Apobec2 deficiency causes mitochondrial defects and mitophagy in skeletal muscle

Apobec2 is a member of the activation‐induced deaminase/apolipoprotein B mRNA editing enzyme catalytic polypeptide cytidine deaminase family expressed in differentiated skeletal and cardiac muscle. We previously reported that Apobec2 deficiency in mice leads to a shift in muscle fiber type, myopathy, and diminished muscle mass. However, the mechanisms of myopathy caused by Apobec2 deficiency and its physiologic functions are unclear. Here we show that, although Apobec2 localizes to the sarcomeric Z‐lines in mouse tissue and cultured myotubes, the sarcomeric structure is not affected in Apobec2‐deficient muscle. In contrast, electron microscopy reveals enlarged mitochondria and mitochondria engulfed by autophagic vacuoles, suggesting that Apobec2 deficiency causes mitochondrial defects leading to increased mitophagy in skeletal muscle. Indeed, Apobec2 deficiency results in increased reactive oxygen species generation and depolarized mitochondria, leading to mitophagy as a defensive response. Furthermore, the exercise capacity of Apobec2−/−mice is impaired, implying Apobec2 deficiency results in ongoing muscle dysfunction. The presence of rimmed vacuoles in myofibers from 10‐mo‐old mice suggests that the chronic muscle damage impairs normal autophagy. We conclude that Apobec2 deficiency causes mitochondrial defects that increase muscle mitophagy, leading to myopathy and atrophy. Our findings demonstrate that Apobec2 is required for mitochondrial homeostasis to maintain normal skeletal muscle function.—Sato, Y., Ohtsubo, H., Nihei, N., Kaneko, T., Sato, Y., Adachi, S.‐I., Kondo, S., Nakamura, M., Mizunoya, W., Iida, H., Tatsumi, R., Rada, C., Yoshizawa, F. Apobec2 deficiency causes mitochondrial defects and mitophagy in skeletal muscle. FASEB J. 32,1428‐1439 (2018). www.fasebj.org

Apolipoprotein B mRNA editing enzyme catalytic polypeptide (APOBEC) family members are cytidine deaminases and have diverse roles by virtue of their ability to edit DNA and/or RNA (1)(2)(3)(4)(5). Apobec2 is one of the oldest members of the APOBEC family, along with the lymphoid-specific activation-induced deaminase, but its expression is restricted to differentiated cardiac and skeletal muscle in mammals and chicken (6)(7)(8). Unlike other APOBEC family members, the enzymatic activity and substrate of Apobec2 have not been fully demonstrated, and its biologic functions remain unknown (9,10). We have previously reported that Apobec2 is decreased during denervation-induced atrophy and expressed more strongly in slow-type muscle than in fast-type muscle (11). Phenotypic analysis of Apobec2-deficient mice showed a fiber-type shift toward slow-type fiber that was accompanied by diminished body mass and muscle regeneration (evident from the accumulation of myofibers with centrally located nuclei) (12). Muscle defects associated with Apobec2 deficiency have been also documented in zebrafish by using morpholino oligonucleotide-mediated knockdown of the Apobec2 proteins (Apo2a and Apo2b), which demonstrated myopathy in the somitic musculature (evidenced by the presence of cell-free spaces, long ABBREVIATIONS: APOBEC, apolipoprotein B mRNA editing enzyme catalytic polypeptide; DHE, dihydroethidium; EDL, extensor digitorum longus; LC, light chain; mtDNA, mitochondrial DNA; MyHC, myosin heavy chain; mTOR, mechanistic target of rapamycin; NADH-TR, nicotinamide adenine dinucleotide tetrazolium reductase; PGC-1a, proliferatoractivated receptor g coactivator 1-a; PINK1, phosphatase and tensin homolog-induced putative kinase 1; TCA, tricarboxylic acid cycle; ROS, reactive oxygen species; TA, tibialis anterior; WT, wild type myofibers, and impaired heart function) (13). Recent studies have suggested that Apobec2 might also play important roles in the regulation of left-right axis specification in Xenopus (14) and retinal regeneration of zebrafish glial cells (15)(16)(17). The exact molecular mechanism of Apobec2 action remains unclear. Some reports have hinted at a potential indirect role in controlling gene expression; for example, overexpression of Apo2b and the glycosylase MBD4 during zebrafish development has been shown to enhance genomic DNA demethylation (18), as has coexpression of human Apobec2 and the methylcytosine dioxygenase 1 TET1 in cultured mammalian cells (19). Moreover, ubiquitous overexpression of Apobec2 in transgenic mice was associated with nucleotide alterations in some transcripts in hepatocytes as well as increased liver and lung tumorigenesis (20). Thus, Apobec2 may have essential roles for body maintenance, not only in muscle but also for normal growth and development in vertebrates, despite its still questioned biochemical activity as a DNA/RNA editing enzyme.
