Fasting driven-increase in BHB causes a burst in protein Lysine beta-hydroxybutyrylation in the brain.
To assess the molecular response of brain tissue to fasting-induced ketosis, we adopted a protocol of prolonged fasting and we assessed the biochemical action of a major metabolite produced upon fasting: BHB (Fig. 1A). Postnatal day (P) 33 mice were subjected to fasting (F) condition, corresponding to a total absence of food for 48 hours (48h), but ad libitum (AL) access to water. Their body weight and glycemia were monitored before and after fasting. F mice displayed a significant decrease in their body weight and blood glucose concentration after 48h, while AL control mice did not show any significant difference (Fig. 1B-C). During the 48 h of food deprivation, F animals displayed a significant increase in spontaneous locomotor activity both during night and day time (Fig. 1D), showing that our protocol did not cause lethargy in the subjects and confirming behavioral changes reflecting the search for food [26].
Since BHB has been demonstrated to be the chemical moiety for a new post-translational modification (PTM) on K residues [25, 27], we performed a western-blot analysis of protein extract from the occipital cortex (corresponding to the mouse visual cortex) of F and AL mice using a pan-K-bhb antibody. Strikingly, K-bhb was significantly increased in the occipital cortex of F mice with respect to AL (Fig. 2A), suggesting that the increased cortical BHB after fasting could be exploited, not only to produce energy, but also as a chemical donor for PTM. As a control, we analysed the pan-K-bhb in the liver of the same mice and confirmed a significant upregulation in F mice with respect to AL (Fig. S1A).
HPLC-MS analysis of K-bhb residues in protein extract from the occipital cortex highlighted the presence of 234 beta-hydroxybutyrilated proteins. In total, 137 proteins were beta-hydroxybutyrilated exclusively in F mice, 77 proteins exclusively in AL mice, and 20 proteins were beta-hydroxybutyrilated in both groups (Fig. 2B). The 20 common beta-hydroxybutyrilated proteins were enriched in annotations such as “NADP metabolic processes” and “positive regulation of fibroblast proliferation”'(Fig. 2B and Dataset S1). On the other hand, the F proteins displaying K-bhb clustered in specific GO annotations mainly related to “regulation of transcription, regulation of transcription-dependent on RNA pol II and morphogenesis” (Fig. 2B and Dataset S2). Also, the GO biological processes analysis of the proteins beta-hydroxybutyrilated in AL indicated an enrichment in “transcription, and chromatin modification” annotations (Fig. 2B, and Dataset S3). These findings suggest that BHB may have a more complex function related to transcriptional regulation, not just limited to HDAC inhibition or being a chemical moiety for histone PTMs, but also associated with the modulation of epigenetic (e.g. KDM1B, HDAC2), transcription factors (e.g. E2F4, HOXB3) or other chromatin-related proteins (e.g. SKOR1, CHD5 ) functions.
BHB has been demonstrated to modify K-bhb on histones with consequent alteration of the liver transcriptional program [25]. Thus, we studied K9-bhb on histone H3 (H3K9-bhb) in the brain using a specific antibody. H3K9-bhb was significantly more abundant in the cortex of F mice (Fig. 2C) with respect to the AL group. As expected, H3K9-bhb increased also in the liver of F mice (Fig. S1B).
Overall, these data demonstrate that beta-hydroxybutyrylation is conspicuously enhanced by fasting in neural tissue.
BHB impacts the chromatin state of the cerebral cortex through a direct epigenetic action
To further explore the role of H3K9-bhb in the CNS, we performed a ChIP-seq experiment and studied the genome-wide distribution of H3K9-bhb in the occipital cortex of mice subjected to 48h fasting or fed AL. The ChIP-seq analysis revealed a striking increase in H3K9-bhb enriched loci in F with respect to AL. Indeed, the differential analysis between the two experimental conditions detected about 8400 enriched peaks (p < 0.05) in F vs AL (Dataset S4) distributed in intergenic (42%), promoter (17%), and enhancer regions (18%, Fig. 3A). Importantly, only one peak was significantly enriched in AL with respect to F (Dataset S4), confirming that the increase in BHB observed during fasting is responsible for the dramatic increase in neural tissue H3K9-bhb.
