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Supplementary Information Table S1 Metabolomics analysis of Asc-1-KO mice (P7). Table S2 Comparison of Asc-1-KO with mice models of hyperekplexia. Movie S1 Impaired righting response and handling-induced tremors in Asc-1-KO mice (P15). Movie S2 Effect of glycine (28 mmol/Kg i.p.), D-serine (9 mmol/Kg i.p.) and L-serine (28 mmol/Kg i.p.) administration on the motor phenotype of P19 (glycine and D-serine) and P14 Asc-1-KO mice (L-serine). Fig. S1 - Hind-feet clasping reversal by glycine is preventable by strychnine. Asc-1-KO mice (P14) were injected with glycine (28 mmol/Kg i.p.) and hind-feet posture was monitored after an hour. Mouse on the right receive an injection of strychnine (1 mg/Kg, i.p.) 10 minutes prior to glycine injection. Fig. S2 - Effects of glycine, L- and D-serine on amino acid levels in Asc-1-KO mice brains. A. Glycine levels in the cerebral cortex (Ctx) of Asc-1-KO mice upon saline, glycine (28 mmol/Kg i.p.), L-serine (28 mmol/Kg i.p.) or D-serine injection (9 mmol/Kg i.p.). Amino acids were analyzed 3 h (saline, glycine and D-serine) or 2 h (L-serine) after administration. B. Glycine levels in the pons-medulla (P-M) of Asc-1-KO mice following the treatments described in (A). C. L-Serine levels in the Ctx of Asc-1-KO mice after the treatments described in (A). D. L-Serine levels in the P-M of Asc-1-KO mice after the treatments described in (A). E. GABA levels in the Ctx of Asc-1-KO mice after the treatments described in (A). F. GABA levels in the P-M of Asc-1-KO mice after the treatments described in (A). G. Glutamate levels in the Ctx of Asc-1-KO mice after the treatments described in (A). H. Glutamate levels in the P-M of Asc-1-KO mice after the treatments described in (A). I. Levels of D-serine in the cortex. J. Same as in (I), but in the pons-medulla (P-M). The results are average ± SEM of 4 (Glycine and L-serine injected) or 3 (D-serine injected) Asc-1-KO mice at P17-20. *,**,*** Different from WT at p<0.05, 0.01 and 0.001, respectively (One-way ANOVA and Bonferroni's post-hoc test). Fig. S3 - Expression of glycinergic transmission components and metabolic enzymes in Asc-1-KO mice. A. Western-blot analysis of glycine receptor 1 (GLRA1) and (GLRB), GlyT2, GlyT1, VGAT, gephyrin and -tubulin expression in the cortex (Ctx) and pons-medulla (P-M) of WT and Asc-1-KO mice (P14). B. Western-blot of GCSH, AMT, SHMT1, SHMT2, Phgdh and -tubulin expression in the Ctx and P-M of WT and Asc-1-KO mice (P14). C. Asc-1-KO/WT expression ratio in the Ctx. D. Asc-1-KO/WT expression ratio in the P-M. AMT; aminomethyltransferase; GCSH, glycine cleavage system H; GlyT1, glycine transporter 1; GlyT2, glycine transporter 2; Phgdh, phosphoglycerate dehydrogenase; SHMT1, serine hydroxymethyl transferase 1; SHMT2, serine hydroxymethyl transferase 2; VGAT, vesicular GABA (and glycine) transporter. The values in C and D are the average ± SEM of the Asc-1-KO/WT expression ratio of independent Western-blots from 3 (AMT, GCSH, Phgdh, SHMT1), 4 (GlyT1, SHMT2) or 5 (GLRA1, GLRB, GlyT2) WT and Asc-1-KO mice at P14 and 20. The values were obtained by quantification of the luminescence signal and normalization by the -tubulin expression in each individual blot. Student's t test showed no difference in the expression between the groups. Fig. S4 - Effect of D-Ala on L-serine uptake by pons-medulla synaptosomes. Effect of D-Ala (1 mM) on the uptake of L-[3H]serine by pons-medulla synaptosomes from WT when compared to Asc-1-KOs. The data are the average ± SEM of 4 independent experiments with different synaptosomal preparations from P14-18 mice. ***, Significant difference from control lacking D-Ala at p<0.001 (Paired Student's t test). Supplementary Methods Startle reflex and tremor evaluation- Each session start with 3 minutes acclimatization period in a constant 57 dB background white noise level and it is delivered continuously throughout the test session (Kinder Scientific, CA). To evaluate the startle response, mice were exposed to three startle intensities (four trials each intensity, 