographs showing localization by indirect immunofluorescence of actin (upper panels), DHPR (middle panels) and α-actinin (bottom panels) in the skeletal myofibers. There is no noticeable difference in the localization of these proteins between WT (left column) and cdipt mutant (right column). Insets represent high magnification of areas surrounded by white rectangles. Scale bars = 5 μm.

https://doi.org/10.1371/journal.pone.0231364.g002

cdipt zebrafish have generally normal muscle structure

Gross morphology of cdipt zebrafish muscle was investigated using birefringence. Birefringence uses polarized light to assess muscle integrity. Organized skeletal muscle will appear bright amidst a dark background when visualized between two polarized light filters, whereas disorganized muscle exhibits degenerative dark patches and an overall decrease in brightness in some myotomes. Based on birefringence analysis, cdipt zebrafish have normal muscle integrity and sarcomere organization at all ages examined (Fig 2B).

We next studied the localization of several sarcomeric proteins, such as actin, myosin (contractile proteins), dihydropyridine receptor (DHPR), ryanodine receptor type 1 (RyR1) and junctin (markers for triads), laminin and dystrophin (markers for myotendinous junctions), and α-actinin (a Z-line marker). Immunostaining with antibodies against these proteins on myofibers isolated from 6dpf zebrafish showed no differences in localization between WT and cdipt mutants (Fig 2C and S2 Fig), indicating no qualitative defects in the formation and organization of key muscle structures.

We next studied the ultrastructure of muscle, given that abnormal triad formation is a hallmark of many PIP-related myopathies and may not be appreciated by light microscopy. cdipt larvae and their WT siblings were thus processed at 6 dpf for transmission electron microscopy. Electron micrographs revealed no major abnormalities in triad structure in cdipt mutants (Fig 3A and 3B). To better characterize the triads we measured the area of T-tubules (A1), the areas of the two terminal cisternae (A2, A3), total triad area (A1+A2+A3), the distance between the membranes of the two terminal cisternae of the sarcoplasmic reticulum (D1), and the width of the gap between the T-tubule and each of the two terminal cisternae (*), where the junctional feet corresponding to the ryanodine receptor-dihydhropyridine receptor complex are found [4] (Fig 3C). There was no significant difference in the total area of the triad (A1+A2+A3) (Fig 3D). However, the distance between terminal cisternae at maximum distance (D1) and the gap width (*) were quantitatively and significantly smaller in cdipt mutants (Fig 3D).

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Fig 3. Skeletal muscle ultrastructure.

A-B) Transmission electron micrographs show normal skeletal muscle ultrastructure in cdipt larvae. T-tubules (insets; black arrow) are apposed by terminal cisternae of sarcoplasmic reticulum (insets; white arrow). C) Diagram illustrating triad structure and features used for measurements: A1 = T-tubule area; A2 and A3 = terminal cisternae (TC) areas; D1 = maximum distance between TCs; * = gap width (distance between TC membrane and T-tubule membrane). D) There is no significant difference in the triad area between WT and cdipt mutant larvae (A1+A2+A3 graph) (n = 36, p = 0.9217). The T-tubule area (A1 graph) is qualitatively slightly smaller in the cdipt mutant than in WT (n = 36; P = 0.5246), whereas the distance between cisternae at maximum distance (D1 graph) (n = 36, p < 0.0001) and the gap width (* graph) (n = 44, p < 0.0001) are significantly smaller in cdipt mutants than in WT. Scale bars = 200 nm.

https://doi.org/10.1371/journal.pone.0231364.g003

cdipt zebrafish have abnormal motor behaviour as compared to wildtype siblings

Given the subtle but significant change observed in the appearance of the triad, we wanted to determine if there was any alteration in muscle function. To assess muscle function, we performed a spontaneous swim test assay and a routine photoactivation movement assay previously utilized by our lab [30]. The latter involved incubating zebrafish larvae with a molecule called optovin 6b8, which when exposed to white light, will activate zebrafish muscle through a reflex arc. If muscle function is impaired, mutants will have reduced movement when compared to WT. We did thirty rounds of 20 second-activation periods to assess both the speed of movement and muscle fatigue. The average speed of movement was significantly lower in cdipt mutant zebrafish both in the spontaneous swim test (Fig 4A and 4B) and in their response to optovin (Fig 4C and 4D). In addition, cdipt mutants spent less time moving (S3A Fig) and covered shorter distances than their WT siblings (S3B Fig). The rate of fatigue, however, was similar in the cdipt mutant and WT zebrafish, with both groups reaching a plateau at the same rate (Fig 4D).