To gain further insight into the specific epigenetic effects of BHB in neural tissue, we crossed our H3K9-bhb ChIP-seq data with the already published H3K9-bhb ChIP-seq data in the liver [25]. The analysis of the data in Xie et al., with our pipeline (see materials and methods) revealed that the total number of H3K9-bhb peaks in the brain was lower than in the liver (8404 brain loci vs 15416 liver loci). Peak category distribution demonstrated that H3K9-bhb was principally present in promoter and enhancer regions in the mouse liver after 48h fasting (Fig. S2), while enhancer, promoter, and especially intergenic regions were the most prominent category in the brain (Fig. 3A). In the cerebral cortex, the GO “biological processes” analysis of the genes in proximity of promoters and enhancer regions (Datasets S5 and S6) highlighted a specific signature related to circadian rhythms, and pathways involving histone PTM and chromatin remodeling (Fig. 3B-C). Also, synaptic transmission, dendrite morphogenesis, and synapse assembly came up as enriched GO terms associated with the enhancer regions. Brain neurogenesis, brain and dendrite morphogenesis, and axon guidance terms were dominant among the genes associated with the promoter regions (Dataset S5). The KEGG pathway analysis in the enhancers confirmed the “circadian rhythms” and “synaptic transmission” categories (Fig. 3C, Dataset S6). Finally, intergenic regions showed enriched annotations about synapse regulation, transmission and plasticity (Fig. 3D, Dataset S7).
Data crossing revealed that H3K9-bhb was present in 547 promoter regions and 681 enhancers common to brain and liver (Dataset S8). KEGG pathway analysis highlighted several enriched annotations related to metabolism for the common enhancers, among them “Insulin signaling”, “mTOR signaling”, “FoxO signaling” pathway, and “circadian entrainment” and “circadian rhythms” (Dataset S9). “FoxO signaling” pathway was present also in the common promoter list (Dataset S10).
Overall, these data demonstrate that 48h fasting is able to remodel the neural chromatin landscape, inducing a dynamic and robust H3K9-bhb in the cerebral cortex, preferentially targeting enhancers, promoters and intergenic regions.
H3K9-bhb is linked to active gene expression in neural tissue
To investigate the impact of H3K9-bhb on gene expression in the visual cortex, we performed an RNA-seq experiment using the same cortical samples used for the ChIP-seq experiment. Fasting dramatically remodeled the transcriptome of the cortex altering the expression of 955 transcripts (Benjamini-Hochberg < 0.01. For the complete gene list see Dataset S11).
In particular, 341 genes were upregulated and 614 genes were downregulated in F mice (Fig. 4A). The effect was highly consistent in the different samples, as shown by the heatmap obtained from every biological replicate (Fig. 4A). The most overrepresented KEGG pathways among the genes downregulated in fasting were “steroid biosynthesis”, “protein processing in endoplasmic reticulum”, “metabolic pathway”, “purine metabolism” etc. (Fig. 4B, Dataset S12A); categories mainly related to metabolism, thus suggesting the existence of a brain adaptive response to conserve energy. KEGG pathways characterizing the UP in fasting transcripts were “serotonergic synapses”, “oxytocin signaling pathway”, and “p53 signaling pathway” (Fig. 4B, Dataset S12B). Notably, the most significant KEGG pathway in the genes upregulated in the neocortex after fasting was “circadian rhythms'' (Fig. 4B); this is of interest since core-clock genes have been involved in the control of critical period onset in the mouse visual cortex [28]. Finally, the interaction network of the 955 differentially expressed genes revealed a variety of interactomes including “FoxO” “mTOR” “Insulin” and “PPAR” signaling pathways which are well-known biochemical cascades influenced by fasting; “Glycosaminoglycan metabolism” “Chondroitin sulfate metabolism and biosynthesis” which are components of the perineuronal nets, important for ocular dominance plasticity and critical period timing [29]; and again “circadian rhythms” (Fig. S3; for a complete list see Dataset S13).