Apobec2 is expressed in skeletal muscle and is induced during differentiation of myoblasts into fused multinucleated muscle fibers (12). Muscle fibers associate into bundles that can have different ratios of fiber types [specified by the dominant myosin heavy chain (MyHC) isoform of each fiber], thus determining the contractile properties of the muscle. Apobec2 is highly expressed in slow-type muscles, which predominantly rely on the oxidative metabolic pathway and are rich in mitochondria. Mechanical stress or biochemical defects can lead to muscle damage and/or fibrosis. Debris from damaged muscle fibers is first removed in a well-orchestrated process of phagocytosis by innate immune cells, such as neutrophils and M1-and M2-type microphages (21). The next phase of repair requires activation and recruitment of stem cells (satellite cells) that proliferate and differentiate in situ, leading to regeneration.
Recent observations have also linked the control of muscle regeneration to mitochondrial biogenesis and in particular to the removal of damaged mitochondria by the autophagy machinery. Furthermore, autophagy is not only vital for removing old or damaged cellular components for cellular homeostasis (22,23); it also plays an important role in maintaining muscle mass, and its defects lead to muscle atrophy and myopathy (24)(25)(26)(27)(28)(29)(30).
In this study, we investigated the specific function of mouse Apobec2 in adult skeletal muscle. Our results demonstrate that Apobec2 deficiency causes mitochondrial defects and results in increased mitophagy (selective mitochondrial autophagy). Our findings strongly suggest that Apobec2 is required for normal mitochondrial function to maintain skeletal muscle homeostasis and identify Apobec2 as a novel congenital myopathy gene and Apo-bec2 2/2 mice as a novel animal model of myopathies of unknown origin.

Mice
Apobec2 2/2 mice used in this study have been previously described (9). Mice were housed with free access to water and standard rodent chow. All animal experiments were performed in accordance with the Guidelines for Proper Conduct of Animal Experiments published by the Science Council of Japan and with the ethical approval of Kyushu University Institutional Review Board and regulations for the care and use of animals required by the Animal Experimentation Committee of Utsunomiya University. To monitor induced autophagy, mice were held without solid food (with free access to water) for 24 h before euthanasia and tissue collection.

Quantification of mitochondrial DNA by real-time PCR
Total DNA was isolated from muscles from 4 control and 4 Apobec2 2/2 mice using Trizol-chloroform. Copy number of mitochondrial DNA (mtDNA), Mtco2, was quantified by real-time quantitative PCR using a Roche LightCycler 1.5 with 18s rRNA as the control for nuclear genome DNA copy number. Primer sequences were as follows: Mtco2 forward, CCATA-GGGCACCAATGATACTG; Mtco2 reverse, AGTCGGCCTGG-GATGGCATC; 18S rRNA forward, CTTAGAGGGACAAG-TGGCGTTC; 18S rRNA reverse, CGCTGAGCCAGTCAGTGTAG.

Electron microscopy analysis
For electron microscopy analysis, soleus and EDL muscle from wild-type (WT) and Apobec2 2/2 mice were fixed in 3% glutaraldehyde in cacodylate buffer (pH 7.4). Specimens were postfixed in 1% osmium tetroxide in the same buffer, dehydrated with a graded series of ethanol, and embedded in epoxy resin. Ultrathin sections were stained with uranyl acetate and lead citrate and analyzed with an electron microscope (Hitachi, Tokyo, Japan).

