Protective role of mRNA demethylase FTO on axon guiding molecules of nigro-striatal projection system in manganese-induced Parkinsonism

Protective role of mRNA demethylase FTO on axon guiding molecules of nigro-striatal projection system in manganese-induced Parkinsonism | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research article Protective role of mRNA demethylase FTO on axon guiding molecules of nigro-striatal projection system in manganese-induced Parkinsonism Zhipeng Qi, Jiashuo Li, Ke Zhang, Yanan Liu, Xinxin Yang, Minghui Li, and 7 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-710184/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Background Parkinson's disease (PD) is a neurodegenerative disease caused by environmental and genetic factors. Manganese (Mn) exposure is a major environmental cause of PD. Cellular and molecular mechanism of Parkinsonism caused by Mn has not been explored clearly. In addition, patients with Mn-induced Parkinsonism show poor therapeutic response to levodopa. Therefore, there is need to explore the mechanisms underlying neurotoxicity of Mn exposure. Methods In short, we used SH-SY5Y cells and C57BL/6 mice to characterize Mn-induced Parkinsonism. We measured the behavioral, histological, ultrastructural and nigro-striatal projection system changes, cell viability, axon growth, and other target indicator levels, which led to the discovery of a novel mechanism of Mn-induced neurotoxicity. Results The findings of the current study showed that inhibition of fat mass and obesity-associated protein (FTO)-mediated demethylation of N 6 -methyladenosine (m 6 A) mRNA aggravates Mn-induced motor dysfunction. Notably, FTO level is low in Mn exposure model mice and enhances occurrence of dyskinesia in mice. Over-expression of FTO reduces m 6 A methylation in the key axon guiding molecules of nigro-striatal projection system, including ephrin-A5 and ephrin-B2. It increases ephrin-B2 mRNA decay through the m 6 A reader YT521-B homology domain family proteins 2 (YTHDF2). Conclusions The findings of this study show that FTO, a m 6 A demethylase, performs an indispensable function in Mn-induced Parkinsonism. Notably, re-expression of FTO and ephrin-B2 improved motor dysfunction after Mn exposure. Neurology Structural Biology Preventive Medicine Manganese Parkinsonism FTO ephrin-B2 m6A YTHDF2 Figures Figure 1 Figure 2 Figure 3 Figure 4 Figure 5 Figure 6 Figure 7 Figure 8 Background Parkinson's disease (PD) is a neurodegenerative disease caused by environmental and genetic factors [ 1 ]. Approximately 3 million PD cases are reported in China, and WHO predicts that this number will increase to 5 million by 2030 [ 2 ]. Most PD cases are sporadic cases caused by environmental factors, and only less than 10% of PD cases are caused by genetic factors [ 3 ]. Manganese (Mn) exposure is one of the major environmental risk factors that cause PD [ 4 ]. Mn is a quintessential component that is important for human health. It is an enzyme cofactor involved in neurotransmitter synthesis and in normal neuron and glial function [ 5 ]. Exposure to high levels of Mn can cause headache, lower limb weakness, cognitive impairment, muscle tone increase, tremor, gait difficulties and other symptoms similar to those of PD. The condition is known as manganism [ 6 ], or Mn-induced Parkinsonism [ 7 , 8 ]. The 2019 Report on the State of the Ecology and Environment in China reported that Mn is one of the heavy metals that exceed sanitary requirements of ingesting water [ 9 ]. China has adopted active measures, such as clean production, use of gasoline with limited Mn and elimination of Mn from drinking water. However, environmental Mn pollution is still at an excessive level due to challenges in corporate governance, poor government supervision, and insufficient maintenance of equipment. In the central nervous system (CNS), excessive Mn mainly accumulates in the striatum [ 10 , 11 ]. Study reports that manganism is associated with the modifications of striatal dopamine (DA) pathway, which is mainly manifested by decrease in DA content [ 12 ]. However, studies on the molecular mechanisms for Mn induced dysregulation of DA levels are limited. In addition, specific mechanisms involved in motor dysfunction associated with simultaneous exposure to Mn have not been explored. Accurate establishment of neural circuits involves the axon navigating the neurons to their target [ 13 ], which is essential for DA neurons of the substantia nigra to release DA after projecting to the striatum. Studies report that axon guidance regulation of dopaminergic neurons and spinal motoneurons plays important role in brain development [ 14 , 15 ]. The divergent member of the erythropoietin-producing hepatocyte receptor-interacting proteins (ephrins) mediate cell-cell communication thus regulating axon guidance and neural projection. Ephrins promotes developmental axon pathfinding by modulating actin cytoskeleton dynamics [ 16 ]. Researchers report that ephrins are abundantly expressed in the striatum [ 17 ]. Sieber et al [ 18 ] reported that ephrin signaling is important in normal connectivity and function of midbrain DA neurons. The present study postulated that Mn regulation of the motor function may be associated with the function of ephrins signaling. However, the specific molecular mechanisms were not elucidated. Hundreds of RNA modifications have been reported, and N 6-methyladenosine (m 6 A) is one of the most ubiquitous internal changes that regulate gene expression at the post-transcriptional level [ 19 ]. m 6 A modification regulates several phases of RNA metabolism, such as RNA translation, decay and splicing [ 20 , 21 ]. The latest reported m 6 A demethylase FTO shows that m 6 A modifications can be dynamically regulated [ 22 ]. However, the targets and features of m 6 A modification in CNS have not been explored. m 6 A modification can regulate neuronal function such as motor function [ 23 ], axon regeneration [ 24 ], and synapse function [ 25 ]. In addition, Hess et al reported that inhibition of FTO gene impairs neuronal activity and motor function [ 26 ]. However, the function of m 6 A eraser FTO on axon guiding molecules of nigro-striatal projection system in Mn-induced Parkinsonism pathogenesis has not been fully elucidated. The findings of the current study show that FTO is implicated in regulation of motor function and mediation of axon guiding molecules against Mn-induced Parkinsonism in vitro and in vivo . These findings show the specific mechanism of Mn-induced motor dysfunction mediated by FTO and ephrins. Moreover, these findings show that re-expression of FTO and ephrin-B2 improve motor dysfunction after Mn exposure. Materials And Methods Reagents and chemicals Manganese chloride (MnCl 2 ·4H 2 O) and actinomycin D, and other chemical compounds were bought from Sigma Chemical Co. (Saint Louis, MO, USA). Cell Counting Kit-8 (CCK-8) was supplied with Transgen Institute of Biotechnology (Beijing, China). FD Rapid GolgiStain™ kit was supplied by FD NeuroTechnologies (Ellicott City, MD, USA). Enzyme-linked immunosorbent assay (ELISA) kits of mice DA was acquired from Baolai Biotechnology Institute (Jiangsu, China). Ethyl ester derivative of MA (MA2, the FTO inhibitor) was a present from Professor Caiguang Yang of the Chinese Academy of Sciences. Fluoro-Gold (FG) was purchased from Kaiji Biotechnology Co., Ltd. (Jiangsu, China). The adeno-associated virus 5 (AAV5)-FTO and AAV5-ephrin-B2 were purchased from Genecreate Biological Co., Ltd. (Wuhan, China). Lentiviral particles for over-expression of FTO (FTO-OE) were purchased from Hesheng Gene Technology Co., Ltd. (Beijing, China). Anti-m 6 A antibody was bought from Synaptic Systems (USA, 202003). Protein-A bead was bought from Thermo Fisher (USA, 10002D). RNasin was provided by Promega Biotechnology Co., Ltd. (Beijing, China). Rabbit antibody of FTO, methyltransferase like 3 (METTL3), α-ketoglutarate-dependent dioxygenase alkB homolog 5 (ALKBH5), YTH domain-containing family proteins 1/2 (YTHDF1/2) were bought from Proteintech Group, Inc (Wuhan, China). Rabbit antibody of tyrosine hydroxylase (TH) was bought from Cell Signaling Technology, Inc. Rabbit antibody of METTL14, ephrin-A1/3, ephrin-B1/3 were sold from ABclonal Biotechnology Co., Ltd. (Wuhan, China). Rat antibody of dopamine transporter (DAT), mouse antibody of ephrin-A5, ephrin-B2, Dopamine- and cAMP-regulated neuronal phosphoprotein 32 kDa (DARPP32) and GADPH were offered from Santa Cruz Biotechnology, Inc (Santa Cruz, CA, USA). Mouse antibody of ephrin-A2/4 was bought from Boaosen Biotechnology Co., Ltd. (Beijing, China). Horseradish peroxidase (HRP) conjugated anti-rabbit, mouse and rat secondary antibody were provided by means of Boaosen Biotechnology Co., Ltd. (Beijing, China). Real-time quantitative PCR (RT-qPCR) kit and Trizol reagent were supplied by TaKaRa Biotechnology Co, Ltd (Dalian, China). Other chemical substances were supplied through neighborhood chemical suppliers. All chemical substances reagents have been analytical grade or the pharmaceutical grade. Animals The research was carried out on adult C57BL/6 mice (20 ± 2 g; N = 350; Among them, 30 pregnant mice are needed for primary neuron culture) which have been bought from the Laboratory Animal Centre of China Medical University, Shenyang, China (SPF grade, certificate no. SCXK2013-0001). The mice were housed in plastic cages with 12-h light/dark cycle (temperature, 25 o C±1 o C, humidity, 55%±5%). Water and Food were accessible to the mice. All experiments were performed following the care and use guidelines of laboratory animals by Institutional Animal Care and Use Committee of China Medical University. The study protocol conformed to the National Institutes of Health Guide for Care and Use of Laboratory Animals (NIH Publications No. 8023, revised 1978). Attempts were made to minimize the number of animals used and to reduce animal suffering. Primary neuron and SH-SY5Y culture Neonatal C57 BL/6 mice were decapitated with scientific scissors without use of an anesthetic. The cranium was opened with ophthalmic forceps after sterilization with 75% alcohol. D-Hank's buffer solution was added to the dissected striatal tissue, and routinely separated with surgical devices under a light microscope. The tissue was digested with 0.125% trypsin solution for 20–30 min, and diluted with Dulbecco’s modified Eagle’s medium (DMEM; Sigma-Aldrich, USA) containing 20% fetal bovine serum (FBS). Isolated neurons were seeded into 60-cm 2 plastic tissue culture flasks precoated with poly-L-lysine after purification by filtration through a 200-mesh sieve. Cultures were maintained in 5% CO2/95% air at 37°C. After cell attachment, DMEM medium was replaced with Neurobasal™-A Medium supplemented with B27 (Life Technologies). Neurons were further purified by addition of cytosine arabinoside and cultured for 24 h (5 µM, Sigma-Aldrich). Primary cultures yielded more than 95% neurons, which was determined through NeuN antibody immunostaining after culturing for approximately 7 days. SH-SY5Y cells were purchased from the National Centre for Cell Sciences of China. Cells were maintained in 5% CO2/95% air at 37°C and cultured with DMEM supplemented with 10% FBS, streptomycin, and penicillin. Animal experiments One hundred forty mice were randomly assigned to sixteen groups based on their weight, with 12 mice in each group. The first part included the control group, 12.5, 25, and 50 mg/kg MnCl 2 groups. The second part included the AAV5 negative control (NC) group, AAV5-FTO control group, AAV5-NC + 50 mg/kg MnCl 2 group, and AAV5-FTO + 50 mg/kg MnCl 2 group. The third part included the control group, 20 mg/kg MA2 control group, 50 mg/kg MnCl 2 group, and 20 mg/kg MA2 + 50 mg/kg MnCl 2 group. The fourth part included the AAV5-NC group, AAV5-NC + 50 mg/kg MnCl 2 group, AAV5-NC + 20 mg/kg MA2 + 50 mg/kg MnCl 2 group, and AAV5-ephrin-B2 + 20 mg/kg MA2 + 50 mg/kg MnCl 2 group. Mice in the control group received a subcutaneous (s.c.) injection of 0.9% NaCl and intraperitoneal (i.p.) injection of 0.9% NaCl after 2 h. Mice in the MnCl 2 groups received s.c. injections of 0.9% NaCl and i.p. injections of 12.5, 25, and 50 mg/kg MnCl 2 after 2 h. Mice in the MA2 control group were administered with s.c. injections with 20 mg/kg MA2, and i.p. injections of 0.9% NaCl after 2 h. Mice in the 20 mg/kg MA2 + 50 mg/kg MnCl 2 group received s.c. injections with 20 mg/kg MA2, and i.p. injections of 50 mg/kg MnCl 2 after 2 h. The concentration of treatments were 5 mL/kg. Treatments were administered daily two weeks. For AAV5 viral injection, mice were anaesthetized with 5% chloral hydrate and positioned on a stereotaxic apparatus. Bilateral holes were drilled into the cranium at 0.5 mm foreside and ˗2.8 mm outside the bregma for administration of treatments into the striatum regions. An AAV5 expressing either FTO or ephrin-B2 (AAV5-FTO or AAV5-ephrin-B2) or hrGFP (AAV5-NC) was obtained through stereotactic injection. A glass cannula stuffed with a virus was placed on the striatum (-3.5 mm), and 0.2 µL virus was administered at a rate of 0.1 µL/min. The scalp was then sealed. Follow-up exposure was carried out 10 days after virus injection, and then behavioral experiments or other tests were carried out. After the behavioral experiment, all the mice were sacrificed through decapitation under anesthesia. Striatum of 20 mice in each group was separated in an ice bath. 4 out of the 20 mice were used for histological and ultrastructural analysis of the striatum. Among the other 16 mice from each group, 4 were used for the detection of Mn and DA levels. 