Fragile X syndrome (FXS) is an undertreated neurodevelopmental disorder characterized by low intelligence quotent and a wide range of other symptoms including disordered sleep and autism. Although FXS is the most prevalent inherited cause of intellectual disability, its mechanistic underpinnings are not well understood. Using Drosophila as a model of FXS, we showed that select expression of dfmr1 in the insulin-producing cells (IPCs) of the brain was sufficient to restore normal circadian behavior and to rescue the memory deficits in the fragile X mutant fly. Examination of the insulin signaling (IS) pathway revealed elevated levels of Drosophila insulin-like peptide 2 (Dilp2) in the IPCs and elevated IS in the dfmr1 mutant brain. Consistent with a causal role for elevated IS in dfmr1 mutant phenotypes, the expression of dfmr1 specifically in the IPCs reduced IS, and genetic reduction of the insulin pathway also led to amelioration of circadian and memory defects. Furthermore, we showed that treatment with the FDA-approved drug metformin also rescued memory. Finally, we showed that reduction of IS is required at different time points to rescue circadian behavior and memory. Our results indicate that insulin misregulation underlies the circadian and cognitive phenotypes displayed by the Drosophila fragile X model, and thus reveal a metabolic pathway that can be targeted by new and already approved drugs to treat fragile X patients.
Fragile X syndrome (FXS) is caused by loss of expression of FMR1, an RNA-binding protein involved in the translation, stability and transport of up to 4% of human mRNAs.1, 2 FXS is the most commonly inherited form of intellectual disability and autism, and patients also suffer from attention deficit hyperactivity disorder, seizures and disordered sleep.2, 3, 4 Loss of FMR1 also results in noted neuroanatomical defects, specifically an increased number of spines that are often elongated and immature.3, 4
FXS is a lifelong illness that is detrimental to both the patients and their caregivers.5, 6 A wide variety of drugs are used to treat the aggression, hyperactivity, anxiety and seizures associated with FXS, but no drugs are specifically approved for the treatment of the disease and those that are used often have questionable efficacy.7 Although several promising drugs have recently been tested in clinical trials, they have failed to meet FDA approval,7 highlighting an urgent need to obtain drug targets and a more complete understanding of signaling pathways implicated in FXS pathogenesis to identify new targets for therapy.
To better understand disease pathogenesis, we use a Drosophila fragile X model, based on loss of dfmr1 function, which displays several relevant phenotypes, including defects in the circadian output pathway, memory in the conditioned courtship and olfactory conditioning paradigms, social interaction (with peers and in naïve courtship) and neural development.8, 9, 10, 11, 12 Furthermore, signaling pathways found to be altered in the dfmr1 mutant fly are often conserved in the mouse FXS model. Notably, the mGluR pathway has been shown to be misregulated in both mouse and fly models of FXS, and, importantly, treatment with mGluR inhibitors rescues memory and other phenotypes in both Drosophila and mammalian models of the disease.10, 13 This strong conservation indicates that the fly model is an extremely valuable tool to elucidate the underlying pathologies of FXS and test possible drug treatments.
In this study, we show that insulin signaling (IS) is increased in the brains of dfmr1 mutants and that reducing IS either through the select expression of dfmr1 in the insulin-producing cells (IPCs) or through genetic reduction of IS rescues both memory and circadian rhythmicity defects. We also demonstrate that rescue of the circadian defect requires reduction of IS during pupal development, whereas memory can be rescued by reducing IS in adults. Finally, we determined that treatment with the insulin-normalizing drug metformin improves memory in dfmr1 mutants. Taken together, these findings reveal another signaling pathway involved in both memory and circadian behavior in FXS, and suggest a possible drug that might ameliorate cognitive defects.