Measurement of metabolites
Analysis of cytosolic metabolites in TA muscles of WT and Apobec2 2/2 mice were performed by C-SCOPE analysis service (Human Metabolome Technologies, Tsuruoka, Japan). Metabolites were extracted by removing protein using centrifugal filter devices after centrifugation. Extracted metabolites were analyzed by capillary electrophoresis mass spectrometry.

Detection of reactive oxygen species and mitochondrial membrane potential
Cross-sections of soleus muscles of WT and Apobec2 2/2 mice were incubated with 2 mM dihydroethidium (DHE) (D7008; Sigma-Aldrich) and DAPI in the dark for 30 min at 37°C. Red fluorescent ethidium results from the oxidation of DHE. Mitochondrial membrane potential was measured by using JC-1 dye. JC-1 is a cationic fluorescent dye that accumulates in mitochondria in a potential-dependent manner. Differentiated myotubes of WT and Apobec2 2/2 mice were labeled by JC-1 (Thermo Fisher Scientific) for 30 min at 37°C. Myotubes were then imaged at both green (JC-1 monomers, low potential) and red (JC-1 aggregates, high potential). The fluorescence intensities of DHE or JC-1 aggregate areas were quantified by ImageJ.

Measurement of exercise performance
Exercise performance was determined by allowing mice run on a treadmill until exhaustion (MK-680S; Muromachi Kikai, Tokyo, Japan). Mice were acclimated on the treadmill tilted at a 10% slope at a speed of 14 m/min for 10 min in 3 constitutive days before the test day. After acclimation, mice were run at 10 m/min for 10 min, and speed was increased by 2 m/min every 2 min until mice were exhausted. Running speed, time, and distance were recorded when the mice failed to climb the treadmill in 5 s despite the electric shock. Work and power were calculated as the following formula: work (SI) = bodyweight (kg) 3 gravity (9.81 m/s 2 ) 3 vertical speed (m/s 3 angle) 3 time (s), power (W) = work (SI)/time (s).

Statistical analysis
All data are presented as means 6 SEM. All assessment of significance was performed with 2-tailed Student's t test, and values of P , 0.05 were considered significant.

Apobec2 deficiency does not alter sarcomeric structure
Ectopically expressed Apobec2 is diffusely present in the cytoplasm and the nucleus in mammalian nonmuscle cell lines (31). However, the two Apobec2 homologs in zebrafish, Apo2a and Apo2b, differentially localize to the sarcomere in muscle cells, more precisely to the myoseptal boundary (13). Apo2b is also detected in the sarcomeric Z-lines of zebrafish muscle. To determine the localization of Apobec2 in mammalian muscle, we performed immunohistological analyses of longitudinal sections of the mouse TA muscle and on primary mouse myotubes isolated from hindlimb and differentiated in vitro. We detected specific staining for Apobec2 in the sarcomeric Z-lines (green), identified by a-actinin (red), in both mouse TA muscle and cultured myotubes (Fig. 1A, C, E, I, K, M). Thus, in mouse skeletal muscle and in differentiated myotubes, the localization of Apobec2 was similar to that of zebrafish Apo2b (13). Morpholino oligonucleotid-mediated depletion of Apo2a or Apo2b in zebrafish results in a dystrophic phenotype with cell-free spaces in the somitic musculature and abnormal myofibers (13). Therefore, we compared the structure of the sarcomere and the basal lamina in Apobec2-deficient mice and normal control mice ( Fig.  1C-H; Supplemental Fig. 1 related to Fig. 1). We observed normal differentiation in myoblasts isolated from the hindlimb of Apobec2 2/2 mice with normal fusion and development of the sarcomeric structure (Fig. 1K, L). Thus, mouse myoblasts do not require Apobec2 for the normal development of the sarcomeric structure and basal lamina.