2 were used for immunofluorescence detection. 2 were used for determination of ephrin-B2 m 6 A mRNA expression, 2 for electrophysiological recording, and 2 mice were used for fluorogold retrograde tracing. Striatum for the other mice was used for determination of target mRNA level, protein, and other indicator levels. Lentiviral generation and infection. Lentiviral particles for over-expression of NC and FTO were purchased from Hesheng Gene Technology Co., Ltd. (Beijing, China). For over-expression of ephrin-B2, METTL3, METTL14, YTHDF1 or YTHDF2, cells were transfected with plasmids using lipofectamine 2000 (Sigma, USA) following the manufacturer’s instructions. After 48–72 h of transfection, the virus-containing supernatant was obtained and used to infect target cells, followed by screening with puromycin (Solarbio, 2.5 µg/mL) for 7 days. Cells treatments Cells were cultured in media for 24 h with 0, 125, 250, and 500 µM MnCl 2 . In the 0 and 500 µM MnCl 2 groups, cells were used for over-expression of FTO, ephrin-B2, YTHDF2, FTO + METTL3 + METTL14, FTO + ephrin-B2, and FTO + YTHDF1 or YTHDF2. In addition, For the MA2 intervention groups, cells were cultured in media for 24 h with 0 µM MnCl 2 , 200 µM MA2, 500 µM MnCl 2 , and 200 µM MA2 (pretreated for 6 h) + 500 µM MnCl 2 . The relevant experiments were then carried out. Cell viability analysis The cells were seeded into 96-well plate at 5×10 3 /well and cultured in 10% FBS containing DMEM for 24h. Then, cells were treated in 100 µL of DMEM according to the above groups. After incubating for 24 h, add 10 µL of CCK-8 reagent to every well, and incubate for extra 4h. Absorbance of every well was measured at 450 nm. Each well has two duplicate wells to confirm the reproducibility. Automated observation of axon growth with the live cell imager Cells and axon growth trends were observed using Lionheart FX Automated Live Cell Imager (BioTeK, USA). The relevant treatment was given to every group following the study design. The control group was used to adjust the photo parameters. The duration of observation was 24 h, and data were recorded every hour. Rotarod test Mice were positioned on a Rotary rod instrument (UGO 47650, Italy) and skilled for 5 min at the 10 rpm speed for 3 days. For testing, mice were positioned on a rod that turned around accelerating velocity beginning with 5 rpm and accelerating up to 30 rpm in 60 s. Experiments were performed three times. Forced running wheel test Mice were positioned on a wheel fatigue meter (YLS-10B, Yiyan, China) to explore their staying power capabilities. Mice were skilled at 30 rpm for 10 min, and the fatigue running distance was determined. The wheel fatigue meter was stopped if mice fail to run within 10 sec after the electric shock (1 mA) and the wheel fatigue meter was started after mice rest for 30 sec. The experiments were performed in triplicates. Open field test The open field experimental analysis system for mice was provided by China Medical University. The mice were placed in the laboratory to adapt to the environment for 10 minutes. This experiment is performed in a quiet, low-light environment. The indoor temperature was maintained at about 26°C. The mice were positioned in the open field and the mice activity was observed within 5 min. Observation indicators include total horizontal movement distance and horizontal movement speed. Clean up the labyrinth after the experiment of each mouse, and try to avoid external interference that will cause unnecessary adverse effects on the experimental results. Gait analysis In order to enable all mice to walk to the end of the runway at a uniform speed without external stimulation, the mice were trained for 3 days. Data was collected on the 4th day and recorded 3 times for each mouse. The collected data was analyzed with Cat Walk XT Version10.6, and the average value of each index was taken. The related indexes are run duration, average speed, swing speed, and maximum variation. Determination of Mn levels The inductively coupled plasma mass spectrometry (ICP-MS, Agilent 7700x, USA) was used for analysis of Mn levels in striatum of mice. Striatum was predigested, and 0.1, 1, 5, 10, 50, and 100µg/L series of Mn standard solutions were prepared for future use. The content of Mn in the striatum was then determined with internal standard method. Measurement of DA levels Total DA levels in the striatum were quantified using ELISA kits of mice DA (Baolai, Jiangsu, China) following the manufacturer's directions. The sample value within the detectable range was used for analysis. Experiments were performed in triplicates. Immunofluorescence of FTO, ephrin-B2, TH, DARPP32, and DAT Expression and localization of FTO and ephrin-B2 were determined in striatum and neurons, respectively, through immunofluorescence. In addition, immunofluorescence triple staining of TH, DARPP32 and DAT in striatum was used to explore whether nigro-striatal projection neurons were damaged. Samples were dehydrated with xylene and alcohol, and tissue sections were steamed with sodium citrate for antigen retrieval. Samples were blocked in 10% Goat serum for 30 min at 25°C. Samples were then treated with rabbit antibody of FTO (1:100), mouse antibody of ephrin-B2 (1:100), rabbit antibody of TH (1:100), mouse antibody of DARPP32 (1:50), and rat antibody of DAT (1:50) overnight at 4°C. On the second day, after 1 h of rewarming and washing 3 times with phosphate buffered solution (PBS), samples were treated with goat anti-mouse IgG (1:100), goat anti-rabbit IgG (1:100), and goat anti-rat IgG (1:100) for 1 h at 25°C. For immunofluorescence of FTO and ephrin-B2, samples were counterstained using 2-(4-Amidinophenyl)-6-indolecarbamidine dihydrochloride (DAPI) for 5 min after washing 3 times with PBS. Then, samples were mounted with mounting medium for further study. Laser scanning confocal microscope (A1R, Nikon, Japan) was used to capture images. Hematoxylin and eosin (HE) staining After the mice were perfused with 4% paraformaldehyde, the striatum tissue was removed. The striatum of mice was serially dehydrated in xylene and ethanol. The striatum was sectioned at 5 µm thickness after paraffin embedded. Then, HE staining was done for morphological observation with high resolution panoramic imaging system (CS2, Leica, Germany). Golgi-cox staining Brains of mice were removed quickly from the skull after euthanizing. After washing, the brains were stained with the FD Rapid GolgiStain™ kit (MD, USA). Firstly, the brains were incubated in the impregnation solution (A and B) for 14–15 days. Afterwards, the brains were treated with Solution C for the 48–72 h. Microtome Cryostat (1950, Leica, Germany) was used to cut 200 µm slices. Slices were mounted on a gelatin-coated slides, then dehydrated, stained, and coverslipped. Then, dendritic spines was observed with high resolution panoramic imaging system (CS2, Leica, Germany). Nissl staining Tissue sections were sequentially stained with series alcohol dehydration. The sections were then treated with 1% thionine for 1 h, then the samples were washed with distilled water. 70% alcohol color separation was performed for several sec to several minutes. The sections were dehydrated with 70%, 80%, 95%, and 100% alcohol, re-spectively, with 2 min for each. Next, the sections were washed with anhydrous ethanol twice (with 5 min for each time), followed by washing with xylene twice (with 10 min for each time). Finally, the sections were observed with high resolution panoramic imaging system (CS2, Leica, Germany). Fluorogold retrograde tracing Two mice in each group were injected with 2% FG solution into the striatum via brain stereotaxic injection. After 5 days of survival, the mice were anesthetized and perfused with 4% paraformaldehyde solution. The brain was taken out and fixed with 4% paraformaldehyde solution for 4 hours. Then the brain tissue was placed in a 20% sucrose solution at 4°C overnight. The next day, freeze sectioning was performed, and the section thickness was 30 µm. The sections were washed with 0.01 mM PBS and fixed in 4% paraformaldehyde for 10 min. After washing 3 times with PBS, samples were mounted with mounting medium for further study. Laser scanning confocal microscope (A1R, Nikon, Japan) was used to capture images. Electron microscopy studies After the mice were perfused with 4% paraformaldehyde, the striatum was fixed with 2.5% glutaraldehyde for 1h. A 1-mm-thick slice was made and fixed overnight. Postfixation of slice was carried out in 1% OsO4 for electron microscopy observation. Then, tissues were embedded in spur resin after dehydrated in series of acetone. Blocks were photographed in a transmission electron microscope (JEM-1400-FLASH, Japan) after stained with uranyl acetate and lead citrate. Electrophysiological recording of striatum slices Spontaneous discharge frequency in the striatum was recorded in 300 µm slices. Slices were cut using vibratome in a modified artificial cerebrospinal fluid (mACSF) saturated with 5% CO 2 /95% O 2 . Slices were then placed on an incubation chamber with normal ACSF and incubated at 25°C for at least 1 h before recording. Analysis was performed with a MED64 flat microelectrode array system (Alpha of Japan). Western Blotting analysis Total protein of striatum was extracted with RIPA buffer and protease inhibitors. BCA reagent was used for protein quantification. Proteins samples were transferred onto polyvinylidene difluoride (PVDF) membranes after gel electrophoresis. PVDF membranes were then blocked using 5% bovine serum albumin fraction V for 1h, then the membranes were incubated with primary antibody against FTO (1:500), METTL3 (1:1000), METTL14 (1:500), ALKBH5 (1:1000), YTHDF1 (1:2000), YTHDF2 (1:1000), ephrin-A1 (1:1000), ephrin-A2 (1:500), ephrin-A3 (1:1000), ephrin-A4 (1:500), ephrin-A5 (1:500), ephrin-B1 (1:1000), ephrin-B2 (1:1000), ephrin-B3 (1:500), and GAPDH (1:5000) overnight at 4°C. In the next day, membranes were incubated with corresponding secondary antibodies for 1 h at 25°C after washing 3 times with Tris-buffered saline with 0.1% Tween 20 (TBST). Analysis was performed with the multifunctional imaging system (AZURE C500, USA). GAPDH was used as an internal standard. RT-qPCR assay Total RNA was dissolved in RNase-free water (TaKaRa) after extraction using the Trizol reagent (TransGen, Beijing, China). First strand cDNA was obtained from total RNA using reverse transcriptase Kit (TaKaRa) following manufacturer’s instructions. RT-qPCR was performed using QuantStudio 6 Flex fluorescence quantitative PCR instrument (Thermo Fisher, USA). Primer sequences of FTO, METTL3, METTL14, ALKBH5, YTHDF1, YTHDF2, ephrin-A1, ephrin-A2, ephrin-A3, ephrin-A4, ephrin-A5, ephrin-B1, ephrin-B2, ephrin-B3, Grb4, GIT1, HPRT1, and β-actin for RT-qPCR analysis are presented in Supplementary Table 1. HPRT1 or β-actin genes were used as internal controls. Comparative CT method ( ΔΔ CT) was used to quantify the target genes. All experiments were performed in triplicates. Quantifcation of m 6 A in total RNA The ELISA-based m 6 A Quantitative Kit (Epigentek, P-9005-96) was used to quantify m 6 A levels of total RNA (200 ng). In accordance to the manufacturer’s instructions, quantifification was performed in triplicates. Actinomycin D assay Samples were treated with 2µM actinomycin D (Act-D, Sigma, USA) for 0, 3, and 6 h. Cells were collected and RNA was isolated for RT-qPCR. HPRT1 gene was used as an internal control as HPRT1 mRNA does not bind to YTHDF2, is rarely affected by Act-D, and does not undergo m 6 A modifications. m 6 A-RT-qPCR Total RNA was used for m 6 A-immunoprecipitation and 500 ng of RNA was used as an input sample. 