Materials and methods
Fly stocks and maintenance
Fly stocks were maintained on standard cornmeal-molasses medium. Fly stocks containing per-Gal4 (line 2), tim-Gal4 (line 82), clk8.0-Gal4, cry-Gal4 and pdf-Gal4 are described previously.14, 15, 16, 17 Dilp2R-Gal4- and dilp2W-Gal4-containing stocks were obtained from Rulifson et al.18 and Shen and co-workers.19 Fly strains containing the dilp2 and InR5545 mutations were obtained from Bloomington Stock Center (stock numbers 30881 and 11661).20, 21 Fly stocks carrying the UAS-DP110DN and UAS-PTEN transgenes were obtained from Birnbaum and co-workers.22, 23 The elav-Gal4 transgene was derived from Bloomington stock number 8765. The dfmr13 allele and WT rescue are described previously in Dockendorff et al.9 The Gal80ts lines were derived from Bloomington stock number 7018. Flies used for the olfactory learning assay were outcrossed to w1118(isoCJ1) flies. Flies used for temperature shift assays and metformin developmental studies were outcrossed to w1118(iso31B) flies.
Circadian behavior assay
Circadian analysis was conducted as described in Dockendorff et al.9 Rhythmicity was defined as a fast Fourier transform (FFT) value of 0.01 or more. Significance was determined using a Kruskal–Wallis test followed by a Dunn’s post-test (GraphPad, La Jolla, CA, USA; InStat). Relative FFT=FFTexperimental/FFTwild type × 100.
For drug treatment, flies were raised on food containing 30 or 100 μm metformin or vehicle. Within 24 h of eclosion, adult males were collected and maintained on food containing 1 mm metformin or vehicle.
For temperature shift experiments, flies with Gal80ts were raised at 18 °C. White 0-h pupae or adults were collected and moved to 29 °C for 2 days, and then moved to 25 °C to reduce deleterious effects caused by high temperature.
Short-term memory assay
The conditioned courtship assay was conducted as described in McBride et al.10 For data not normal after transformation, the Mann–Whitney test was used to generate P-values.24 Statistics were performed using Statview 3.0 and Prism. Memory index =(CInaive−CItrained)/CInaive.25
For drug treatment, flies were raised on food containing 30 μm or 100 μm metformin or vehicle. Adult male flies were collected within 4 h of eclosion and placed on food containing 1 or 5 mm metformin or vehicle. One day before short-term memory (STM) testing, flies were moved to individual vials containing standard fly food.
For temperature shift assays, flies with Gal80ts were raised at 22 °C, and then moved to 27 °C within 4 h of eclosion (22 °C was used as the permissive temperature due to the deleterious effects of 18 °C on courtship). All flies were moved to 25 °C the night before testing and were tested at 25 °C.
The heads of 3–7-day-old flies were removed and placed on dry ice. Western blots were performed as described in Pepper et al.26 Primary antibodies used were as follows: anti-β-tubulin (Developmental Studies Hybridoma Bank, Iowa City, IA, USA; E7) 1:20 000, anti-Akt (pan) (Cell Signaling Technologies, Danvers, MA, USA; 4691) 1:5000 and anti-GFP (green fluorescent protein) (Aves Labs, Tilgard, OR, USA; GFP-1020) 1:2500.
Brain dissections and staining were performed as described in Pepper et al.26 and then mounted in a 1:5 mixture of Prolong Gold (Invitrogen, Carlsbad, CA, USA; P36930) and glycerol with 2% N-propyl gallate (Sigma, St. Louis, MO, USA; P3130). Primary antibodies used were as follows: anti-dFMR1 (6A15) (Abcam, Cambridge, UK; ab10299) 1:2000, anti-DE-cadherin (Developmental Studies Hybridoma Bank; DCAD2) 1:50, anti-GFP (Aves Labs; GFP-1020) 1:1500, anti-p-S473-Akt (D9E) (Cell Signaling Technologies; 4060) 1:800 (note that this antibody recognizes the S505 phosphorylation site in Drosophila, which is analogous to the S473 phosphorylation site in mammals27) and anti-Dilp2 (Drosophila insulin-like peptide 2), a gift from Eric Rulifson (Stanford University). Images were taken using a Leica TCS SP microscope (Buffalo Grove, IL, USA) with the settings kept constant throughout imaging. Leica LAS AF Lite software was used for quantification of confocal images. Significance was determined using an unpaired t-test with Welch’s correction or Mann–Whitney test (GraphPad; InStat).