Mitochondrial abnormalities in Apobec2 2/2 skeletal muscle Although Apobec2 deficiency did not alter the sarcomeric structure of muscle, we observed extensive phenotypic changes in the ultrastructure of the hindlimb muscles of 15-wk-old Apobec2 2/2 mice. Ultrastructural examination showed enlarged and/or elongated mitochondria with dense cristae in the soleus muscle compared with the small round and regular arrangement of mitochondria in control mice ( Fig. 2A). We also observed autophagosome-like vacuoles in intermyofibrillar spaces as well as degenerated subsarcolemmal mitochondria ( Fig. 2A). The structurally abnormal mitochondria were not confined to slow muscle but were also present in the EDL, a predominantly fast muscle. Swollen mitochondria exceeding the size of a single sarcomere were often observed in Apobec2 2/2 muscle ( Fig. 2A). Interestingly, many autophagosome-like vacuoles were observed around mitochondria, suggesting that the abnormal mitochondria associated with Apobec2 deficiency are removed by the autophagy machinery.
To characterize the effects of Apobec2 deficiency on the mitochondria in skeletal muscle, we performed histochemical analyses using the modified gomori trichrome staining, which identifies damaged mitochondria by the presence of ragged red fibers in the cytosol of individual myofibers. We identified the characteristic pattern associated with mitochondrial myopathy in sections of the TA muscle from 15-wk-old Apobec2 2/2 mice (Fig. 2B). Similarly, the NADH-TR stain showed abnormally thick and dense subsarcolemmal mitochondria and less-ordered and more coarse areas in the cytoplasm of Apobec2 2/2 compared with control soleus and EDL muscle fibers (Fig.  2B). Immunostaining of muscle cross-sections of 15-wkold mice with the mitochondrial outer membrane marker anti-TOM20 antibody also showed enlarged and disordered mitochondria, reminiscent of the abnormal structures seen by electron microscopy in the Apobec2 2/2 tissues (Fig. 2B). The increase in size and dysmorphic mitochondria observed in Apobec2 2/2 tissues were accompanied by significant changes in the expression levels of mitochondrial respiratory or uncoupling genes (Ndufa5, Sdha, Sdhb, Uqcrc1, Uqcrc2, Cycs, and Ucp3) and an increased amount of the mitochondrial oxphose proteins (Fig. 2C-E). This did not reflect an increase in the total number of mitochondria because the mtDNA copy number relative to nuclear DNA was indistinguishable between control and Apobec2-deficient tissues (Fig. 2F). However, the transcriptional regulators of mitochondrial biogenesis, Ppargc1a and Ppard, were significantly decreased in Apo-bec2 2/2 compared with control muscle (Fig. 2G). These  findings are consistent with recent studies demonstrating that proliferator-activated receptor g coactivator 1-a (PGC-1a) deficiency in muscle results in mitochondrial impairment with abnormal expression of respiratory chain enzymes but does not alter mitochondrial copy number (32)(33)(34).
To quantify the functional impact of the altered mitochondria morphology observed as a consequence of Apobec2 deficiency, we measured cytosolic metabolites using capillary electrophoresis-time-of-flight mass spectrometry in extracts from TA muscle from control and Apobec2 2/2 mice. Out of 116 cytosolic metabolites analyzed (Supplemental Table 1), we observed a significant increase in citric acid and cis-aconitic acid, both early metabolites in the tricarboxylic acid cycle (TCA), although other metabolites such as succinic acid were not significantly altered (Fig. 2H). This suggests that the morphologic changes associated with Apobec2 deficiency are also associated with functional impairment of mitochondria in skeletal muscle.