100 µg of RNA was diluted with 40 µl IP buffer (0.05 M Tris-HCl, 0.75 M NaCl, 0.5% Igepal, and RNase-free water) and treated with m 6 A antibody (Synaptic Systems, Germany) for 3.5 h at 4°C, Recombinant protein-A bead (Waltham, MA) containing BSA was added to the RNA solution and shaken at 4°C for 4 h. The m 6 A IP portion was eluted with elution buffer (300 µL 20mM CaCl 2 , 2µL RNasin, 2 µL RVC, and 0.75 µL 20 mg/mL Proteinase K) after washing three times with IP buffer. The collected total eluate was concentrated in an RNA concentrator to a final volume of 20 µL. The concentration of RNA was determined and reverse transcribed to cDNA. RT-qPCR was used to determine m 6 A levels of mRNA. Data were calculated using the %input = 2 (−ΔCtnormalized RIP) method. Statistical analysis Results were presented as means ± standard deviations after measured at least three times. The SPSS 22 software was used to analysis all statistical. The one-way analysis of variance (ANOVA) followed by Bonferroni test were used to determined the differences between the means for multiple comparison. P -value of < 0.05 or P -value of < 0.01 were considered statistically significant. Results Effect of FTO on Mn-induced parkinsonism To explore the role of FTO in Mn-induced striatal motor dysfunction, the level of Mn in normal striatum and Mn-exposed striatum was determined by ICP-MS. The findings showed that levels of Mn in striatum increased significantly after Mn exposure compared with the control group (Fig. 1 A). Further, mRNA and protein levels of FTO and other methylases in striatum and neurons were determined. Analysis showed that mRNA and protein levels of FTO were significantly downregulated after Mn exposure compared with the control group (Fig. 1 B, C, F, and G). Notably, other methylases levels including METTL3/14, ALKBH5, and YTHDF1/2 were not significantly different after Mn exposure compared with the control group (Supplementary Fig. 1A-T). Immunofluorescence was used to determine specific FTO protein levels in striatum and neurons. Analysis showed that FTO level (Green) was significantly decreased after Mn exposure compared with the normal group (Fig. 1 D, H). In addition, m 6 A ELISA was used to determine changes in total RNA m 6 A level in striatum and neurons after Mn exposure. The findings showed that the level of total RNA m 6 A in striatum and neurons increased significantly after Mn exposure compared with the control group (Fig. 1 E, I). These findings indicate that FTO is downregulated in striatum and neurons after Mn exposure, resulting in significant increase in the level of total RNA m 6 A in striatum. This implies that FTO plays an inhibitory role in Mn-induced motor dysfunction. Role of FTO in Mn-induced motor dysfunction and morphological analysis Effect of over-expression FTO or inhibition of FTO activity in the striatum on regulating the symptoms was explored to verify that Mn-induced motor disorders were caused by down-regulation of FTO in the striatum. AAV5 were used to express FTO (AAV-FTO) or hrGFP (AAV-control) in the striatum through stereotactic injection (Supplementary Fig. 2A, B), resulting in selective re-expression in bilateral striatum (Fig. 2 A and B, Supplementary Fig. 2C). In addition, activity of FTO was inhibited by intraperitoneal administration of MA2, a selective inhibitor of FTO. The results showed that treatment of MA2 did not affect FTO expression (Supplementary Fig. 2D and E). Re-expression of FTO in mice exposed to Mn significantly decreased total RNA m 6 A levels, with no significant effect on levels of Mn in the striatum (Fig. 2 C and Supplementary Fig. 3A). On the contrary, inhibition of FTO activity in mice exposed to Mn significantly increased total RNA m 6 A levels, with no significant effect on levels of Mn in the striatum (Supplementary Fig. 2F and Supplementary Fig. 3K). Re-expression of FTO in striatum exposed to Mn significantly increased their endurance times and fatigue running distance (Fig. 2 D and E). Furthermore, it improved the distance covered and speed in the open field (Fig. 2 F and Supplementary Fig. 3B-D). In addition, it significantly improved mice gait, mean intensity, run duration, average speed, swing speed and maximum variation performances in gait tests (Fig. 2 G and Supplementary Fig. 3E-J). On the contrary, motor function was damaged more severely after inhibition of FTO activity (Supplementary Fig. 2G-J and Supplementary Fig. 3L-T). These findings indicate that inhibition of FTO significantly reduces motor performances, implying that FTO plays a protective role in Mn-induced motor dysfunction. Effects of Mn on striatum morphology were determined by HE staining. In the control group, the nucleus of striatum was stained clearly. The nucleus was round and giant with evident nucleoli (Fig. 2 H). The 50 mg/kg MnCl 2 group (Fig. 2 H) showed significant interstitial vacuolation and cell swelling compared with the control group. Re-expression of FTO significantly improved neuropathological injury compared with the 50 mg/kg MnCl 2 group (Fig. 2 H). Nissl staining in the control group showed that Nissl bodies were clearly stained, arranged neatly and the number was normal (Fig. 2 I). Analysis showed significant degeneration of Nissl bodies, deletion and lighter staining in the 50 mg/kg MnCl 2 group compared with the normal control group (Fig. 2 I). Re-expression of FTO significantly alleviated deformation and deletion of Nissl bodies compared with the 50 mg/kg MnCl 2 group (Fig. 2 I). Observation under an electron microscope showed that the nucleus of the control group was approximately round and the structure was normal (Fig. 2 J). Neuronal nucleus pyknosis, organelle disappearance, swelling and degeneration were observed in the 50 mg/kg MnCl 2 group (Fig. 2 J). Notably, re-expression of FTO significantly improved neuronal damage compared with the 50 mg/kg MnCl 2 group (Fig. 2 J). Changes in dendritic density and/or morphology were investigated to explore the effects of Mn on axonal guidance regulates synaptic plasticity (Fig. 2 K-L). Morphology of dendrites was significantly damaged and the density of total dendritic spines decreased significantly after exposure to 50 mg/kg MnCl 2 compared with normal control group (Fig. 2 K-L). Re-expression of FTO significantly improved the morphology of dendrites and the density of total dendritic spines compared with the 50 mg/kg MnCl 2 group (Fig. 2 K-L). Spontaneous discharge activity reflects the function of striatal neurons. Acute brain slices from mice were used to record electrical signals through substrate embedded electrodes to explore the discharge activity of the striatum. A typical electrical signal obtained using a microelectrode is shown in Fig. 2 M. Individual spontaneous potential was recorded when the individual spontaneous potential exceeds the threshold (± 0.02 mV). Neurons from the striatum of the control group showed normal spontaneous activity (Fig. 2 M). The amplitude and frequency of spike waves decreased after treatment with 50 mg/kg MnCl 2 compared with the control group (Fig. 2 M). Re-expression of FTO significantly improved the damaged spontaneous discharge frequency compared with the 50 mg/kg MnCl 2 group. On the contrary, the morphology was severely damaged and electrophysiological signals of striatum were significantly reduced after inhibition of FTO activity compared with over-expression of FTO (Supplementary Fig. 2K-P). These findings indicate that FTO plays a promoting role in Mn-induced striatal injury. Effect of Mn exposure on nigro-striatal projection system To explore the role of Mn treatment on nigro-striatal projection system, FG labeling (Fig. 3 A), the immunofluorescence triple staining of TH, DARPP32 and DAT (Fig. 3 B), the DA levels (Fig. 3 C) and neuronal axons growth (Fig. 3 D-E) were determined to evaluate the survival rate of nigro-striatal neurons. In the control group, the boundary of neurons was clear and evident cell body were observed (Fig. 3 A). In the 50 mg/kg MnCl 2 group, the boundary of neurons was unclear, the distribution of cells was uneven, the staining was lighter and disappeared significantly compared with the control group. (Fig. 3 A). Re-expression of FTO significantly improved survival rate of nigro-striatal projection neurons compared with the 50 mg/kg MnCl 2 group (Fig. 3 A). TH, DARPP32 and DAT are specific markers of nigro-striatal projection neurons, and their expression can reflect damage of nigro-striatal projection neurons. After treatment with 50 mg/kg MnCl 2 , the nigro-striatal projection neurons marked with TH, DARPP32 and DAT were significantly reduced, and the projection system was severely damaged compared with the control group (Fig. 3 B). Re-expression of FTO significantly restored the damage to the projection system compared with the 50 mg/kg MnCl 2 group (Fig. 3 B). After treatment with 50 mg/kg MnCl 2 , DA levels decreased significantly compared with control group (Fig. 3 C). DA levels increased significantly after re-expression of FTO compared with the 50 mg/kg MnCl 2 group. Neuronal axons grew slowly and shrank in the 50 mg/kg MnCl 2 group compared with control group (Fig. 3 D and E). Neuronal axon length increased significantly after re-expression of FTO compared with the 50 mg/kg MnCl 2 group. On the contrary, the substantia-striatal projection system was significantly damaged after inhibition of FTO activity compared with that after over-expression of FTO (Fig. 3 F-J). Role of FTO function in neuron and SH-SY5Y cells To explore the role of FTO in neuron and SH-SY5Y cells, the levels of FTO and total RNA m 6 A and performed cytotoxicity were determined using neuron and SH-SY5Y cells (Fig. 4 A-H). Over-expression of FTO (Fig. 4 A-B, and Supplementary Fig. 4A) in Mn-induced FTO-low neuron and SH-SY5Y cells decreased the levels of total RNA m 6 A, and cytotoxicity (Fig. 4 C-D). Inhibition of FTO activity in neurons and SH-SY5Y cells significantly increased the levels of total RNA m 6 A and cytotoxicity (Fig. 4 E-H). These findings indicate that FTO alleviates Mn-induced cytotoxicity in vitro . Role of m 6 A in FTO functions in neuron and SH-SY5Y cells To explore the effect of m 6 A in neuron and SH-SY5Y cells function, the gain-of-function of the m 6 A writers METTL3/14 were determined (Fig. 5 A-D, and Supplementary Fig. 4B-E). Forced over-expression of METTL3/14 significantly increased total m 6 A levels (Fig. 5 E, and Supplementary Fig. 4F) and decreased cell viability (Fig. 5 F, and Supplementary Fig. 4G). Furthermore, over-expression of METTL3/14 inhibited effects of over-expression of FTO on the total m 6 A levels and cell viability (Fig. 5 E-F, and Supplementary Fig. 4F-G). These findings show that m 6 A modification of mRNA increases toxicity and viability of Mn exposure on cells, indicating that m 6 A exacerbates Mn-induced parkinsonism. Identification of key target genes for FTO function Axon guiding molecules are expressed in the nigro-striatal projection system, whereas ephrins are mainly expressed in the striatum [ 17 , 27 ]. Inactivation of the FTO gene impairs DA receptors, controls activity and behavior of neurons in a dose-dependent manner. Therefore, analysis was performed to determine if ephrins are key targets of FTO after Mn exposure. Analysis showed showed that Mn exposure significantly reduces levels of ephrin-A4/5 and ephrin-B2 compared with the control group. Notably, levels of other ephrins of Mn exposed group showed no significant difference with those in the control group (Fig. 6 A-B, and Supplementary Fig. 5A-D). Analysis showed that over-expression of FTO significantly increased ephrin-A5 and ephrin-B2 levels (Fig. 6 C-H, and Supplementary Fig. 5E-F). In addition, over-expression of FTO significantly decreased mRNA m 6 A levels of ephrin-A5 and ephrin-B2, with no significant effect on expression of ephrin-A4 (Fig. 6 I). On the other hand, downregulation of FTO activity significantly decreased ephrin-A5 and ephrin-B2 levels, and increased mRNA m 6 A levels of ephrin-A5 and ephrin-B2 (Supplementary Fig. 5E-G). Notably, over-expression of FTO showed no effect on expression of other methylases (Supplementary Fig. 5H-K) implying that Mn affects expression of ephrins only by regulating FTO. These findings indicate that FTO inhibits expression of ephrin-A5 and ephrin-B2 after Mn exposure. Role of YTHDF2 on function of FTO in neurons m 6 A regulates gene expression through YTH domain-containing family proteins [ 28 ]. In the present study, a gain function test was performed to explore mechanism of regulation of gene expression by Mn via determining m 6 A RNA methylation (Fig. 7 A) of YTHDF1/2. Over-expression of YTHDF1 showed no effect on the mRNA levels of ephrin-A5 and ephrin-B2 in the control group and FTO over-expression cells (Fig. 7 B-E). However, over-expression of YTHDF2 significantly decreased levels of ephrin-B2 in both control and FTO over-expression cells, with no significant effect on expression of ephrin-A5 (Fig. 7 F-I). In addition, over-expression of FTO significantly increased the stability of ephrin-B2 mRNA (Fig. 7 J). Over-expression of YTHDF2 decreased the stability of ephrin-B2 mRNA (Fig. 7 K). Immunofluorescence double staining of FTO and ephrin-B2 showed that Mn did not change the position of FTO and ephrin-B2. However, it decreased expression level of FTO and ephrin-B2. Notably, over-expression of FTO antagonized the effect of Mn (Fig. 7 L). Grb4 and GIT1 are downstream target genes of ephrins, and play key roles in regulating axonal growth. The findings of the present study showed that Mn treatment decreased mRNA expression of Grb4 and GIT1 (Fig. 7 M). Over-expression of FTO and activation of ephrin-B2 significantly increased expression of Grb4 and GIT1 (Fig. 7 N-P). These findings show that YTHDF2 modulates expression of FTO target genes by mediating RNA decay. Role of FTO and ephrin-B2 in Mn-induced motor dysfunction The relationship between ephin-B2 and FTO-mediated motor dysfunction was explored. Forced activation of ephrin-B2 in FTO gene suppressor mice significantly increased performance of mice in rotating rod, fatigue meter, open field and gait tests (Fig. 8 A-D and Supplementary Fig. 6A-I). Similarly, forced activation of ephrin-B2 in FTO suppressor mice significantly alleviated Mn-induced striatal morphological and functional damage (Fig. 8 E-J). In addition, forced activation of ephrin-B2 in FTO suppressor neuronal cells significantly improved Mn-induced nigro-striatal projection system damage (Fig. 8 K-O). These findings show that ephrin-B2 is a potential target of FTO in the striatum. In summary, the findings of the current study indicate that FTO plays a critical role in inhibiting effect of ephrin-B2 in Mn induced nigro-striatal projection system dysfunction, implying that activation of FTO can promote expression of ephrin-B2 and then antagonize Mn-induced motor dysfunction. Disscussion PD is a neurodegenerative disease characterized by bradykinesia. In the top 10 most populated countries in the world, the number of people with PD is projected to be between 8.7 and 9.3 million by 2030 [ 29 ]. Several studies report that PD is associated with disruptions in metallic ion homeostasis-mainly