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Urolithin A induces mitophagy and prolongs lifespan in C. elegans and increases muscle function in rodents

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Abstract

The biological effects of urolithins remain poorly characterized, despite wide-spread human exposure via the dietary consumption of their metabolic precursors, the ellagitannins, which are found in the pomegranate fruit, as well as in nuts and berries. We identified urolithin A (UA) as a first-in-class natural compound that induces mitophagy both in vitro and in vivo following oral consumption. In C. elegans, UA prevented the accumulation of dysfunctional mitochondria with age and extended lifespan. Likewise, UA prolonged normal activity during aging in C. elegans, including mobility and pharyngeal pumping, while maintaining mitochondrial respiratory capacity. These effects translated to rodents, where UA improved exercise capacity in two different mouse models of age-related decline of muscle function, as well as in young rats. Our findings highlight the health benefits of urolithin A and its potential application in strategies to improve mitochondrial and muscle function.

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Figure 1: UA improves fitness and extends lifespan.
Figure 2: UA alters mitochondrial functions in C. elegans.
Figure 3: Mitophagy is required for UA-mediated longevity phenotype.
Figure 4: UA induces mitophagy in muscle and intestinal mouse cell lines.
Figure 5: UA shifts mitochondria from CI- to CII-driven respiration.
Figure 6: UA improves exercise capacity in rodent models via the induction of mitophagy.

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References

  1. Cordain, L. et al. Plant–animal subsistence ratios and macronutrient energy estimations in worldwide hunter-gatherer diets. Am. J. Clin. Nutr. 71, 682–692 (2000).

    Article  CAS  PubMed  Google Scholar 

  2. Bakkalbas¸i, E., Mentes¸, O. & Artik, N. Food ellagitannins—occurrence, effects of processing and storage. Crit. Rev. Food Sci. Nutr. 49, 283–298 (2009).

    Article  CAS  Google Scholar 

  3. Johanningsmeier, S.D. & Harris, G.K. Pomegranate as a functional food and nutraceutical source. Annu. Rev. Food Sci. Technol. 2, 181–201 (2011).

    Article  CAS  PubMed  Google Scholar 

  4. Espín, J.C., Larrosa, M., García-Conesa, M.T. & Tomás-Barberán, F. Biological significance of urolithins, the gut microbial ellagic acid–derived metabolites: the evidence so far. Evid. Based Complement. Alternat. Med. 2013, 270418 (2013).

    Article  PubMed  PubMed Central  Google Scholar 

  5. Seeram, N.P. et al. Pomegranate juice ellagitannin metabolites are present in human plasma and some persist in urine for up to 48 hours. J. Nutr. 136, 2481–2485 (2006).

    Article  CAS  PubMed  Google Scholar 

  6. Nuñez-Sánchez, M.A. et al. Targeted metabolic profiling of pomegranate polyphenols and urolithins in plasma, urine and colon tissues from colorectal cancer patients. Mol. Nutr. Food Res. 58, 1199–1211 (2014).

    Article  CAS  PubMed  Google Scholar 

  7. Truchado, P. et al. Strawberry processing does not affect the production and urinary excretion of urolithins, ellagic acid metabolites, in humans. J. Agric. Food Chem. 60, 5749–5754 (2012).

    Article  CAS  PubMed  Google Scholar 

  8. González-Sarrías, A. et al. Occurrence of urolithins, gut microbiota ellagic acid metabolites and proliferation markers expression response in the human prostate gland upon consumption of walnuts and pomegranate juice. Mol. Nutr. Food Res. 54, 311–322 (2010).

    Article  CAS  PubMed  Google Scholar 

  9. Tomás-Barberán, F.A., García-Villalba, R., González-Sarrías, A., Selma, M.V. & Espín, J.C. Ellagic acid metabolism by human gut microbiota: consistent observation of three urolithin phenotypes in intervention trials, independent of food source, age and health status. J. Agric. Food Chem. 62, 6535–6538 (2014).

    Article  CAS  PubMed  Google Scholar 

  10. Seeram, N.P. et al. Pomegranate ellagitannin-derived metabolites inhibit prostate cancer growth and localize to the mouse prostate gland. J. Agric. Food Chem. 55, 7732–7737 (2007).

    Article  CAS  PubMed  Google Scholar 

  11. Piwowarski, J.P., Kiss, A.K., Granica, S. & Moeslinger, T. Urolithins, gut microbiota-derived metabolites of ellagitannins, inhibit LPS-induced inflammation in RAW 264.7 murine macrophages. Mol. Nutr. Food Res. 59, 2168–2177 (2015).

