Trehangelins ameliorate inflammation-induced skin senescence by suppressing the epidermal YAP-CCN1 axis

Trehangelins (THG) are newly identified trehalose compounds derived from broth cultures of an endophytic actinomycete, Polymorphospora rubra. THG are known to suppress Cellular Communication Network factor 1 (CCN1), which regulates collagen homeostasis in the dermis. Although the physical properties of THG suggest a high penetration of the stratum corneum, the effect of THG on the epidermis has not been reported. Here we describe a possible mechanism involved in skin aging focusing on the effect of THG on epidermal CCN1. This study shows that: (1) THG suppress epidermal CCN1 expression by inhibiting the translocation of Yes-Associated Protein (YAP) to nuclei. (2) Epidermal CCN1, localized at the basement membrane, regulates the balance between the growth and differentiation of keratinocytes. (3) Keratinocytes secrete more CCN1 than fibroblasts, which leads to disruption of the basement membrane and extracellular matrix components. (4) The secretion of CCN1 from keratinocytes is increased by ultraviolet B exposure, especially in aged keratinocytes, and deteriorates the elastic fiber structures in the underlying dermis. (5) Topical application of THG ameliorates the structure of the basement membrane in ex vivo human skin explants. Taken together, THG might be a promising treatment for aged skin by suppressing the aberrant YAP-CCN1 axis.


Results
THG suppresses the expression of CCN1 in keratinocytes by inhibiting the translocation of YAP to the nucleus. Three new trehalose compounds, designated THG A, B and C, were isolated from culture broth of an endophytic actinomycete strain, Polymorphospora rubra K07-0510. Although those compounds are structurally related, we used THG A in this study because of its lower cytotoxicity 1 . THG consist of a trehalose moiety and two angelic acid moieties (Fig. 1a). For compounds to penetrate into the skin, their deposition to the stratum corneum, the rate-limiting layer for skin penetration, is important. Generally, compounds with a LogP (octanol-water partition coefficient) of 1-4 16 and with a molecular weight < 500 Da 17 are thought to be suitable for permeability through the skin. Considering the physical properties of THG (MW: 506.5, LogP: 3.8), its penetration into the stratum corneum should be excellent (Fig. 1b). Thus, the effect of THG on keratinocytes a Figure 1. Trehangelins (THG) suppress the expression of CCN1 in keratinocytes by inhibiting the translocation of Yes-associated protein (YAP) to the nucleus. Structure of THG A (a). Estimated LogP of THG, Trehalose derivatives and mono/disaccharides was calculated using ChemDraw. Detailed list is shown in Supplementary Information (Table S1) (b). Effects of THG on CCN1 expression. Keratinocytes were pretreated with THG for 24 h and then were stimulated with or without 10 U plasmin, after which they were incubated for another 24 h. The expression of cellular CCN1 from the lysate (c) and secreted CCN1 from the supernatant (d) was determined by Western Blotting and was quantified. Values reported are means ± SD of n = 3 replicates, Dunnett's test, *p < 0.05, **p < 0.01, ***p < 0.001 (c, d). Immunocytochemistry of YAP and analysis of nuclear YAP-positive cells 0-3 h after Ca or THG treatment (e). Values reported are means of n = 10,000 cells, Bar = 100 μm (e). www.nature.com/scientificreports/ was examined. Western blot analysis showed that treatment with THG significantly decreased the expression levels of cellular (Fig. 1c) and secreted CCN1 (Fig. 1d). It has been reported that YAP, a major downstream effector of the hippo signaling pathway, directly regulates the expression of CCN1 18 . Therefore, we next investigated whether THG suppress CCN1 via the YAP signaling pathway. Immunocytochemical analysis revealed that the translocation of YAP to nuclei was inhibited 30 min after treatment with THG, which might lead to the downregulation of CCN1 expression (Fig. 1e). These results indicate that THG is a potential suppressor of epidermal CCN1.