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Fig 4. cdipt mutants have significantly impaired motor function compared to their wildtype siblings.

A) Spontaneous swim movement was assessed by tracking 5-days or 6-days old zebrafish larvae over 1 hour. Representative examples of tracking plots of individual larvae movement. Black represents slow movement (<5 mm/s), green represents average speed (5–20 mm/s), and red represents fast movement (>20 mm/s). B) The cdipt mutant larvae are significantly slower than their WT siblings, both at 5dpf (WT n = 22, cdipt n = 26, p = 0.0318) and 6dpf (WT n = 36, cdipt n = 28, p = 0.0036). C) Involuntary motor function was assessed using an optovin-stimulated movement assay in response to pulses of light. Representative examples of tracking plots of individual larvae showing movement over 20 seconds, involving 5 seconds of white light exposure followed by 15 seconds of darkness. D) There is a significant difference between the average speed travelled by WT zebrafish compared to cdipt mutant zebrafish (n = 18 and 14, respectively; p < 0.0001, Student’s t test, 2-tailed). WT and cdipt mutant zebrafish plateau at the same rate (n = 7, p = 0.3487).

https://doi.org/10.1371/journal.pone.0231364.g004

cdipt zebrafish do not show changes in the localization of PIPs

Given that CDIPT is the rate-limiting enzyme for PI synthesis (the precursor for all PIPs), we looked at the expression and localization of several species of PIPs in myofibers. We specifically investigated PI3P, PI(3,4)P2 and PI(4,5)P2 localization. PI(4,5)P2 and PI(3,4)P2 are found mostly at the plasma membrane, whereas PI3P is mostly found on endosomes [13]. Immunofluorescence staining with anti-PIP antibodies revealed no significant differences in the localization of PI(4,5)P2, PI3P, PI(3,4)P2 (Fig 5). To further investigate PI(4,5)P2 localization in cdipt larvae in vivo, a fluorescent marker for PI(4,5)P2 (PLCδPH-GFP) was injected into 1-cell stage cdipt embryos. At 6 dpf, PI(4,5)P2 appeared to properly localize to the plasma membrane (Fig 5A and 5A’). These results were further supported by immunoelectron microscopy studies. Nanogold-labelled antibodies against PI3P, PI(3,4)P2 and PI(4,5)P2 localized at the triad and its vicinity and showed similar localization pattern in WT and cdipt mutant embryos (Fig 6).

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Fig 5. Localization of PIPs by immunofluorescence in wildtype and cdipt mutant zebrafish.

Confocal micrographs showing localization of PIPs is not affected in early larval development of cdipt mutants. (A, A’) visualization of skeletal muscle from live embryos injected with PLCδPH-GFP, a marker for PI(4,5)P2. There was no obvious difference in expression between wild type (WT) and cdipt mutant embryos. (B-D, B’-D’) Immunostaining with PIP antibodies of myofibers isolated from WT and cdipt mutants. Localization of PI(4,5)P2 (B, B’), PI3P (C, C’) and PI(3,4)P2 (D, D’) is similar in wildtype and cdipt zebrafish. Scale bars = 10μm.

https://doi.org/10.1371/journal.pone.0231364.g005

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Fig 6. Localization of PIPs by immunoelectron microscopy in wildtype and cdipt mutant zebrafish.

Transmission immunoelectron micrographs showing localization of nanogold-labelled antibodies against (A, A’) PI(4,5)P2, (B, B’) PI(3,4)P2 and PI3P (C, C’) (yellow arrowheads) at the skeletal muscle triad. There is no difference in localization of these antibodies between WT and cdipt mutant embryos. Scale bar = 100nm.

https://doi.org/10.1371/journal.pone.0231364.g006

Maternal cdipt mRNA and/or PI are sufficient for normal muscle development

Given the importance of CDIPT in generating a precursor to all PIP species, it is surprising that there is no developmental phenotype in skeletal muscle. However, a previously published lipidomic analysis of the early zebrafish yolk found that PI is already present at 0 hpf [39] and previous results on cdipthi559/hi559 zebrafish [35] and our qPCR results (see Fig 1D) show there is maternal cdipt mRNA expression in early stages of the zebrafish embryo before zygotic gene expression is turned on.