Reactive oxygen species-mediated mitochondrial depolarization in Apobec2 2/2 muscle Mitochondrial dysfunction induces reactive oxygen species (ROS) generation, leading to depolarization (35). To determine whether mitochondrial dysfunction of Apo-bec2 2/2 muscle was caused by ROS generation, we detected the presence of ROS in transversal sections of skeletal muscle by using DHE. Indeed, we observed an increased DHE fluorescence in Apobec2 2/2 muscle (Fig.  3A, C). ROS can induce rapid depolarization of inner mitochondrial membrane potential and subsequent impairment of function (35). Therefore, we analyzed the mitochondrial membrane potential of differentiated myotubes of WT and Apobec2 2/2 by fluorescence staining with JC-1. JC-1 forms an aggregate in polarized mitochondria that results in red fluorescence. However, the JC-1 monomer present in cells with depolarized mitochondrial membranes results in green fluorescence. Quantification of the red fluorescent intensities indicates that Apobec2 2/2 myotubes were depolarized compared with WT (Fig. 3B, D). Increased cytosolic cytochrome c protein in Apobec2 2/2 myotubes also supports the presence of mitochondrial depolarization and ROS generation (Fig. 3E).
Mitochondrial dysfunction leads to increased mitophagy in Apobec2 2/2 muscle Dysfunctional, depolarized mitochondria can produce higher amounts of ROS, leading to the release of cytochrome c and subsequent apoptosis. Therefore, ROSproducing, depolarized mitochondria are the substrate for mitophagy (36,37). We investigated whether the defects associated with Apobec2 deficiency-in particular the altered mitochondria-were associated with changes in the basal levels of autophagy and mitophagy. The expression levels of autophagy/mitophagyrelated genes in TA muscle, monitored by quantitative PCR, were significantly altered in Apobec2 2/2 samples, with elevated values for Map1lc3b and Gabarapl1 as well as Pink1 and Parkin (Fig. 4A). Thus, both the general autophagosome formation and the mitophagy pathways are induced in Apobec2-deficient muscle. The ubiquitin ligases Trim63 and Fbxo32, which are associated with inflammation-induced muscle atrophy and cachexia, remained within normal levels, suggesting that the induction of the autophagocytic pathway was specific to mitochondria rather than a general increase in the catabolic pathway (Fig. 4A). The hyperactivation of the autophagy pathway was also evident by the increased levels of LC3B as well as general polyubiquitinated proteins (Fig. 4B) (38). Furthermore, we observed an increased in the ratio of LC3B-II/LC3B-I proteins in Apobec2 2/2 muscle, an indication of enhanced autophagosome maturation (Fig. 4B). In addition, we observed decreased levels of p62 protein, an adaptor linking ubiquitinated proteins with the autophagic machinery, suggesting that the enhancement in autophagy was accompanied by increased autophagosome degradation (Fig. 4B).
Phosphatase and tensin homolog-induced putative kinase 1 (PINK1) and the E3 ubiquitin ligase Parkin (PARK2) are known regulators of mitophagy, promoting the specific ubiquitination of mitochondria and promoting their degradation (39,40). Both proteins were elevated in Apobec2-deficient muscle (Fig. 4B), confirming that the hyperactivation of the autophagy pathway was specifically directed to enhance mitophagy, although we detected no alteration in the phosphorylation levels of mechanistic target of rapamycin (mTOR), the main regulatory pathways of autophagy (Supplemental Fig. 2 related to Fig. 4B). mitochondria were seen in WT mice. Scale bars, 2 mm. B) Histologic analyses to characterize the effects of Apobec2 deficiency on the mitochondria in skeletal muscle from 15-wk-old WT and Apobec2 2/2 mice. a, b) Gomori trichrome staining of TA muscles shows damaged mitochondria by the presence of ragged red fibers in the cytosol of Apobec2 2/2 mice. c-f) NADH-TR staining of soleus and EDL shows thick and dense subsarcolemmal mitochondria and less-ordered and more coarse areas in the cytoplasm of Apobec2 2/2 . g, h) Immunostaining with anti-TOM20 of soleus muscles shows enlarged and disordered mitochondria in Apobec2 2/2 mice. Scale bars, 100 mm. C ) Relative expressions of mitochondrial respiratory or uncoupling genes relative to Actb (reference gene) in soleus muscle from 15-wk-old WT and Apobec2 2/2 mice. D) Immunoblot analysis of mitochondrial oxphos (ATP5A, UQCR2, COX I, SDHB, and NDUFB8) and UCP3 of soleus muscles from 15-wk-old WT and Apobec2 2/2 mice normalized to a-tubulin. E ) Graphs represent relative expression levels normalized to a-tubulin. *P , 0.05 (n = 3 for each group). F ) mtDNA (Mtco2) was measured relative to 18S rRNA as the control for nuclear genome DNA. G) Expression of Ppargc1a and Ppard mRNA in soleus muscle from WT and Apobec2 2/2 mice relative to Actb (reference gene). H ) Relative abundance of mitochondrial TCA metabolites in TA muscles from 15-wk-old WT and Apobec2 2/2 mice measured by capillary electrophoresis mass spectrometry. Data are means 6 SEM. *P , 0.05 (n = 4 for each group).