When quantifying Dilp2 staining, the average pixel intensity was recorded for six elliptical areas in the cytoplasm of five cells in each brain. When quantifying GFP-PH (pleckstrin homology) localization, images were taken of the posterior surface of the brain in the mushroom body calyx region because this area contains a large number of cell bodies. The ratio of the membrane fluorescence/cytoplasm fluorescence was determined for 20 cells in each hemisphere of the brain. When quantifying pAkt staining, images were taken of the posterior surface of the brain in the mushroom body calyx region. The average p-S505-Akt and DE-cadherin fluorescence of the cells in the region was measured, and then the p-S505-Akt fluorescence was normalized to that of DE-cadherin to control for staining differences between brains.
RNA isolation and quantitative PCR
Heads were homogenized in Tri-reagent (Sigma) and RNA was isolated and purified using the RNeasy Mini Kit (Qiagen, Hilden, Germany; 74104). cDNA was synthesized with Superscript III (Invitrogen; 18080-051) and oligo-dT primers. Quantitative PCR was performed using Brilliant III Ultra Fast Sybr Master Mix (Agilent Technologies, Wilmington, DE, USA; 600882) on the MxPro 3000 system (Agilent Technologies). Dilp2 transcript levels were normalized to three reference genes (SdhA, αTub84B and 14-3-3ɛ) by taking the geometric mean as described in Vandesompele et al.28 Samples consisted of 200 heads. Dilp2 primers are described in Gronke et al.20 and SdhA primers are described in Ling and Salvaterra.29 The αTub84B primers were: forward, 5′-IndexTermCTTGTCGCGTGTGAAACACT-3′ and reverse, 5′IndexTermAGCAGTAGAGCTCCCAGCAG-3′; and the 14-3-3ɛ primers were: forward, 5′-IndexTermGAGCGCGAGAACAATGTGTA-3′ and reverse, 5′-IndexTermACGGTCAGCTCTACGTCCAT-3′. All primer concentrations were optimized to produce 100% amplification efficiency.
Pavlovian olfactory learning and memory
Full details of this assay are described in Bolduc et al.12For drug treatment, flies were placed in vials overnight at 25 °C and 70% humidity with Whatman filter paper containing 200 μl of either 1 mM metformin or vehicle and 5% sucrose. For temperature shift experiments, flies were raised at 18 °C, moved to 27 °C after eclosion and incubated for 4 days before testing learning.
Mapping studies indicate role for IPCs in circadian output
Previous studies of dfmr1 mutants revealed that they display arrhythmic locomotor activity in free-running conditions due to a defect in the circadian output pathway.9, 30 To identify the mechanism through which dfmr1 regulates circadian behavior, we used the binary Gal4/UAS system31 to determine its spatial requirement for normal circadian rhythms. We first verified whether dfmr1 activity is required in the nervous system by restoring pan-neuronal dfmr1 expression in an otherwise null mutant fly. We found that dfmr1 mutants containing both the pan-neuronal driver, elav-Gal4, and UAS-dfmr1 transgenes displayed significant improvement in free-running behavior compared with mutant flies containing either UAS-dfmr1 or elav-Gal4 alone (Figure 1a and Supplementary Table 1). These results indicate that the expression of dfmr1 in the nervous system is sufficient to rescue the circadian defect observed in dfmr1-null flies.