To prevent production of CDIPT protein from maternal mRNA, we injected zebrafish embryos at one-cell stage with a translation blocking morpholino (ATG-MO). Injection of cdipt ATG-MO at both 0.3 mM and 0.5 mM caused increased levels of embryo death (S4A Fig), suggesting that blocking of maternal cdipt mRNA translation is broadly detrimental for embryogenesis. However, some morphants did survive beyond 3 dpf. In these morphants, the skeletal muscle development was not obviously affected, as assessed by general inspection and by birefringence (S4B Fig).

To investigate whether maternally deposited PI in the yolk can be delivered to developing skeletal muscle, we injected BODIPY-labelled PI into yolk at the one-cell stage. Fluorescence was tracked with a confocal microscope over several days. By 1 dpf, the fluorescent probes appeared in the skeletal muscle compartment (S5 Fig). Fluorescence was not detectable at 2 days post-injection and later. These results suggest that PI present in the yolk at early stages can be delivered to skeletal muscle.

Taken together, our data suggest that the presence of maternally deposited mRNA in the cell and/or PI in the yolk fulfill the early developmental requirements for CDIPT and for PI, which is consistent with the lack of a phenotype until the yolk is depleted at 5 dpf. This also suggests that once PI and its PIP derivatives are generated, they likely persist as a stable pool in skeletal muscle.

Discussion

To investigate the role of PIPs in muscle development, we developed and characterized a new cdipt mutant zebrafish. This mutant showed defects in fin morphology and aberrant swimming behaviour, in addition to the gastrointestinal defects previously reported in another cdipt mutant (cdipthi559/hi559) [35].

The purpose of generating this model was to determine how the potential loss of all seven PIP species would affect muscle development. We expected that loss of CDIPT and the subsequent depletion of PI would have severe effects on skeletal muscle; however, mutant cdipt larvae showed only minimal abnormalities in muscle structure and overall muscle function. We hypothesize that this modest phenotype is the result of PI deposited in the muscle during embryogenesis that then provides sufficient substrate for generation and maintenance of PIP species at subsequent developmental stages.

Given the importance of CDIPT in generating a precursor to all PIP species, it is surprising that there is no significant adverse phenotype in muscle. The lack of widespread abnormalities may be because cdipt mRNA and PIs are maternally deposited into zebrafish yolk. Depletion of maternal mRNA using a translation-blocking morpholino resulted in increased mortality in the zebrafish, consistent with a role for CDIPT and de novo PI synthesis in embryogenesis. However, the impact of the translation-blocking morpholino did not seem to affect skeletal muscle development in the surviving injected embryos, suggesting that maternally deposited CDIPT does not play a role in myogenesis. There is likely also an important contribution to total embryo PI from maternal deposition of this precursor lipid in the yolk. In order to remove this potential confounder to the assessment of CDIPT function in skeletal muscle, we would need to prevent the deposition of PI into the yolk, or develop a method of depleting yolk PI without disrupting other essential nutrients contained within the yolk. Currently, there are no technologies that would allow us to complete either of those experiments. We attempted to use direct lipase injection into the yolk in order to deplete it, but this resulted in embryonic lethality prior to myogenesis.

The one part of the muscle where we did observe abnormalities was the triad. We showed by immunofluorescence that several species of PIPs localize to the sarcomere. Moreover, our novel immunoelectron microscopy studies showed these molecules localize to the triad. To our knowledge, this is the first report on ultrastructural localization of PI3P, PI(3,4)P2 and PI(4,5)P2 at the triad in a vertebrate model, as previous studies focused on culture cell lines [4044]. Our data add to the growing evidence showing the importance of PIP metabolism in the development and maintenance of this key muscle substructure. Work with mammalian myocytes in culture has implicated PIP2 (via its binding to BIN1) in the formation of the T-tubule [20, 45]. While we did not see an overall decrease in PIP2 levels, nor in its localization, it is tempting to speculate that the loss of CDIPT impacted PIP synthesis sufficiently to result in mild but critical reduction in PIP2 levels that were enough to alter triad formation. Specifically, this alteration might affect binding to and localization of BIN1 to the T-tubule microdomains, the result of which would impair triad formation and/or maintenance and result in altered triad function and muscle weakness.