    Article  CAS  PubMed  Google Scholar 

  12. Kang, I., Kim, Y., Tomás-Barberán, F.A., Espín, J.C. & Chung, S. Urolithin A, C and D, but not iso-urolithin A and urolithin B, attenuate triglyceride accumulation in human cultures of adipocytes and hepatocytes. Mol. Nutr. Food Res. 60, 1129–1138 (2016).

    Article  CAS  PubMed  Google Scholar 

  13. Kenyon, C.J. The genetics of aging. Nature 464, 504–512 (2010).

    Article  CAS  PubMed  Google Scholar 

  14. Cabreiro, F. et al. Metformin retards aging in C. elegans by altering microbial folate and methionine metabolism. Cell 153, 228–239 (2013).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Wilkinson, D.S., Taylor, R.C. & Dillin, A. Analysis of aging in Caenorhabditis elegans. Methods Cell Biol. 107, 353–381 (2012).

    Article  CAS  PubMed  Google Scholar 

  16. Kenyon, C., Chang, J., Gensch, E., Rudner, A. & Tabtiang, R. A C. elegans mutant that lives twice as long as wild type. Nature 366, 461–464 (1993).

    Article  CAS  PubMed  Google Scholar 

  17. Lakowski, B. & Hekimi, S. The genetics of caloric restriction in Caenorhabditis elegans. Proc. Natl. Acad. Sci. USA 95, 13091–13096 (1998).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Dillin, A. et al. Rates of behavior and aging specified by mitochondrial function during development. Science 298, 2398–2401 (2002).

    Article  CAS  PubMed  Google Scholar 

  19. Lin, K., Dorman, J.B., Rodan, A. & Kenyon, C. daf-16: an HNF-3/forkhead family member that can function to double the life-span of Caenorhabditis elegans. Science 278, 1319–1322 (1997).

    Article  CAS  PubMed  Google Scholar 

  20. Apfeld, J., O'Connor, G., McDonagh, T., DiStefano, P.S. & Curtis, R. The AMP-activated protein kinase AAK-2 links energy levels and insulin-like signals to lifespan in C. elegans. Genes Dev. 18, 3004–3009 (2004).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Ishii, N. et al. A mutation in succinate dehydrogenase cytochrome b causes oxidative stress and aging in nematodes. Nature 394, 694–697 (1998).

    Article  CAS  PubMed  Google Scholar 

  22. Kang, C., You, Y.J. & Avery, L. Dual roles of autophagy in the survival of Caenorhabditis elegans during starvation. Genes Dev. 21, 2161–2171 (2007).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Hansen, M. et al. A role for autophagy in the extension of lifespan by dietary restriction in C. elegans. PLoS Genet. 4, e24 (2008).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Meléndez, A. et al. Autophagy genes are essential for dauer development and life-span extension in C. elegans. Science 301, 1387–1391 (2003).

    Article  CAS  PubMed  Google Scholar 

  25. Palikaras, K., Lionaki, E. & Tavernarakis, N. Coordination of mitophagy and mitochondrial biogenesis during aging in C. elegans. Nature 521, 525–528 (2015).

    Article  CAS  PubMed  Google Scholar 

  26. Chan, D.C. Fusion and fission: interlinked processes critical for mitochondrial health. Annu. Rev. Genet. 46, 265–287 (2012).

    Article  CAS  PubMed  Google Scholar 

  27. Lackner, L.L. & Nunnari, J. Small-molecule inhibitors of mitochondrial division: tools that translate basic biological research into medicine. Chem. Biol. 17, 578–583 (2010).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. Kirienko, N.V., Ausubel, F.M. & Ruvkun, G. Mitophagy confers resistance to siderophore-mediated killing by Pseudomonas aeruginosa. Proc. Natl. Acad. Sci. USA 112, 1821–1826 (2015).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Yang, Z. & Klionsky, D.J. Eaten alive: a history of macroautophagy. Nat. Cell Biol. 12, 814–822 (2010).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Guo, S. et al. A rapid and high content assay that measures cyto-ID-stained autophagic compartments and estimates autophagy flux with potential clinical applications. Autophagy 11, 560–572 (2015).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Mizushima, N., Yoshimori, T. & Levine, B. Methods in mammalian autophagy research. Cell 140, 313–326 (2010).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Lazarou, M. et al. The ubiquitin kinase PINK1 recruits autophagy receptors to induce mitophagy. Nature 524, 309–314 (2015).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  33. Tantama, M., Hung, Y.P. & Yellen, G. Imaging intracellular pH in live cells with a genetically encoded red fluorescent protein sensor. J. Am. Chem. Soc. 133, 10034–10037 (2011).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  34. Youle, R.J. & Narendra, D.P. Mechanisms of mitophagy. Nat. Rev. Mol. Cell Biol. 12, 9–14 (2011).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  35. Gasperotti, M. et al. Fate of microbial metabolites of dietary polyphenols in rats: is the brain their target destination? ACS Chem. Neurosci. 6, 1341–1352 (2015).

