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• W3009803243 abstract "Report2 March 2020free access Transparent process N-acetyl-l-tyrosine is an intrinsic triggering factor of mitohormesis in stressed animals Takashi Matsumura The United Graduate School of Agricultural Sciences, Kagoshima University, Kagoshima, Japan Search for more papers by this author Outa Uryu Department of Applied Biological Sciences, Saga University, Saga, Japan Search for more papers by this author Fumikazu Matsuhisa Analytical Research Center for Experimental Sciences, Saga University, Saga, Japan Search for more papers by this author Keiji Tajiri Department of Applied Biological Sciences, Saga University, Saga, Japan Search for more papers by this author Hitoshi Matsumoto Department of Applied Biological Sciences, Saga University, Saga, Japan Search for more papers by this author Yoichi Hayakawa Corresponding Author [email protected] orcid.org/0000-0002-7631-4909 The United Graduate School of Agricultural Sciences, Kagoshima University, Kagoshima, Japan Department of Applied Biological Sciences, Saga University, Saga, Japan Search for more papers by this author Takashi Matsumura The United Graduate School of Agricultural Sciences, Kagoshima University, Kagoshima, Japan Search for more papers by this author Outa Uryu Department of Applied Biological Sciences, Saga University, Saga, Japan Search for more papers by this author Fumikazu Matsuhisa Analytical Research Center for Experimental Sciences, Saga University, Saga, Japan Search for more papers by this author Keiji Tajiri Department of Applied Biological Sciences, Saga University, Saga, Japan Search for more papers by this author Hitoshi Matsumoto Department of Applied Biological Sciences, Saga University, Saga, Japan Search for more papers by this author Yoichi Hayakawa Corresponding Author [email protected] orcid.org/0000-0002-7631-4909 The United Graduate School of Agricultural Sciences, Kagoshima University, Kagoshima, Japan Department of Applied Biological Sciences, Saga University, Saga, Japan Search for more papers by this author Author Information Takashi Matsumura1,‡, Outa Uryu2,‡, Fumikazu Matsuhisa3, Keiji Tajiri2,†, Hitoshi Matsumoto2 and Yoichi Hayakawa *,1,2 1The United Graduate School of Agricultural Sciences, Kagoshima University, Kagoshima, Japan 2Department of Applied Biological Sciences, Saga University, Saga, Japan 3Analytical Research Center for Experimental Sciences, Saga University, Saga, Japan †Present address: Fuji Environment Service Co., Kansai Branch, Kyoto, Japan ‡These authors contributed equally to this work *Corresponding author. Tel/Fax: +81 952 28 8747; E-mail: [email protected] EMBO Rep (2020)21:e49211https://doi.org/10.15252/embr.201949211 See also: F Fischer & M Ristow (May 2020) PDFDownload PDF of article text and main figures.AM PDF Peer ReviewDownload a summary of the editorial decision process including editorial decision letters, reviewer comments and author responses to feedback. ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinked InMendeleyWechatReddit Figures & Info Abstract Under stress conditions, mitochondria release low levels of reactive oxygen species (ROS), which triggers a cytoprotective response, called “mitohormesis”. It still remains unclear how mitochondria respond to stress-derived stimuli and release a low level of ROS. Here, we show that N-acetyl-l-tyrosine (NAT) functions as a plausible intrinsic factor responsible for these tasks in stressed animals. NAT is present in the blood or hemolymph of healthy animals, and its concentrations increase in response to heat stress. Pretreatment with NAT significantly increases the stress tolerance of tested insects and mice. Analyses using Drosophila larvae and cultured cells demonstrate that the hormetic effects are triggered by transient NAT-induced perturbation of mitochondria, which causes a small increase in ROS production and leads to sequential retrograde responses: NAT-dependent FoxO activation increases in the gene expression of antioxidant enzymes and Keap1. Moreover, we find that NAT represses tumor growth, possibly via the activation of Keap1. In sum, we propose that NAT is a vital endogenous molecule that could serve as a triggering