Alternatively, the motility impairment we see in the cdipt mutants might be due to defects in the organization and function of the neuromuscular junctions (NMJ). Phosphoinositides have been shown to regulate NMJ growth and morphology [46] and synaptic vesicle recycling in fruit flies [47, 48]. In addition, NMJs are disrupted in preclinical models of centronuclear myopathy due to mutations in MTM1 or DNM2 [49, 50]. We did explore this possibility by analyzing fatigue, a functional measure of NMJ signalling. We did not detect any signs of fatigable muscle weakness in our mutants, which would argue against a contribution to the motility impairment by disrupted NMJs. However, future studies will be required to fully explore this alternative mechanism and its potential relevance to the cdipt mutant motor phenotype.

Of note, phenotypic abnormalities in cdipt mutants do not appear until 5 dpf, shortly after the yolk has been depleted. The most prominent of these is the digestive system phenotype, likely reflecting a requirement for de novo PIP synthesis in this organ system, since pools of PI are locally made and used almost immediately after synthesis [51]. However, because skeletal muscle has no phenotype at 5 dpf and previous data has shown that cdipt mRNA is not present in skeletal muscle after 5 dpf [51], it is possible that maturing skeletal muscle does not require de novo PIP synthesis. Instead, perhaps PIPs are maintained in pools that can fluctuate between the different species when needed. Alternatively, a requirement for PIP synthesis in muscle may not manifest in the window of time after yolk depletion and before mutant death, but may develop as the muscle continues to grow and mature. Muscle specific targeting of cdipt would be helpful in the future to distinguish between these possibilities.

Of note, the most obvious phenotypes in the cdipt mutants are in the liver, gastrointestinal system, and the fin. Interestingly, these phenotypes of the cdipt mutants are also visible in mtm1 mutant zebrafish [30]. The fact that two mutated PIP-related genes cause similar defects suggest that PIP metabolism must be tightly regulated in these tissues in zebrafish development, and that there is an increased requirement for de novo synthesis and homeostatic balance.

Supporting information

S1 Fig. Phenotypic variations in cdipt mutants.

A-B) Examples of fin degeneration (yellow arrowheads), oversized liver (yellow outline), and abnormal jaw structure (black arrows) in cdipt mutant zebrafish. C) Many cdipt mutants have partially folded ventral fin.

https://doi.org/10.1371/journal.pone.0231364.s001

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S2 Fig. Localization of triad-associated proteins in the muscle.

Confocal micrographs showing localization by indirect immunofluorescence of RyR1 (top panels) and Junctin (bottom panels) in skeletal myofibers. There is no noticeable difference in localization of these proteins in WT (left panels) and cdipt mutant (right panels). Scale bars = 10μm.

https://doi.org/10.1371/journal.pone.0231364.s002

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S3 Fig. cdipt mutants have impaired motor function.

A) Cdipt mutant zebrafish spend significantly less time swimming compared to their WT siblings, both at 5dpf (WT n = 22, cdipt n = 26, p = 0.0359) and 6dpf (WT n = 36, cdipt n = 28, p = 0.0209). B) Cdipt mutant zebrafish travel significantly shorter distances compared to their WT siblings at 5dpf (WT n = 22, cdipt n = 26, p = 0.0121) whereas at 6dpf the travelled distances are not significantly different (WT n = 36, cdipt n = 28, p = 0.1015).

https://doi.org/10.1371/journal.pone.0231364.s003

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S4 Fig. Blocking maternal cdipt mRNA translation is detrimental for embryogenesis.

A) Embryos injected with ATG-MO (n = 115) show significantly higher mortality rates than those injected with Ctrl-MO (n = 117). B) Surviving ATG-MO-injected cdipt embryos have a normal birefringence pattern indistinguishable from their WT siblings.

https://doi.org/10.1371/journal.pone.0231364.s004

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S5 Fig. Maternally deposited PI in the yolk is transported to the muscle.

Zebrafish larvae at 1 dpf after injection of BODIPY-PI into yolk at the 1-cell stage (arrows indicate accumulation of fluorescently-labeled PI in the muscle).

https://doi.org/10.1371/journal.pone.0231364.s005

(TIF)

Acknowledgments

The authors gratefully thank Jonathan Volpatti, Yukari Endo and Mo Zhao (Dowling Lab) for useful discussions and insightful suggestions; Evangelina Aristegui for technical support; Scott Knox, Alejandro Salazar, and Elyjah Schimmens for zebrafish care (SickKids Zebrafish Facility); Paul Paroutis and Kimberley Lau for technical support (SickKids Imaging Facility); and Doug Holmyard, Ali Darbandi and William Martin (SickKids Nanoscale Biomedical Imaging Facility) for help with TEM and immunoEM sample preparation. The authors also thank the following people for generously providing reagents: Angela Dulhunty (John Curtin School of Medical Research, Australian National University, Canberra, Australia) for anti-Junctin antibody; Tobias Meyer Lab (Stanford University, CA) for the PLC-δPH-GFP construct; Sergio Grinstein and Julie Brill (The Hospital for Sick Children, Toronto, Canada) for PIP constructs and for helpful discussion. The authors gratefully acknowledge Zebrafish International Resource Center for providing the cdipthi559 fish line.