Circadian studies have defined a fly pacemaker circuit that consists of ~150 neurons.32 To determine if dfmr1 activity within this circuit is sufficient to restore normal circadian behavior, we introduced several Gal4 drivers that direct expression to a subset of or all clock cells into the dfmr1 mutant background. First, we used pdf-Gal4 and cry-Gal4 to express dfmr1 in the ventral lateral neurons (LNv), which have been shown to display morphological defects in the dfmr1 mutants and are essential for the maintenance of free-running rest–activity patterns.9, 14, 33, 34, 35 However, the expression of dfmr1 in the LNvs of dfmr1 mutants did not increase the percentage of rhythmic flies or significantly raise relative FFT values, which measure the strength of circadian rhythmicity (Figure 1b and Supplementary Table 1). Similarly, using per-Gal4 and tim-Gal4 to more broadly direct dfmr1 throughout the circadian clock circuit failed to discernibly rescue circadian behavior (Figure 1c and Supplementary Table 1).
We then explored the possibility that dfmr1 activity was required outside the established circadian clock circuit by testing Gal4 drivers that direct expression to neurons outside the defined clock circuit. Interestingly, we found that the expression of dfmr1 using two independent dilp2-Gal4 drivers led to a significant rescue of rhythmicity that was comparable to the rescue obtained with elav-Gal4 (Figure 1d, Supplementary Table 1 and Supplementary Figure 1a). The dilp2-Gal4 drivers direct expression to 14 insulin-producing neurons located in both hemispheres of the pars intercerebralis region of the brain (Supplementary Figure 1b), a neuroendocrine center that is important for circadian regulation in other insects and proposed to be important in Drosophila.16, 36 These neurons, termed the IPCs, are the sole insulin-producing neurons in the fly brain18 (Supplementary Figure 1c). Our results indicate that providing dfmr1 function to the IPCs is sufficient to rescue the circadian defect displayed by dfmr1 mutants.
IS is elevated in dfmr1 mutant brains
Given that the expression of dfmr1 in the IPCs rescues the circadian defect, we explored the possibility that IS was misregulated in dfmr1 mutants. Examination of the levels of the major insulin-like peptide Dilp2 consistently revealed significantly elevated Dilp2 protein in the cell bodies and axons of dfmr1 mutant versus control IPCs (Figures 2a and b and Supplementary Figure 2a). Conversely, dilp2 mRNA levels are not increased in dfmr1 mutant flies compared with controls, suggesting that Dilp2 protein levels are increased by a post-transcriptional mechanism (Supplementary Figure 2b).
To determine how the altered expression levels of Dilp2 in the IPCs impacts IS in the dfmr1 mutant brain, we first examined phosphoinositide 3-kinase (PI3K) activity using a ubiquitously expressed GFP-pleckstrin homology (PH) domain reporter. This reporter protein localizes to the plasma membrane upon stimulation of the insulin pathway as the concentration of phosphatidylinositol 3, 4, 5-triphosphate is increased by activated PI3K.37 Although the GFP-PH reporter is seen broadly throughout the brain, we visualized and quantitated reporter protein localization in the cells on the posterior surface of the brain in the mushroom body calyx region because this area of the brain contains a large number of easily imaged cell bodies. We found that the GFP-PH reporter protein was more strongly localized to the plasma membrane in dfmr1 mutant versus control brain neurons (Figures 2c and d), indicating that PI3K activity levels are elevated in the examined region of the dfmr1 mutant brain. Subsequent examination of GFP-PH reporter protein expression by western blot analysis revealed that reporter expression is similar in both dfmr1 mutant and control heads (Supplementary Figures 3a and b). These results confirmed that the changes observed by immunofluorescence reflect alterations in PI3K activity rather than changes in reporter protein expression levels. We next examined Akt phosphorylation at S505, the site of its activation, using whole-mount immunostaining and confocal analysis. With this method, we observed a more pronounced concentration of p-S505-Akt at the plasma membrane in dfmr1 mutant brains compared with controls (Supplementary Figures 3c and d). The increased concentration of p-S505-Akt seen in dfmr1 mutants was significantly decreased by directed expression of dfmr1 to the IPCs of dfmr1 mutant brains (Figures 2e and f), indicating that the expression of dfmr1 in these cells corrects the elevated IS in dfmr1 mutant brains in a cell non-autonomous manner. Western blot analysis of total Akt expression in heads revealed that overall Akt expression remained constant, indicating that the increase in p-S505-Akt levels in dfmr1 mutants is due to increased Akt activity rather than changes in Akt expression levels (Supplementary Figure 3e).
