Abstract
Depriving cells of nutrients triggers an energetic crisis, which is resolved by metabolic rewiring and organelle reorganization. Primary cilia are microtubule-based organelles at the cell surface, capable of integrating multiple metabolic and signalling cues, but their precise sensory function is not fully understood. Here we show that primary cilia respond to nutrient availability and adjust their length via glutamine-mediated anaplerosis facilitated by asparagine synthetase (ASNS). Nutrient deprivation causes cilia elongation, mediated by reduced mitochondrial function, ATP availability and AMPK activation independently of mTORC1. Of note, glutamine removal and replenishment is necessary and sufficient to induce ciliary elongation or retraction, respectively, under nutrient stress conditions both in vivo and in vitro by restoring mitochondrial anaplerosis via ASNS-dependent glutamate generation. Ift88-mutant cells lacking cilia show reduced glutamine-dependent mitochondrial anaplerosis during metabolic stress, due to reduced expression and activity of ASNS at the base of cilia. Our data indicate a role for cilia in responding to, and possibly sensing, cellular glutamine levels via ASNS during metabolic stress.
Similar content being viewed by others
Main
Over 35 different pathologies caused by functional alterations of the primary cilium have been reported affecting various organs and physiological systems, collectively called ciliopathies1,2. These pathologies are classified as motile ciliopathies when they are caused by disruption of motile cilia, or sensory ciliopathies when they are caused by alterations in primary, non-motile, cilia. The kidney is frequently and severely affected in the sensory ciliopathies, presenting with a broad spectrum of phenotypes, including cyst formation, inflammation and fibrosis1,2.
The function of primary cilia is still largely elusive. In most cell types, it appears to act as a central hub receiving extracellular signals and integrating an intracellular response that orchestrates key cellular functions, such as proliferation and autophagy1,2,3,4. Cilia were also shown to regulate systemic metabolic responses via adipocyte hormone receptors, providing a possible explanation for obesity as a frequent manifestation in the ciliopathies5,6. Metabolic reprogramming and alterations in cellular bioenergetics are central features of polycystic kidney disease (PKD)7,8,9,10,11,12 the most frequent renal ciliopathy, whose progression is retarded by fasting and by fast-mimicking compounds13,14,15,16,17.
In this Letter, on this basis we investigated whether primary cilia contribute to nutrient sensing. First, we exposed mouse embryonic fibroblasts (MEFs) to serum or nutrient deprivation for 24 h. Anti-acetylated tubulin staining showed the expected elongation of cilia in nutrient-full medium in the absence of serum and an additional remarkable elongation under nutrient deprivation (Supplementary Fig. 1a). To rule out possible artefacts of the fixation required for immunofluorescence (IF), we used live imaging on MEFs transduced with green fluorescent protein (GFP)-fused ARL13B, a ciliary-specific protein18 (ARL13B-GFP, Fig. 1a,b). Data confirmed that removal of nutrients strongly induces ciliary elongation, without affecting the number of ciliated cells, ruling out increased exit from the cell cycle as a trivial explanation for our findings (Fig. 1a,b). Importantly, cilia elongation upon nutrient deprivation could also be appreciated in human retinal pigment epithelial cells (hRPE), murine inner medullary collecting duct cells (mIMCD3) and Madin–Darby Canine Kidney cells (MDCK type II), all epithelial cell lines extensively used for studies on primary cilia. In these cell lines as well, cilia elongation occurred in the absence of increased percentage of ciliated cells (Fig. 1a,b).
We next asked whether primary cilia might be involved in the regulation of cellular metabolism. We generated MEFs and mIMCD3 cells ablated of the primary cilium by clustered regularly interspaced short palindromic repeats (CRISPR)/Cas9 inactivation of the gene encoding for the intraflagellar transport protein IFT88 (MEFIft88 and mIMCDIft88 hereafter), and matching controls (MEFCtrl and mIMCDCtrl) leading to complete loss of cilia14 (Extended Data Fig. 1a–f). No overt alterations in oxygen consumption, glycolysis or proliferation rates were detected in these cells lines when grown under nutrient-rich conditions irrespectively of serum supplementation (Extended Data Fig. 1b–f). However, untargeted metabolomic by nuclear magnetic resonance (NMR) profiling of the conditioned extracellular medium in serum starvation (Fig. 1c,d and Extended Data Fig. 1g,h), revealed significant alterations in the consumption/production of metabolites in MEFIft88 cells as compared with MEFCtrl resulting in a clear separation by principal component analysis and hierarchical clustering (Fig. 1c,d, Extended Data Tables 1 and 2, and Extended Data Fig. 1g,h). Indeed, MEFIft88 cells displayed multiple alterations in metabolites consumption and release, including reduced glucose and glutamine consumption (Fig. 1d,e), and a significant reduction in glutamate and lactate production as compared with controls MEFCtrl (Fig. 1d,e and Extended Data Tables 1 and 2).
Thus, ablation of cilia results in subtle but significant differences in the utilization of nutrients, in particular glucose and glutamine, the two main carbon sources in cells. To investigate whether the different utilization of glucose and glutamine might indicate a different sensing of these two carbon sources by cilia, we measured ciliary length upon nutrient deprivation or supplementation with glucose (25 mM) or glutamine (4 mM) (Fig. 1f). We found that glutamine, but not glucose, reversed the ciliary elongation induced by nutrient deprivation in all cell lines analysed (MEFs, hRPE, mIMCD3 and MDCK type II) (Fig. 1f and Extended Data Fig. 2a). This was interesting because, while glucose is the preferred source of energy in steady-state conditions, glutamine becomes instead the preferred source of carbon for oxidative phosphorylation (OXPHOS) and ATP production under metabolic stress conditions (such as reduced nutrient availability) (Fig. 1g) in cells19,20,21,22. Indeed, and in line with this, supplementation with glutamine, but not with glucose, was sufficient to drive OXPHOS and ATP production in cells exposed to nutrient deprivation (Fig. 1h and Extended Data Fig. 2b–d).
Thus, we asked whether mitochondrial activity fuelled by glutamine plays a role in cilia elongation. We reasoned that, if this is the mechanism of action, inhibition of OXPHOS and mitochondrial activity should be sufficient per se to drive ciliary elongation, a finding that was previously reported in neurons23. Indeed, exposing cells to a mitochondrial ATP synthase inhibitor (oligomycin) or to inhibitors of complex I or complex III of the mitochondrial electron chain (rotenone and antimycin A, respectively) (Extended Data Fig. 3a) in nutrient-rich, serum-deprived medium was sufficient to increase cilia length in both MEFs and hRPE cells (Extended Data Fig. 3b). ATP availability is sensed by the energy sensor AMP-activated protein kinase (AMPK), which was strongly activated upon nutrient deprivation24 as expected (Extended Data Fig. 3c). Notably, pharmacological activation of AMPK using 5-aminoimidazole-4-carboxamide riboside (AICAR), a direct and specific allosteric activator of the kinase24,25, in cells cultured under nutrient-rich conditions (Extended Data Fig. 3c) was again sufficient to drive AMPK activity and a 50% increase in ciliary length both in hRPE and mIMCD3 cells, without affecting the percentage of ciliated cells (Extended Data Fig. 3d–f). These data taken together indicate that a reduced ATP production due to reduced OXPHOS and the consequent AMPK activation facilitates cilia elongation and that replenishment of glutamine restores ciliary length by reversing this process.
Notably cilia elongation upon nutrient stress was reversed by glutamine in a dose-dependent manner and occurred at a low concentration of 0.2 mM (Fig. 2a). Furthermore, the ciliary response to nutrients is rapid, as cilia elongation could be appreciated at 8 h (Fig. 2b), while glutamine replenishment shortened the cilium already at 4 h (Fig. 2c). Finally, removal of glutamine from an otherwise full medium was sufficient to drive cilia elongation (Fig. 2d). Thus, glutamine regulates ciliary length in vitro.