factor for mitohormesis. Synopsis The metabolite N-acetyl-l-tyrosine functions as an endogenous triggering factor for mitohormesis in mammals and insects. The low level of ROS released by mitochondria in distress has been pointed out to be important for hormesis induction, which is called ‘mitohormesis’. N-acetyl-l-tyrosine is present in the blood or hemolymph of healthy animals, and its concentrations increase in response to heat stress. N-acetyl-l-tyrosine transiently perturbs mitochondria, which causes a small increase in ROS production and leads to trigger mitohormesis. Introduction The broad distribution of organisms over diverse ecological niches owes much to the evolution of multiple mechanisms to protect them against environmental stresses because they can maintain homeostasis and viability only when stress levels do not exceed the defense capacity 1. The tolerance of organisms to stresses varies, however, depending on their intrinsic and extrinsic backgrounds 2. It is known that organisms can acquire an adaptive tolerance to lethal stress when they have experienced certain mild stresses shortly before the lethal stress. Such beneficial alterations in response to transient sublethal stresses affect their viability when they are exposed to severe stressors 3-6. This physiological plasticity has been observed in a variety of organisms 7, and various aspects of its mechanisms, such as metabolic controls 8 and cellular signaling pathways 9, have been investigated. In recent years, particular attention has been paid to the contribution of mitochondria to a hormetic state 10. Reactive oxygen species (ROS) produced during oxidative phosphorylation in mitochondria have long been considered undesirable by-products for a long time 11. However, there is growing evidence in the literature to suggest that ROS transiently produced within the mitochondria by mild stresses cause an adaptive response that appears to induce a wide-ranging cytoprotective state resulting in long-lasting metabolic and biochemical changes 12 for which the term “mitohormesis” has been proposed. Although such salutary effects of mild mitochondrial distress have been reported in multiple organisms including nematodes 13, 14, fruit flies 15, and mice 16, 17, we do not know the detailed mechanisms by which mitochondria respond to stress-derived stimuli and release a low level of ROS. We hypothesized the presence of an intrinsic factor that transmits stress stimuli to mitochondria and leads mitochondria to subsequently release an appropriate level of ROS in order to modulate various biologically relevant pathways. To substantiate this hypothesis, we initially focused on parasitism, which subjects host insects to severe stress. Results and Discussion Parasitization increased the intrinsic factor that induces thermotolerance in insects Parasitoids often impose very harmful stress on their hosts. Once a gregarious parasitoid wasp parasitizes a host insect, the many parasitoid larvae absorb much nutrition from the host to survive inside. However, as long as they stay inside the host, they never exert the crucial pressure that kills their host; otherwise, they would perish with the host 18. For example, a female parasitoid wasp of Cotesia kariyai lays approximately 100 eggs inside the host armyworm Mythimna separata larva, and they take about 10 days to grow large enough to emerge from the host, even as they impose extreme stress on the host 19, 20. The host's body is almost completely occupied by many parasitoid larvae the last several days before the parasitoids emergence (Fig 1A), but the host can still respond to stimuli and move to escape dangers until the very end 21. This implies that host larvae can maintain their homeostasis by entering a special physiological mode such as hormesis. Based on this interpretation, we hypothesized that the presence of internal parasitoid larvae must gradually induce a hyper-resistant mode in the host larva during the growth of the parasites. Comparison of survivals of unparasitized and parasitized host armyworm larvae after heat stress substantiated a parasitization-induced increase in heat stress resistance (Fig 1B), indicating the possibility that a factor required for induction of