Reducing IS rescues circadian rhythmicity in dfmr1 mutants
The studies described above demonstrated that the expression of dfmr1 specifically in the IPCs corrected IS in the mutants, suggesting that the circadian phenotype displayed by the dfmr1 mutants could be rescued by reducing signaling through this pathway. To test directly the effect of reducing IS in dfmr1 mutants, we performed four independent genetic manipulations in the dfmr1 mutant background. We genetically reduced the gene dosage of dilp2 and the insulin receptor (InR) by introducing a null allele of dilp2 or a strong hypomorphic allele of InR into the dfmr1 mutant background. We also genetically reduced PI3K activity by pan-neuronally expressing a dominant-negative form of the 110 kDa catalytic subunit (UAS-DP110DN) in the dfmr1 mutant background using elav-Gal4. Finally, we elevated the expression of the phosphatase and tensin homolog protein (PTEN), which antagonizes PI3K activity, using UAS-PTEN in combination with elav-Gal4. All four genetic manipulations led to statistically significant rescue of the free-running rhythm defect displayed by dfmr1 mutants (Figures 3a–d and Supplementary Table 2). These results confirm that elevated IS contributes to the circadian phenotype displayed by dfmr1 mutants.
Aberrant IS contributes to memory defects in dfmr1 mutants
In mouse studies, the PI3K-Akt-mTOR pathway has been found to be altered in the hippocampus of the FMR1 knockout mouse and linked to synaptic plasticity defects displayed by this FXS model.38, 39 To determine if increased IS is linked to the courtship conditioning-based STM defect displayed by dfmr1 mutants, we first determined if IPC-directed expression of dfmr1 could rescue STM in dfmr1 mutants. We observed restoration of STM in dfmr1 mutants, which expressed dfmr1 in the IPCs, but not in dfmr1 mutant controls (Figure 4a). These results indicate that normalization of the insulin signaling pathway through the expression of dfmr1 in the IPCs restores STM in dfmr1 mutants. To test directly if reduced IS corrects the STM defects, we tested STM in dfmr1 mutants that carried one null allele of dilp2, or that had pan-neuronal expression of DP110DN or PTEN. We found that STM was restored in dfmr1 mutants by genetically reducing the gene dosage of dilp2 (Figure 4b). Pan-neuronal expression of either DP110DN or PTEN also restored STM, whereas the STM defect was not restored in dfmr1 controls (Figures 4c and d). Interestingly, pan-neuronal expression of DP110DN eliminated STM in wild-type flies even though it rescued STM in dfmr1 mutants (Figure 4c), suggesting that any alteration in normal IS can negatively affect memory. In sum, these results indicate that enhanced IS contributes to the STM defect in dfmr1 mutants.
As normalization of IS restored STM in dfmr1 mutants, we explored how alteration of IS affected defective immediate recall memory, hereafter referred to as learning, and long-term (1-day) memory (LTM) in the classical conditioning olfactory memory paradigm. We found that the expression of dfmr1 in the IPCs rescued both learning and LTM after spaced training in flies trained to associate a shock with an odor stimulus (Figures 4e and f). As expected, dfmr1 mutant controls showed impaired learning and LTM (Figures 4e and f). Furthermore, genetic reduction of IS by pan-neuronal expression of DP110DN also restored learning and LTM, whereas dfmr1 mutant controls with either the elav-Gal4 or UAS-DP110DN transgenes alone did not exhibit improved learning or LTM (Figures 4g and h). These results indicate that enhanced IS also contributes to the defective olfactory-based memory seen in dfmr1 mutant flies.