We then assessed whether the process could be observed in vivo. To test this, we analysed primary cilia length in renal tubular epithelial cells (labelled with Dolichos biflorus agglutinin, DBA) in mice fasted for 24 or 48 h (Fig. 2e–h and Extended Data Fig. 4a,b). As evidence of the fasting state, mice showed reduced glycaemic values (168 mg dl−1 at 24 h, and 77 mg dl−1 at 48 h) compared with controls (237 mg dl−1) (Fig. 2h and Extended Data Fig. 4a,b). Fasted mice showed a significant increase in ciliary length compared with control, fed mice, both at 24 and at 48 h of fasting (Fig. 2e–h and Extended Data Fig. 4a,b). Next, we performed intraperitoneal (i.p.) injection of 800 mg kg−1 of glutamine for 24 or 40 h (Fig. 2e–h), and found that this reversed the fasting-induced elongation of primary cilia (Fig. 2e–h), in the absence of an increased glycaemia (Fig. 2h). Of interest, fasting caused only a minimal decrease of circulating glutamine (Extended Data Fig. 4c), in line with previous literature26. Pharmacokinetic analysis revealed a peak of concentration 30 min after injection of glutamine, which achieved 1.5 mM, just 1.5 times the baseline plasma concentration of glutamine, to then return to baseline levels by 48 h (Fig. 2i). The concentration of glutamine in total kidney lysate evaluated at sacrifice revealed quite drastically decreased levels upon fasting, minimally increased after 24 h from the injection of glutamine (Fig. 2j), probably reflecting a similar kinetic as plasma glutamine (Fig. 2i). These data indicate that primary cilia elongate in response to nutrient stress and shorten in response to glutamine levels also in vivo. Finally, given the role that mitochondrial activity plays in the regulation of ciliary length in response to glutamine, we next examined ciliary length in mice carrying kidney-specific inactivation of the gene Opa1 (ref. 27) (Extended Data Fig. 4d) in the same renal tubules that responded to fasting/glutamine in the previous experiment (distal and collecting ducts, DBA positive). These mutants display reduced fusion and cristae formation in mitochondria (Cassina et al., unpublished), along with a severe impairment of OXPHOS (Extended Data Fig. 4e). We found that DBA-positive renal tubules displayed a very prominent cilia elongation in the Opa1 mutants. Thus, in line with our data above and with a recent in vitro study on astrocytes28, impairment of mitochondrial activity in renal epithelia in vivo results in cilia elongation (Extended Data Fig. 4f).
We next investigated whether cilia-deficient cells present alterations in the response to metabolic stress20,21,22. To this end, we performed targeted metabolomics by liquid chromatography–mass spectrometry (LC–MS) on MEFIft88 and MEFCtrl upon metabolic stress exposure (Hank’s Balanced Salt Solution, HBSS) or glutamine supplementation (HBSS + 4 mM Q) (Fig. 3a). Indeed, 49 of the 137 metabolites were identified as significantly changed between MEFIft88 and MEFCtrl under HBSS exposure (Fig. 3b–d). Notably, among the most prominent changes are the ratios ATP/AMP, GTP/GMP and CTP/CMP indicating an alteration in the energy charge in response to nutrient deprivation in cilia-deficient cells (Fig. 3c). Presence of glutamine in the nutrient deprivation medium resulted in partial or complete rescue of such metabolites in the MEFIft88 cells as compared with the MEFCtrl with the notable exception of 14 metabolites, which changed only under HBSS + Q conditions (Fig. 3d). Among these, tricarboxylic acid (TCA) cycle intermediates significantly changed in MEFIft88 (Fig. 3d and Extended Data Fig. 5a), suggesting a possible impairment of the TCA cycle. In line with this, mitochondrial function in both MEFIft88 and mIMCDIft88 grown in HBSS or HBSS supplemented with 4 mM glutamine revealed that cilia-deficient cells displayed reduced oxygen consumption rate (OCR) upon glutamine replenishment in nutrient starvation (Fig. 3e and Extended Data Fig. 5b,c). Thus, cells lacking cilia utilize reduced levels of glutamine and display defective mitochondrial respiration under metabolic stress conditions.
In search for a mechanism for our findings, we first hypothesized that the mechanistic target of rapamycin complex I (mTORC1) (ref. 29) might play a role, as the cascade was previously implicated in regulation of ciliary function29,30 and glutamine is a known activator of the pathway29,30. Indeed, mTORC1 was inhibited in nutrient deprivation and re-activated by glutamine replenishment as expected (Extended Data Fig. 6a). However, rapamycin did not prevent the glutamine-induced rescue of cilia elongation (Extended Data Fig. 6b). Furthermore, leucine, another amino acid known to induce mTORC1 activity29 (Extended Data Fig. 6c), had no effect on ciliary length (Extended Data Fig. 6d). Thus, the mechanism appears to be mTORC1 independent.
Of interest, among the most prominent alterations that we observed in cilia-deficient cells were glutamine and asparagine, which were reduced in mutant cells (Fig. 4a). We thus investigated whether the enzyme asparagine synthetase (ASNS)9,31 could mediate the anaplerotic usage of glutamine and in so doing regulate the ciliary response. Indeed, silencing Asns induced the expected elongation of cilia at baseline and impaired the shortening of cilia upon glutamine replenishment at 8 and 24 h (Fig. 4b,c and Extended Data Fig. 6e,f). However, neither supplementation with asparagine, nor treatment of cells with asparaginase, which degrades extracellular asparagine, had an effect on ciliary length indicating that the ciliary response to glutamine does not depend on asparagine (Fig. 4d and Extended Data Fig. 6g). Conversely, silencing of Asns greatly dampened glutamine-driven mitochondrial respiration in both MEFs and mIMCD3 cells exposed to nutrient deprivation (Fig. 4e and Extended Data Fig. 6h), indicating that under metabolic stress conditions ASNS supports glutamate generation from glutamine to sustain mitochondrial activity via anaplerosis (Fig. 4e). Importantly, under these conditions, the silencing of Asns had no effect on the capability of glutamine to activate mTORC1 (Fig. 4b), further excluding a role for this kinase complex axis in the process.
In line with these data, real-time quantitative reverse transcription-polymerase chain reaction (qRT-PCR) revealed a reduced expression of ASNS in the cilia-deficient MEFIft88 and mIMCDIft88 as compared with controls (Extended Data Fig. 6i). ASNS uses glutamine to transamidate aspartate, thus generating asparagine and glutamate as products31 (Fig. 4f). Stable isotope tracing using nitrogen-labelled glutamine (15N2-glutamine) followed by LC–MS analysis, confirmed that MEFIft88 cells showed significant reduction in glutamine uptake and a significant reduction in the release of nitrogen-labelled asparagine (m + 1) as compared with controls (Fig. 4g), supporting a reduced activity of the enzyme ASNS in cilia-deficient mutants.
Our data prompted us to ask what could be the interconnection between ASNS and primary cilia. A previous screening suggested that Asns could regulate ciliary length32, while ASNS was described as a possible component of the ciliary proteome33. However, none of these studies confirmed or validated these findings. To test whether ASNS could indeed be a ciliary protein, we performed an ultracentrifugation-based purification protocol to enrich for ciliary proteins34,35 (Fig. 4h). The results confirmed that ASNS could be found enriched in the ciliary fraction in addition to its expected cytosolic expression. Notably, two other cytosolic proteins, S6RP and TSC1, were enriched only in the cytosolic fraction, while the cilia-resident protein IFT88 was mostly enriched in cilia, demonstrating the validity of the fractionation study (Fig. 4h).
Attempts at localizing the endogenous ASNS into cilia by IF failed to identify a specific signal that could be ablated by Asns silencing (not shown). We thus generated multiple fluorescent protein-tagged versions of the ASNS protein. Transient transfection using a GFP-ASNS construct followed by live imaging in mIMCD3 cells revealed a diffuse cytosolic staining as expected, and a quite prominent fluorescent signal into two perinuclear and intense spots resembling centrosomes (Fig. 4i). Visualization of fixed cells to allow for counterstaining using a specific ciliary marker (ARL13B) showed that one of the two spots localized at the base of cilia (Fig. 4j). Double counterstaining of both ARL13B and the basal body and centriole marker γ-tubulin in cells stably expressing ASNS with a different fluorescent tag (mNeon-ASNS) validated the localization of ASNS at the basal body and daughter centriole (Fig. 4k). We conclude that ASNS localizes, at least in part, at the base of cilia (Fig. 4i–k).
In sum, our data collectively demonstrate for the first time that primary cilia respond to glutamine levels, enabling and facilitating the cellular response to glutamine during metabolic stress (glutamine anaplerosis). Our data also collectively demonstrate that ASNS is a novel centrosome/basal body protein, important to mediate the ciliary retraction in the presence of glutamine when cells are under metabolic stress, a condition associated with the required activity of ASNS to convert glutamine into glutamate to fuel the TCA cycle (Extended Data Fig. 7a).
Importantly, our data uncover a potential novel role for primary cilia in sensing nutrient availability. Future work should concentrate on identification of the precise glutamine sensory mechanism, and on the implications for physiology and pathology, particularly relevant for the ciliopathies and cancer, both areas of investigation left uncovered by our current studies.