thermotolerance is accumulated in the hemolymph of parasitized host larvae. We assessed this hypothesis by examining whether injection of the parasitized host hemolymph induces heat stress tolerance. The results showed that survival rates of test armyworm larvae injected with hemolymph of parasitized host larvae were significantly higher than those of larvae injected with unparasitized larval hemolymph (Fig 1C). These observations led us to seek the factor in the parasitized larval hemolymph that induced the heat stress tolerance. Figure 1. Parasitization induces stress tolerance state in host insects Images of host armyworm Mythimna separata larvae. Upper: emergence of Cotesia kariyai parasitoid wasps. Lower: inside of host body extensively occupied by parasitoid larvae before their emergence. Survival of parasitized and unparasitized host larvae 2 days after heat stress at 44°C for 50 min (data are means ± SEM; n = 10). **P < 0.01 vs. unparasitized hosts. Day 4 last instar larvae were used for this assay. Test larvae were parasitized by the wasp on day 0 of last instar. Survival of armyworm larvae injected with PBS, unparasitized, and parasitized larval hemolymph 2 days after heat stress at 44°C for 50 min (data are means ± SEM; n = 12). **P < 0.01 vs. PBS. Test larvae were exposed to the heat stress 4 h after injection of each sample. Time-dependent survival of armyworm larvae injected with 0.8 μmol/larva N-acetyl-l-tyrosine (NAT): post-NAT injection 2 days after heat stress at 44°C for 50 min (data are means ± SEM; n = 12). **P < 0.01 vs. zero time. Dose-dependent survival of armyworm larvae injected with NAT after heat stress at 44°C for 50 min (data are means ± SEM; n = 12). Injection of more than 10 nmol NAT/larva caused a significant difference compared with zero (log-rank test using R version 3.2.2). Survival of armyworm larvae injected with indicated chemical solution 1 day after heat stress at 44°C for 50 min (data are means ± SEM; n = 10). **P < 0.01 vs. PBS. Each chemical (0.5 μmol/larva) was dissolved in PBS; a minimal volume of dimethyl sulfoxide was used for poorly soluble chemicals such as tyrosine. Data information: Significant difference from each control value is indicated by Tukey's HSD. Download figure Download PowerPoint Identification and validation of the triggering factor of the thermotolerance We purified the factor from the hemolymph of parasitized host larvae by reversed-phase HPLC (Appendix Fig S1) and found it to be a non-peptidergic molecule with a molecular mass of 223 by LC/MS (Appendix Fig S2). Amino acid analysis showed the presence of a tyrosine molecule (Appendix Fig S2), and subsequent analyses using LC-MS/MS together with 1H and 13C MNR spectroscopy revealed that the active molecule is N-acetyl-l-tyrosine (NAT) (Appendix Fig S3). We confirmed that NAT induced the heat stress tolerance of armyworm larvae in a time-dependent manner after injection: It did not increase the stress tolerance immediately after injection but significantly induced it over 4 h after injection (Fig 1D). Tracking plasma NAT concentrations in this experiment showed that NAT removal from the larval plasma was initiated soon after injection and that the initial NAT levels had decreased by approximately 98% 4 h post-injection (Appendix Fig S4). Dose–response curves of NAT injection show that injection of more than 10 nmol NAT/larva induced a significant elevation in the thermotolerance (Fig 1E). NAT-induced stress tolerance was demonstrated in other insect species such as silkworm Bombyx mori larvae and honey bee Apis mellifera workers. When silkworm larvae were injected with NAT 4 h before lethal heat stress, survivals were elevated as in the case of armyworm larvae (Appendix Fig S5). Furthermore, NAT supplementation also increased the survivals of A. mellifera workers transferred from their hive to a small cage: Most animals fed NAT-free honey solution had died 48 h after the transfer, while more than a half survived for 48 h with 0.01–0.1 mM NAT solution (Appendix Fig S6). Heat stress tolerance of armyworm larvae was also elevated by N-acetyl-d-tyrosine in a similar manner, indicating that there is no difference between the two enantiomeric isomers in activities (Appendix Fig S7). Various