Metformin treatment ameliorates memory defects in dfmr1 mutants
Given the misregulation of IS in dfmr1 mutants, we explored treatment with metformin, a widely used drug for type 2 diabetes that acts as an IS sensitizer. Several mechanisms have been suggested to explain the efficacy of metformin in the treatment of type 2 diabetes, but we selected this drug because it is known to increase PTEN expression and AMPK activation, and to decrease TOR signaling.40, 41, 42 We found that dfmr1 mutant flies reared on food containing metformin for 4–6 days after eclosion exhibited restored STM in the conditioned courtship memory paradigm in contrast to mutant flies fed food containing only vehicle (Figure 5a). We also tested classical olfactory conditioning memory in adult dfmr1 mutant flies treated acutely with metformin overnight before training. We found that metformin treatment rescued both olfactory learning and protein synthesis-dependent LTM in dfmr1 mutants (Figures 5b and c and Supplementary Figure 4a). We replicated previous results in which dfmr1 mutant flies showed no defects in olfaction or shock sensitivity,12 and also observed that metformin did not exert its effect via enhanced olfaction or shock reactivity, confirming that metformin rescues cognitive rather than sensory defects (Supplementary Figures 4b and c). These results show that treatment with a drug known to target the IS pathway rescues several forms of memory in dfmr1 mutant flies.
Following the result that acute metformin treatment rescued defects in both courtship- and olfactory-based memory, we examined how metformin treatment during development and/or adulthood affected both memory and circadian behavior. Although we were unable to rescue circadian rhythmicity with any combination of developmental and adulthood metformin treatment (Supplementary Figures 5a and b), we found that STM was amenable to rescue with several combinations of temporally restricted metformin treatment (Supplementary Figures 5c and d). Intriguingly, we were able to rescue STM in the conditioned courtship paradigm with developmental treatment alone (Supplementary Figures 5c and d). In contrast, developmental metformin treatment was unable to rescue learning or LTM in the olfactory conditioning paradigm (data not shown). The divergence in the timing of rescue of these two forms of memory may be due to differences in the inputs required for formation of these memories. Olfactory-based memory formation is solely dependent on an olfactory stimulus, whereas courtship-based memory involves a combination of olfactory, gustatory, visual and social inputs.43, 44 As not all these inputs need to be present for courtship-based memory formation,45 we propose that some of these inputs may be rescued by developmental metformin treatment, whereas others may be rescued by physiological metformin treatment, thus allowing rescue of courtship-based memory to occur at several different time points.
Reduction of IS during the pupal period is required for normal circadian rhythmicity in dfmr1 mutants
To more directly explore the temporal requirements of IS normalization for circadian rhythmicity, we used a temperature-sensitive Gal80 (Gal80ts) to initiate IS reduction at different developmental stages. At its permissive temperature of 18 °C, Gal80ts prevents Gal4 function, while at its restrictive temperatures of 29 °C, Gal80ts function is abolished, allowing normal Gal4 activity.46 We used this system to test the effect of initiating IS reduction at the beginning of the pupal stage or within 24 h of eclosion. Interestingly, we found that when IS was reduced using DP110DN, the reduction had to occur during the pupal period to achieve rescue of circadian behavior (Supplementary Figures 6a and b). A similar result was observed when IS was reduced by PTEN overexpression, although comparison with one control did not reach significance (Supplementary Figures 6c and d). These results suggest that normalization of IS during the pupal period is necessary for the rescue of circadian behavior. This finding may also explain the inability of metformin treatment to rescue circadian behavior, as flies do not consume the metformin-treated food during the pupal period.