Methods
Cell lines and media
MEFs are described in ref. 36 and MDCK cells in ref. 37. mIMCD3 cells were kindly provided by Dr Miriam Schmidts (Freiburg University, Germany). hRPE cells were kindly provided by Dr Nicoletta Landsberger (San Raffaele Scientific Institute, Milan, Italy). Ift88 knockout (KO) MEFs (MEFIft88) and mIMCD3 (mIMCDIft88) were generated by CRISPR/Cas9 technology (see below). MEFs were stably transduced with ARL13B-GFP plasmid18 (Addgene, #40879) using lentiviral vectors. MEFs and MDCK cell lines were grown in 37 °C, 5% CO2 incubators, in high-glucose Dulbecco’s modified Eagle medium (DMEM; Thermo Fisher Scientific, #41965062). mIMCD3 cells were cultured in DMEM/F12 medium with GlutaMAX (Thermo Fisher Scientific, #31331093), supplemented with 10% foetal bovine serum (FBS), 1% penicillin–streptomycin (PenStrep; Thermo Fisher Scientific, #15070-063) and 1% sodium pyruvate (Thermo Fisher Scientific, #11360-039) or DMEM/F12 medium without l-glutamine (Thermo Fisher Scientific, #21331046) supplemented with 2.5 mM l-glutamine (Thermo Fisher Scientific, #25030-024), 10% FBS and 1% PenStrep. hRPE cells were cultured in DMEM/F12 medium without l-glutamine (Thermo Fisher Scientific, #21331046) supplemented with 10% FBS and 1% PenStrep. mNeonGreen-ASNS stable mIMCD3 cells were cultured in high-glucose, pyruvate DMEM medium (Thermo Fisher Scientific, #41966029) and Ham’s F-12 Nutrient Mix (Thermo Fisher Scientific, #21765029) (1:1), supplemented with 10% FBS, 400 µg ml−1 hygromycin (Sigma-Aldrich, #H0654), and 1% sodium pyruvate.
CRISPR/Cas9 generation of Ift88 KO cells
To generate Ift88 KO MEFs (MEFIft88) and mIMCD3 (mIMCDIft88), U6gRNA-Cas9-2A-GFP plasmids (Sigma-Aldrich) carrying three distinct custom-designed guide RNA (gRNA) sequences targeting exons 5, 11 and 14 were used (gRNA#1: GATCTGATCTAAGGCCATTCGG; gRNA#2: CAAAAGACGCTTCGATCACAGG; gRNA#3: CAATGGGAAGACCGATGACAGG). For mIMCD3 cells, the most efficient guide (gRNA#1) was employed. Cells were plated on 150 mm2 plates the day before the transfection. Transfection was performed using Lipofectamine 3000 (Thermo Fisher Scientific, #L3000015) following the manufacturer’s instructions with 5 μg of plasmid DNA and a 1:3 DNA:Lipofectamine ratio. The CMV-Cas9-2A-RFP scrambled gRNA was used as a control. Three days after transfection, cells were FACS sorted for GFP (potential MEFIft88 or mIMCDIft88) or RFP (control MEFs or mIMCD3) and plated as single cells into 96-well plates. Vital clones were expanded and screened for the absence of the protein by western blot. IF staining for ARL13B confirmed the absence of cilia in Ift88 KO MEFs or mIMCD3. Ten out of 18 vital MEF clones, and 5 out of 11 mIMCD clones were Ift88 KO. Clones were kept in culture separately, and fresh pools of three different clones (with an equal proportion 1:3 of each single clone) for control and Ift88 KO cells (both MEFs and mIMCD3) were used. The three individual clones were derived from three different guides. For mIMCD3 cells that are more subject to clonality problems, most experiments were also conducted with individual clones.
In vitro treatments
To induce ciliogenesis, cells were serum starved for 24 h. For nutrient deprivation, cells were cultured in HBSS (Thermo Fisher Scientific, #14025-050) for 24 h. To analyse primary cilium response to nutrients, HBSS was supplemented with 0.2, 0.5, 1, 2 and 4 mM l-glutamine (Thermo Fisher Scientific, #25030-024), 20 mM d-(+)-glucose (Sigma-Aldrich, #G7021), 0.5 or 5 mM l-leucine (Sigma-Aldrich, #L8000), or 0.1 or 1 mM l-asparagine (Sigma-Aldrich, #A4159). For AICAR treatment, complete medium was supplemented with 1 mM AICAR (Sigma-Aldrich, #A9978) or dimethyl sulfoxide (DMSO; Sigma-Aldrich, #D2650) for either 24 h (for IF) or 4 h (for western blot analysis). For metformin treatment, complete medium was supplemented with 2 mM metformin (Sigma-Aldrich, #317240) for 4 h (for western blot analysis). For mitochondrial respiratory chain complexes inhibition, cells were treated with 1 µM oligomycin (Agilent Technologies) and 0.5 µM antimycin A/rotenone (Agilent Technologies) for 24 h. For rapamycin treatment, cells were treated with 100 nM rapamycin (LC Laboratories, #R-5000) for 24 h. For asparaginase treatment, cells were treated with 5 U ml−1 asparaginase (Sigma-Aldrich, #A3809) for 24 h.
Murine models and in vivo studies
For the fasting studies, wild-type C57Bl/6N mice were starved for either 24 or 48 h. Blood was collected from mice, and serum glycaemia was detected by Glucose Hexokinase Kit (Werfen, #00018259940) following the manufacturer’s instructions. Glutamine concentration in mice serum was measured by NMR spectroscopy. Mice were perfused in phosphate-buffered saline (PBS) at 4 °C and killed at 48 h. Kidneys were collected and fixed overnight in 4% paraformaldehyde (PFA) and included in optimal cutting temperature compound (OCT). IF for primary cilium detection was performed as described below. For in vivo treatment with l-glutamine (Sigma-Aldrich, #G3126), mice were starved for 8 h and injected with l-glutamine (800 mg ml−1) by i.p. injection two times after 8 h and 24 h of fasting. Mice were killed at 48 h. Alternatively, a single l-glutamine i.p. injection was performed after 24 h of fasting and mice were killed at 48 h. Control mice were normally fed ad libitum, fasted for 24 h or fasted for 48 h. After sacrifice, kidneys were either fixed or liquid-nitrogen snap frozen for primary cilia IF and glutamine concentration measurement by NMR spectroscopy, respectively. For the kinetics of circulating glutamine concentration, mice were fasted for 24 h, injected with i.p. l-glutamine (800 mg ml−1), blood samples collected by retro-orbital withdrawal before fasting, after 24 h of fasting and after 30 min, 2 h, 6 h and 48 h after i.p. injection of glutamine, serum prepared and analysed by NMR spectroscopy. For the genetic ablation of Opa1 in the kidney, Opa1flox/flox mice (kindly provided by Dr Luca Scorrano, VIMM, Padua, Italy) and KspCre mice (kindly provided by Dr Peter Igarashi, University of Minnesota, Minneapolis, MN, United States) were inter-crossed to generate Opa1flox/flox:KspCre experimental mice in a pure C57BL/6N genetic background. Intra-litter Opa1flox/+:KspCre or Opa1flox/flox were used as controls. For all animal work, mice were randomized with a female-to-male ratio of 1:1. Animal care was carried out according to the institutional regulations and approved by the ethical committee for care and animal use at the San Raffaele Scientific Institute, and next approved by the Italian Ministry of Health (IACUC #921).
Antibodies and inhibitors
For IF analysis the following antibodies were used: rabbit ARL13B (Proteintech, #17711-1-AP; 1:250), mouse acetylated α-tubulin (Sigma-Aldrich, #T6793; 1:1,000), rabbit pericentrin (Covance, #PRB-432C; 1:750) and mouse γ-tubulin (Sigma-Aldrich, #T6557; 1:5,000). Fluorochrome-conjugated secondary antibodies were the following: goat anti-rabbit AlexaFluor 488 (Thermo Fisher Scientific, #A-21441; 1:1,000), goat anti-mouse AlexaFluor 546 (Thermo Fisher Scientific, #A-11003; 1:1,000); chicken anti-mouse AlexaFluor 594 (Thermo Fisher Scientific, #A-21201; 1:1,000) and goat anti-rabbit AlexaFluor 647 (Thermo Fisher Scientific, #A-21244; 1:1,000). For nuclear staining we used 4′,6-diamidino-2-phenylindole (DAPI; Santa Cruz Biotechnology, #sc-3598; 1:5,000 or 1:10,000). For DBA-positive renal epithelial cell staining, DBA Rhodamine (Vector Laboratories, # RL-1032-2; 1:100) was used. For western blot analysis, the following antibodies were used: p-AMPK (Thr172) (Cell Signalling Technology, 2535S; 1:1,000), AMPK (Cell Signalling Technology, #2532; 1:1,000), ASNS (abcam, #ab111873), p-S6RP (s235/236) (Cell Signalling Technology, #2211s; 1:1,000), S6RP (Cell Signalling Technology, #2217; 1:1,000), Hamartin/TSC1 (Cell Signalling Technology, #4906; 1:1,000), IFT88 (Proteintech, #13967-1-AP; 1:1,000) and acetylated α-tubulin (Sigma-Aldrich, #T6793; 1:750). For housekeeping protein expression, Vinculin V284 antibody (Millipore, #05-386; 1:15,000) was used. Horseradish peroxidase (HRP)-conjugated secondary antibodies were from GE Healthcare: anti-rabbit IgG HRP linked (#934V), anti-mouse IgG HRP linked (#NA9310V) and anti-rat IgG HRP linked (#NA935V).