In agreement with the increased global levels of polyubiquitinated proteins observed in tissue extracts from Apobec2-deficient muscle, we observed increased polyubiquitin signal in individual myofibers by immunohistochemistry compared with controls (Fig. 4C, top panel).
Similarly, immunostaining with anti-LC3B to identify autophagosomes detected increased LC3B fluorescent puncta in Apobec2 2/2 TA muscle. Although LC3B puncta were induced after starvation and appeared distributed throughout the myofibers in both control and Apobec2deficient muscle, puncta were significantly higher in Apobec2 2/2 mice (Fig. 4C), indicating that the elevated basal level of autophagy was further induced. Immunostaining of transversal section of soleus muscle also demonstrated the colocalization of LC3B with mitochondria, identified by the anti-TOM20 staining, including the subsarcolemmal mitochondria observed in Apobec2 2/2 tissues (Fig. 4D).
Although Apobec2 is expressed at higher levels in slowtype muscle than in fast-type muscle (12), it is unclear to what extent the muscle atrophy associated with Apobec2 deficiency affects different fiber types. Whereas the overall number of myofibers in Apobec2 2/2 soleus muscle was unaltered, we detected swollen and significantly larger slow-type myofibers (slow-MyHC positive) with the characteristic thickened subsarcolemmal mitochondria (Fig. 4G, H). Quantification of average area per fiber also showed that, whereas the slow fibers were larger than in control muscle, the MyHC-slow negative (fast-type MyHC) fibers were significantly smaller (Fig. 4I). These size differences were consistent with our previous biochemical quantification of the relative amount of fast-vs. slow-type MyHC in soleus muscle, which indicated a specific deficit of type II MyHC and an increase in type I MyHC (12). Interestingly, MyHC-slow negative myofibers also had stronger signals of autophagosomal membrane protein LC3B, although MyHC-slow positive and negative myofibers in WT muscle had broad signals of LC3B (Fig. 4J). Overall these results suggest that Apobec2 deficiency leads to differential atrophy of fast-type fibers.
Functional myopathy in Apobec2 2/2 mice Given the mitochondrial dysfunction associated with Apobec2 deficiency, we tested the physiologic consequences on the overall muscle function under stress conditions. We exposed mice to increased exercise load on a treadmill test with progressive speed and quantified the time until exhaustion. Apobec2 2/2 mice remained active for shorter periods (35% less time than control mice), and they reached maximal speed at 15 m/min, compared with 26 m/min for control mice (Fig. 6A, B). This indicated that, on average, the running distance was decreased by 50% in Apobec2 2/2 mice (Fig. 6C). Parameters of work and power calculated based on body weight and treadmill slope also showed 67 and 51% decrease, respectively, compared with control mice (Fig. 6D, E). These results demonstrated a dramatic impairment in the exercise capacity of Apobec2 2/2 mice, confirming that the mitochondrial functional impairment associated with the lack of Apobec2 leads to muscular dysfunction.