Mn [ 30 , 31 ]. High levels of Mn results in parkinsonian-like symptoms known as manganism. This is mainly because neurodegeneration in PD occurs mainly in the DA neurons of the substantia nigra whereas Mn toxicity affects striatum. Both types of damage can decrease DA levels [ 30 , 31 ]. Ephrins are important axon guidance molecules which play important roles in regulating motor function [ 32 ]. However, mechanisms of Mn in regulating motor function though axon guidance molecular ephrins has not been explored clearly. Posttranscriptional regulation is implicated in axon guidance, and several RNA-binding proteins are involved in these mechanisms [ 13 , 33 ]. The findings of the current study show significant down-regulation of FTO in Mn treated group in a dose-dependent manner. FTO inhibits striatal nerve and motor dysfunction caused by manganism in vivo. In addition, FTO inhibits toxicity of manganism cells in vitro . Notably, at the molecular level, FTO over-expression decreases total RNA m 6 A level and upregulates key manganism inhibitory genes ephrin-A5 and ephrin-B2, and increases their mRNA stability. mRNA decay of ephrin-B2 gene in manganism cells is regulated by m 6 A reader YTHDF2. On the contrary, pretreatment with FTO selective inhibitor MA2 aggravates Mn-induced neurological dysfunction. FTO is the RNA demethylase of m 6 A [ 34 ], which has the opposite effect on the stability of mRNA. The findings of this study showed that regulation of ephrin-B2 is partly regulated through the m 6 A/YTHDF2 mechanism due to the following reasons: (1) FTO over-expression increased mRNA stability and level of ephrin-B2 gene, and decreased the abundance of m 6 A; (2) YTHDF2 and METTL3/14 over-expression decreased mRNA stability and level of ephrin-B2 gene, and reversed the effect of FTO over-expression. These findings imply that in Mn-induced parkinsonism, increase in m 6 A level leads to RNA degradation of ephrin-B2 gene through a YTHDF2-dependent mechanism. However, several other undiscovered additional effects of FTO-regulated demethylation should be explored. Mn neurotoxicity is correlated with impaired DA, glutamatergic and GABAergic transmission and neuroinflammation. Mn toxicity causes extrapyramidal motor dysfunction due to preferential accumulation of Mn in the striatum [ 35 ]. Previous studies report that ephrin signaling is important for normal connectivity and function of midbrain DA neurons [ 36 , 37 ]. To verify that the observed defects resulted from the loss of FTO and ephrin-B2 mainly in the striatum, the role of ephrin-B2 activation in the striatum of mice in improving motor dysfunction was explored. The findings showed that increase in expression level of ephrin-B2 significantly improved their motor function. On the contrary, pretreatment with MA2 damaged motor function. These findings imply that deregulation of FTO and ephrin-B2 are significant mechanisms underlying Mn-induced neurotoxicity in mice. Future studies should be conducted to further explore anti-Mn effect of ephin-B2. Striatum is associated with several neurodegenerative diseases such as PD [ 38 ] and Huntington's Disease [ 39 ]. Effect of Mn linked on motor function in the striatum should be explored further. The findings of the current study show that Mn exposure causes pathological effects on the striatum characterized by cell loss, unusual shape and decrease in the number of neurons. These findings are consistent with previous findings by Song et al [ 40 ]. The findings of the current study showed that increase in ephrin-B2 significantly alleviates neuropathological damage and ultrastructural changes caused by manganism. Notably, the neuropathological injury was severe in the MA2 pretreatment groups. These findings show the effects of FTO and ephin-B2 on ultrastructural changes of Mn-induced neurotoxicity. Studies report that axon guide molecules perform an important role in regulating synaptic formation. Notably, axon guide molecules determine the location of synapses and regulate neuronal function [ 41 – 43 ]. In the current study, increased expression of ephrin-B2 antagonized Mn-induced dendritic spine density dysfunction. These findings show for the first time that ephin-B2 plays an important role in Mn-induced neuronal damage. Brain DA neurons play important role in motor function control and related disorders by transmitting electrophysiological signals [ 44 – 47 ]. In addition, spontaneous firing activity is responsible for placing baseline DA ranges in the striatum [ 48 ], which regulate cognitive and motor function [ 49 , 50 ]. Therefore, determinants of the spontaneous firing activity in vivo play important roles in regulation of DA signaling and motor function. Notably, Mn-induced disappearance of spontaneous discharge was improved by ephrin-B2 activation. Spontaneous discharge frequency was damaged in MA2 pretreatment groups. These findings indicate a novel mechanism for Mn regulation of spontaneous firing rate of DA neurons in manganism. Mn induced Parkinsonism is mainly caused by decrease in DA content in the striatum [ 12 ]. DA is derived from release of DA neurons from the substantia nigra after projecting to the striatum. This pathway is known as the nigro-striatal projection pathway of DA neurons [ 51 ]. To explore the effect of Mn exposure on snigro-striatal projection system, FG labeling, immunofluorescence triple staining of TH, DARPP32 and DAT, DA levels and neuronal axons growth were determined to evaluate the survival rate of nigro-striatal neurons. The findings showed that Mn treatment significantly damaged the nigro-striatal projection system, whereas re-expression of FTO and ephrin-B2 significantly increased survival rate of the projection neurons. Notably, substantia-striatal projection system was severely damaged after inhibition of FTO activity. These findings show that down-regulation of FTO and ephrin-B2 significantly affect morphology and function of the nigro-striatal projection system, implying that FTO mediated axon guidance promotes Mn-induced dysfunction of the nigro-striatal projection system, resulting in the failure of DA to be transmitted to the striatum, which may eventually cause striatal motor dysfunction. Conclusions In summary, the findings of the current study show that FTO over-expression inhibits Mn-induced parkinsonism and promotes expression of ephrin-B2 gene, partially through inhibits ephrin-B2 mRNA degradation, which is mediated by YTHDF2. In addition, promoting the expression of ephrin-B2 antagonizes Mn-induced parkinsonism in mice. These findings provide a basis to explore the specific mechanisms of Mn-induced motor dysfunction and provides a novel approach for treatment of Mn-induced parkinsonism. Abbreviations AAV5: adeno-associated virus 5; ALKBH5:α-ketoglutarate-dependent dioxygenase alkB homolog 5; CCK-8:Cell Counting Kit-8; CNS:central nervous system; DA:dopamine; DAPI:2-(4-Amidinophenyl)-6-indolecarbamidine dihydrochloride; DARPP32:Dopamine- and cAMP-regulated neuronal phosphoprotein 32 kDa; DAT:dopamine transporter; DMEM:Dulbecco’s modified Eagle’s medium; ELISA:Enzyme-linked immunosorbent assay; ephrins:erythropoietin-producing hepatocyte receptor-interacting proteins; FBS:fetal bovine serum; FG:Fluoro-Gold; FTO:fat mass and obesity-associated protein; HE:Hematoxylin and eosin; HRP:Horseradish peroxidase; ICP-MS:inductively coupled plasma mass spectrometry; i.p:intraperitoneal; m 6 A:N 6 -methyladenosine; MA2:Ethyl ester derivative of MA; mACSF:modified artificial cerebrospinal fluid; METTL3:methyltransferase like 3; MnCl 2 :Manganese chloride; Mn:Manganese; NC:negative control; OE:over-expression; PBS:phosphate buffered solution; PD:Parkinson's disease; PVDF:polyvinylidene difluoride; RT-qPCR:Real-time quantitative PCR; s.c:subcutaneous; TH:tyrosine hydroxylase; YTHDF1/2:YT521-B homology domain family proteins 1/2 Declarations Availability of data and material All data generated or analyzed during this study are included in this published article. Funding We gratefully acknowledge funding from the Natural Science Foundation of Liaoning Province [2020-MS-152], the Basic Research Fund of Young Program of Higher Education of Liaoning Province (Grant No. QNK201735), and the Funds for Distinguished Young Scientists in School of Public Health, China Medical University. Authors' contributions Each author notably contributed to the article. Zhipeng Qi: design and draft the article; Jiashuo Li, Ke Zhang, Yanan, Liu, Xinxin Yang, Minghui Li, Xianchao Du, Lei Zhang, Yi Wen, Bin Xu, Wei Liu, and Zhaofa Xu: revise the manuscript; Yu Deng: conception, design, and revise it severely for essential intellectual content, and final approval of the version to be published. All authors read and permitted the final version of the manuscript. Acknowledgements We would like to acknowledge Hui Yuan, Fengdi Wu, Haiying Wang, Bingchen Liu, Shuang Wang, Xuda Liu, Rong Cui, Binbin Liu, Tingwei Pan and Miaoling Wu for their valuable advices. Competing interests The authors declare that they have no competing interests. Author details 1 Department of Environmental Health, School of Public Health, China Medical University, Puhe Road, ShenBei New Area, Shenyang, Liaoning 110122, People’s Republic of China. 2 Department of Developmental Cell Biology, Key Laboratory of Cell Biology, Ministry of Public Health, Key Laboratory of Medical Cell Biology, Ministry of Education, China Medical University, Puhe Road, ShenBei New Area, Shenyang, Liaoning 110122, People’s Republic of China. 3 Department of Preventive Health, Zhuhai People's Hospital, Kangning Road, Xiangzhou Area, Zhuhai, Guangdong, 519070, People's Republic of China. References Kalia LV, Lang AE. Parkinson's disease. Lancet. 2015;386(9996):896–912. Li G, Ma J, Cui S, He Y, Xiao Q, Liu J, et al. Parkinson's disease in China: a forty-year growing track of bedside work. Transl Neurodegener. 2019;8:22. Lauretti E, Di Meco A, Merali S, Pratico D. Circadian rhythm dysfunction: a novel environmental risk factor for Parkinson's disease. Mol Psychiatry. 2017;22(2):280–6. Gorell JM, Johnson CC, Rybicki BA, Peterson EL, Kortsha GX, Brown GG, et al. Occupational exposure to manganese, copper, lead, iron, mercury and zinc and the risk of Parkinson's disease. Neurotoxicology. 1999;20(2–3):239–47. Horning KJ, Caito SW, Tipps KG, Bowman AB, Aschner M. Manganese Is Essential for Neuronal Health. Annu Rev Nutr. 2015;35:71–108. Guilarte TR. Manganese and Parkinson's disease: a critical review and new findings. Environ Health Perspect. 2010;118(8):1071–80. Vijayan B, Raj V, Nandakumar S, Kishore A, Thekkuveettil A. Spermine protects alpha-synuclein expressing dopaminergic neurons from manganese-induced degeneration. Cell Biol Toxicol. 2019;35(2):147–59. Racette BA, Searles NS, Criswell SR, Sheppard L, Seixas N, Warden MN, et al. Dose-dependent progression of parkinsonism in manganese-exposed welders. Neurology. 2017;88(4):344–51. Pajarillo E, Johnson JJ, Kim J, Karki P, Son DS, Aschner M, et al. 17beta-estradiol and tamoxifen protect mice from manganese-induced dopaminergic neurotoxicity. Neurotoxicology. 2018;65:280–8. Yang X, Yang H, Wu F, Qi Z, Li J, Xu B, et al. Mn Inhibits GSH Synthesis via Downregulation of Neuronal EAAC1 and Astrocytic xCT to Cause Oxidative Damage in the Striatum of Mice. Oxid Med Cell Longev. 2018;2018:4235695. Criswell SR, Warden MN, Searles NS, Perlmutter JS, Moerlein SM, Sheppard L, et al. Selective D2 receptor PET in manganese-exposed workers. Neurology. 2018;91(11):e1022–30. Peneder TM, Scholze P, Berger ML, Reither H, Heinze G, Bertl J, et al. Chronic exposure to manganese decreases striatal dopamine turnover in human alpha-synuclein transgenic mice. Neuroscience. 2011;180:280–92. Zhuang M, Li X, Zhu J, Zhang J, Niu F, Liang F, et al. The m6A reader YTHDF1 regulates axon guidance through translational control of Robo3.1 expression. Nucleic Acids Res. 2019;47(9):4765–77. Soleilhavoup C, Travaglio M, Patrick K, Garcao P, Boobalan E, Adolfs Y, et al. Nolz1 expression is required in dopaminergic axon guidance and striatal innervation. Nat Commun. 2020;11(1):3111. Livesey FJ, Hunt SP. Netrin and netrin receptor expression in the embryonic mammalian nervous system suggests roles in retinal, striatal, nigral, and cerebellar development. Mol Cell Neurosci. 1997;8(6):417–29. Seiradake E, Jones EY, Klein R. Structural Perspectives on Axon Guidance. Annu Rev Cell Dev Biol. 2016;32:577–608. Brambilla R, Bruckner K, Orioli D, Bergemann AD, Flanagan JG, Klein R. Similarities and differences in the way transmembrane-type ligands interact with the Elk subclass of Eph receptors. Mol Cell Neurosci. 1996;8(2–3):199–209. Sieber BA, Kuzmin A, Canals JM, Danielsson A, Paratcha G, Arenas E, et al. Disruption of EphA/ephrin-a signaling in the nigrostriatal system reduces dopaminergic innervation and dissociates behavioral responses to amphetamine and cocaine. Mol Cell Neurosci. 2004;26(3):418–28. Liu J, Harada BT, He C. Regulation of Gene Expression by N(6)-methyladenosine in Cancer. Trends Cell Biol. 2019;29(6):487–99. Yu J, Chen M, Huang H, Zhu J, Song H, Zhu J, et al. Dynamic m6A modification regulates local translation of mRNA in axons. Nucleic Acids Res. 2018;46(3):1412–23. Yue Y, Liu J, He C. RNA N6-methyladenosine methylation in post-transcriptional gene expression regulation. Genes Dev. 2015;29(13):1343–55. Jia G, Fu Y, Zhao X, Dai Q, Zheng G, Yang Y, et al. N6-methyladenosine in nuclear RNA is a major substrate of the obesity-associated FTO. Nat Chem Biol. 2011;7(12):885–7. Zhang L, Cheng Y, Xue Z, Li J, Wu N, Yan J, et al. Sevoflurane impairs m6A-mediated mRNA translation and leads to fine motor and cognitive deficits. Cell Biol Toxicol. 