IF on cells
For IF analysis, cells were plated on glass coverslips. For mIMCD3 and MDCK cell lines, coverslips were coated with fibronectin (Sigma-Aldrich, #11051407001; 1 µg ml−1 in PBS) before plating cells. Cells were fixed for 10 min in cold methanol or 4% PFA (Electron Microscopy Sciences, #157-4) followed by permeabilization in 0.1% Triton X-100 (Sigma-Aldrich, #T8787) in PBS. After 1 h blocking in 3% bovine serum albumin (BSA; Sigma-Aldrich, #A7906) in PBS at room temperature (RT), cells were incubated 1 h at RT or overnight at 4 °C with primary antibody diluted in 3% BSA in PBS. Cells were then incubated with secondary antibody diluted in 3% BSA in PBS for 1 h at RT and nuclei were stained with DAPI or for live imaging analysis with Hoechst 33342 (Thermo Fisher Scientific, #H3570). Glasses were then mounted with Fluorescence Mounting Medium (Dako, #S3023). Images were obtained using Zeiss Axio Observer.Z1, GE Healthcare DeltaVision Ultra and Olympus FluoVIEW 3000 RS microscopes. Quantification of both ciliary length and ciliated cells frequency was performed manually or by Accumulation and Length Phenotype Automated Cilia Analysis (ALPACA) tool using FIJI (FIJI Is Just ImageJ) software.
IF on tissues
The frozen formalin-fixed OCT-embedded sections from control and Opa1flox/flox:KspCre kidneys samples and the relative controls were dried for 1 h at RT under chemical hood. The OCT was removed through three washings (10 min each) in PBS. The tissue sections were fixed in 4% PFA for 10 min and permeabilized with 0.2% Triton X-100 in PBS. After 1 h blocking in 3% BSA (Sigma-Aldrich, #A7906) 0.1% Triton X-100 in PBS at RT, tissue sections were incubated 1 h at RT or overnight at 4 °C with primary antibody diluted in 3% BSA in PBS. Secondary antibody was incubated with DBA in blocking solution for 1 h at RT. Nuclei were stained with DAPI (1:10,000) in PBS for 10 min at RT. Slides were mounted with Dako Fluorescence Mounting Medium. Representative images were taken using GE Healthcare DeltaVision Ultra microscope.
COX and SDH staining
Kidneys were collected from Opaflox/flox:KspCre and control mice at postnatal day 30 (P30), weighted, and embedded directly in OCT after cardiovascular perfusion with PBS at 4 °C. Cryostat serial kidney sections (8 µm) were rehydrated with PBS, and in situ activity staining for cytochrome c oxidase (COX) and succinate dehydrogenase (SDH) enzymes was performed using COX stain (Bio-Optica; #30-30115LY) and SDH stain kits (Bio-Optica, #30-30114LY) following the manufacturer’s instructions. The slide sections were counterstained for 5 min with Hematoxylin Solution, Harris Modified solution (1:10 in distilled water; Bio-Optica) and mounted with the mounting medium. Images were acquired using Zeiss AxioImager M2m.
TEM imaging
Opa1flox/flox:KspCre mice at P2 were weighted, and fixed for 24 h at 4 °C with 4% PFA and 2.5% glutaraldehyde in 125 mM cacodylate buffer. Kidneys were collected and post-fixed for 1 h with 2% OsO4 in 125 mM cacodylate buffer, washed, and embedded in Epon. Conventional thin sections (60 nm) were collected on uncoated grids, stained with uranyl and lead citrate. Imaging was performed using Zeiss Leo912 80kv Transmission Electron Microscope.
Western blot analysis
For western blot analysis, cells or kidneys were lysed in lysis buffer solution of 150 mM NaCl (Sigma-Aldrich, #s9625), 20 mM Na2HPO4 (BDH, #10494 L)/NaH2PO4 (BDH, #102455 S), 10% glycerol (Sigma-Aldrich, #G7757), 1% Triton X-100 (pH 7.2), complete protease inhibitor cocktail (Roche, #11836145001) and phosphatase inhibitors (1 mM final concentration of glycerophosphate (Sigma-Aldrich, #G9891), sodium orthovanadate (Sigma-Aldrich, #S6508) and sodium fluoride (Sigma-Aldrich, #S6521)). Total lysates were then quantified with Bio-Rad Protein Assay Dye reagent (Bio-Rad Laboratories, #500-0006), and Laemmli buffer at a final concentration of 2× was added to the samples. Proteins were next resolved in 4–12% Tris–glycine gradient gels (Life Technologies, #NP0335BOX) and then transferred onto Immobilon-P polyvinylidene fluoride membranes (Millipore, #IPVH00010). Membranes were blocked with 5% milk in Tris-buffered saline, Tween 20 (Sigma-Aldrich, #P1379) (TBS-T). All the primary antibodies for western blot analysis were diluted in 3% BSA in TBS-T. HRP-conjugated secondary antibodies were diluted 1:10,000 in 5% milk, TBS-T, and detection was performed with ECL (GE Healthcare, #RPN2106) alone or supplied with 10% SuperSignal West Femto (Thermo Fisher Scientific, #34095) when necessary.
Real-time PCR analysis
Total RNA was isolated from cells or kidneys using the RNAspin Mini kit (GE Healthcare, #25-0500-72). Complementary DNA was obtained by reverse transcription of extracted RNA using Oligo(dT)15 primers (Promega, #C1101) or Random Primers (Promega, #C1181) and ImProm-II Reverse Transcriptase (Promega, #A3802). Quantitative real-time PCR analysis was performed on technical duplicates using iTaq Univer SYBR Green (Bio-Rad Laboratories, #1725125) on CFX96 Touch Real-Time PCR Detection System (Bio-Rad Laboratories). Primer sequences for qRT–PCR are reported below:
mHprt fw5′-TTATGTCCCCCGTTGACTGA-3′
mHprt rev5′-ACATTGTGGCCCTCTGTGTG-3′
mAsns fw5′-GGTTTTCTCGATGCCTCCTT-3′
mAsns rev5′-TGTGGCTCTGTTACAATGGTG-3′
Asns transient knockdown
For transient Asns gene silencing in mIMCD3 cells, 20 nM Asns siRNA (Thermo Fisher Scientific, #AM16704/188316) and scramble (Scr) siNegative n. 1 (Thermo Fisher Scientific, #AM4611) or n. 2 (Thermo Fisher Scientific, #AM4613) for controls were used following the manufacturer’s instructions. For siRNA transfection, cells were seeded on a 100 mm2 plate. The transfections were performed two times over 2 days using Lipofectamine 3000 or Lipofectamine RNAiMAX Transfection Reagent (Thermo Fisher Scientific, #13778150) following the manufacturer’s protocol. After transfections, cells were plated for total RNA extraction, protein extraction, IF and Seahorse analysis.
eGFP-ASNS transient transfection
The plasmids for expression of ASNS (p-ASNS) and N-terminally tagged eGFP-ASNS recombinant protein (p-eGFP-ASNS) were generated by Genscript Biotech Corp. For transient transfection of p-eGFP-ASNS, mIMCD3 cells were plated in 12-well plates. Transfection was performed using Lipofectamine 3000 (Thermo Fisher Scientific, #L3000015) following the manufacturer’s instructions. One microgram of plasmid DNA per well with 1:2 DNA:Lipofectamine ratio was used. After transfections, cells were used for IF staining.