12 trials total) at 40 ms duration pulse (100, 110 and 120 dB) in a random inter-trial-interval (range between 1020 sec, average of 15 sec) as well as in a pseudo-random order, in order to avoid habituation. In order to evaluate spontaneous tremors we employed additional 8 pseudorandom recording windows/ trials order without the auditory stimuli. Open Field- The open field was made from black lusterless acrylic box (50L × 50W × 40H cm) placed in a dimly lit room (50 lux). The floor was scattered with sawdust bedding in order to minimize anxiety and body temperature loss. Mice were tested for activity between the ages of 17-19 days, placed in the corner of the open field (facing the wall) and given 5 min of free exploration. The behavior was videotaped by a color CCTV Panasonic camera (WV-CP500(. Activity was post-recording analyzed using Ethovision XT 9.0 software (Noldus, The Netherlands), as described previously [1]. Statistical analysis of behavioral tests- Data were analyzed using a Two-way ANOVA for mixed design with group as between subject factor and test-retest as within subject factor. Post-hoc student’s t test was calculated between the two groups (SPSS v.21). A result was considered significant when P-value was less than 0.05. Results are displayed as mean± S.E.M. Western-blots- Cerebral cortici and pons-medulla were dissected and homogenized with 20 strokes of a glass homogenizer in 10 volumes of buffer consisting of 20 mM Tris-HCl (pH 7.4), 50 mM NaCl and protease inhibitors (Mini-complete, Roche). Samples were cleared by centrifugation twice at 1500 x g at 4oC and 40 g of supernatants were analyzed by SDS-Page and western-blot. Expression levels were quantified by monitoring the densitometry of the chemiluminescent signal in each lane (Image Quant, GE Healthcare) and normalized by their respective -tubulin levels. The blots were assembled with Adobe Photoshop (Version C52) without changing contrast or brightness parameters. The following antibodies were used for Western-Blots: Antigens Company Catalog Dilution GLRA1 Synaptic Systems 146003 1:1000 GLRB Santa Cruz sc-17285 1:1000 GlyT2 Millipore AB1773 1:10000 GlyT1 Millipore AB1770 1:3000 VGAT Millipore AB2257 1:1000 Gephyrin Millipore AB5725 1:200 GCSH Sigma-Aldrich HPA041368 1:1000 AMT Santa Cruz Biotechnology sc-99267 1:1000 SHMT1 Cell Signaling 12612 1:1000 SHMT2 Cell Signaling 12762 1:1000 Phgdh Frontier Biosciences Af303 1:1000 β -Tubulin Sigma-Aldrich Clone SAP 4G5 1:1000 Synaptosomal preparation- Cerebral cortici or pons-medulla were dissected on ice and homogenized in 20 volumes of 0.32 M sucrose and 1 mM EDTA with 10 strokes of a Teflon homogenizer at 800 rpm. The homogenate was centrifuged at 1000 x g for 5 min to remove nuclei and debris and the resulting fraction (S1) was layered onto a discontinuous Percoll gradient. Purified synaptosomes were prepared by collecting the 10-23% interface as previously described [24]. The synaptosomal fraction was diluted in 0.32 M sucrose, 1 mM EDTA and 20 mM Hepes-NaOH and washed by 30 min centrifugation at 30,000 x g. Then, the synaptosomal pellet was resuspended at a concentration of about 1 mg protein/ml in HBSS solution, with the following composition (mM): 137 NaCl, 5.4 KCl, 0.95 CaCl2, 0.44 KH2PO4, 0.406 MgSO4, 0.492 MgCl2, 4.2 NaHCO3, 0.34 Na2HPO4 x12, 1 Na pyruvate10 HEPES, pH 7.4, 5.6 glucose, pH 7.4. The preparations were stored on ice and used within 30 minutes for amino acid uptake. Materials- L-serine was purchased from Bachem. Boc-L-cysteine, dithiothreitol (DTT), glycine, o-phtalodialdehyde, percoll, proteinase K, D-serine were purchased from SigmaAldrich. Milacemide (Lot B13Z1127) was custom synthesized by Boc Sciences. L-[U14 C]-serine (Lot 1792180), glycine [2-3H] (Lot 1817306 and 3632835 were obtained from Perkin Elmer. L-serine[3-3H] (Lot 131017) was purchased from American Radiolabeled Compounds. References 1-Spink AJ, Tegelenbosch, RAJ, Buma, MOS, Noldus, LPJJ, (2001) The EthoVision video tracking system- A tool for behavioral phenotyping of transgenic mice. Physiol. & Behavior. 73: 731– 744.