DISCUSSION
Although the zinc-coordinating core of Apobec2 is highly conserved and structurally close to other activationinduced deaminase/APOBEC family members (49), the catalytic activity of Apobec2 remains controversial, with no consensus on either its substrates or its physiologic and molecular functions (9,10). In this study, we describe a physiologic function of Apobec2 in maintaining mitochondrial homeostasis in skeletal muscle. Apobec2 has been implicated in DNA demethylation (18), a process essential for normal myoblast differentiation and fusion into myotubes (50), as well as for normal development in zebrafish and Xenopus (14)(15)(16)(17). Our results confirmed the localization of mouse Apobec2 in the sarcomeric Z-lines in adult muscle tissue and in primary cultured myotubes, as has been reported for zebrafish Apob2b (13). Although induced in response to myogenic differentiation signals (12), our results further confirmed that Apobec2 is not required for myogenic fusion or differentiation. Because the sarcomere structure is not affected in Apobec2 2/2 muscle, we considered that Apobec2 does not contribute to the maintenance of sarcomere structure even though it was located at Z-line. Many proteins, not only those important for maintenance of sarcomere structure but also metabolic enzymes and signaling molecules, are located at the Z-line of muscle cells (51). Because Apobec2 has only detected in cytosolic fraction of rat skeletal muscles (11), its function may be associated with mitochondrial homeostasis in cytosol.
In mice, Apobec2 is clearly not essential during development, but muscle-specific defects (atrophy) are already present at birth, suggesting an intrinsic defect in terminally differentiated muscle that becomes aggravated with exercise and age (12). Skeletal muscle atrophy is a genetically controlled proteolysis process involving the activation of the autophagy lysosome and the ubiquitin-proteasome system, which control not only protein turnover and the size of the myofibers but also cellular homeostasis. Although we found expression of the ubiquitin ligases (Fbxo32 and Trim63) and the phosphorylation levels of mTOR, a main regulatory pathway of proteolysis, unaltered by Apobec2 deficiency, we observed multiple autophagic vacuoles around mitochondria and elongated or enlarged mitochondria as well as mitochondria containing abundant cristae, which has been described as a defensive response to exacerbated autophagy (52). Autophagy and mitophagy are important not only for organelle degradation and mitochondrial health but also for maintenance of skeletal muscle mass (24,25,53), as exemplified by transgenic mice where autophagy activation or inhibition results in muscle atrophy (24,49,54). Impaired autophagy or mitophagy are known to promote the accumulation of nuclear abnormalities, reduce cell viability, and induce muscle atrophy (27,28) and have been implicated in various human diseases, including cancer, cardiac/skeletal muscle disease with atrophy, and metabolic disorders (55,56). Indeed, skeletal muscle from autophagy-deficient mice closely mimics muscle from patients with sarcopenia and myopathy (47). Thus, the enhanced mitochondrial autophagy (mitophagy) a-tubulin. Bands are representative images of 3 independent experiments. HMW, high molecular weight. *P , 0.05. C ) Immunostaining of cross-sections of TA muscle from 15-wk-old C57Bl/6 and Apobec2 2/2 mice, with anti-poly-Ub (top) and anti-LC3B in normal mice (middle) or mice held without food overnight (bottom). Numbers of LC3B-positive puncta quantified from 50 randomly selected myofibers are summarized as histograms. D) Immunostaining with anti-Tom20 and anti-LC3B of cross-sections of TA muscle from a 15-wk-old WT mouse and an Apobec2 2/2 mouse. Colocalization of LC3B-positive puncta with Tom20 suggests mitophagy in the Apobec2 2/2 mouse. E ) Immunoblot analysis of PDHE1a, CytoC, and Tom20 in soleus muscles from 15-wk-old WT and Apobec2 2/2 mice. Graphs represent relative expression levels normalized to a-tubulin. *P , 0.05 (n = 3 for each group). F ) Immunoblot analysis of Mfn1, Fis1, Opa1, and BNIP3 in soleus muscles from 15-wk-old WT and Apobec2 2/2 mice. Graphs represent relative expression levels normalized to a-tubulin. *P , 0.05 (n = 3 for each group). G) Immunostaining with MyHC-slow (red) and LC3B (green) of cross-sections of soleus muscle (slow-type) from 15-wk-old WT and  Dysmorphic mitochondria and thickened subsarcolemmal mitochondria were evident in tissue sections from Apobec2 2/2 muscle and were accompanied by up-regulation of mitochondrial respiratory protein expression and increased ROS generation. Mitochondrial respiratory chains transport protons and create the electrochemical proton gradient across the inner mitochondrial membrane to synthesize ATP. ROS are generated during these aerobic metabolism processes and can lead to oxidative damage of mitochondrial proteins and DNA, impairing the ability of mitochondria to synthesize ATP and metabolites, including the TCA cycle. The mitochondrial TCA metabolites citric acid and cis-aconitic acid were significantly increased in Apobec2-deficient tissue extracts. However, there were no significant differences in 2-oxoglutaric acid and acetyl-CoA, both mitochondrial TCA metabolites implicated in the regulation of autophagy by activating the mTOR pathway (57,58). Consequently, the phosphorylation levels of mTOR were not altered in Apobec2 2/2 muscle. However, we documented the decrease in transcriptional regulators of mitochondrial biogenesis, Ppargc1a and Ppard in Apo-bec2 2/2 , suggesting that the altered TCA metabolites were likely the result of impaired mitochondrial function. PGC-1a deficiency in muscle causes mitochondrial impairment and abnormal expression of respiratory chain enzymes but does not alter mitochondrial copy number (32)(33)(34). We also observed no alteration of the mtDNA copy number in Apobec2-deficient tissue, but presumably this reflected compensatory regeneration of mitochondria.