Cloning of ASNS plasmids
ASNS expression vector (p-ASNS) was used as a PCR template to generate an Entry clone for the Gateway cloning system (Thermo Fisher Scientific). The Entry clone was sequence verified and used to create an N-terminal mNeonGreen-ASNS fusion using a pgLAP1-mNeonGreen destination plasmid (DEST).
Generation of mIMCD3 cells stably expressing mNeonGreen-ASNS
The stably expressing mNeonGreen-ASNS cell line was generated using Flp-In mIMCD3 (a kind donation by Dr M. Nachury). Cells were plated in triplicate on six-well plates at 15% confluency in DMEM/F12 medium, supplemented with 10% FBS and 1% sodium. The next day, reaching 70% confluency, cells were co-transfected with 1 µg ml−1 of pOG44 vector (ThermoFisher, #V600520) and DEST vector using Lipofectamine 2000 (ThermoFisher, #11668019) in a 1:2 dilution (DNA:Lipofectamine) according to the manufacturer’s instructions. pOG44 is the Flp-Recombinase Expression Vector, which allows for substitution of the FRT cassette with mNeonGreen-ASNS. After 48 h from transfection, cells were grown in selection medium with 400 µg ml−1 hygromycin. Medium with hygromycin was refreshed every 2–3 days for 1.5 weeks. IF and western blot confirmed protein expression of construct.
Seahorse metabolic flux analysis
The Mito Stress Test (Agilent Technologies) was performed by seeding 20,000 cells per well in 96-well Seahorse cell culture microplates and incubating them in a 5% CO2 incubator at 37 °C overnight. Then, culture medium was changed with pH adjusted (pH 7.4 ± 0.1) with 2 mM HEPES bicarbonate-free HBSS, and pH adjusted with 2 mM HEPES HBSS supplemented either with 20 mM d-(+)-glucose or 4 mM l-glutamine for 4, 16 and 24 h. The plate was incubated at 37 °C for 1 h in a non-CO2 incubator before starting the assay. OCR was measured using the Seahorse XF Mito Stress Test Kit (Agilent Technologies, #103015-100) on an XFe96 Analyzer (Agilent Technologies) following the manufacturer’s instructions. Briefly, cells were sequentially injected with 1 μM oligomycin, 1.5 μM carbonyl cyanide-4 (trifluoromethoxy) phenylhydrazone (FCCP) and 0.5 μM antimycin A/rotenone. For measuring OCR in response to acute injection of nutrients, Mito Stress Test was performed on cells treated for 4 h (or 16 h in Supplementary Information) with pH adjusted with 2 mM HEPES HBSS and acutely injected with 20 mM d-(+)-glucose or 4 mM l-glutamine. For measuring OCR of Ift88 control and KO MEFs and mIMCD3 in nutrient-rich condition cells either with or without FBS cells were cultured for 24 h in DMEM or DMEM/F12 ± 10% FBS. Then, culture medium was changed with Seahorse XF DMEM medium (Agilent Technologies, #103575-100) and the plate was incubated at 37 °C for 1 h in a non-CO2 incubator before starting the assay. Cell numbers were normalized using CyQuant Cell Proliferation Assay (Thermo Fisher Scientific, #C35011). All the analyses were performed with the Agilent Seahorse Wave software (Agilent Technologies).
Cilia enrichment
Cells were seeded on a 150 mm2 dish at 90% confluence. Cells were starved for 24 h or 48 h in DMEM/F12 with GlutaMAX supplemented with 0% FBS and 1% PenStrep. After 10 min incubation in PBS supplemented with 1 mM of EDTA cells were scraped, centrifuged at 200g for 5 min and washed with HBS (25 nM HEPES, 137 mM NaCl, 5 mM KCl, 0.7 mM Na2HPO4·2H2O and 6 mM d-(+)-glucose pH 7.05). Pellet was resuspended in 1 ml of Deciliation solution (20 mM HEPES pH 7, 112 mM NaCl, 3.4 mM KCl, 10 mM CaCl2, 2.4 mM NaHCO3 and 20% ethanol) with 10 µg ml−1 cytochalasin D and 1% protease inhibitor cocktail for 15 min at 4 °C rotating. After a centrifugation at 1,000g for 5 min at 4 °C, sequential centrifugations for 30 min at 4 °C were performed. The first centrifugation was performed at 2,000g to collect the first cytoplasmic fraction. The second centrifugation was performed at 10,000g to collect the second organelles fraction. The third centrifugation was performed at 16,000g to collect the third cilia-enriched fraction.
NMR exometabolome analysis
Ift88 control and KO MEFs were seeded in 100 mm2 plates in complete medium. Then, the culture medium was replaced overnight with high-glucose DMEM medium supplemented with 0.5% FBS and 1% PenStrep. The day after, the culture medium was replaced with high-glucose DMEM medium supplemented with 0% FBS and 1% PenStrep for 24 h. A blank control with non-conditioned medium was used to calculate the metabolite relative quantification and consumption. For NMR analysis of the extracellular medium, 530 μl of cell culture medium were mixed with 60 μl of deuterated sodium phosphate (Na3PO4) solution containing 4,4-dimethyl-4-silapentane-1-sulfonic acid, as a chemical shift reference for proton dimension, and 10 μl of 1.2% NaN3 water solution. The final sample volume was 600 μl and contained 50 mM sodium phosphate (Na3PO4), 0.02% NaN3 and 50 μM 4,4-dimethyl-4-silapentane-1-sulfonic acid. NMR spectra were recorded at 298K on a Bruker Avance 600 Ultra Shield TM Plus 600 MHz spectrometer equipped with triple resonance cryoprobe, pulsed field gradients and refrigerated autosampler (SampleJet). Samples were stored at 4 °C until data collection. 1D 1H NMR spectra (noesypr1d) were recorded with an acquisition time of 3 s, 128 transients and a relaxation delay of 6 s. Spectral window was set to 14 ppm. 1D 1H NMR spectra were typically processed with zero filling to 128k points, and apodized with an unshifted Gaussian and a 1 Hz line broadening exponential using Mnova 14.1 (MestreLab Research S.L, Santiago de Compostela). Metabolites were identified and quantified using Chenomx NMR Suite 8.6 (Chenomx). Relative quantification (Rel.Quant.) was calculated using the following equation:
where [Meta]x represents the concentration of metabolites in the medium conditioned by Ift88 control and KO MEFs; [Meta]mo represents the concentration of metabolites in the non-conditioned medium. Negative values corresponded to metabolites up-taken from the medium, whereas positive values corresponded to metabolites released in the medium.
Metabolite concentration, expressed in mM, was normalized for the total number of cells. The reported concentration of the metabolites is expressed as nM/number of cells.
Glucose or glutamine consumption was calculated using the following equation:
where [Meta]x is the concentration of glucose or glutamine in the medium conditioned by Ift88 control and KO MEFs, and [Meta]mo represents the concentration of metabolites in the non-conditioned medium.
Principal component analysis was performed using the 25 identified and quantified metabolites in the exometabolome samples.
Raw data of NMR exometabolome analysis are reported in Extended Data Table 1.
Targeted metabolomic analysis in Ift88 KO MEFs
The unlabelled targeted metabolomics in Ift88 control and KO MEFs were performed by plating the cells in five biological replicates, and culturing for 24 h with either HBSS or HBSS supplemented with 4 mM glutamine. Cell pellets were extracted with 1 ml extraction solution, that is, methanol for highly pure liquid chromatography (Sigma-Aldrich): acetonitrile gradient grade for liquid chromatography (Merck): ultrapure water (Sigma-Aldrich), 50:30:20 with 100 ng ml−1 of HEPES (Sigma-Aldrich) per million cells. Extracellular metabolites were extracted with 750 μl of extraction solution to 50 μl cell culture medium (spun).