Epidermal CCN1 regulates the balance of growth and differentiation of normal human keratinocytes. To determine whether CCN1 is involved in the epidermal homeostasis of normal non-psoriatic skin, we first examined its localization in the skin. Immunohistochemical analysis and in situ hybridization showed that CCN1 protein and mRNA are localized at the stratum basale in the epidermis as well as in the dermis (Fig. 2a). Thus, we next investigated the function of CCN1 using knockdown technology (Fig. 2b). Secreted CCN1 was clearly decreased in siCCN1-transfected keratinocytes (Fig. 2c) and slight morphological changes were observed in siCCN1-transfected keratinocytes (Fig. 2d, day 4). After inducing differentiation by changing the media to a high Ca concentration and air lifting, siCCN1-transfected keratinocytes were obviously cornified compared with untreated and siCont-transfected keratinocytes (Fig. 2d, days 10 and 15). qPCR analysis showed that the expression levels of 4 differentiation-related genes, K10, Aquaporin 3 (AQP3), Transglutaminase 1 (TGM1) and Filaggrin (FLG), were significantly upregulated in siCCN1-transfected keratinocytes (Fig. 2e). Moreover, imaging cytometry revealed that the expression of Ki67, a proliferation marker, was decreased while the expression of K10 was increased in siCCN1-transfected keratinocytes (Fig. 2f). As previously reported, CCN1 is a secreted matricellular protein that is cleaved by plasmin in lung epithelial cells 19 . Thus, the ability of keratinocytes to secrete CCN1 was compared with fibroblasts. Keratinocytes treated with plasmin showed decreased levels of full-length CCN1 (flCCN1: 42 kDa) and secreted more cleaved CCN1 (clCCN1: 25 kDa) than fibroblasts (Fig. 2g). These results indicate that clCCN1 secreted from keratinocytes might affect adjacent cells in autocrine and/or paracrine dependent manners.
CCN1 secreted from keratinocytes induces inflammation and disrupts the mRNA expression of extracellular matrix constituents. We next examined the inflammatory role of CCN1 focusing on molecules important for integrity of the basement membrane where CCN1 is highly expressed (as shown above). Keratinocytes treated with human recombinant CCN1 showed decreased expression levels of Integrin-β1 ( Fig. 3a) and increased levels of MMP9 (Fig. 3b), which may induce disruption of the basement membrane. Next, the effect of secreted CCN1 on fibroblasts was evaluated using coculture assays. qPCR analysis revealed that the expression levels of extracellular matrix components, COL1, COL3, COL5, COL7 and elastin (ELN), were significantly upregulated in fibroblasts cocultured with siCCN1-transfected keratinocytes in a knockdown efficacy dependent manner (Fig. 3c). In contrast, MMP1 expression was significantly downregulated in those fibroblasts. From these results, we hypothesized that clCCN1 secreted from keratinocytes could make the dermal extracellular matrix structure more fragile.
Epidermal CCN1 is increased by UVB exposure especially in aged keratinocytes and deteriorates the structure of elastic fibers in human skin. To further test that hypothesis, we analyzed CCN1 expression in keratinocytes and the dermal structure derived from the same human skin (Fig. 4a). In this experiment, keratinocytes were exposed to UVB, which is one of the common triggers of sensitive skin. Imaging cytometry revealed that aged keratinocytes had an enlarged cell size and a decreased expression level of Ki67, indicating cellular senescence 20,21 , compared with young keratinocytes (Fig. 4b). The expression of CCN1, which is increased in aged fibroblasts, was unchanged between young and aged keratinocytes (Fig. 4c). However, after exposure to 15 mJ/cm 2 UVB, a dose that induces oxidative stress, only aged keratinocytes showed upregulated levels of clCCN1 and evident proliferation arrest (Fig. 4b, c). To further confirm the effect of clCCN1 on the dermis, immunohistochemistry of the corresponding decolorized dermis was performed. The volume of elastic fibers was reduced in aged dermis (Fig. 4d). The expression of clCCN1 but not flCCN1 was negatively correlated with the volume of elastic fibers only in UVB-irradiated keratinocytes, although the difference was not statistically significant (p = 0.076) (Fig. 4e). We further compared the expression of CCN1 in keratinocytes derived from volunteers with higher or lower elastin volumes. Volunteers with lower volumes of elastic fibers had significantly higher expression levels of CCN1 (Fig. 4f). Overall, the secretion of CCN1 in the epidermis is likely to be caused by oxidative stress on aged keratinocytes, which leads to the deteriorated structures of elastic fibers.