Finally, gene set enrichment analysis on the whole RNA-seq data set using CAMERA [30] confirmed that “circadian rhythms” is significantly enriched in both GO and KEGG ontologies (Fig. S4A-B). Intriguingly, the Reactome pathway displayed a relationship between “circadian rhythms” terms and a variety of proteins related to epigenetic remodeling (Fig. 4C), suggesting that an interplay between circadian and epigenetic mechanisms could be responsible for the brain adaptive response to prolonged fasting.
To understand the role played by H3K9-bhb on the cerebral cortex transcriptome, we crossed our RNA-seq and ChIP-seq data. We found a significant positive correlation between differential H3K9-bhb peaks (F vs AL) and the fold change of the genes upregulated in F (Fig. 5A, all the genes of the RNA-seq up in fasting, Spearman correlation: rho = 0.13, p value = 4.4E-16, only genes up in fasting with p value < 0.05, Spearman correlation: rho = 0.19, p value = 6.7E-09). Furthermore, the expression of genes in proximity of loci differentially enriched in H3K9-bhb peaks was selectively upregulated by fasting with respect to all expressed genes (Fig. 5B, Mann-Whitney test: U = 19670177, p < 0.0001). It is worth noting that there was no significant correlation between the differential H3K9-bhb peaks and the genes upregulated in AL condition (Fig. 5C, all the genes of the RNA-seq up in AL, Spearman correlation: rho = 0.0008, p value = 0.96. Figure 5C only genes up in AL with p value < 0.05, Spearman correlation: rho = -0.02, p value = 0.41). These results suggest that H3K9-bhb could be related to fasting-induced gene expression in the cerebral cortex of mice.
To gain a better insight into the transcriptional regulatory role of cortical K-bhb after 48h fasting, we analyzed the list of differential and significantly enriched H3K9-bhb DNA loci (Dataset S4) separately considering promoters, enhancers and intergenic regions, and crossed them with the correspondent transcript levels obtained through the RNA-seq. H3K9-bhb was particularly abundant in intergenic regions (Fig. 3A). Epigenetic marks present in intergenic regions of brain chromatin have been shown to be sensitive to changes in neuronal activity, such as DNA methylation [31]. Fasting-driven changes in H3K9-bhb in intergenic regions positively correlated with the expression of correspondent transcripts upregulated in fasting (Fig. 5D, only genes up in fasting with p value < 0.05, Spearman correlation: rho = 0.16, p value = 0.02). GO biological processes analysis revealed the association with genes involved in regulation of transcription, chromatin modifications, synaptic plasticity and neurodevelopment (Fig. 5D). Promoters and enhancers are key elements for controlling transcripts’ levels, and they were especially influenced by H3K9-bhb in F mice (Fig. 3A). We found a significant correlation between promoter hits and transcripts upregulated in fasting (Fig. 5E, all the genes of the RNA-seq up in fasting, Spearman correlation: rho = 0.17, p value = 5.4E-08, only genes up in fasting with p value < 0.05, Spearman correlation: rho = 0.32, p value = 1.2E-07). The genes clustered in the “FoxO signaling pathway” (Fig. 5E). Moreover, GO analysis of the term “Biological Process”, showed a variety of annotations principally related to transcriptional regulation and PTMs (Dataset S14).