other chemicals including amino acids and biogenic amines were tested for their capacity to induce thermotolerance after injection into armyworm larvae. Except for NAT, only N-acetyl-l-cysteine, which is known as a potent antioxidant 22, caused significant elevation of the stress tolerance (Fig 1F). An increase in the plasma NAT concentration was observed in armyworm larvae that had been exposed to 42°C: The NAT concentration was more than quadrupled after heat stress at 42°C for over 90 min (Appendix Fig S8). NAT is present in the blood of mammals and shows similar effects on them Although there has been no report of the presence of NAT in the blood of healthy humans as far as we know, we demonstrated its presence in human serum (Fig 2A), indicating the possibility that NAT works as a hormesis inducer in mammals just like in insects. To assess this possibility, mice were used for more detailed characterization of NAT functions in mammals. We first measured NAT concentrations in the blood of mice under heat and restraint stress and detected the elevation of its concentration during the 45-min observation (Fig 2B). Effects of pretreatment with NAT were evaluated by measuring concentrations of two blood components, corticosterone and peroxidized lipid. NAT pretreatment lowered corticosterone concentrations in the serum of mice that had been restrained for 1 h (Fig 2C). Serum-peroxidized lipid concentrations also significantly decreased in NAT-treated mice that had been forced to swim for 1 h: peroxidized lipid levels in NAT-treated mice were almost equivalent to those in positive control mice treated with imipramine (Fig 2D). Figure 2. Analyses of the NAT-induced hormesis response in mammals HPLC chromatogram and LC-MS spectrogram of N-acetyltyrosine purified from pooled human serum (#12181201; Cosmo Bio Co., Japan). The peak fraction purified by HPLC was confirmed to be N-acetyltyrosine by LC-MS (inserted spectrogram). NAT concentrations in the serum of mice (Slc:ddY, 18-week-old male) exposed to heat (40°C) and restraint stress (data are means ± SEM; n = 5). *P < 0.05, **P < 0.01 vs. zero time. Effects of NAT on corticosterone concentrations in the serum of mice (Slc:ddY, 9- to 10-week-old male) exposed to restraint stress for 60 min (data are means ± SEM; n = 6). **P < 0.01 vs. without stress. Test mice drank 1.5 mg/ml NAT solution for 24 h before exposure to stress. Effect of NAT on stress-induced peroxidized lipid in the serum of mice (Slc:ddY, 9-week-old male) forced to swim for 60 min (data are means ± SEM; n = 10). *P < 0.05 vs. PBS. Data information: Significant difference from each control value is indicated by Tukey's HSD. Download figure Download PowerPoint NAT supplementation affords thermotolerance in Drosophila larvae The mechanisms by which NAT enhances thermotolerance were investigated using Drosophila larvae. We first confirmed that a pretreatment of mild heat stress at 35°C for 30 min significantly elevated survivals of test larvae after lethal heat stress at 38.5°C for 60 min (Appendix Fig S9). Enhancement of thermotolerance was also induced by feeding NAT to second-instar larvae for 24 h: Feeding NAT increased survivals of test larvae almost five times 2 days after lethal heat stress (Fig 3A). Because our prior study showed enhanced expression of antioxidant enzyme genes such as catalase, SOD1, and SOD2 in acclimated armyworms exposed to mild heat stress 23, we examined whether NAT enhances such enzyme expression in Drosophila and found that supplementation with NAT for 12 h significantly elevated expression of all tested enzyme genes in Drosophila larvae (Fig 3B). Figure 3. Analysis of NAT-induced hormesis response in Drosophila larvae Survival of Drosophila melanogaster (W1118) larvae fed with 2 μmol NAT/g-diet 2 days after heat stress at 38.5°C for 60 min (data are means ± SEM; n = 10). **P < 0.01 vs. zero time. Effects of NAT feeding on expression of antioxidant enzymes, catalase, SOD1, and SOD2 (data are means ± SEM; n = 10). *P < 0.05 vs. zero time. Representative images of nuclei (left) and FoxO (middle) in the fat body of Drosophila larvae before and after NAT feeding for 12 h. White signals in the merged image (right) show the overlap of both signals. Scale