Samples were incubated at 4 °C for 15 min, centrifuged at 13,000 r.p.m, and the supernatant transferred into autosampler vials was stored at −80 °C. Separation of metabolites by LC–MS chromatography was performed using a Millipore Sequant ZIC-pHILIC analytical column (5 µm, 2.1 × 150 mm) equipped with a 2.1 × 20 mm guard column (both 5 mm particle size) and a binary solvent system. Solvent A was: 20 mM ammonium carbonate and 0.05% ammonium hydroxide; solvent B was acetonitrile. The column oven was kept at 40 °C and the autosampler tray at 4 °C. The gradient for chromatographic separation ran at a flow rate of 0.200 ml min−1: 0–2 min: 80% B; 2–17 min: linear gradient from 80% B to 20% B; 17–17.1 min: linear gradient from 20% B to 80% B; 17.1–22.5 min: hold at 80% B. Next, samples were randomized and analysed by LC–MS injecting a volume of 5 µl. An equal mixture of all individual samples was used to generate pooled samples next analysed interspersed at regular intervals within sample sequence as a quality control. Metabolites were measured using a Thermo Scientific Q Exactive Hybrid Quadrupole-Orbitrap Mass spectrometer (HRMS) that was coupled to a Dionex Ultimate 3000 UHPLC. The full-scan, polarity-switching mode was used to operate the mass spectrometer, using the spray voltage set to +4.5 kV/−3.5 kV. Furthermore, the heated capillary was held at 320 °C and the auxiliary gas heater at 280 °C. The sheath gas flow was set to 35 units, the auxiliary gas flow to 10 units and the sweep gas flow to 0 units. HRMS data acquisition was performed in a range of m/z = 70–900, with the resolution set at 70,000, the AGC target at 1 × 106 and the maximum injection time (Max IT) at 120 ms. The identities of the metabolites was confirmed as follows: (1) using precursor ion m/z was matched within 5 p.p.m. of theoretical mass predicted by the chemical formula; (2) using a retention time of metabolites within 5% of the retention time of a purified standard that was run in identical chromatographic conditions. The review of the chromatogram and that of the peak area integration were performed using the ThermoFisher software Tracefinder 5.0. The area of the peak for each detected metabolite was normalized using the total ion count of the same sample to correct for any variations that had been introduced by sample handling and instrument analysis. All the normalized areas were used as variables for further statistical data analysis. For glutamine tracing experiments, Ift88 control and KO MEFs were cultured in HBSS supplemented with 4 mM 15N2-glutamine (Cambridge Isotope Laboratories) for 4 h or 24 h. Cells were seeded in parallel plates and protein content was determined by the Bradford method at 0 and 24 h post medium change. The extraction of intracellular and extracellular metabolites was carried out in the same way as the unlabelled metabolomics. The theoretical masses of 15N-isotopologues for each metabolite were calculated and added to a library of predicted isotopologues. These masses were then searched within a 5 p.p.m. tolerance and integrated only if the peak showed less than 1% difference in retention time from the [U-14N] monoisotopic mass in the same chromatogram. Natural isotope abundances were corrected using the AccuCor algorithm (https://github.com/lparsons/accucor). Percentage of intracellular pool from each isotopologue was calculated respective of the control (for each metabolite).
TIC normalized data of LC–MS analysis are reported in Supplementary Data 1.
Metabolite analysis
We applied fold-change and t-test analysis to identify dysregulated metabolites in the different conditions. For each P value resulting from t-test, a false discovery rate (FDR) has been computed by applying the Benjamini and Hochberg procedure as in Podrini et al.23. Then, only metabolites having FDR <0.05 have been considered as significantly deregulated. Heat maps have been created by applying the MATLAB38 heatmap function with colormap represented in logarithmic scale. Volcano plots have been obtained by a homemade MATLAB function (available at https://github.com/RobertoPagliarini/PrimaryCilia).
Metabolite set enrichment analysis
Over-representation analysis has been employed, by using MetaboAnalyst 5.0 (ref. 39), to identify pathways that are significantly enriched in the Kyoto Encyclopedia of Genes and Genomes database40 starting from an input list of metabolites. We applied the hyper-geometric test to compute a statistical significance (P value) for each pathway having at least three compounds captured in the input list. Hyper-geometric test scores have been computed on the basis of cumulative binominal distribution, while FDR has been obtained by applying the Benjamini and Hochberg procedure.
Statistical analysis and replicate experiments
Differences between averages were established with Student’s t-test or one-way analysis of variance (ANOVA) as indicated in the figure legends; Tukey’s or Bonferroni’s post-tests were carried out for multiple comparisons. Dot plots show the individual datapoints with the respective n indicated in brackets. Whenever representative of multiple experiments are shown, the replicate experiments are provided in Supplementary Information. Whenever average of the average of multiple experiments is shown, this is indicated in the legend.
Reporting summary
Further information on research design is available in the Nature Portfolio Reporting Summary linked to this article.
Data availability
Source data are provided with this paper. All raw data related to the studies shown in figures and extended data figures. The original TIFF files used for generating the raw data relative to quantification of ciliary length are available in Figshare (https://doi.org/10.6084/m9.figshare.21922299).
References
Anvarian, Z., Mykytyn, K., Mukhopadhyay, S., Pedersen, L. B. & Christensen, S. T. Cellular signalling by primary cilia in development, organ function and disease. Nat. Rev. Nephrol. 15, 199–219 (2019).
Reiter, J. F. & Leroux, M. R. Genes and molecular pathways underpinning ciliopathies. Nat. Rev. Mol. Cell Biol. 18, 533–547 (2017).
Pampliega, O. et al. Functional interaction between autophagy and ciliogenesis. Nature 502, 194–200 (2013).
Miceli, C. et al. The primary cilium and lipophagy translate mechanical forces to direct metabolic adaptation of kidney epithelial cells. Nat. Cell Biol. 22, 1091–1102 (2020).
Hilgendorf, K. I. et al. Omega-3 fatty acids activate ciliary FFAR4 to control adipogenesis. Cell 179, 1289–1305 e1221 (2019).
Oh, E. C., Vasanth, S. & Katsanis, N. Metabolic regulation and energy homeostasis through the primary cilium. Cell Metab. 21, 21–31 (2015).
Rowe, I. et al. Defective glucose metabolism in polycystic kidney disease identifies a new therapeutic strategy. Nat. Med. 19, 488–493 (2013).
Flowers, E. M. et al. Lkb1 deficiency confers glutamine dependency in polycystic kidney disease. Nat. Commun. 9, 814 (2018).
Podrini, C. et al. Dissection of metabolic reprogramming in polycystic kidney disease reveals coordinated rewiring of bioenergetic pathways. Commun. Biol. 1, 194 (2018).
Padovano, V., Podrini, C., Boletta, A. & Caplan, M. J. Metabolism and mitochondria in polycystic kidney disease research and therapy. Nat. Rev. Nephrol. 14, 678–687 (2018).
Menezes, L. F. & Germino, G. G. The pathobiology of polycystic kidney disease from a metabolic viewpoint. Nat. Rev. Nephrol. 15, 735–749 (2019).
Podrini, C., Cassina, L. & Boletta, A. Metabolic reprogramming and the role of mitochondria in polycystic kidney disease. Cell Signal 67, 109495 (2020).
Pazour, G. J., San Agustin, J. T., Follit, J. A., Rosenbaum, J. L. & Witman, G. B. Polycystin-2 localizes to kidney cilia and the ciliary level is elevated in orpk mice with polycystic kidney disease. Curr. Biol. 12, R378–R380 (2002).
Yoder, B. K. Role of primary cilia in the pathogenesis of polycystic kidney disease. J. Am. Soc. Nephrol. 18, 1381–1388 (2007).
Chiaravalli, M. et al. 2-Deoxy-d-glucose ameliorates PKD progression. J. Am. Soc. Nephrol. 27, 1958–1969 (2016).
Warner, G. et al. Food restriction ameliorates the development of polycystic kidney disease. J. Am. Soc. Nephrol. 27, 1437–1447 (2016).
Torres, J. A. et al. Ketosis ameliorates renal cyst growth in polycystic kidney disease. Cell Metab. 30, 1007–1023 (2019).
Larkins, C. E., Aviles, G. D., East, M. P., Kahn, R. A. & Caspary, T. Arl13b regulates ciliogenesis and the dynamic localization of Shh signaling proteins. Mol. Biol. Cell 22, 4694–4703 (2011).
DeBerardinis, R. J. et al. Beyond aerobic glycolysis: transformed cells can engage in glutamine metabolism that exceeds the requirement for protein and nucleotide synthesis. Proc. Natl Acad. Sci. USA 104, 19345–19350 (2007).
Yang, C. et al. Glutamine oxidation maintains the TCA cycle and cell survival during impaired mitochondrial pyruvate transport. Mol. Cell 56, 414–424 (2014).
Zhang, J., Pavlova, N. N. & Thompson, C. B. Cancer cell metabolism: the essential role of the nonessential amino acid, glutamine. EMBO J. 36, 1302–1315 (2017).
Alkan, H. F. et al. Cytosolic aspartate availability determines cell survival when glutamine is limiting. Cell Metab. 28, 706–720 e706 (2018).
Bae, J. E. et al. Primary cilia mediate mitochondrial stress responses to promote dopamine neuron survival in a Parkinson’s disease model. Cell Death Dis. 10, 952 (2019).
Herzig, S. & Shaw, R. J. AMPK: guardian of metabolism and mitochondrial homeostasis. Nat. Rev. Mol. Cell Biol. 19, 121–135 (2018).