The correlation of RNA-seq genes with H3K9-bhb enhancers gave again a positive value (Fig. 5F, all the genes of the RNA-seq up in fasting, Spearman correlation: rho = 0.09, p value = 0.01). Interestingly, pathways and terms concerning “circadian rhythms” came up both in the KEGG (Fig. 5F and Dataset S15) analysis and GO annotation (Fig. 5F and Dataset S15). Furthermore, GO biological processes related to “chromatin remodeling and modifications” were significant terms. Again and in keeping with the above analysis, we observed the presence of a signature specifically related to circadian clock and epigenetic mechanism, strongly suggesting that those could be the molecular underpinning underlying the cerebral cortex adaptation to a fasting challenge.
Fasting influences diurnal gene expression of core-clock genes and daily rhythms in locomotor activity
Protein synthesis regulation and circadian rhythms are important mechanisms in neural function and plasticity [32, 33]. Since GO categories associated with these mechanisms consistently emerged in our RNA-seq and ChIP-seq data, we selected these two pathways for in depth analysis of fasting regulation. First, we studied the “insulin and mTOR pathways” by assessing two key biochemical steps: serine 235 − 36 phosphorylation of S6 (Suppl. Figure 5A) and Serine 473 phosphorylation of AKT (Fig. S5B). Confirming the hypothesis indicated by the RNA- and ChIP-seq data, both PTMs were significantly reduced in fasting mice, suggesting that protein synthesis could be altered in the cerebral cortex of F mice, in line with a condition of energy saving. Second, we studied “circadian rhythms”, a process representing one of the top hits in the RNA-seq data (Fig. 4B) and in the differential ChIP-seq enhancer analysis (Fig. 5E). We analyzed the expression of core-clock genes in the visual cortex (Fig. 6A) of F and AL mice at 4 different time points (Zeitgeber time (ZT)) every 6 hours throughout the daily cycle (Fig. 6B). The results demonstrated that several clock genes related to transcriptional inhibition: Per1, Cry1, Cry2, and Reverb-a, displayed similar changes in their diurnal profile upon fasting, and were significantly upregulated at ZT4 in F with respect to AL mice, validating the RNA-seq result which was performed at this ZT (Fig. 6C). On the other hand, Bmal1, Clock and Ror-a, belonging to the transcriptional activation limb of the core-clock machinery, were not significantly altered at any ZT in F mice (Fig. 6D), suggesting a certain degree of specificity of fasting effects on the inhibitory limb of the molecular clock. Prompted by these findings obtained in the visual cortex, we investigated whether circadian clock gene expression was also changed by fasting in the key brain structure for circadian rhythms, i.e. the suprachiasmatic nucleus (SCN) (Fig. S6A-B). We found that, as in the cortex, transcripts belonging to the negative limb of the core-clock were mainly impacted, with a significant increase at ZT22 (Fig. S6C). Moreover, Bmal1 oscillation was strongly dampened (Fig. S6D).
All these findings, together with the possible body-wide effect of fasting on circadian rhythmicity [34, 35], led us to explore whether fasting could alter the daily rhythmicity in spontaneous locomotor activity. Circadian rhythmicity in locomotion was investigated by selecting 3 different epochs of 5 days each: the 5 days before fasting (pre-fasting), the 5 days after refeeding (T1) and the subsequent 5 days (T2) (Fig. 7A). For every epoch, we computed the relative power spectrum at different oscillation frequencies and we integrated the power between 0.9 and 1.1 cycles/day as a measure of diurnal rhythmicity (Fig. 7B, see Material and Methods and Fig. S7B). The results demonstrated that before fasting there were no differences between AL and F groups (Fig. 7C). However, both at T1 and T2 (after fasting), F mice displayed a decreased power at the diurnal frequency (Fig. 7C), suggesting that acute fasting for 48h affects the normal development of rhythmicity in locomotion. Notably, this effect is persistent for at least 10 days after refeeding, and it could not be simply explained by alterations of neither total activity nor body weight (Fig. S7C, S7D), since both the measures showed no difference between groups both at T1 and at T2, thus suggesting that fasting might have a specific action on circadian rhythmicity.