2021. Weng YL, Wang X, An R, Cassin J, Vissers C, Liu Y, et al. Epitranscriptomic m(6)A Regulation of Axon Regeneration in the Adult Mammalian Nervous System. Neuron. 2018;97(2):313–25.e6. Richard EM, Polla DL, Assir MZ, Contreras M, Shahzad M, Khan AA, et al. Bi-allelic Variants in METTL5 Cause Autosomal-Recessive Intellectual Disability and Microcephaly. Am J Hum Genet. 2019;105(4):869–78. Hess ME, Hess S, Meyer KD, Verhagen LA, Koch L, Bronneke HS, et al. The fat mass and obesity associated gene (Fto) regulates activity of the dopaminergic midbrain circuitry. Nat Neurosci. 2013;16(8):1042–8. Soleilhavoup C, Travaglio M, Patrick K, Garcao P, Boobalan E, Adolfs Y, et al. Nolz1 expression is required in dopaminergic axon guidance and striatal innervation. Nat Commun. 2020;11(1):3111. Dominissini D, Moshitch-Moshkovitz S, Schwartz S, Salmon-Divon M, Ungar L, Osenberg S, et al. Topology of the human and mouse m6A RNA methylomes revealed by m6A-sEq. Nature. 2012;485(7397):201–6. Dorsey ER, Constantinescu R, Thompson JP, Biglan KM, Holloway RG, Kieburtz K, et al. Projected number of people with Parkinson disease in the most populous nations, 2005 through 2030. Neurology. 2007;68(5):384–6. Sun Y, He Y, Yang L, Liang D, Shi W, Zhu X, et al. Manganese induced nervous injury by alpha-synuclein accumulation via ATP-sensitive K(+) channels and GABA receptors. Toxicol Lett. 2020;332:164–70. Lu X, Kim-Han JS, Harmon S, Sakiyama-Elbert SE, O'Malley KL. The Parkinsonian mimetic, 6-OHDA, impairs axonal transport in dopaminergic axons. Mol Neurodegener. 2014;9:17. Lahaie S, Morales D, Bagci H, Hamoud N, Castonguay CE, Kazan JM, et al. The endosomal sorting adaptor HD-PTP is required for ephrin-B:EphB signalling in cellular collapse and spinal motor axon guidance. Sci Rep. 2019;9(1):11945. Preitner N, Quan J, Li X, Nielsen FC, Flanagan JG. IMP2 axonal localization, RNA interactome, and function in the development of axon trajectories. Development. 2016;143(15):2753–9. Niu Y, Lin Z, Wan A, Chen H, Liang H, Sun L, et al. RNA N6-methyladenosine demethylase FTO promotes breast tumor progression through inhibiting BNIP3. Mol Cancer. 2019;18(1):46. Deng Y, Jiao C, Mi C, Xu B, Li Y, Wang F, et al. Melatonin inhibits manganese-induced motor dysfunction and neuronal loss in mice: involvement of oxidative stress and dopaminergic neurodegeneration. Mol Neurobiol. 2015;51(1):68–88. Sun JH, Gao Q, Zhang J, Bao LH, Dong HM, Liang N, et al. Ephrinb3 induces mesostriatal dopaminergic projection to the striatum. Biochem Biophys Res Commun. 2010;400(2):194–9. Wang T, Chen J, Tang CX, Zhou XY, Gao DS. Inverse Expression Levels of EphrinA3 and EphrinA5 Contribute to Dopaminergic Differentiation of Human SH-SY5Y Cells. J Mol Neurosci. 2016;59(4):483–92. Ketzef M, Spigolon G, Johansson Y, Bonito-Oliva A, Fisone G, Silberberg G. Dopamine Depletion Impairs Bilateral Sensory Processing in the Striatum in a Pathway-Dependent Manner. Neuron. 2017;94(4):855–65.e5. Cherubini M, Lopez-Molina L, Gines S. Mitochondrial fission in Huntington's disease mouse striatum disrupts ER-mitochondria contacts leading to disturbances in Ca(2+) efflux and Reactive Oxygen Species (ROS) homeostasis. Neurobiol Dis. 2020;136:104741. Song Q, Deng Y, Yang X, Bai Y, Xu B, Liu W, et al. Manganese-Disrupted Interaction of Dopamine D1 and NMDAR in the Striatum to Injury Learning and Memory Ability of Mice. Mol Neurobiol. 2016;53(10):6745–58. Frei JA, Stoeckli ET. SynCAMs - From axon guidance to neurodevelopmental disorders. Mol Cell Neurosci. 2017;81:41–8. Varshney A, Benedetti K, Watters K, Shankar R, Tatarakis D, Coto VD, et al. The receptor protein tyrosine phosphatase CLR-1 is required for synaptic partner recognition. Plos Genet. 2018;14(5):e1007312. Stanic K, Saldivia N, Forstera B, Torrejon M, Montecinos H, Caprile T. Expression Patterns of Extracellular Matrix Proteins during Posterior Commissure Development. Front Neuroanat. 2016;10:89. Kriks S, Shim JW, Piao J, Ganat YM, Wakeman DR, Xie Z, et al. Dopamine neurons derived from human ES cells efficiently engraft in animal models of Parkinson's disease. Nature. 2011;480(7378):547–51. Branch SY, Chen C, Sharma R, Lechleiter JD, Li S, Beckstead MJ. Dopaminergic Neurons Exhibit an Age-Dependent Decline in Electrophysiological Parameters in the MitoPark Mouse Model of Parkinson's Disease. J Neurosci. 2016;36(14):4026–37. Stamatakis AM, Jennings JH, Ung RL, Blair GA, Weinberg RJ, Neve RL, et al. A unique population of ventral tegmental area neurons inhibits the lateral habenula to promote reward. Neuron. 2013;80(4):1039–53. Picconi B, De Leonibus E, Calabresi P. Synaptic plasticity and levodopa-induced dyskinesia: electrophysiological and structural abnormalities. J Neural Transm (Vienna). 2018;125(8):1263–71. Meza RC, Lopez-Jury L, Canavier CC, Henny P. Role of the Axon Initial Segment in the Control of Spontaneous Frequency of Nigral Dopaminergic Neurons In Vivo. J Neurosci. 2018;38(3):733–44. Engelhard B, Finkelstein J, Cox J, Fleming W, Jang HJ, Ornelas S, et al. Specialized coding of sensory, motor and cognitive variables in VTA dopamine neurons. Nature. 2019;570(7762):509–13. Mckinley JW, Shi Z, Kawikova I, Hur M, Bamford IJ, Sudarsana DS, et al. Dopamine Deficiency Reduces Striatal Cholinergic Interneuron Function in Models of Parkinson's Disease. Neuron. 2019;103(6):1056–72.e6. Koutzoumis DN, Vergara M, Pino J, Buddendorff J, Khoshbouei H, Mandel RJ, et al. Alterations of the gut microbiota with antibiotics protects dopamine neuron loss and improve motor deficits in a pharmacological rodent model of Parkinson's disease. Exp Neurol. 2020;325:113159. Supplementary Files Graphicalabstract.jpg Supplementarydata.docx Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-710184","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research article","associatedPublications":[],"authors":[{"id":40174016,"identity":"192cfb57-873d-4ac7-8d52-79e1df64ab20","order_by":0,"name":"Zhipeng Qi","email":"","orcid":"","institution":"China Medical University","correspondingAuthor":false,"prefix":"","firstName":"Zhipeng","middleName":"","lastName":"Qi","suffix":""},{"id":40174017,"identity":"c5568006-e77d-4bea-8519-6747d8e8553a","order_by":1,"name":"Jiashuo Li","email":"","orcid":"","institution":"China Medical University","correspondingAuthor":false,"prefix":"","firstName":"Jiashuo","middleName":"","lastName":"Li","suffix":""},{"id":40174018,"identity":"7bafab58-47fd-4e72-ac3b-526e3a9ead2c","order_by":2,"name":"Ke Zhang","email":"","orcid":"","institution":"China Medical University","correspondingAuthor":false,"prefix":"","firstName":"Ke","middleName":"","lastName":"Zhang","suffix":""},{"id":40174019,"identity":"59bf8626-29a3-4ee2-840b-2304e9fd188d","order_by":3,"name":"Yanan Liu","email":"","orcid":"","institution":"China Medical University","correspondingAuthor":false,"prefix":"","firstName":"Yanan","middleName":"","lastName":"Liu","suffix":""},{"id":40174020,"identity":"fc74b290-a102-42f5-a52a-18054e4ef907","order_by":4,"name":"Xinxin Yang","email":"","orcid":"","institution":"China Medical University","correspondingAuthor":false,"prefix":"","firstName":"Xinxin","middleName":"","lastName":"Yang","suffix":""},{"id":40174021,"identity":"4e7705f4-31ca-4bbe-bcb7-091d764c3c92","order_by":5,"name":"Minghui Li","email":"","orcid":"","institution":"China Medical University","correspondingAuthor":false,"prefix":"","firstName":"Minghui","middleName":"","lastName":"Li","suffix":""},{"id":40174022,"identity":"1cdeab8d-994d-417a-b2cb-c3c915e46a08","order_by":6,"name":"Xianchao Du","email":"","orcid":"","institution":"China Medical University","correspondingAuthor":false,"prefix":"","firstName":"Xianchao","middleName":"","lastName":"Du","suffix":""},{"id":40174023,"identity":"f944e953-d909-476c-8e0b-6a8f187f21ec","order_by":7,"name":"Lei Zhang","email":"","orcid":"","institution":"China Medical University","correspondingAuthor":false,"prefix":"","firstName":"Lei","middleName":"","lastName":"Zhang","suffix":""},{"id":40174024,"identity":"5a0f153c-199e-4ae1-b030-158f993ba1c0","order_by":8,"name":"Yi Wen","email":"","orcid":"","institution":"China Medical University","correspondingAuthor":false,"prefix":"","firstName":"Yi","middleName":"","lastName":"Wen","suffix":""},{"id":40174025,"identity":"fc8cfd69-6ea6-47e8-9512-392af96b0665","order_by":9,"name":"Bin Xu","email":"","orcid":"","institution":"China Medical University","correspondingAuthor":false,"prefix":"","firstName":"Bin","middleName":"","lastName":"Xu","suffix":""},{"id":40174026,"identity":"7e2b39e6-ccfd-4914-b278-0d894664c1ba","order_by":10,"name":"Wei Liu","email":"","orcid":"","institution":"China Medical University","correspondingAuthor":false,"prefix":"","firstName":"Wei","middleName":"","lastName":"Liu","suffix":""},{"id":40174027,"identity":"d4dc50b4-4cbb-49b8-8577-f56d72c1db14","order_by":11,"name":"Zhaofa Xu","email":"","orcid":"","institution":"China Medical University","correspondingAuthor":false,"prefix":"","firstName":"Zhaofa","middleName":"","lastName":"Xu","suffix":""},{"id":40174028,"identity":"fc7f2163-469f-4ff4-84b2-17d17174916f","order_by":12,"name":"Yu Deng","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAAx0lEQVRIiWNgGAWjYDCCA3AW84EDH36QpoUt8eDMHtK08Bgf5mAjQgff8d7Dr3nbGOR1Z+R8OMzAwyDPL3YAvxbJM+fSrIFaDLfdyN1wuMCCwXDm7AT8Wgxu5JgZA7UkmIG0zOBhSDC4TUjL/TcwLTkPDvOwEaPlBo/xY6gWBuK0SJ7JMWOcc07CcNuZZwbAQJYg7Be+42eMP7wps5E3O578+MOHHzby/NIEtAABmxQPgwSMI4FPJRwwfyQqmYyCUTAKRsHIBQCiR0fGHevwDgAAAABJRU5ErkJggg==","orcid":"https://orcid.org/0000-0003-2292-2957","institution":"China Medical University","correspondingAuthor":true,"prefix":"","firstName":"Yu","middleName":"","lastName":"Deng","suffix":""}],"badges":[],"createdAt":"2021-07-12 10:14:24","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-710184/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-710184/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":11596296,"identity":"ebf1eef1-1f9a-4a52-bd91-288e8957936f","added_by":"auto","created_at":"2021-07-19 15:01:12","extension":"jpg","order_by":1,"title":"Figure 1","display":"","copyAsset":false,"role":"figure","size":715824,"visible":true,"origin":"","legend":"FTO is upregulated in striatum after Mn exposure. A Mn levels in striatum. B, F mRNA expression level of FTO in striatum and neurons. C, G FTO protein levels in striatum and neurons. D, H Immunofluorescence staining of FTO in striatum and neurons. Nuclei are counterstained with DAPI in blue, FTO are counterstained in green. Scale bar, 100μm. E, I Total RNA m6A levels in striatum and neurons. Data are expressed as mean ± S.D. (n≥3). *P\u003c0.05, **P\u003c0.01 indicates statistical significance compared with control group.","description":"","filename":"Figure1.jpg","url":"https://assets-eu.researchsquare.com/files/rs-710184/v1/425a78ab8af8a37b219da035.jpg"},{"id":11596302,"identity":"ed1d0e70-c55f-47ee-90da-21f3a14f1723","added_by":"auto","created_at":"2021-07-19 15:01:13","extension":"jpg","order_by":2,"title":"Figure 2","display":"","copyAsset":false,"role":"figure","size":1969690,"visible":true,"origin":"","legend":"Selective FTO re-expression or inhibition of FTO activity in the striatum rescues defects in motor function and morphological changes after Mn exposure. A mRNA expression level of FTO in striatum. B FTO protein levels in striatum. C Total RNA m6A levels in striatum. D Endurance times on the rotating rod. E Fatigue running distance in the fatigue meter. F Heat map of activity in the open field. G Mean intensity in the gait tests. H HE staining of striatum after Mn exposure and/or intervention by FTO expression. I Nissl staining of striatum after Mn treatment and/or intervention by FTO expression. J Electron microphotograph of striatum after Mn treatment and/or intervention by FTO expression. Green arrow-heads represent the nuclear membrane, n representative nuclei, blue arrow-heads represent mitochondria, black arrows represent endoplasmic reticulum. K-L Golgi-Cox staining of striatum after Mn exposure and/or intervention by FTO expression. M Trace representative spontaneous firing recorded by MED64 after Mn exposure and/or intervention by FTO expression. Magnification of the sections stained with HE, Nissl, and Golgi-Cox was ×400. Magnification of the electron microphotograph was ×4,000. Data are expressed as mean ±S.D. (n≥3). *P\u003c0.05, **P\u003c0.01 indicates statistical significance compared with the control (AAV5-NC) group; #P\u003c0.05 indicates statistical significance compared with the 50 mg/kg MnCl2 (AAV5-NC) group.","description":"","filename":"Figure2.jpg","url":"https://assets-eu.researchsquare.com/files/rs-710184/v1/b9b307e7478a771ade612fb5.jpg"},{"id":11596297,"identity":"3fd621fd-d470-46c6-94d4-745249743b12","added_by":"auto","created_at":"2021-07-19 15:01:12","extension":"jpg","order_by":3,"title":"Figure 3","display":"","copyAsset":false,"role":"figure","size":1372481,"visible":true,"origin":"","legend":"Effect of Mn exposure on nigro-striatal projection system. A, F Retrograde labeling of nigro-striatal projection neurons with FG after Mn exposure and/or intervention by FTO expression. B, G Immunofluorescence triple staining of TH, DARPP32 and DAT. TH are counterstained in green, DARPP32 are counterstained in red, and DAT are counterstained in purple. C, H DA levels of striatum after Mn exposure and/or intervention by FTO expression. D-E, I-J