As metformin treatment in adulthood alone rescued both olfactory- and courtship-based memory, we used the Gal80ts to test whether initiating reduction of IS in adulthood would also be sufficient to rescue memory in these assays. Adulthood-restricted reduction of IS using either pan-neuronal DP110DN or PTEN expression rescued STM in the conditioned courtship paradigm (Supplementary Figure 6e). Similarly, adulthood reduction of IS by pan-neuronal DP110DN expression was sufficient to rescue learning in the olfactory-based memory paradigm (Supplementary Figure 6f). Taken together, these results indicate that while physiological IS reduction is sufficient to rescue memory in the olfactory- and courtship-based paradigms, reduction of IS during the pupal period is essential to rescue circadian behavior in dfmr1 mutant flies. These findings suggest that the circadian and memory deficits seen in dfmr1 mutant flies are ultimately caused by separate defects that are both affected by IS misregulation.
FXS is serious illness affecting many individuals across the world.5 Because it is a major cause of autism and intellectual disability,3 revealing new signaling pathways disrupted in FXS will heighten our understanding of the signaling mechanisms underlying other forms of cognitive and social disabilities. Using an unbiased approach, we uncovered a connection between altered IS and FXS. Our findings raise several interesting questions about the mechanism by which dFMR1 influences IS, and whether altered IS contributes to behavior phenotypes in the mouse FXS models or to cognitive and/or sleep problems in human patients.
Although dFMR1 is expressed throughout the nervous system, we made the intriguing discovery that directing dfmr1 expression to a small number of neurons could rescue two major behavioral phenotypes of the dfmr1 mutant fly. These results raise the question of the mechanism by which dFMR1 functions in the IPCs to ensure normal IS. Although we are currently unable to pinpoint the precise mechanism, our results tell us that the expression of dfmr1 in the IPCs affects IS in a cell non-autonomous manner. As dFMR1 is an RNA-binding protein, which primarily represses the translation of its targets,1 one possibility is that dFMR1 directly binds to dilp2 mRNA and represses its translation. In the absence of dFMR1, dilp2 translation, and thus Dilp2 protein levels, would increase. This hypothesis is consistent with our findings that Dilp2 protein levels are increased in the IPCs, whereas dilp2 mRNA levels remain unchanged. A second possible mechanism is that dFMR1 acts more broadly within the IPCs to promote normal synaptic architecture and synapse formation. Importantly, loss of FMR1 in neurons is known to cause morphological defects in Drosophila, mice and humans.3, 4, 8, 9, 30, 34 Alterations in functional synapses between the IPCs and their neighboring neurons would likely have serious implications for IS, as the IPCs have been shown to receive inputs from multiple neurotransmitters and hormones, including corazonin, Drosophila tachykinin, GABA (γ-aminobutyric acid), octopamine, serotonin and short neuropeptide F.47 Whatever the mechanism, our data suggest that dfmr1 expression in the IPCs is crucial for normal insulin release and IS in the brain.
The finding that dfmr1 has an important role in the IPCs raises the question of how this discovery translates to human patients. Curiously, the mammalian cells most analogous to the IPCs are the insulin-producing β-cells in the pancreas.18 FMR1 is expressed in β-cells, but its function in these cells is not established.48 However, although mammalian IPCs are not located in the brain, insulin and insulin-like growth factors have been ascribed many roles in the nervous system of both flies and mammals, including axon guidance, synaptogenesis, plasticity, progenitor cell proliferation and cellular metabolism.49, 50, 51 We show that IS in the brains of dfmr1 mutants is disrupted, and that this disruption contributes to behavioral phenotypes. These results suggest that exploring IS in other FXS models and in human patients may reveal information about the disease pathogenesis. Indeed, data from the mouse model have identified elevated signaling in the PI3K-Akt-mTOR pathway that lies downstream of the insulin receptor.38, 39 Also, weight of FMR1 knockout mice is increased in early development relative to littermate controls, a finding that is also consistent with increased IS, at least in very young mutant pups.52 Interestingly, some observations of FXS patients hint that IS may be abnormal. A subgroup of patients exhibits a distinctive obese phenotype.53 Furthermore, a more recent study identified markers of elevated IS in the blood and brains of FXS patients.54 These observations could indicate that elevated IS is a conserved characteristic in the mouse FXS model and possibly FXS patients.