bar: 50 μm. Relative whiteness intensities before and after NAT feeding (data are means ± SEM; n = 15). **P < 0.01 vs. zero time. Effects of NAT feeding on FoxO expression in the fat body of Drosophila larvae (data are means ± SEM; n = 8). *P < 0.05, **P < 0.01 vs. zero time. Effects of N-acetyltransferase (Dat) knockdown in gut enteroendocrine cells (TK-Gut-Gal4 > UAS-dsDat) on survival of Drosophila larvae (data are means ± SEM; n = 15). **P < 0.01 vs. without NAT. Data information: Significant difference from each control value is indicated by Tukey's HSD. Download figure Download PowerPoint FoxO transcription factor was examined because expression of the antioxidant enzyme genes has been reported to be regulated by FoxO in many animals 24. Immunocytochemistry of FoxO showed its translocation into the nuclei of fat body cells of Drosophila larvae supplemented with NAT (Fig 3C and D). Observation of FoxO signals in these immunocytochemical studies allowed us to recognize the NAT-induced increase in FoxO signal intensities in fat body cells, indicating the possibility that FoxO expression is also elevated by ingesting NAT. Quantitative measurement of FoxO expression levels verified its transcriptional enhancement by supplementing with NAT for over 12 h (Fig 3E). The contribution of N-acetyltransferase, which likely synthesizes NAT from tyrosine 25, to thermal acclimation in Drosophila larvae, was examined by using N-acetyltransferase (CG3318) RNAi. When control strain (actin-Gal4 > W1118) larvae were pretreated by mild stress at 35°C for 30 min, they became acclimated to more severe heat stress at 38.5°C. An N-acetyltransferase knockdown in gut enteroendocrine cells (TK-Gut-Gal4 > UAS-dsDat) significantly decreased survivals of test larvae under the same heat treatment, while the RNAi-induced decrease in the survivals was rescued by NAT supplementation (Fig 3F). NAT induces thermotolerance by mitohormesis To reveal how NAT activates the FoxO-dependent gene expression, we used Drosophila S2 cells to analyze the detailed mechanism of NAT functions. We first confirmed the heat acclimation of S2 cells: Pre-exposure to 37°C for 30 min significantly increased cellular survivals after subsequent lethal heat stress at 42°C for 60 min (Fig 4A). Treatment with NAT significantly increased cellular survivals without pre-exposure to the sublethal heat condition (Fig 4A), indicating that NAT functions as an inducer of stress acclimation at the cellular level. The NAT-induced thermotolerance was confirmed to be due to the enhancement of FoxO gene expression as well as its translocation into the nuclei (Appendix Fig S10) which was followed by increased expression of antioxidant enzyme genes (Appendix Fig S10). Addition of an amino acid transporter 1 inhibitor, 2-aminobicyclo-(2,2,1)-heptane-2-carboxylic acid (BCH), abolished the NAT-dependent increase in FoxO expression as well as the thermotolerance, indicating that NAT induces hormetic responses after its entry into cells via the amino acid transporter (Fig 4A and Appendix Fig S10). A subsequent finding that antimycin A eliminated both NAT-induced and preheating-induced stress acclimation responses in S2 cells (Fig 4B) implies that NAT requires mitochondrial function to serve as an acclimation inducer because antimycin A is known to inhibit mitochondrial electron transport chain complex III. However, the negative effect of antimycin A was dose-dependent: Low concentration (about one-thousandth of the inhibitory concentrations) of antimycin A induced slightly but significantly elevated survivals of S2 cells after heat stress (Appendix Fig S11). Similar concentration-dependent effects were also observed with rotenone, a well-described complex I inhibitor (Appendix Fig S11). Figure 4. Analysis of NAT-induced hormesis in Drosophila S2 cells Survival of Drosophila S2 cells treated with preheating, 100 μM NAT, and 100 μM NAT with 10 mM 2-aminobicyclo-(2,2,1)-heptane-2-carboxylic acid (BCH) after heat stress at 42°C for 60 min (data are means ± SEM; n = 10). After pretreatment with chemicals for 12 h, they were removed by changing the medium. *P < 0.05, **P < 0.01 vs. PBS. Survival of Drosophila S2 cells pretreated with 100 μM NAT, 100 μM NAT with 30 μg/ml