    Article  CAS  PubMed  Google Scholar 

  36. Kirkin, V., McEwan, D.G., Novak, I. & Dikic, I. A role for ubiquitin in selective autophagy. Mol. Cell 34, 259–269 (2009).

    Article  CAS  PubMed  Google Scholar 

  37. Lee, J.Y., Nagano, Y., Taylor, J.P., Lim, K.L. & Yao, T.P. Disease-causing mutations in parkin impair mitochondrial ubiquitination, aggregation and HDAC6-dependent mitophagy. J. Cell Biol. 189, 671–679 (2010).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  38. Bingol, B. et al. The mitochondrial deubiquitinase USP30 opposes parkin-mediated mitophagy. Nature 510, 370–375 (2014).

    Article  CAS  PubMed  Google Scholar 

  39. Bratic, A. & Larsson, N.G. The role of mitochondria in aging. J. Clin. Invest. 123, 951–957 (2013).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  40. Rubinsztein, D.C., Mariño, G. & Kroemer, G. Autophagy and aging. Cell 146, 682–695 (2011).

    Article  CAS  PubMed  Google Scholar 

  41. Andreux, P.A., Houtkooper, R.H. & Auwerx, J. Pharmacological approaches to restore mitochondrial function. Nat. Rev. Drug Discov. 12, 465–483 (2013).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  42. Gong, G. et al. Parkin-mediated mitophagy directs perinatal cardiac metabolic maturation in mice. Science 350, aad2459 (2015).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  43. Center for Drug Evaluation and Research. Guidance for industry: estimating the maximum safe starting dose in initial clinical trials for therapeutics in adult healthy volunteers. Food and Drug Administration http://www.fda.gov/downloads/Drugs/.../Guidances/UCM078932.pdf (2005).

  44. Perry, R.J., Zhang, D., Zhang, X.M., Boyer, J.L. & Shulman, G.I. Controlled-release mitochondrial protonophore reverses diabetes and steatohepatitis in rats. Science 347, 1253–1256 (2015).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  45. Tao, H., Zhang, Y., Zeng, X., Shulman, G.I. & Jin, S. Niclosamide ethanolamine–induced mild mitochondrial uncoupling improves diabetic symptoms in mice. Nat. Med. 20, 1263–1269 (2014).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  46. Perry, R.J. et al. Reversal of hypertriglyceridemia, fatty liver disease and insulin resistance by a liver-targeted mitochondrial uncoupler. Cell Metab. 18, 740–748 (2013).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  47. Fried, L.P. et al. Frailty in older adults: evidence for a phenotype. J. Gerontol. A Biol. Sci. Med. Sci. 56, M146–M156 (2001).

    Article  CAS  PubMed  Google Scholar 

  48. Drummond, M.J. et al. Downregulation of E3 ubiquitin ligases and mitophagy-related genes in skeletal muscle of physically inactive, frail older women: a cross-sectional comparison. J. Gerontol. A Biol. Sci. Med. Sci. 69, 1040–1048 (2014).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  49. Robinson, S., Cooper, C. & Aihie Sayer, A. Nutrition and sarcopenia: a review of the evidence and implications for preventive strategies. J. Aging Res. 2012, 510801 (2012).

    Article  PubMed  PubMed Central  Google Scholar 

  50. Amato, A.A. et al. Treatment of sporadic inclusion body myositis with bimagrumab. Neurology 83, 2239–2246 (2014).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  51. Xu, Z.R., Tan, Z.J., Zhang, Q., Gui, Q.F. & Yang, Y.M. Clinical effectiveness of protein and amino acid supplementation on building muscle mass in elderly people: a meta-analysis. PLoS One 9, e109141 (2014).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  52. Garber, K. No longer going to waste. Nat. Biotechnol. 34, 458–461 (2016).

    Article  CAS  PubMed  Google Scholar 

  53. Kim, S.J. et al. CRIF1 is essential for the synthesis and insertion of oxidative phosphorylation polypeptides in the mammalian mitochondrial membrane. Cell Metab. 16, 274–283 (2012).