Kim, J., Yang, G., Kim, Y., Kim, J. & Ha, J. AMPK activators: mechanisms of action and physiological activities. Exp. Mol. Med 48, e224 (2016).
Lien, E. C. et al. Low glycaemic diets alter lipid metabolism to influence tumour growth. Nature 599, 302–307 (2021).
Cogliati, S. et al. Mitochondrial cristae shape determines respiratory chain supercomplexes assembly and respiratory efficiency. Cell 155, 160–171 (2013).
Ignatenko, O. et al. Mitochondrial dysfunction compromises ciliary homeostasis in astrocytes. J. Cell Biol. 222, e202203019 (2023).
Jewell, J. L. et al. Metabolism. Differential regulation of mTORC1 by leucine and glutamine. Science 347, 194–198 (2015).
Boehlke, C. et al. Primary cilia regulate mTORC1 activity and cell size through Lkb1. Nat. Cell Biol. 12, 1115–1122 (2010).
Lomelino, C. L., Andring, J. T., McKenna, R. & Kilberg, M. S. Asparagine synthetase: function, structure, and role in disease. J. Biol. Chem. 292, 19952–19958 (2017).
Wheway, G. et al. An siRNA-based functional genomics screen for the identification of regulators of ciliogenesis and ciliopathy genes. Nat. Cell Biol. 17, 1074–1087 (2015).
Mick, D. U. et al. Proteomics of primary cilia by proximity labeling. Dev. Cell 35, 497–512 (2015).
Ishikawa, H., Thompson, J., Yates, J. R. 3rd & Marshall, W. F. Proteomic analysis of mammalian primary cilia. Curr. Biol. 22, 414–419 (2012).
Kim, H. et al. Ciliary membrane proteins traffic through the Golgi via a Rabep1/GGA1/Arl3-dependent mechanism. Nat. Commun. 5, 5482 (2014).
Distefano, G. et al. Polycystin-1 regulates extracellular signal-regulated kinase-dependent phosphorylation of tuberin to control cell size through mTOR and its downstream effectors S6K and 4EBP1. Mol. Cell. Biol. 29, 2359–2371 (2009).
Boletta, A. et al. Polycystin-1, the gene product of PKD1, induces resistance to apoptosis and spontaneous tubulogenesis in MDCK cells. Mol. Cell 6, 1267–1273 (2000).
Sobie, E. A. An introduction to MATLAB. Sci. Signal 4, tr7 (2011).
Chong, J., Wishart, D. S. & Xia, J. Using MetaboAnalyst 4.0 for comprehensive and integrative metabolomics data analysis. Curr. Protoc. Bioinform. 68, e86 (2019).
Kanehisa, M. & Goto, S. KEGG: Kyoto Encyclopedia of Genes and Genomes. Nucleic Acids Res. 28, 27–30 (2000).
Acknowledgements
The authors are grateful to the other members of the Boletta laboratory for useful discussions and to L. Tronci for helpful suggestions on data analysis. This work was supported by the Italian Ministry of Health (RF-2018-12368254; RF-2016-02361267 to A.B.; GR-2016-02364851 to C.P. and R.P.), the Italian association of patients with PKD (AIRP to A.B.), the PKD Foundation (218G18 to A.B.), the European Community (H-2020-MSCA-ITN-2019#SCiLS to A.B. and R.R.), by the Italian association for research on cancer (AIRC, IG2019-23513 to A.B.), by Q12 grant (MRC_MC_UU_12022/6 to C.F.), the European Research Council (ERC819920 to C.F.), and the CRUK Programme Foundation (Award C51061/A27453 to C.F.). The authors are grateful to S. Bramani for her continuous support. Part of this work was carried out in ALEMBIC, an advanced microscopy laboratory established by IRCCS Ospedale San Raffaele and Università Vita-Salute San Raffaele. Part of the present work was performed by M.E.S. and A.K.N. in fulfilment of the requirements for obtaining a PhD degree at Vita-Salute San Raffaele University, Milano, Italy.
Author information
Authors and Affiliations
Contributions
M.L., E.A.N., M.E.S. and A.B. conceived the project, M.E.S., E.A.N., A.K.N., M.L. and L.C. performed the majority of the experiments, L.C. performed Seahorse assays, C.P. performed metabolomics experiments, R.P. analysed metabolomics data, M.C. performed in vivo experiments, V.M. analysed NMR metabolomics experiment, G.D. contributed generation of CRISPR/Cas9 mutant cells, M.Y. analysed LC–MS metabolomics experiments, A.K.N. and M.A. generated tagged ASNS vectors, M.E.S., L.C., M.A. and A.K.N., performed IF and live imaging of ASNS, R.R. supervised the ciliary staining of ASNS, G.M. supervised the NMR metabolomics analysis, C.F. supervised the LC–MS metabolomics analysis, M.E.S and E.A.N. prepared the figures, M.E.S, E.A.N. and A.B. wrote the manuscript, all authors revised the manuscript, and A.B. supervised the whole work.
Corresponding author
Ethics declarations
Competing interests
A.B. and M.C. are co-inventors on a patent for inhibition of glycolysis in PKD (patent family PCT/EP2013/064036). A.B., C.P. and M.C. are co-inventors on a patent for inhibiting ASNS in PKD (patent family PCT/EP2019/073628). All other authors declare no competing interests.
Peer review
Peer review information
Nature Metabolism thanks Dhivya Kumar, Gregory Germino and Heather Christofk for their contribution to the peer review of this work. Editor Recognition: Primary Handling Editor: Christoph Schmitt, in collaboration with the Nature Metabolism team.
Additional information
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Extended data
Extended Data Fig. 1 Referred to Fig. 1.
a, Left: western blot for IFT88 of total cell lysates from MEFIft88 and MEFCtrl generated by CRISPR/Cas9 technology. Right: Representative IF images of MEFIft88 and MEFCtrl. Cilia (ARL13B, green), nuclei (DAPI, blue). Scale bar: 10 µm. Arrows indicate cells in the insets. b, Growth curves in MEFIft88 and MEFCtrl cultured in DMEM + 10% FBS for 8, 24, 48 hours. c, Analysis of OCR measurement in one representative experiment in MEFIft88 and MEFCtrl cultured in DMEM + 10% FBS in basal condition and after sequential addition of oligomycin (O), FCCP, and antimycin A/rotenone (A/R). d, Left: western blot for IFT88 of total cell lysates from mIMCD3Ift88 and mIMCD3Ctrl generated by CRISPR/Cas9 technology. Right: Representative IF images of mIMCD3Ift88 and mIMCD3Ctrl. Cilia (ARL13B, green), nuclei (DAPI, blue). Scale bar: 10 µm. Arrows indicate cells in the insets. e, Analysis of OCR measurement in one representative experiment in mIMCD3Ift88 and mIMCD3Ctrl cultured in DMEM/F12 + 10% FBS in basal condition and after sequential addition of O, FCCP, and A/R. f, Left: analysis of OCR measurement in one representative experiment in MEFIft88 and MEFCtrl cultured in DMEM + 0% FBS in basal condition and after sequential addition of O, FCCP, and A/R. Right: analysis of OCR measurement in one representative experiment in mIMCD3Ift88 and mIMCD3Ctrl cultured in DMEM/F12 + 0% FBS in basal condition and after sequential addition of O, FCCP, and A/R. g, Principal Component analysis (PCA) of extracellular metabolites assessed by NMR spectroscopy as in Fig. 1c. h, Hierarchical clustering of extracellular metabolites assessed by NMR spectroscopy as in Fig. 1c, including metabolite concentrations in unconditioned medium (MO) and media conditioned by MEFIft88 (KO) and MEFCtrl (CT) cells. Data in dot and bar plots are mean ± SD.
Extended Data Fig. 2 Referred to Fig. 1.
a, Quantification of cilia length in one representative experiment in mIMCD3 and MDCK after 24 hours culture in HBSS ± L-Glutamine (Q) (4 mM). Shared control (HBSS) with Fig. 1b. b, Left: analysis of OCR measurement in one representative experiment in MEF after 16 hours culture in either HBSS (blue) or HBSS + D-(+)-Glucose (Glc) (20 mM) (green) or Q (4 mM) (red) in basal condition and after sequential addition of O, FCCP, and A/R. Right: quantification of basal respiration, ATP-production coupled respiration, and maximal respiration as in Left. c, Left: analysis of OCR measurement in one representative experiment in MEF after 4 hours culture in HBSS (blue) followed by acute injection (+) of either Glc (green) or Q (red) and after sequential addition of O, FCCP and A/R. Right: quantification of basal respiration, acute response, ATP-production coupled respiration, and maximal respiration as in Left. d, Left: analysis of ECAR measurement referred to Fig. 1h. Right: analysis of ECAR measurement referred to b. Data in dot and bar plots are mean ± SD. Statistical analysis: Student’s unpaired two-tailed t-test or one-way ANOVA, followed by Tukey’s multiple comparisons test; ns: not significant, ****p < 0.0001. n reported in brackets.