Treatment with THG ameliorates the structure of the basement membrane in ex vivo human skin explants. Finally, we confirmed the effects of THG on human skin explants. The treatment of skin explants with 340 U plasmin strongly enhanced the expression level of secreted CCN1, which was significantly decreased in topically THG treated skin explants (Fig. 5a, b). Since the downregulation of CCN1 enhanced the expression of extracellular matrix components including COL7 localized at the basement membrane (as shown above), the effect of THG on collagen was evaluated. UVB exposure of skin explants induced the expression of basal CCN1, which was significantly decreased in THG-treated explants (Fig. 5c, d). Furthermore, immunohistochemical analysis of decolorized skin revealed that the volume of COL7, which is disrupted by exposure to 200 mJ/cm 2 UVB, was restored by the cutaneous application of THG (Fig. 5e). Taken together, the topical application of THG ameliorates the basement membrane via the downregulated secretion of CCN1 in the epidermis.   www.nature.com/scientificreports/

Discussion
In this study, we elucidated the function of epidermal CCN1, a factor that is important in psoriasis and in dermal senescence, and assessed the effects of THG on the skin (shown schematically in Fig. 6). Even in normal skin, CCN1 is localized at the stratum basale and is involved in the balance of growth and differentiation. Although YAP, a transcriptional coactivator that targets CCN1 expression, is known to maintain basal epidermal stemness 22,23 , this study demonstrated that the regulation of CCN1 alone can switch the balance of growth and differentiation. Furthermore, in the skin of patients with psoriasis, CCN1 is also involved in the hyperplasia of keratinocytes 24 . These facts imply that the function of the YAP-CCN1 axis in normal epidermis is likely to be consistent with psoriatic epidermis. Treatment of keratinocytes with plasmin decreased levels of intracellular flCCN1 but markedly increased extracellular clCCN1 (Fig. 2f). Thus, we speculated that flCCN1 is digested intracellularly before its secretion as well as by the direct digestion of exosome-shuttled flCCN1 by extracellular plasmin 19 . Interestingly, keratinocytes secreted more clCCN1 than fibroblasts and the length of CCN1 fragments differed from each other (Fig. 2f). Because we performed western blotting to detect CCN1 using a monoclonal antibody to the N-terminus of CCN1, further studies are needed to identify the essential domain for skin senescence in the various CCN1 fragments derived from keratinocytes. These facts suggest that epidermis-derived CCN1 is indispensable for regulating the skin microenvironment and the distribution of flCCN1 and various CCN1 fragments may control the homeostasis of skin. Next, we found that the excess secretion of CCN1 from keratinocytes affects adjacent keratinocytes and fibroblasts. Because CCN1 itself is an agonist of integrin-β1 25 , excess CCN1 might desensitize integrin-β1. In combination with the upregulation of MMP9, the consequent disturbance of the basement membrane might enhance the penetration of CCN1 to the dermis. In spite of the general upregulation of collagen in fibroblasts cocultured with siCCN1-transfected keratinocytes, we couldn't confirm the contribution of transforming growth factor-β signaling to that process (data not shown). Thus, it is conceivable that the disruption of extracellular matrix expression caused by epidermal clCCN1 might be mediated by the integrin-reactive oxygen species pathway 26 .
Furthermore, we successfully demonstrated the relationship between clCCN1 and the dermal structure by analyzing isolated keratinocytes and the corresponding dermis (Fig. 4). Using that strategy, our data clearly suggest that the epidermis, which is continuously exposed to environmental stresses, becomes vulnerable to  Fig. 6c (a, b)    www.nature.com/scientificreports/ those stresses with aging and affects tissues with a slow turnover like the dermis partly via epidermal CCN1. We would like to follow up our study to elucidate the behavior of CCN1 in sensitive skin in vivo and to clarify the relationship between clCCN1 and stimuli associated with sensitive skin other than UVB. For a skin care solution, we discovered that THG is a suppressor of CCN1 in keratinocytes (Fig. 1). The transcription of CCN1 and the translocation of YAP are not affected by TXA (Supplemental data Fig. 1), which suggests that both TXA and THG suppress plasmin induced CCN1 by distinct mechanisms. Since trehalose doesn't decrease CCN1 expression in keratinocytes and fibroblasts (data not shown), the two angelic acid moieties of THG must be important for the nuclear translocation of YAP. As the nuclear translocation of YAP was inhibited 30 min after THG treatment, it implies that THG might be directly involved in the upstream Hippo signaling pathway.

Analysis Observation of ECM
There are several possible limitations in this study. (1) The number of human skin samples was small and contributed to a lack of statistical power. (2) Unexpectedly, THG did not increase the expression of elastin in an ex vivo model. This would be influenced by the disadvantage of ex vivo cultures, which cannot be maintained for a sufficient length of time to show the histologic changes of elastic fibers. Although it is beyond the scope of this study, a previous study showed that the exogenous delivery of CCN1 or the induction of CCN1 signaling may have a therapeutic value for the treatment of fibrosis associated with wound healing 27 . Further dermatopharmacokinetic experiments are required to understand how to modulate the appropriate expression of CCN1 by THG.