References

  1. 1. Dowling JJ, Lawlor MW, Dirksen RT. Triadopathies: an emerging class of skeletal muscle diseases. Neurotherapeutics. 2014;11(4):773–85. pmid:25168790
  2. 2. Gonorazky HD, Bönnemann CG, Dowling JJ. The genetics of congenital myopathies. Handbook of Clinical Neurology. 148: Elsevier; 2018. p. 549–64. https://doi.org/10.1016/B978-0-444-64076-5.00036-3 pmid:29478600
  3. 3. Nance JR, Dowling JJ, Gibbs EM, Bonnemann CG. Congenital myopathies: an update. Curr Neurol Neurosci Rep. 2012;12(2):165–74. pmid:22392505
  4. 4. Al-Qusairi L, Laporte J. T-tubule biogenesis and triad formation in skeletal muscle and implication in human diseases. Skelet Muscle. 2011;1(1):26. pmid:21797990
  5. 5. Jungbluth H, Treves S, Zorzato F, Sarkozy A, Ochala J, Sewry C, et al. Congenital myopathies: disorders of excitation-contraction coupling and muscle contraction. Nat Rev Neurol. 2018;14(3):151–67. pmid:29391587
  6. 6. Schartner V, Laporte J, Bohm J. Abnormal Excitation-Contraction Coupling and Calcium Homeostasis in Myopathies and Cardiomyopathies. J Neuromuscul Dis. 2019;6(3):289–305. pmid:31356215
  7. 7. Lawal TA, Todd JJ, Meilleur KG. Ryanodine Receptor 1-Related Myopathies: Diagnostic and Therapeutic Approaches. Neurotherapeutics. 2018;15(4):885–99. pmid:30406384
  8. 8. Cowling BS, Toussaint A, Muller J, Laporte J. Defective membrane remodeling in neuromuscular diseases: insights from animal models. PLoS Genet. 2012;8(4):e1002595. pmid:22496665
  9. 9. Dowling JJ, Gibbs EM, Feldman EL. Membrane traffic and muscle: lessons from human disease. Traffic. 2008;9(7):1035–43. pmid:18266915
  10. 10. Balla T. Phosphoinositides: tiny lipids with giant impact on cell regulation. Physiol Rev. 2013;93(3):1019–137. pmid:23899561
  11. 11. De Camilli P, Emr SD, McPherson PS, Novick P. Phosphoinositides as regulators in membrane traffic. Science. 1996;271(5255):1533–9. pmid:8599109
  12. 12. De Matteis MA, Godi A. PI-loting membrane traffic. Nat Cell Biol. 2004;6(6):487–92. pmid:15170460
  13. 13. Viaud J, Mansour R, Antkowiak A, Mujalli A, Valet C, Chicanne G, et al. Phosphoinositides: Important lipids in the coordination of cell dynamics. Biochimie. 2016;125:250–8. pmid:26391221
  14. 14. Bunney TD, Katan M. Phosphoinositide signalling in cancer: beyond PI3K and PTEN. Nat Rev Cancer. 2010;10(5):342–52. pmid:20414202
  15. 15. Lo Vasco VR. The Phosphoinositide Signal Transduction Pathway in the Pathogenesis of Alzheimer's Disease. Curr Alzheimer Res. 2018;15(4):355–62. pmid:28847278
  16. 16. Nicholson G, Lenk GM, Reddel SW, Grant AE, Towne CF, Ferguson CJ, et al. Distinctive genetic and clinical features of CMT4J: a severe neuropathy caused by mutations in the PI(3,5)P(2) phosphatase FIG4. Brain. 2011;134(Pt 7):1959–71. pmid:21705420
  17. 17. Volpatti JR, Al-Maawali A, Smith L, Al-Hashim A, Brill JA, Dowling JJ. The expanding spectrum of neurological disorders of phosphoinositide metabolism. Dis Model Mech. 2019;12(8).
  18. 18. Peter BJ, Kent HM, Mills IG, Vallis Y, Butler PJ, Evans PR, et al. BAR domains as sensors of membrane curvature: the amphiphysin BAR structure. Science. 2004;303(5657):495–9. pmid:14645856
  19. 19. Frost A, Unger VM, De Camilli P. The BAR domain superfamily: membrane-molding macromolecules. Cell. 2009;137(2):191–6. pmid:19379681