Extended Data Fig. 3 Referred to Fig. 1.
a, Scheme of Mitochondrial Respiratory Chain Complexes targets of rotenone, antimycin, and oligomycin. b, Quantification of cilia length in one representative experiment in MEF and hRPE after 24 hours culture in DMEM or DMEM/F12 + 0% FBS ± either A/R or O. c, Western blot for pAMPKT172 of total cell lysates from MEF cultured for 1, 2, 4, 6 hours in HBSS or for 4 hours in either DMEM + 10% FBS ± AICAR (1 mM) or Metformin (2 mM). Vinculin is used as loading control. d, Representative IF images of one representative experiment after 24 hours culture in either DMEM/F12 + 10% FBS ± vehicle (veh) or AICAR. Cilia (ARL13B, green), nuclei (DAPI, blue). Scale bar: 5 µm. e, Left: Quantification of cilia length in one representative experiment in hRPE after 24 hours culture in the indicated conditions. Right: % of ciliated cells in one representative experiment in hRPE after 24 hours culture in the indicated conditions. f, Left: Quantification of cilia length in one representative experiment in mIMCD3 after 24 hours culture in the indicated conditions. Right: % of ciliated cells in one representative experiment in mIMCD3 after 24 hours culture in the indicated conditions. Data in dot and bar plots are mean ± SD. Statistical analysis: Student’s unpaired two-tailed t-test or one-way ANOVA, followed by Tukey’s multiple comparisons test; ns: not significant, ****p < 0.0001. n reported in brackets.
Extended Data Fig. 4 Referred to Fig. 2.
a, Left: experimental design of mice treatment: Crl (Fed), Fasted for 24 hours. Center: quantification of cilia length in one representative experiment in kidney sections of mice treated as in Left. Right: average from 3 independent experiments of glycaemia values in mice treated as in Left. b, Left: experimental design of mice treatment: Crl (Fed), Fasted for 48 hours. Center: quantification of cilia length in one representative experiment in kidney sections of mice treated as in Left. Right: average from 3 independent experiments of glycaemia values in mice treated as in Left. c, Left: experimental design of mice treatment: Crl (Fed), Fasted for 48 hours. Right: average from 3 independent experiments of Q concentration in the serum of mice treated as in Left. d, Scheme of renal tubular segment with Cre-recombinase driven inactivation of Opa1 gene. e, Left: Transmission Electron Microscopy (TEM) images of kidney sections of control (Crl) and Opa1 KO mice at P2. Scale bar: 1 µm. Dashed Dots indicate mitochondria. Right: Enzymatic activity staining for Succinate Dehydrogenase (SDH) and Cytochrome c Oxidase (COX) of kidney sections of Crl and Opa1 KO mice at P30 with zoom in. Dashed dots indicate medulla edge. Scale bar: 500 µm. f, Left: representative IF images of kidney sections of Crl and Opa1 KO mice at P30. Right: quantification of cilia length in one representative experiment of DBA + tubular cells in kidney sections of Crl and Opa1 KO mice at P30. Cilia (ARL13B, green), DBA + tubular cells (DBA, red) nuclei (DAPI, blue). Scale bar: 5 µm. Arrows indicate cilia in the insets. Data in dot and bar plots are mean ± SD. Statistical analysis: Student’s unpaired two-tailed t-test; ns: not significant, ****p < 0.0001. n reported in brackets.
Extended Data Fig. 5 Referred to Fig. 3.
a, Heat-map showing the fold-change of HBSS + L-Glutamine (Q) vs HBSS, in MEFIft88 and MEFCtrl, of the 49 metabolites that change in a statistically significant way in the comparison between KO vs CT in HBSS. b, Left: analysis of OCR measurement in one representative experiment in MEFIft88 and MEFCtrl after 24 hours culture in either HBSS (CT: blue, KO: green) or HBSS + Q (4 mM) (CT: red, KO: purple) in basal condition and after sequential addition of oligomycin (O), FCCP, and antimycin A/rotenone (A/R). Right: quantification of basal respiration, ATP-production coupled respiration, and maximal respiration as in Left. c, Left: analysis of OCR measurement in one representative experiment in mIMCD3Ift88 and mIMCD3Ctrl cells after 4 hours culture in either HBSS (CT: blue, KO: green) or HBSS + Q (4 mM) (CT: red, KO: purple), in basal condition and after sequential addition of O, FCCP, and A/R. Right: quantification of basal respiration, ATP-production coupled respiration, and maximal respiration as in Left Data bar plots are mean ± SD. Statistical analysis: one-way ANOVA, followed by Tukey’s multiple comparisons test; ns: not significant, ****p < 0.0001. n reported in brackets.
Extended Data Fig. 6 Referred to Fig. 4.
a, Western blot for pS6RPS235/236 of total cell lysates from mIMCD3 cells after 24 hours culture in either DMEM/F12 ± 10% FBS or HBSS ± L-Glutamine (Q) (4 mM). Vinculin is used as loading control. b, Quantification of cilia length in one representative experiment in mIMCD3 cells after 24 hours culture in either HBSS ± Q or HBSS + Q + Rapamycin (100 nM). c, Western blot for pS6RPS235/236 of total cell lysates from mIMCD3 cells after 24 hours culture in either HBSS ± Q or L-Leucine (L) (0.5 mM). d, Quantification of cilia length in one representative experiment in mIMCD3 cells after 24 hours culture in either HBSS ± D-(+)-Glucose (Glc) (20 mM) or Q (4 mM) or L (5 mM). e, qRT-PCR analysis of Asns expression in one representative experiment in mIMCD3 transiently knocked down for Asns (siAsns) relative to control (Scr). f, Quantification of cilia length in one representative experiment in mIMCD3 after 8 hours culture in HBSS or HBSS + Q (4 mM). g, Quantification of cilia length in one representative experiment in mIMCD3 after 24 hours culture in either DMEM/F12 + 0% FBS or HBSS or HBSS + Q (0.5 or 4 mM) or HBSS + L-Asparagine (N) (0.1 or 1 mM). h, Left: analysis of OCR measurement in one representative experiment in siAsns MEF cells compared to Scr after 4 hours in HBSS (Scr: blue, siAsns: red) followed by acute injection (+) of Q (Scr: green, siAsns: purple), in basal condition and after sequential addition oligomycin (O), FCCP, and antimycin A/rotenone (A/R). Right: quantification of acute response as in Left. i, qRT-PCR analysis of Asns expression in one representative experiment in MEFIft88 and mIMCD3Ift88 relative to MEFCtrl and mIMCD3Ctrl. Data in dot and bar plots are mean ± SD. Statistical analysis: Student’s unpaired two-tailed t-test or one-way ANOVA, followed by Tukey’s multiple comparisons test; ns: not significant, ****p < 0.0001. n reported in brackets.
Extended Data Fig. 7 Proposed model.
a) Schematic representation of how primary cilia sense nutrient availability and facilitate glutamine utilization through ASNS affecting the TCA cycle fuelling and, as a consequence, energy production.
Supplementary information
Supplementary Information
Supplementary Figs. 1–8, methods and uncropped western blots for Supplementary Fig. 7c.
Supplementary Data 1
Raw data from LC–MS.
Source data
Source Data Fig. 1
Statistical source data.
Source Data Fig. 2
Statistical source data.
Source Data Fig. 3
Statistical source data.
Source Data Fig. 4
Statistical source data.
Source Data Extended Data Fig. 1
Statistical source data.
Source Data Extended Data Fig. 2
Statistical source data.
Source Data Extended Data Fig. 3
Statistical source data.
Source Data Extended Data Fig. 4
Statistical source data.
Source Data Extended Data Fig. 5
Statistical source data.
Source Data Extended Data Fig. 6
Statistical source data.
Rights and permissions
Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
About this article
Cite this article
Steidl, M.E., Nigro, E.A., Nielsen, A.K. et al. Primary cilia sense glutamine availability and respond via asparagine synthetase. Nat Metab 5, 385–397 (2023). https://doi.org/10.1038/s42255-023-00754-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/s42255-023-00754-6