antimycin A, and preheating with or without 30 μg/ml antimycin A 48 h after heat stress at 42°C for 60 min (data are means ± SEM; n = 10). After pretreatment with chemicals for 12 h, they were removed by changing the medium. *P < 0.05 vs. PBS. Effects of 100 μM NAT on MitoRed localization in mitochondria of S2 cells. Upper: representative images of time-dependent changes in MitoRed localization in mitochondria after adding NAT. Scale bar: 20 μm. Lower: Relative intensities of MitoRed fluorescent signals in mitochondria were quantified by microplate reader. Different letters above bars represent significant differences [P < 0.05 (data are means ± SEM, n = 12)]. ROS concentrations in S2 cells after adding 100 μM NAT (data are means ± SEM; n = 12). *P < 0.05 vs. zero time. Graphic depicting the participation of NAT in triggering mitohormesis in animal cells. Effects of dsRNA targeting of FoxO on NAT-dependent expression of Keap1 (data are means ± SEM; n = 12). *P < 0.05, **P < 0.01 vs. without NAT. Note that NAT feeding did not increase Keap1 expression in FoxO knockdown flies. Effect of NAT on growth of HCT116 colon cancer cells in mice (BALB/cSlc-nu/nu, 6-week-old female) (data are means ± SEM; n = 5). *P < 0.05, **P < 0.01 vs. without NAT. Test mice began to freely drink 5 mg/ml NAT solution for 7 days before transplantation of the tumor cells on day 0: The average amount of NAT consumed by each mouse was about 8.8 mg/day (0.4–0.5 g/kg weight/day). HCT116 cells (5.0 × 106 cells) were transplanted into each test mouse using a 1-ml syringe with a 27G needle. Data information: Significant difference from each control value is indicated by Tukey's HSD. Download figure Download PowerPoint To characterize the contribution of mitochondria to the NAT-induced thermotolerance, we monitored the mitochondria status of S2 cells using MitoRed, whose staining is dependent on mitochondrial membrane potential 26. The relative intensity of MitoRed-derived fluorescent signals had significantly declined 2 h after adding NAT, while the signals were totally recovered 2 h later, indicating the transient NAT-induced depolarization of mitochondria (Fig 4C). In contrast, MitoRed signals were constantly decreased by applying carbonyl cyanide m-chlorophenyl hydrazone (CCCP), a typical mitochondrial uncoupler, or antimycin A to S2 cells without any significant recovery of the signals (Appendix Fig S12), which emphasized the specific transient effect of NAT on mitochondria. This interpretation was substantiated by quantification of mitochondrial ROS (mROS) in S2 cells after treatments with these chemicals: NAT induced a transient small peak of mROS concentrations in S2 cells 2–3 h after adding NAT (Fig 4D), while such an mROS peak was not observed after adding CCCP or antimycin A (Appendix Fig S13). Therefore, it is reasonable to assume that NAT-dependent elevation of thermotolerance is due to the transient perturbation of mitochondria, which is generally called “mitohormesis” (Fig 4E). The interpretation was enforced by the observation that N-acetylcysteine also exerted similar effects on mitochondria in S2 cells: It transiently induced depolarization of mitochondria and elevated mROS in S2 cells (Appendix Fig S14). These data are consistent with the above observation that both N-acetylcysteine and NAT induced thermotolerance in armyworm larvae by injection prior to lethal heat stress (Fig 1F). NAT stimulates FoxO-Keap1 signaling Characterization of NAT-induced stimulation of signaling pathways revealed that NAT treatment also elevated transcription levels of Kelch-like ECH-associated protein 1 (Keap1). This elevation was not observed in FoxO RNAi S2 cells (Fig 4F), confirming that FoxO mediates the NAT-induced expression of Keap1. Moreover, Keap1 RNAi abolished NAT-induced thermotolerance of Drosophila larvae (Appendix Fig S15). Since Keap1 is known as a negative regulator of the transcription factor NF-E2-related factor 2 (Nrf2) that regulates a set of antioxidant and detoxifying enzyme genes, we examined the effects of Nrf2 RNAi in Drosophila larvae. Nrf2 RNAi larvae also did not show NAT-induced thermotolerance (Appendix Fig S15). Furthermore, the NAT-dependent elevation of thermotolerance was not observed in