Changes in neuronal axons growth with live cell station after Mn exposure and/or intervention by FTO expression. Magnification of sections stained with FG was ×400. Data are expressed as mean ± S.D. (n≥3). *P\u003c0.05, **P\u003c0.01 indicates statistical significance compared with the control (with or without AAV5-NC) group; #P\u003c0.05 indicates statistical significance compared with the 50 mg/kg MnCl2 (with or without AAV5-NC) group.","description":"","filename":"Figure3.jpg","url":"https://assets-eu.researchsquare.com/files/rs-710184/v1/fddab4ad314731df6131fa60.jpg"},{"id":11596294,"identity":"73f94d4b-2cf7-4fef-b046-fdc76d4360dd","added_by":"auto","created_at":"2021-07-19 15:01:12","extension":"jpg","order_by":4,"title":"Figure 4","display":"","copyAsset":false,"role":"figure","size":826752,"visible":true,"origin":"","legend":"Effect of FTO re-expression or inhibition of FTO activity in neurons and SH-SY5Y cells. A-B, E-F Expression levels of FTO in neuron and SH-SY5Y cells by real time PCR and immunoblot analysis after over-expression or inhibition. C, G Total RNA m6A levels in neuron and SH-SY5Y with FTO-NC, FTO-OE (FTO over-expression), or MA2 (inhibition of FTO activity). D, H Cell viability assay in neuron and SH-SY5Y cells with FTO-NC, FTO-OE (FTO over-expression), or MA2 (inhibition of FTO activity). Data are expressed as mean ± S.D. (n≥3). *P\u003c0.05, **P\u003c0.01 indicates statistical significance compared with the control (with or without FTO-NC) group; #P\u003c0.05, ##P\u003c0.01 indicates statistical significance compared with the 50 mg/kg MnCl2 (with or without FTO-NC) group.","description":"","filename":"Figure4.jpg","url":"https://assets-eu.researchsquare.com/files/rs-710184/v1/e3b1a5f339657ba885113381.jpg"},{"id":11596291,"identity":"3ce56766-e912-4e25-b0a0-e5df87497323","added_by":"auto","created_at":"2021-07-19 15:01:11","extension":"jpg","order_by":5,"title":"Figure 5","display":"","copyAsset":false,"role":"figure","size":674718,"visible":true,"origin":"","legend":"Function of m6A in neuron cells. A-D Expression levels of METTL3/14 or FTO neuron cells by real time PCR and immunoblot analysis after over-expression. E Total RNA m6A levels in neuron cells. F Cell viability assay using neuron cells. Data are expressed as mean ± S.D. (n≥3). *P\u003c0.05, **P\u003c0.01 indicates statistical significance compared with the control (FTO-NC+METTL3/14-NC) group; #P\u003c0.05, ##P\u003c0.01 indicates statistical significance compared with the 50 mg/kg MnCl2 (FTO-NC+METTL3/14-NC) group.","description":"","filename":"Figure5.jpg","url":"https://assets-eu.researchsquare.com/files/rs-710184/v1/21a6dff9f7424d336cb6da98.jpg"},{"id":11596305,"identity":"1049975c-1a42-494c-b805-be8dcb3cf836","added_by":"auto","created_at":"2021-07-19 15:01:14","extension":"jpg","order_by":6,"title":"Figure 6","display":"","copyAsset":false,"role":"figure","size":234324,"visible":true,"origin":"","legend":"Ephrin-A5 and ephrin-B2 are key target genes for FTO in neuron cells. A-B Expression levels of ephrin-A4/5 and ephrin-B2 in neuron cells determined by real time PCR and immunoblot analysis. C-E Expression levels of ephrin-A4/5, and ephrin-B2 in neuron cells after exposure to 500 μM MnCl2 and/or FTO over-expression. F-H Expression levels of ephrin-A4/5 and ephrin-B2 in neuron cells after exposure to 500 μM MnCl2 and/or FTO over-expression determined by immunoblot analysis. I mRNA m6A levels of ephrin-A4/5 and ephrin-B2 in neuron cells after exposure to 500 μM MnCl2 and/or FTO over-expression. Data are expressed as mean ± S.D. (n≥3). *P\u003c0.05, **P\u003c0.01 indicates statistical significance compared with the control (FTO-NC) group; #P\u003c0.05, ##P\u003c0.01 indicates statistical significance compared with the 50 mg/kg MnCl2 (FTO-NC) group.","description":"","filename":"Figure6.jpg","url":"https://assets-eu.researchsquare.com/files/rs-710184/v1/e60f42f27cd514b6a62735ff.jpg"},{"id":11596293,"identity":"4a80a6cd-40f2-4303-ae36-e3bfeb70e956","added_by":"auto","created_at":"2021-07-19 15:01:11","extension":"jpg","order_by":7,"title":"Figure 7","display":"","copyAsset":false,"role":"figure","size":1754418,"visible":true,"origin":"","legend":"FTO regulates its target genes through m6A/YTHDF2-mediated mRNA decay pathway. A Expression levels of YTHDF1/2 in neuron cells as determined by immunoblot analysis. B-E Levels of ephrin-A5 and ephrin-B2 in cells after FTO and YTHDF1 over-expression. F-I Levels of ephrin-A5 and ephrin-B2 in cells after FTO and YTHDF2 over-expression. J-K RT-qPCR analysis of stability of ephrin-B2 mRNA with FTO or YTHDF2 over-expression. L Immunofluorescence double staining of FTO and ephrin-B2. Nuclei are counterstained with DAPI in blue, FTO are counterstained in green, ephrin-B2 are counterstained in red. Scale bar, 100μm. M-P Expression levels of Grb4 and GIT1 in neuron cells as determined by real time PCR with or without FTO and ephrin-B2 over-expression. Data are expressed as mean ± S.D. (n≥3). *P\u003c0.05, **P\u003c0.01 indicates statistical significance compared with the control (FTO-NC with or without ephrin-B2-NC) group; #P\u003c0.05, ##P\u003c0.01 indicates statistical significance compared with the 50 mg/kg MnCl2 (FTO-NC with or without ephrin-B2-NC) group.","description":"","filename":"Figure7.jpg","url":"https://assets-eu.researchsquare.com/files/rs-710184/v1/a6193e3b3c2b1856c921e42c.jpg"},{"id":11596304,"identity":"6094418e-1036-4151-9dde-9c600322380c","added_by":"auto","created_at":"2021-07-19 15:01:14","extension":"jpg","order_by":8,"title":"Figure 8","display":"","copyAsset":false,"role":"figure","size":2270085,"visible":true,"origin":"","legend":"Selective ephrin-B2 activation in the striatum rescues defects in motor function. A Endurance times on the rotating rod with inhibition of FTO activity in combination with activation of ephrin-B2. B Fatigue running distance in the fatigue meter. C Heat map of activity in the open field. D Mean intensity in the gait tests. E HE staining of striatum. F Nissl staining of striatum. G Electron microphotograph of striatum. Green arrow-heads represent the nuclear membrane, n representative nuclei, blue arrow-heads represent mitochondria, black arrows represent endoplasmic reticulum.. H-I Golgi-Cox staining of striatum. J Trace representative spontaneous firing recorded by MED64. K Retrograde labeling of nigro-striatal projection neurons with FG. L DA levels of striatum. M The immunofluorescence triple staining of TH, DARPP32 and DAT. TH are counterstained in green, DARPP32 are counterstained in red, and DAT are counterstained in purple. N-O Observe the changes of neuronal axons growth with live cell station. The magnification of the sections stained with HE, Nissl, FG and Golgi-Cox was ×400. The magnification of the electron microphotograph was ×4,000. Data are represented as mean±S.D. (n≥3). *P\u003c0.05, **P\u003c0.01 indicates statistical significance in contrast with the control (ephrin-B2-NC) group; #P\u003c0.05, ##P\u003c0.01 indicates statistical significance in contrast with the 50 mg/kg MnCl2 (ephrin-B2-NC) group. \u0026P\u003c0.05, \u0026\u0026P\u003c0.01 indicates statistical significance in contrast with the 20 mg/kg MA2+50 mg/kg MnCl2 (ephrin-B2-NC) group.","description":"","filename":"Figure8.jpg","url":"https://assets-eu.researchsquare.com/files/rs-710184/v1/38eda4987691b0396c8ecac2.jpg"},{"id":13704714,"identity":"331cd9f3-0ffe-467c-bd05-92ffac8a0de2","added_by":"auto","created_at":"2021-09-17 13:47:50","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":1715247,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-710184/v1/0cbe8a2b-1139-49bd-a567-609a15882f07.pdf"},{"id":11596295,"identity":"600319fb-a912-403a-b9b3-42be9a41569d","added_by":"auto","created_at":"2021-07-19 15:01:12","extension":"jpg","order_by":1,"title":"","display":"","copyAsset":false,"role":"supplement","size":292862,"visible":true,"origin":"","legend":"","description":"","filename":"Graphicalabstract.jpg","url":"https://assets-eu.researchsquare.com/files/rs-710184/v1/c35cdc954b187493bd36a945.jpg"},{"id":11596292,"identity":"a4a697f8-5d12-40a4-bc6c-c6f13539b1fa","added_by":"auto","created_at":"2021-07-19 15:01:11","extension":"docx","order_by":2,"title":"","display":"","copyAsset":false,"role":"supplement","size":1097790,"visible":true,"origin":"","legend":"","description":"","filename":"Supplementarydata.docx","url":"https://assets-eu.researchsquare.com/files/rs-710184/v1/cc566cb8eb832c70dcdd4316.docx"}],"financialInterests":"","formattedTitle":"Protective role of mRNA demethylase FTO on axon guiding molecules of nigro-striatal projection system in manganese-induced Parkinsonism","fulltext":[{"header":"Background","content":"\u003cp\u003eParkinson's disease (PD) is a neurodegenerative disease caused by environmental and genetic factors [\u003cspan citationid=\"CR1\" class=\"CitationRef\"\u003e1\u003c/span\u003e]. Approximately 3\u0026nbsp;million PD cases are reported in China, and WHO predicts that this number will increase to 5\u0026nbsp;million by 2030 [\u003cspan citationid=\"CR2\" class=\"CitationRef\"\u003e2\u003c/span\u003e]. Most PD cases are sporadic cases caused by environmental factors, and only less than 10% of PD cases are caused by genetic factors [\u003cspan citationid=\"CR3\" class=\"CitationRef\"\u003e3\u003c/span\u003e]. Manganese (Mn) exposure is one of the major environmental risk factors that cause PD [\u003cspan citationid=\"CR4\" class=\"CitationRef\"\u003e4\u003c/span\u003e]. Mn is a quintessential component that is important for human health. It is an enzyme cofactor involved in neurotransmitter synthesis and in normal neuron and glial function [\u003cspan citationid=\"CR5\" class=\"CitationRef\"\u003e5\u003c/span\u003e]. Exposure to high levels of Mn can cause headache, lower limb weakness, cognitive impairment, muscle tone increase, tremor, gait difficulties and other symptoms similar to those of PD. The condition is known as manganism [\u003cspan citationid=\"CR6\" class=\"CitationRef\"\u003e6\u003c/span\u003e], or Mn-induced Parkinsonism [\u003cspan citationid=\"CR7\" class=\"CitationRef\"\u003e7\u003c/span\u003e, \u003cspan citationid=\"CR8\" class=\"CitationRef\"\u003e8\u003c/span\u003e]. The \u003cem\u003e2019 Report on the State of the Ecology and Environment in China\u003c/em\u003e reported that Mn is one of the heavy metals that exceed sanitary requirements of ingesting water [\u003cspan citationid=\"CR9\" class=\"CitationRef\"\u003e9\u003c/span\u003e]. China has adopted active measures, such as clean production, use of gasoline with limited Mn and elimination of Mn from drinking water. However, environmental Mn pollution is still at an excessive level due to challenges in corporate governance, poor government supervision, and insufficient maintenance of equipment. In the central nervous system (CNS), excessive Mn mainly accumulates in the striatum [\u003cspan citationid=\"CR10\" class=\"CitationRef\"\u003e10\u003c/span\u003e, \u003cspan citationid=\"CR11\" class=\"CitationRef\"\u003e11\u003c/span\u003e]. Study reports that manganism is associated with the modifications of striatal dopamine (DA) pathway, which is mainly manifested by decrease in DA content [\u003cspan citationid=\"CR12\" class=\"CitationRef\"\u003e12\u003c/span\u003e]. However, studies on the molecular mechanisms for Mn induced dysregulation of DA levels are limited. In addition, specific mechanisms involved in motor dysfunction associated with simultaneous exposure to Mn have not been explored.\u003c/p\u003e \u003cp\u003eAccurate establishment of neural circuits involves the axon navigating the neurons to their target [\u003cspan citationid=\"CR13\" class=\"CitationRef\"\u003e13\u003c/span\u003e], which is essential for DA neurons of the substantia nigra to release DA after projecting to the striatum. Studies report that axon guidance regulation of dopaminergic neurons and spinal motoneurons plays important role in brain development [\u003cspan citationid=\"CR14\" class=\"CitationRef\"\u003e14\u003c/span\u003e, \u003cspan citationid=\"CR15\" class=\"CitationRef\"\u003e15\u003c/span\u003e]. The divergent member of the erythropoietin-producing hepatocyte receptor-interacting proteins (ephrins) mediate cell-cell communication thus regulating axon guidance and neural projection. Ephrins promotes developmental axon pathfinding by modulating actin cytoskeleton dynamics [\u003cspan citationid=\"CR16\" class=\"CitationRef\"\u003e16\u003c/span\u003e]. Researchers report that ephrins are abundantly expressed in the striatum [\u003cspan citationid=\"CR17\" class=\"CitationRef\"\u003e17\u003c/span\u003e]. Sieber \u003cem\u003eet al\u003c/em\u003e [\u003cspan citationid=\"CR18\" class=\"CitationRef\"\u003e18\u003c/span\u003e] reported that ephrin signaling is important in normal connectivity and function of midbrain DA neurons. The present study postulated that Mn regulation of the motor function may be associated with the function of ephrins signaling. However, the specific molecular mechanisms were not elucidated.