  20. 20. Lee E, Marcucci M, Daniell L, Pypaert M, Weisz OA, Ochoa GC, et al. Amphiphysin 2 (Bin1) and T-tubule biogenesis in muscle. Science. 2002;297(5584):1193–6. pmid:12183633
  21. 21. Hohendahl A, Roux A, Galli V. Structural insights into the centronuclear myopathy-associated functions of BIN1 and dynamin 2. J Struct Biol. 2016;196(1):37–47. pmid:27343996
  22. 22. Dowling JJ, Lawlor MW, Das S. X-Linked Myotubular Myopathy. In: Adam MP, Ardinger HH, Pagon RA, Wallace SE, Bean LJH, Stephens K, et al., editors. GeneReviews((R)). Seattle (WA)1993.
  23. 23. Smolenicka Z, Laporte J, Hu L, Dahl N, Fitzpatrick J, Kress W, et al. X-linked myotubular myopathy: refinement of the critical gene region. Neuromuscul Disord. 1996;6(4):275–81. pmid:8887957
  24. 24. Amoasii L, Bertazzi DL, Tronchere H, Hnia K, Chicanne G, Rinaldi B, et al. Phosphatase-dead myotubularin ameliorates X-linked centronuclear myopathy phenotypes in mice. PLoS Genet. 2012;8(10):e1002965. pmid:23071445
  25. 25. Dowling JJ, Vreede AP, Low SE, Gibbs EM, Kuwada JY, Bonnemann CG, et al. Loss of myotubularin function results in T-tubule disorganization in zebrafish and human myotubular myopathy. PLoS Genet. 2009;5(2):e1000372. pmid:19197364
  26. 26. Bailey EC, Alrowaished SS, Kilroy EA, Crooks ES, Drinkert DM, Karunasiri CM, et al. NAD+ improves neuromuscular development in a zebrafish model of FKRP-associated dystroglycanopathy. Skelet Muscle. 2019;9(1):21. pmid:31391079
  27. 27. Gibbs EM, Horstick EJ, Dowling JJ. Swimming into prominence: the zebrafish as a valuable tool for studying human myopathies and muscular dystrophies. FEBS J. 2013;280(17):4187–97. pmid:23809187
  28. 28. Keenan SR, Currie PD. The Developmental Phases of Zebrafish Myogenesis. J Dev Biol. 2019;7(2).
  29. 29. Li M, Hromowyk KJ, Amacher SL, Currie PD. Muscular dystrophy modeling in zebrafish. Methods Cell Biol. 2017;138:347–80. pmid:28129852
  30. 30. Sabha N, Volpatti JR, Gonorazky H, Reifler A, Davidson AE, Li X, et al. PIK3C2B inhibition improves function and prolongs survival in myotubular myopathy animal models. J Clin Invest. 2016;126(9):3613–25. pmid:27548528
  31. 31. Widrick JJ, Alexander MS, Sanchez B, Gibbs DE, Kawahara G, Beggs AH, et al. Muscle dysfunction in a zebrafish model of Duchenne muscular dystrophy. Physiol Genomics. 2016;48(11):850–60. pmid:27764767
  32. 32. Jackson HE, Ingham PW. Control of muscle fibre-type diversity during embryonic development: the zebrafish paradigm. Mech Dev. 2013;130(9–10):447–57. pmid:23811405
  33. 33. Lin YY. Muscle diseases in the zebrafish. Neuromuscul Disord. 2012;22(8):673–84. pmid:22647769
  34. 34. Lykidis A, Jackson PD, Rock CO, Jackowski S. The role of CDP-diacylglycerol synthetase and phosphatidylinositol synthase activity levels in the regulation of cellular phosphatidylinositol content. J Biol Chem. 1997;272(52):33402–9. pmid:9407135
  35. 35. Thakur PC, Stuckenholz C, Rivera MR, Davison JM, Yao JK, Amsterdam A, et al. Lack of de novo phosphatidylinositol synthesis leads to endoplasmic reticulum stress and hepatic steatosis in cdipt-deficient zebrafish. Hepatology. 2011;54(2):452–62. pmid:21488074