It has been demonstrated that mitochondrial depolarization is the consequence of a decrease in the transmembrane potential. Dysfunctional, depolarized mitochondria can produce higher amounts of ROS, leading to the release of cytochrome c and subsequent apoptosis. Previous studies demonstrate that mitochondrial depolarization precedes mitophagy as a defensive response (35). Indeed, we observed increased expression of BNIP3, a receptor for mitophagy, as a defensive response against defective mitochondria (44,45) because BNIP3 overexpression induces autophagy in skeletal muscle in vivo (53). Expression of Bnip3 in Drosophila also suppresses muscle degeneration and the mitochondrial abnormality caused by PINK1 inactivation (46).
Defective autophagy plays a role in congenital muscular dystrophies caused by defects in collagen VI, laminin A/C, and dystrophin (59)(60)(61), but myopathy can also be the result of alterations in mitophagy-related genes such as Chkb and Mul1 (25,26). These mice display defects in mitochondria, muscle weakness, and muscle atrophy, but the exact mechanisms are still not defined.
We searched DisGeNET v5.0 (http://www.disgenet.org/ web/DisGeNET/menu/search; a public database from genomewide association studies) to find Apobec2-associated myopathy, but the search result revealed no apparent association of Apobec2 with any myopathy so far examined. However, our results could be interpreted as suggesting that Apobec2 acts as an unidentified autophagy/ mitophagy-related gene.
In summary, this study shows that mouse Apobec2 deficiency causes mitochondrial defects in skeletal muscle and induced mitophagy, both resulting in myopathy and muscle atrophy. Thus, Apobec2 2/2 mice provide a novel mammalian model for understanding mitophagy in muscle regeneration and its links to myopathy. Figure 5. Myofibers of Apobec2 2/2 mice accumulate rimmed vacuoles in old age. Hematoxylin and eosin staining of crosssections of TA muscles from 3-wk-old, 15-wk-old, and 10-mo-old WT and Apobec2 2/2 muscle. Arrows indicate centrally located nuclei in 15-wk-old and 10-mo-old Apobec2 2/2 myofibers. Arrowheads indicate rimmed vacuoles in 10-mo-old Apobec2 2/2 myofibers. Immunostaining of 10-mo-old muscles with LC3B antibody shows positive structures in Apobec2 2/2 myofibers (white arrow). Scale bars, 100 mm. Figure 6. Impaired exercise capacity in Apobec2 2/2 mice. Treadmill exercise was performed in 15-wk-old WT and Apobec2 2/2 mice after 3 d of acclimation. Mice ran at speed with a 2-m increase per minute at 10% slope until they failed to climb the treadmill in 5 s despite negative reward (electric shock). Time (A), speed (B), and distance (C ) were recorded. Work (D) and power (E ) were calculated with the normalization of individual body weight. All graphs represent means 6 SE. *P , 0.05 (n = 4 for each group).