    Article  CAS  PubMed  Google Scholar 

  54. Greber, B.J. et al. Architecture of the large subunit of the mammalian mitochondrial ribosome. Nature 505, 515–519 (2014).

    Article  CAS  PubMed  Google Scholar 

  55. Kamath, R.S., Martinez-Campos, M., Zipperlen, P., Fraser, A.G. & Ahringer, J. Effectiveness of specific RNA-mediated interference through ingested double-stranded RNA in Caenorhabditis elegans. Genome Biol. 2, H0002 (2001).

    Article  Google Scholar 

  56. Mouchiroud, L. et al. Pyruvate imbalance mediates metabolic reprogramming and mimics lifespan extension by dietary restriction in Caenorhabditis elegans. Aging Cell 10, 39–54 (2011).

    Article  CAS  PubMed  Google Scholar 

  57. Mouchiroud, L. et al. The NAD+/sirtuin pathway modulates longevity through activation of mitochondrial UPR and FOXO signaling. Cell 154, 430–441 (2013).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  58. Houtkooper, R.H. et al. Mitonuclear protein imbalance as a conserved longevity mechanism. Nature 497, 451–457 (2013).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  59. Frezza, C., Cipolat, S. & Scorrano, L. Organelle isolation: functional mitochondria from mouse liver, muscle and cultured fibroblasts. Nat. Protoc. 2, 287–295 (2007).

    Article  CAS  PubMed  Google Scholar 

  60. Bratic, I., Hench, J. & Trifunovic, A. Caenorhabditis elegans as a model system for mtDNA replication defects. Methods 51, 437–443 (2010).

    Article  CAS  PubMed  Google Scholar 

  61. Jha, P., Wang, X. & Auwerx, J. Analysis of mitochondrial respiratory chain supercomplexes using blue native polyacrylamide gel electrophoresis (BN-PAGE). Curr. Protoc. Mouse Biol. 6, 1–14 (2016).

    PubMed  PubMed Central  Google Scholar 

  62. Vidal, K., Grosjean, I., evillard, J.P., Gespach, C. & Kaiserlian, D. Immortalization of mouse intestinal epithelial cells by the SV40-large T gene. Phenotypic and immune characterization of the MODE-K cell line. J. Immunol. Methods 166, 63–73 (1993).

    Article  CAS  PubMed  Google Scholar 

  63. Yamamoto, H. et al. NCoR1 is a conserved physiological modulator of muscle mass and oxidative function. Cell 147, 827–839 (2011).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Acknowledgements

We thank P. Gönczy (Swiss Institute for Experimental Cancer Research, Ecole Polytechnique Fédérale de Lausanne) for sharing reagents and equipment, the Caenorhabditis Genetics Center for providing worm strains and the Auwerx team members for discussions. We thank the team of the Phenotyping Unit, Center of PhenoGenomics, School of Life Sciences, Ecole Polytechnique Fédérale de Lausanne (EPFL) for their technical and scientific expertise in the mouse experiments. We thank K.H. Kim (Yonsei University College of Medicine) for providing mRFP-GFP-LC3B reporter and for discussion. We thank G. Yellen (Department of Neurobiology, Harvard Medical School) for providing mitochondrial pHRed-expressing plasmid and D. Kaiserlian (INSERM) for the Mode-K cell line. J.A. is the Nestlé Chair in Energy Metabolism. Work in the Auwerx laboratory is supported by the Ecole Polytechnique Fédérale de Lausanne and Systems X (SysX.ch 2013/153), and was co-financed by the Commission for Technology and Innovation (CTI) (15171.1 PFLS-LS). L.M. was supported by a fellowship from Fondation Médicale pour la Recherche (FRM).

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L.M., P.A.A., D.R., P.A., C.S., C.R. and J.A. conceived and designed the project. L.M., P.A.A., D.R., E.K., A.A.N.-d.-F., P.J., G.L.S., N.M., E.G.W. and D.H. performed the experiments. L.M., C.R., P.A.A. and J.A. wrote the manuscript, with contributions from all of the other authors.

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Correspondence to Chris Rinsch or Johan Auwerx.

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P.A.A. and C.R. are employed by Amazentis; C.R. and P.A.A. are board members of Amazentis; and J.A. and C.S. are consultants to Amazentis.

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Ryu, D., Mouchiroud, L., Andreux, P. et al. Urolithin A induces mitophagy and prolongs lifespan in C. elegans and increases muscle function in rodents. Nat Med 22, 879–888 (2016). https://doi.org/10.1038/nm.4132

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