  36. 36. Ma AC, Chen Y, Blackburn PR, Ekker SC. TALEN-Mediated Mutagenesis and Genome Editing. Methods Mol Biol. 2016;1451:17–30. pmid:27464798
  37. 37. Horstick EJ, Gibbs EM, Li X, Davidson AE, Dowling JJ. Analysis of embryonic and larval zebrafish skeletal myofibers from dissociated preparations. J Vis Exp. 2013(81):e50259. pmid:24300240
  38. 38. Kokel D, Cheung CY, Mills R, Coutinho-Budd J, Huang L, Setola V, et al. Photochemical activation of TRPA1 channels in neurons and animals. Nat Chem Biol. 2013;9(4):257–63. pmid:23396078
  39. 39. Fraher D, Sanigorski A, Mellett NA, Meikle PJ, Sinclair AJ, Gibert Y. Zebrafish Embryonic Lipidomic Analysis Reveals that the Yolk Cell Is Metabolically Active in Processing Lipid. Cell Rep. 2016;14(6):1317–29. pmid:26854233
  40. 40. Mayhew TM, Griffiths G, Lucocq JM. Applications of an efficient method for comparing immunogold labelling patterns in the same sets of compartments in different groups of cells. Histochem Cell Biol. 2004;122(2):171–7. pmid:15258772
  41. 41. Pastorek L, Sobol M, Hozak P. Colocalization coefficients evaluating the distribution of molecular targets in microscopy methods based on pointed patterns. Histochem Cell Biol. 2016;146(4):391–406. pmid:27460592
  42. 42. Tabellini G, Bortul R, Santi S, Riccio M, Baldini G, Cappellini A, et al. Diacylglycerol kinase-theta is localized in the speckle domains of the nucleus. Exp Cell Res. 2003;287(1):143–54. pmid:12799190
  43. 43. Watt SA, Kular G, Fleming IN, Downes CP, Lucocq JM. Subcellular localization of phosphatidylinositol 4,5-bisphosphate using the pleckstrin homology domain of phospholipase C delta1. Biochem J. 2002;363(Pt 3):657–66. pmid:11964166
  44. 44. Wegner CS, Schink KO, Stenmark H, Brech A. Monitoring phosphatidylinositol 3-phosphate in multivesicular endosome biogenesis. Methods Enzymol. 2014;534:3–23. pmid:24359945
  45. 45. Kojima C, Hashimoto A, Yabuta I, Hirose M, Hashimoto S, Kanaho Y, et al. Regulation of Bin1 SH3 domain binding by phosphoinositides. EMBO J. 2004;23(22):4413–22. pmid:15483625
  46. 46. Khuong TM, Habets RL, Slabbaert JR, Verstreken P. WASP is activated by phosphatidylinositol-4,5-bisphosphate to restrict synapse growth in a pathway parallel to bone morphogenetic protein signaling. Proc Natl Acad Sci U S A. 2010;107(40):17379–84. pmid:20844206
  47. 47. Dickman DK, Horne JA, Meinertzhagen IA, Schwarz TL. A slowed classical pathway rather than kiss-and-run mediates endocytosis at synapses lacking synaptojanin and endophilin. Cell. 2005;123(3):521–33. pmid:16269341
  48. 48. Slabbaert JR, Khuong TM, Verstreken P. Phosphoinositides at the neuromuscular junction of Drosophila melanogaster: a genetic approach. Methods Cell Biol. 2012;108:227–47. pmid:22325606
  49. 49. Dowling JJ, Joubert R, Low SE, Durban AN, Messaddeq N, Li X, et al. Myotubular myopathy and the neuromuscular junction: a novel therapeutic approach from mouse models. Disease Models & Mechanisms. 2012;5(6):852–9.
  50. 50. Gibbs EM, Clarke NF, Rose K, Oates EC, Webster R, Feldman EL, et al. Neuromuscular junction abnormalities in DNM2-related centronuclear myopathy. J Mol Med (Berl). 2013;91(6):727–37.
  51. 51. Varnai P, Balla T. Live cell imaging of phosphoinositide dynamics with fluorescent protein domains. Biochim Biophys Acta. 2006;1761(8):957–67. pmid:16702024