\u003c/p\u003e \u003cp\u003eHundreds of RNA modifications have been reported, and \u003cem\u003eN\u003c/em\u003e6-methyladenosine (m\u003csup\u003e6\u003c/sup\u003eA) is one of the most ubiquitous internal changes that regulate gene expression at the post-transcriptional level [\u003cspan citationid=\"CR19\" class=\"CitationRef\"\u003e19\u003c/span\u003e]. m\u003csup\u003e6\u003c/sup\u003eA modification regulates several phases of RNA metabolism, such as RNA translation, decay and splicing [\u003cspan citationid=\"CR20\" class=\"CitationRef\"\u003e20\u003c/span\u003e, \u003cspan citationid=\"CR21\" class=\"CitationRef\"\u003e21\u003c/span\u003e]. The latest reported m\u003csup\u003e6\u003c/sup\u003eA demethylase FTO shows that m\u003csup\u003e6\u003c/sup\u003eA modifications can be dynamically regulated [\u003cspan citationid=\"CR22\" class=\"CitationRef\"\u003e22\u003c/span\u003e]. However, the targets and features of m\u003csup\u003e6\u003c/sup\u003eA modification in CNS have not been explored. m\u003csup\u003e6\u003c/sup\u003eA modification can regulate neuronal function such as motor function [\u003cspan citationid=\"CR23\" class=\"CitationRef\"\u003e23\u003c/span\u003e], axon regeneration [\u003cspan citationid=\"CR24\" class=\"CitationRef\"\u003e24\u003c/span\u003e], and synapse function [\u003cspan citationid=\"CR25\" class=\"CitationRef\"\u003e25\u003c/span\u003e]. In addition, Hess \u003cem\u003eet al\u003c/em\u003e reported that inhibition of FTO gene impairs neuronal activity and motor function [\u003cspan citationid=\"CR26\" class=\"CitationRef\"\u003e26\u003c/span\u003e]. However, the function of m\u003csup\u003e6\u003c/sup\u003eA eraser FTO on axon guiding molecules of nigro-striatal projection system in Mn-induced Parkinsonism pathogenesis has not been fully elucidated.\u003c/p\u003e \u003cp\u003eThe findings of the current study show that FTO is implicated in regulation of motor function and mediation of axon guiding molecules against Mn-induced Parkinsonism \u003cem\u003ein vitro\u003c/em\u003e and \u003cem\u003ein vivo\u003c/em\u003e. These findings show the specific mechanism of Mn-induced motor dysfunction mediated by FTO and ephrins. Moreover, these findings show that re-expression of FTO and ephrin-B2 improve motor dysfunction after Mn exposure.\u003c/p\u003e"},{"header":"Materials And Methods","content":"\u003cp\u003eReagents and chemicals\u003c/p\u003e \u003cp\u003eManganese chloride (MnCl\u003csub\u003e2\u003c/sub\u003e\u0026middot;4H\u003csub\u003e2\u003c/sub\u003eO) and actinomycin D, and other chemical compounds were bought from Sigma Chemical Co. (Saint Louis, MO, USA). Cell Counting Kit-8 (CCK-8) was supplied with Transgen Institute of Biotechnology (Beijing, China). FD Rapid GolgiStain\u0026trade; kit was supplied by FD NeuroTechnologies (Ellicott City, MD, USA). Enzyme-linked immunosorbent assay (ELISA) kits of mice DA was acquired from Baolai Biotechnology Institute (Jiangsu, China). Ethyl ester derivative of MA (MA2, the FTO inhibitor) was a present from Professor Caiguang Yang of the Chinese Academy of Sciences. Fluoro-Gold (FG) was purchased from Kaiji Biotechnology Co., Ltd. (Jiangsu, China). The adeno-associated virus 5 (AAV5)-FTO and AAV5-ephrin-B2 were purchased from Genecreate Biological Co., Ltd. (Wuhan, China). Lentiviral particles for over-expression of FTO (FTO-OE) were purchased from Hesheng Gene Technology Co., Ltd. (Beijing, China). Anti-m\u003csup\u003e6\u003c/sup\u003eA antibody was bought from Synaptic Systems (USA, 202003). Protein-A bead was bought from Thermo Fisher (USA, 10002D). RNasin was provided by Promega Biotechnology Co., Ltd. (Beijing, China). Rabbit antibody of FTO, methyltransferase like 3 (METTL3), α-ketoglutarate-dependent dioxygenase alkB homolog 5 (ALKBH5), YTH domain-containing family proteins 1/2 (YTHDF1/2) were bought from Proteintech Group, Inc (Wuhan, China). Rabbit antibody of tyrosine hydroxylase (TH) was bought from Cell Signaling Technology, Inc. Rabbit antibody of METTL14, ephrin-A1/3, ephrin-B1/3 were sold from ABclonal Biotechnology Co., Ltd. (Wuhan, China). Rat antibody of dopamine transporter (DAT), mouse antibody of ephrin-A5, ephrin-B2, Dopamine- and cAMP-regulated neuronal phosphoprotein 32 kDa (DARPP32) and GADPH were offered from Santa Cruz Biotechnology, Inc (Santa Cruz, CA, USA). Mouse antibody of ephrin-A2/4 was bought from Boaosen Biotechnology Co., Ltd. (Beijing, China). Horseradish peroxidase (HRP) conjugated anti-rabbit, mouse and rat secondary antibody were provided by means of Boaosen Biotechnology Co., Ltd. (Beijing, China). Real-time quantitative PCR (RT-qPCR) kit and Trizol reagent were supplied by TaKaRa Biotechnology Co, Ltd (Dalian, China). Other chemical substances were supplied through neighborhood chemical suppliers. All chemical substances reagents have been analytical grade or the pharmaceutical grade.\u003c/p\u003e \u003cp\u003eAnimals\u003c/p\u003e \u003cp\u003eThe research was carried out on adult C57BL/6 mice (20\u0026thinsp;\u0026plusmn;\u0026thinsp;2 g; N\u0026thinsp;=\u0026thinsp;350; Among them, 30 pregnant mice are needed for primary neuron culture) which have been bought from the Laboratory Animal Centre of China Medical University, Shenyang, China (SPF grade, certificate no. SCXK2013-0001). The mice were housed in plastic cages with 12-h light/dark cycle (temperature, 25 \u003csup\u003eo\u003c/sup\u003eC\u0026plusmn;1 \u003csup\u003eo\u003c/sup\u003eC, humidity, 55%\u0026plusmn;5%). Water and Food were accessible to the mice. All experiments were performed following the care and use guidelines of laboratory animals by Institutional Animal Care and Use Committee of China Medical University. The study protocol conformed to the National Institutes of Health Guide for Care and Use of Laboratory Animals (NIH Publications No. 8023, revised 1978). Attempts were made to minimize the number of animals used and to reduce animal suffering.\u003c/p\u003e \u003cp\u003ePrimary neuron and SH-SY5Y culture\u003c/p\u003e \u003cp\u003eNeonatal C57 BL/6 mice were decapitated with scientific scissors without use of an anesthetic. The cranium was opened with ophthalmic forceps after sterilization with 75% alcohol. D-Hank's buffer solution was added to the dissected striatal tissue, and routinely separated with surgical devices under a light microscope. The tissue was digested with 0.125% trypsin solution for 20\u0026ndash;30 min, and diluted with Dulbecco\u0026rsquo;s modified Eagle\u0026rsquo;s medium (DMEM; Sigma-Aldrich, USA) containing 20% fetal bovine serum (FBS). Isolated neurons were seeded into 60-cm\u003csup\u003e2\u003c/sup\u003e plastic tissue culture flasks precoated with poly-L-lysine after purification by filtration through a 200-mesh sieve. Cultures were maintained in 5% CO2/95% air at 37\u0026deg;C. After cell attachment, DMEM medium was replaced with Neurobasal\u0026trade;-A Medium supplemented with B27 (Life Technologies). Neurons were further purified by addition of cytosine arabinoside and cultured for 24 h (5 \u0026micro;M, Sigma-Aldrich). Primary cultures yielded more than 95% neurons, which was determined through NeuN antibody immunostaining after culturing for approximately 7 days.\u003c/p\u003e \u003cp\u003eSH-SY5Y cells were purchased from the National Centre for Cell Sciences of China. Cells were maintained in 5% CO2/95% air at 37\u0026deg;C and cultured with DMEM supplemented with 10% FBS, streptomycin, and penicillin.\u003c/p\u003e \u003cp\u003eAnimal experiments\u003c/p\u003e \u003cp\u003eOne hundred forty mice were randomly assigned to sixteen groups based on their weight, with 12 mice in each group. The first part included the control group, 12.5, 25, and 50 mg/kg MnCl\u003csub\u003e2\u003c/sub\u003e groups. The second part included the AAV5 negative control (NC) group, AAV5-FTO control group, AAV5-NC\u0026thinsp;+\u0026thinsp;50 mg/kg MnCl\u003csub\u003e2\u003c/sub\u003e group, and AAV5-FTO\u0026thinsp;+\u0026thinsp;50 mg/kg MnCl\u003csub\u003e2\u003c/sub\u003e group. The third part included the control group, 20 mg/kg MA2 control group, 50 mg/kg MnCl\u003csub\u003e2\u003c/sub\u003e group, and 20 mg/kg MA2\u0026thinsp;+\u0026thinsp;50 mg/kg MnCl\u003csub\u003e2\u003c/sub\u003e group. The fourth part included the AAV5-NC group, AAV5-NC\u0026thinsp;+\u0026thinsp;50 mg/kg MnCl\u003csub\u003e2\u003c/sub\u003e group, AAV5-NC\u0026thinsp;+\u0026thinsp;20 mg/kg MA2\u0026thinsp;+\u0026thinsp;50 mg/kg MnCl\u003csub\u003e2\u003c/sub\u003e group, and AAV5-ephrin-B2\u0026thinsp;+\u0026thinsp;20 mg/kg MA2\u0026thinsp;+\u0026thinsp;50 mg/kg MnCl\u003csub\u003e2\u003c/sub\u003e group. Mice in the control group received a subcutaneous (s.c.) injection of 0.9% NaCl and intraperitoneal (i.p.) injection of 0.9% NaCl after 2 h. Mice in the MnCl\u003csub\u003e2\u003c/sub\u003e groups received s.c. injections of 0.9% NaCl and i.p. injections of 12.5, 25, and 50 mg/kg MnCl\u003csub\u003e2\u003c/sub\u003e after 2 h. Mice in the MA2 control group were administered with s.c. injections with 20 mg/kg MA2, and i.p. injections of 0.9% NaCl after 2 h. Mice in the 20 mg/kg MA2\u0026thinsp;+\u0026thinsp;50 mg/kg MnCl\u003csub\u003e2\u003c/sub\u003e group received s.c. injections with 20 mg/kg MA2, and i.p. injections of 50 mg/kg MnCl\u003csub\u003e2\u003c/sub\u003e after 2 h. The concentration of treatments were 5 mL/kg. Treatments were administered daily two weeks.\u003c/p\u003e \u003cp\u003eFor AAV5 viral injection, mice were anaesthetized with 5% chloral hydrate and positioned on a stereotaxic apparatus. Bilateral holes were drilled into the cranium at 0.5 mm foreside and ˗2.8 mm outside the bregma for administration of treatments into the striatum regions. An AAV5 expressing either FTO or ephrin-B2 (AAV5-FTO or AAV5-ephrin-B2) or hrGFP (AAV5-NC) was obtained through stereotactic injection. A glass cannula stuffed with a virus was placed on the striatum (-3.5 mm), and 0.2 \u0026micro;L virus was administered at a rate of 0.1 \u0026micro;L/min. The scalp was then sealed. Follow-up exposure was carried out 10 days after virus injection, and then behavioral experiments or other tests were carried out.\u003c/p\u003e \u003cp\u003eAfter the behavioral experiment, all the mice were sacrificed through decapitation under anesthesia. Striatum of 20 mice in each group was separated in an ice bath. 4 out of the 20 mice were used for histological and ultrastructural analysis of the striatum. Among the other 16 mice from each group, 4 were used for the detection of Mn and DA levels. 2 were used for immunofluorescence detection. 2 were used for determination of ephrin-B2 m\u003csup\u003e6\u003c/sup\u003eA mRNA expression, 2 for electrophysiological recording, and 2 mice were used for fluorogold retrograde tracing. Striatum for the other mice was used for determination of target mRNA level, protein, and other indicator levels.\u003c/p\u003e \u003cp\u003eLentiviral generation and infection.\u003c/p\u003e \u003cp\u003eLentiviral particles for over-expression of NC and FTO were purchased from Hesheng Gene Technology Co., Ltd. (Beijing, China). For over-expression of ephrin-B2, METTL3, METTL14, YTHDF1 or YTHDF2, cells were transfected with plasmids using lipofectamine 2000 (Sigma, USA) following the manufacturer\u0026rsquo;s instructions. After 48\u0026ndash;72 h of transfection, the virus-containing supernatant was obtained and used to infect target cells, followed by screening with puromycin (Solarbio, 2.5 \u0026micro;g/mL) for 7 days.\u003c/p\u003e \u003cp\u003eCells treatments\u003c/p\u003e \u003cp\u003eCells were cultured in media for 24 h with 0, 125, 250, and 500 \u0026micro;M MnCl\u003csub\u003e2\u003c/sub\u003e. In the 0 and 500 \u0026micro;M MnCl\u003csub\u003e2\u003c/sub\u003e groups, cells were used for over-expression of FTO, ephrin-B2, YTHDF2, FTO\u0026thinsp;+\u0026thinsp;METTL3\u0026thinsp;+\u0026thinsp;METTL14, FTO\u0026thinsp;+\u0026thinsp;ephrin-B2, and FTO\u0026thinsp;+\u0026thinsp;YTHDF1 or YTHDF2. In addition, For the MA2 intervention groups, cells were cultured in media for 24 h with 0 \u0026micro;M MnCl\u003csub\u003e2\u003c/sub\u003e, 200 \u0026micro;M MA2, 500 \u0026micro;M MnCl\u003csub\u003e2\u003c/sub\u003e, and 200 \u0026micro;M MA2 (pretreated for 6 h)\u0026thinsp;+\u0026thinsp;500 \u0026micro;M MnCl\u003csub\u003e2\u003c/sub\u003e. The relevant experiments were then carried out.\u003c/p\u003e \u003cp\u003eCell viability analysis\u003c/p\u003e \u003cp\u003eThe cells were seeded into 96-well plate at 5\u0026times;10\u003csup\u003e3\u003c/sup\u003e/well and cultured in 10% FBS containing DMEM for 24h. Then, cells were treated in 100 \u0026micro;L of DMEM according to the above groups. After incubating for 24 h, add 10 \u0026micro;L of CCK-8 reagent to every well, and incubate for extra 4h. Absorbance of every well was measured at 450 nm. Each well has two duplicate wells to confirm the reproducibility.\u003c/p\u003e \u003cp\u003eAutomated observation of axon growth with the live cell imager\u003c/p\u003e \u003cp\u003eCells and axon growth trends were observed using Lionheart FX Automated Live Cell Imager (BioTeK, USA). The relevant treatment was given to every group following the study design. The control group was used to adjust the photo parameters. The duration of observation was 24 h, and data were recorded every hour.\u003c/p\u003e \u003cp\u003eRotarod test\u003c/p\u003e \u003cp\u003eMice were positioned on a Rotary rod instrument (UGO 47650, Italy) and skilled for 5 min at the 10 rpm speed for 3 days. For testing, mice were positioned on a rod that turned around accelerating velocity beginning with 5 rpm and accelerating up to 30 rpm in 60 s. Experiments were performed three times.\u003c/p\u003e \u003cp\u003eForced running wheel test\u003c/p\u003e \u003cp\u003eMice were positioned on a wheel fatigue meter (YLS-10B, Yiyan, China) to explore their staying power capabilities. Mice were skilled at 30 rpm for 10 min, and the fatigue running distance was determined. The wheel fatigue meter was stopped if mice fail to run within 10 sec after the electric shock (1 mA) and the wheel fatigue meter was started after mice rest for 30 sec. The experiments were performed in triplicates.