We found that reducing elevated IS in dfmr1 mutants ameliorates both the circadian and memory defects, suggesting that elevated IS contributes to these defects. Although no role for IS in circadian behavior has yet been established, we identified the pupal stage as a critical time period during which IS must be normalized to stimulate rhythmic circadian activity in adulthood. The pupal stage is a period of massive neuronal reorganization, and as IS also has an important role in neural development,49 aberrant IS could result in improper reorganization of the circadian output circuit during metamorphosis. Interestingly, several studies hint at roles for IS in circadian behavior. Changes in IS affect sleep duration in older flies,55 which could also affect rhythmicity. Also, there are established interactions between IS and ecdysone signaling, which is already known to influence circadian rhythmicity.56, 57, 58, 59, 60 However, further experiments will be needed to establish the mechanisms by which alterations in IS affect circadian behavior.
Our findings also indicate that properly modulated IS is important for normal memory in dfmr1 mutants. Our discovery of the drug metformin as an enhancer of two forms of memory in dfmr1 mutant flies may provide some clues as to the mechanism of IS action on memory. The identification of metformin is particularly exciting because as an FDA-approved drug it could be used immediately in patients. However, although metformin is known to affect the IS pathway, its mechanism of action is currently unknown. Previous studies have shown that metformin raises pAMPK activity, which has the effect of reducing IS downstream of the TOR pathway.61 It should be noted, however, that metformin also acts through other pathways, including through cAMP and mitochondrial complex I.62, 63 Currently, we can only speculate as to which pathways metformin targets to improve memory in dfmr1 mutant flies, but further pursuit of this question will be important to understanding the mechanism by which memory is disrupted in FXS.
Here, we show that normal IS is disrupted in dfmr1 mutant flies, and that normalization of IS through genetic or pharmacological means is able to rescue circadian behavior and memory. Clearly, further investigation will help unravel the connection between IS, memory and circadian behavior, and establish how metformin affects memory in dfmr1 mutants. Exploration of these results in the mouse fragile X model and fragile X patients will be essential, as such investigations may lead to novel treatments for FXS and other disorders.
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This work was supported by the FRAXA Research Foundation with grants to SMJM, CC, TAJ and by the National Institutes of Health (NIH) Grant GM086902 (to TAJ). The United States Department of Defense Autism Grant AR1101189 and Autism Speaks Grant AS2087 provided grant support for TAJ and SMJM. The Albert Einstein College of Medicine of Yeshiva University MSTP grant funded SMJM. SMJM was also supported by a University of Pennsylvania R25 MH060490 (Clinical Research Scholars Program in Psychiatry) and by the Training Program in Neuropsychopharmacology at the University of Pennsylvania T32 MH1465. RM was supported by a training grant from the NIH (T32 HD 7516-14) and XZ was supported by a NARSAD Young Investigator Award. CC was supported by the Dermatology Chairman’s fund grant of Drexel University College of Medicine. FB was supported by grants from the Canadian Institute Health Research, Canadian Child Health Clinician Scientist Program and the Women and Children Health Research Institute.
Experiments were performed by RM, DE, BS, XZ, DC, PH, TM, CC, FB, CR, SL, SMJM and TAJ. Experiments were designed by TAJ, RM, SMJM, FVB and AS. The paper was written by RM and TAJ. The paper was edited by RM, DE, XZ, FVB, AS, SMJM and TAJ. Figures were prepared by RM, DE and DC.
The authors declare no conflict of interest.
Supplementary Information accompanies the paper on the Molecular Psychiatry website
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Monyak, R., Emerson, D., Schoenfeld, B. et al. Insulin signaling misregulation underlies circadian and cognitive deficits in a Drosophila fragile X model. Mol Psychiatry 22, 1140–1148 (2017). https://doi.org/10.1038/mp.2016.51
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