FoxO RNAi S2 cells (Appendix Fig S16) although a transient decrease in MitoRed fluorescent signals was normally observed in the mitochondria of these cells 2 h after adding NAT (Appendix Fig S16). We therefore interpreted these results to indicate that NAT-induced mitohormesis requires enhanced FoxO-Keap1 signaling downstream (Fig 4E). The finding that NAT stimulated FoxO-Keap1 signaling axis in Drosophila S2 cells also led us to assess the possibility of repressive effects of NAT on tumor progression because a tumor suppressor function of FoxO3 through constraining Nrf2 signaling has recently been reported 24. To examine the possibility that NAT affects tumor progression, we focused on human colorectal cancer HCT116 cells because expression of Nrf2 and its target genes has been recently reported to be increased in HCT116 colonospheres 27. We transplanted HCT116 cells into nude mice with or without NAT treatment and compared the tumor volumes in control and NAT-treated animals for 17 days. NAT supplementation significantly suppressed the growth of HCT116 cells, indicating that NAT supplementation has a suppressive activity on growth of HCT116 cancer cells perhaps through activation of FoxO-Keap1 signaling axis (Fig 4G). Moreover, treatment with NAT had a significant negative impact on the weight gain of test mice (Appendix Fig S17). Concluding comments NAT has been reported to increase in the urine of patients with tyrosyluria 28, 29 and tyrosinosis 30, 31, indicating the possibility that NAT is synthesized in human bodies and that its concentrations fluctuate depending on internal conditions. Although some physiological analyses such as quantification of urine NAT concentrations and its retention times after administration to human bodies have been reported 32, 33, basic information on NAT is still quite limited. The present study showed that NAT is normally present in the blood of all tested animals including insects and mammals and that its concentrations are elevated by stresses, which induce hormesis in mice as well as insects. These observations indicated the possibility that stress-induced NAT works as a hormesis inducer in all animals including humans. Analyses using Drosophila and the culture cell S2 demonstrated that NAT transiently distressed mitochondria, which produced a low level of mROS. Although we have no solid evidence to explain how mitochondria ROS production is mediated by NAT at present, we propose the mechanism by which NAT serves as an essential intrinsic factor that can transmit stress-derived stimuli to mitochondria in the graphic model (Fig 4E). The NAT-induced activation of the FoxO–Keap1 signaling axis negatively regulates Nrf2 functions and enforces ROS release from mitochondria because Nrf2 regulates mitochondrial homeostasis 34. However, this inhibition must be relaxed soon after ROS is released from mitochondria by losing the prominent regulator Nrf2, which allows Nrf2 to evade Keap1-mediated repression because ROS-induced Keap1 conformational changes liberate Nrf2 35. Therefore, it is reasonable to presume that both FoxO and Nrf2 sequentially stimulate expression of their target genes with anti-stress abilities because NAT-induced elevation of Keap1 expression would not cause long-lasting inhibition of Nrf2. This interpretation was at least partly confirmed by the observation that neither Keap1 RNAi nor Nrf2 RNAi Drosophila larvae showed NAT-induced thermotolerance. One of the primary changes via these signaling pathways is enhanced expression of antioxidant enzyme genes by FoxO transcription factor. Moreover, the fact that FoxO is also an upstream transcription factor of Keap1, the negative regulator of Nrf2 35, led us to examine the tumor-suppressive activity of NAT because abnormal activation of Nrf2 has been reported in many types of cancer cells such as cholangiocarcinoma and lung adenocarcinoma 24, 36-39. The results showed significant NAT-induced suppression of colorectal cancer cell growth in nude mice. Taken together, this study proposes that NAT serves as an intrinsic trigger of mitohormesis, which contributes to maintaining homeostasis in animals, and highlights the value of expl" @default.
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