In conclusion, THG is a promising candidate for suppressing the disrupted YAP-CCN1 signaling of epidermal keratinocytes. Since the concept of "sensitive skin" emerged in the 1970's 28 , the population has steadily increased and has become an aging-conscious generation. We hope that these findings will provide a basis for the treatment of sensitive and senescent skin.  www.nature.com/scientificreports/ Human skin samples. Full-thickness normal human abdominal skin (from an 18 year old female) was obtained from CTI-biotech (Lyon, France) under ethical considerations. Samples were collected following informed consent of anonymous donor patients. Consenting and collecting procedures were compliant with European standards and applicable local ethical guidelines. Human eyelid skin (n = 4 young subjects: 10, 12, 12 and 13 years old, n = 6 aged subjects: 72, 77, 80, 80, 83 and 85 years old) was provided by the Kitasato University School of Medicine (Kanagawa, Japan). The study protocol conformed to the ethical guidelines of Kitasato University's Ethics Committee (B16-285) and was conducted according to the principles of the Declaration of Helsinki. Informed consent was obtained from each patient or parent and/or legal guardian of minor subjects prior to enrollment in the study.  29,30 . Briefly, full-thickness normal human skin was processed within 24 h after excision. One cm square explants were placed on Netwell™ Inserts (Cat# 3477, Corning, NY, USA) and put in 12 well plates. DMEM:F12 1:1 (Cat# 11039-021, Thermo Fisher Scientific) with antibiotics added to each plate to keep the explants immersed but their surface dry (day 0). Twenty μL 1% THG solution in PBS was applied on the stratum corneum on day 1 and was replaced with fresh solution once a day. For plasmin stimulation, 340 U plasmin was systematically applied to the medium on day 1. For UVB irradiation, explants were transferred to 12 well plates with PBS(−) and were exposed to 200 mJ/cm 2 UVB, after which they were put back into their original wells. After treatment with THG, plasmin or UVB, all samples were collected on day 5. All cells and explants used in this study were incubated in a humidified atmosphere with 5% CO 2 at 37 °C. www.nature.com/scientificreports/ fixed with 4% PFA, then embedded in paraffin and cut into 5 μm sections. Antigen retrieval was performed using Decloaking Chamber NxGen (BIOCARE Medical, Pacheco, CA, USA) at 95 °C for 10 min in pH 6.0 citrate buffer. After washing with PBS(-), slides were blocked and stained as described above using anti-CCN1 or anti-COL7 and corresponding Alexa antibodies. Samples were observed using FLUOVIEW FV1000 on an IX81 microscope (Olympus, Tokyo, Japan) or a BZ-X810 microscope (KEYENCE, Osaka, Japan) and was analyzed using a BZ-X800 analyzer (KEYENCE). For staining of decolorized skin, each fixed skin tissue was sectioned at a thickness of 1 mm in the direction of the epidermis-dermis, then washed with PBST and blocked with Start-ingBlock™ (PBS) blocking buffer. The sections were then incubated with anti-COL7 and anti-elastin antibodies diluted in StartingBlock™ (PBS) blocking buffer. After washing, sections were visualized with Alexa antibodies and DAPI diluted in PBS(−). After further washing, these sections were subsequently decolorized by the application of Rapiclear 1.49 (SunJin Lab Co., Hsinchu, Taiwan). Samples were observed using FLUOVIEW FV1000 on an IX81 microscope (Olympus, Tokyo, Japan). The volume of elastic fibers was calculated using Simpleware software (JSOL Corp., Tokyo, Japan) or Image J.
Histomorphological observations. Reconstructed epidermal models and human skin specimens were ELISA. The secretion of matrix metalloproteinase 9 (MMP9) into NHEK culture medium was determined using a Human MMP-9 DuoSet ELISA (Cat# DY911, R&D Systems, Minneapolis, MN, USA) and was performed according to the manufacturer's instructions. On day 1, 0-1% THG was applied on the stratum corneum and 340 U plasmin was applied to the medium. clCCN1 in the supernatant on day 5 was determined by Western Blots. Values reported are means ± SD of n = 3 replicates, Tukey's test, *p < 0.05 (a). CCN1 expression and localization determined by immunohistochemistry, Bar = 100 μm (b). Effects of topically applied THG on the expression of CCN1 and COL7 in UVB irradiated ex vivo skin explants. 1% THG was topically treated from day 1. On days 1, 2 and 3, the inserts were exposed to 200 mJ/cm 2 UVB. The expression of CCN1 and COL7 was determined by immunohistochemistry of skin sections collected on day 5, Bar = 50 μm (c). The area of CCN1 and COL7 around the basement membrane was quantified. Values reported are means ± SD of 9 fields from n = 3 replicates, Tukey's test, *p < 0.05, ***p < 0.001 (d). The volume of COL7 and ELN was determined by immunohistochemistry of decolorized skin explants, Bar = 50 μm (e). www.nature.com/scientificreports/