\u003c/p\u003e \u003cp\u003eOpen field test\u003c/p\u003e \u003cp\u003eThe open field experimental analysis system for mice was provided by China Medical University. The mice were placed in the laboratory to adapt to the environment for 10 minutes. This experiment is performed in a quiet, low-light environment. The indoor temperature was maintained at about 26\u0026deg;C. The mice were positioned in the open field and the mice activity was observed within 5 min. Observation indicators include total horizontal movement distance and horizontal movement speed. Clean up the labyrinth after the experiment of each mouse, and try to avoid external interference that will cause unnecessary adverse effects on the experimental results.\u003c/p\u003e \u003cp\u003eGait analysis\u003c/p\u003e \u003cp\u003eIn order to enable all mice to walk to the end of the runway at a uniform speed without external stimulation, the mice were trained for 3 days. Data was collected on the 4th day and recorded 3 times for each mouse. The collected data was analyzed with Cat Walk XT Version10.6, and the average value of each index was taken. The related indexes are run duration, average speed, swing speed, and maximum variation.\u003c/p\u003e \u003cp\u003eDetermination of Mn levels\u003c/p\u003e \u003cp\u003eThe inductively coupled plasma mass spectrometry (ICP-MS, Agilent 7700x, USA) was used for analysis of Mn levels in striatum of mice. Striatum was predigested, and 0.1, 1, 5, 10, 50, and 100\u0026micro;g/L series of Mn standard solutions were prepared for future use. The content of Mn in the striatum was then determined with internal standard method.\u003c/p\u003e \u003cp\u003eMeasurement of DA levels\u003c/p\u003e \u003cp\u003eTotal DA levels in the striatum were quantified using ELISA kits of mice DA (Baolai, Jiangsu, China) following the manufacturer's directions. The sample value within the detectable range was used for analysis. Experiments were performed in triplicates.\u003c/p\u003e \u003cp\u003eImmunofluorescence of FTO, ephrin-B2, TH, DARPP32, and DAT\u003c/p\u003e \u003cp\u003eExpression and localization of FTO and ephrin-B2 were determined in striatum and neurons, respectively, through immunofluorescence. In addition, immunofluorescence triple staining of TH, DARPP32 and DAT in striatum was used to explore whether nigro-striatal projection neurons were damaged. Samples were dehydrated with xylene and alcohol, and tissue sections were steamed with sodium citrate for antigen retrieval. Samples were blocked in 10% Goat serum for 30 min at 25\u0026deg;C. Samples were then treated with rabbit antibody of FTO (1:100), mouse antibody of ephrin-B2 (1:100), rabbit antibody of TH (1:100), mouse antibody of DARPP32 (1:50), and rat antibody of DAT (1:50) overnight at 4\u0026deg;C. On the second day, after 1 h of rewarming and washing 3 times with phosphate buffered solution (PBS), samples were treated with goat anti-mouse IgG (1:100), goat anti-rabbit IgG (1:100), and goat anti-rat IgG (1:100) for 1 h at 25\u0026deg;C. For immunofluorescence of FTO and ephrin-B2, samples were counterstained using 2-(4-Amidinophenyl)-6-indolecarbamidine dihydrochloride (DAPI) for 5 min after washing 3 times with PBS. Then, samples were mounted with mounting medium for further study. Laser scanning confocal microscope (A1R, Nikon, Japan) was used to capture images.\u003c/p\u003e \u003cp\u003eHematoxylin and eosin (HE) staining\u003c/p\u003e \u003cp\u003eAfter the mice were perfused with 4% paraformaldehyde, the striatum tissue was removed. The striatum of mice was serially dehydrated in xylene and ethanol. The striatum was sectioned at 5 \u0026micro;m thickness after paraffin embedded. Then, HE staining was done for morphological observation with high resolution panoramic imaging system (CS2, Leica, Germany).\u003c/p\u003e \u003cp\u003eGolgi-cox staining\u003c/p\u003e \u003cp\u003eBrains of mice were removed quickly from the skull after euthanizing. After washing, the brains were stained with the FD Rapid GolgiStain\u0026trade; kit (MD, USA). Firstly, the brains were incubated in the impregnation solution (A and B) for 14\u0026ndash;15 days. Afterwards, the brains were treated with Solution C for the 48\u0026ndash;72 h. Microtome Cryostat (1950, Leica, Germany) was used to cut 200 \u0026micro;m slices. Slices were mounted on a gelatin-coated slides, then dehydrated, stained, and coverslipped. Then, dendritic spines was observed with high resolution panoramic imaging system (CS2, Leica, Germany).\u003c/p\u003e \u003cp\u003eNissl staining\u003c/p\u003e \u003cp\u003eTissue sections were sequentially stained with series alcohol dehydration. The sections were then treated with 1% thionine for 1 h, then the samples were washed with distilled water. 70% alcohol color separation was performed for several sec to several minutes. The sections were dehydrated with 70%, 80%, 95%, and 100% alcohol, re-spectively, with 2 min for each. Next, the sections were washed with anhydrous ethanol twice (with 5 min for each time), followed by washing with xylene twice (with 10 min for each time). Finally, the sections were observed with high resolution panoramic imaging system (CS2, Leica, Germany).\u003c/p\u003e \u003cp\u003eFluorogold retrograde tracing\u003c/p\u003e \u003cp\u003eTwo mice in each group were injected with 2% FG solution into the striatum via brain stereotaxic injection. After 5 days of survival, the mice were anesthetized and perfused with 4% paraformaldehyde solution. The brain was taken out and fixed with 4% paraformaldehyde solution for 4 hours. Then the brain tissue was placed in a 20% sucrose solution at 4\u0026deg;C overnight. The next day, freeze sectioning was performed, and the section thickness was 30 \u0026micro;m. The sections were washed with 0.01 mM PBS and fixed in 4% paraformaldehyde for 10 min. After washing 3 times with PBS, samples were mounted with mounting medium for further study. Laser scanning confocal microscope (A1R, Nikon, Japan) was used to capture images.\u003c/p\u003e \u003cp\u003eElectron microscopy studies\u003c/p\u003e \u003cp\u003eAfter the mice were perfused with 4% paraformaldehyde, the striatum was fixed with 2.5% glutaraldehyde for 1h. A 1-mm-thick slice was made and fixed overnight. Postfixation of slice was carried out in 1% OsO4 for electron microscopy observation. Then, tissues were embedded in spur resin after dehydrated in series of acetone. Blocks were photographed in a transmission electron microscope (JEM-1400-FLASH, Japan) after stained with uranyl acetate and lead citrate.\u003c/p\u003e \u003cp\u003eElectrophysiological recording of striatum slices\u003c/p\u003e \u003cp\u003eSpontaneous discharge frequency in the striatum was recorded in 300 \u0026micro;m slices. Slices were cut using vibratome in a modified artificial cerebrospinal fluid (mACSF) saturated with 5% CO\u003csub\u003e2\u003c/sub\u003e/95% O\u003csub\u003e2\u003c/sub\u003e. Slices were then placed on an incubation chamber with normal ACSF and incubated at 25\u0026deg;C for at least 1 h before recording. Analysis was performed with a MED64 flat microelectrode array system (Alpha of Japan).\u003c/p\u003e \u003cp\u003eWestern Blotting analysis\u003c/p\u003e \u003cp\u003eTotal protein of striatum was extracted with RIPA buffer and protease inhibitors. BCA reagent was used for protein quantification. Proteins samples were transferred onto polyvinylidene difluoride (PVDF) membranes after gel electrophoresis. PVDF membranes were then blocked using 5% bovine serum albumin fraction V for 1h, then the membranes were incubated with primary antibody against FTO (1:500), METTL3 (1:1000), METTL14 (1:500), ALKBH5 (1:1000), YTHDF1 (1:2000), YTHDF2 (1:1000), ephrin-A1 (1:1000), ephrin-A2 (1:500), ephrin-A3 (1:1000), ephrin-A4 (1:500), ephrin-A5 (1:500), ephrin-B1 (1:1000), ephrin-B2 (1:1000), ephrin-B3 (1:500), and GAPDH (1:5000) overnight at 4\u0026deg;C. In the next day, membranes were incubated with corresponding secondary antibodies for 1 h at 25\u0026deg;C after washing 3 times with Tris-buffered saline with 0.1% Tween 20 (TBST). Analysis was performed with the multifunctional imaging system (AZURE C500, USA). GAPDH was used as an internal standard.\u003c/p\u003e \u003cp\u003eRT-qPCR assay\u003c/p\u003e \u003cp\u003eTotal RNA was dissolved in RNase-free water (TaKaRa) after extraction using the Trizol reagent (TransGen, Beijing, China). First strand cDNA was obtained from total RNA using reverse transcriptase Kit (TaKaRa) following manufacturer\u0026rsquo;s instructions. RT-qPCR was performed using QuantStudio 6 Flex fluorescence quantitative PCR instrument (Thermo Fisher, USA). Primer sequences of FTO, METTL3, METTL14, ALKBH5, YTHDF1, YTHDF2, ephrin-A1, ephrin-A2, ephrin-A3, ephrin-A4, ephrin-A5, ephrin-B1, ephrin-B2, ephrin-B3, Grb4, GIT1, HPRT1, and β-actin for RT-qPCR analysis are presented in Supplementary Table\u0026nbsp;1. HPRT1 or β-actin genes were used as internal controls. Comparative CT method (\u003csup\u003eΔΔ\u003c/sup\u003eCT) was used to quantify the target genes. All experiments were performed in triplicates.\u003c/p\u003e \u003cp\u003eQuantifcation of m\u003csup\u003e6\u003c/sup\u003eA in total RNA\u003c/p\u003e \u003cp\u003eThe ELISA-based m\u003csup\u003e6\u003c/sup\u003eA Quantitative Kit (Epigentek, P-9005-96) was used to quantify m\u003csup\u003e6\u003c/sup\u003eA levels of total RNA (200 ng). In accordance to the manufacturer\u0026rsquo;s instructions, quantifification was performed in triplicates.\u003c/p\u003e \u003cp\u003eActinomycin D assay\u003c/p\u003e \u003cp\u003eSamples were treated with 2\u0026micro;M actinomycin D (Act-D, Sigma, USA) for 0, 3, and 6 h. Cells were collected and RNA was isolated for RT-qPCR. HPRT1 gene was used as an internal control as HPRT1 mRNA does not bind to YTHDF2, is rarely affected by Act-D, and does not undergo m\u003csup\u003e6\u003c/sup\u003eA modifications.\u003c/p\u003e \u003cp\u003em\u003csup\u003e6\u003c/sup\u003eA-RT-qPCR\u003c/p\u003e \u003cp\u003eTotal RNA was used for m\u003csup\u003e6\u003c/sup\u003eA-immunoprecipitation and 500 ng of RNA was used as an input sample. 100 \u0026micro;g of RNA was diluted with 40 \u0026micro;l IP buffer (0.05 M Tris-HCl, 0.75 M NaCl, 0.5% Igepal, and RNase-free water) and treated with m\u003csup\u003e6\u003c/sup\u003eA antibody (Synaptic Systems, Germany) for 3.5 h at 4\u0026deg;C, Recombinant protein-A bead (Waltham, MA) containing BSA was added to the RNA solution and shaken at 4\u0026deg;C for 4 h. The m\u003csup\u003e6\u003c/sup\u003eA IP portion was eluted with elution buffer (300 \u0026micro;L 20mM CaCl\u003csub\u003e2\u003c/sub\u003e, 2\u0026micro;L RNasin, 2 \u0026micro;L RVC, and 0.75 \u0026micro;L 20 mg/mL Proteinase K) after washing three times with IP buffer. The collected total eluate was concentrated in an RNA concentrator to a final volume of 20 \u0026micro;L. The concentration of RNA was determined and reverse transcribed to cDNA. RT-qPCR was used to determine m\u003csup\u003e6\u003c/sup\u003eA levels of mRNA. Data were calculated using the %input\u0026thinsp;=\u0026thinsp;2 \u003csup\u003e(\u0026minus;ΔCtnormalized RIP)\u003c/sup\u003e method.\u003c/p\u003e \u003cdiv id=\"Sec3\" class=\"Section2\"\u003e \u003ch2\u003eStatistical analysis\u003c/h2\u003e \u003cp\u003eResults were presented as means\u0026thinsp;\u0026plusmn;\u0026thinsp;standard deviations after measured at least three times. The SPSS 22 software was used to analysis all statistical. The one-way analysis of variance (ANOVA) followed by Bonferroni test were used to determined the differences between the means for multiple comparison. \u003cem\u003eP\u003c/em\u003e-value of \u0026lt;\u0026thinsp;0.05 or \u003cem\u003eP\u003c/em\u003e-value of \u0026lt;\u0026thinsp;0.01 were considered statistically significant.\u003c/p\u003e \u003c/div\u003e"},{"header":"Results","content":"\u003cdiv id=\"Sec5\" class=\"Section2\"\u003e \u003ch2\u003eEffect of FTO on Mn-induced parkinsonism\u003c/h2\u003e \u003cp\u003eTo explore the role of FTO in Mn-induced striatal motor dysfunction, the level of Mn in normal striatum and Mn-exposed striatum was determined by ICP-MS. The findings showed that levels of Mn in striatum increased significantly after Mn exposure compared with the control group (Fig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003eA). Further, mRNA and protein levels of FTO and other methylases in striatum and neurons were determined. Analysis showed that mRNA and protein levels of FTO were significantly downregulated after Mn exposure compared with the control group (Fig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003eB, C, F, and G). Notably, other methylases levels including METTL3/14, ALKBH5, and YTHDF1/2 were not significantly different after Mn exposure compared with the control group (Supplementary Fig.\u0026nbsp;1A-T). Immunofluorescence was used to determine specific FTO protein levels in striatum and neurons. Analysis showed that FTO level (Green) was significantly decreased after Mn exposure compared with the normal group (Fig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003eD, H). In addition, m\u003csup\u003e6\u003c/sup\u003eA ELISA was used to determine changes in total RNA m\u003csup\u003e6\u003c/sup\u003eA level in striatum and neurons after Mn exposure. The findings showed that the level of total RNA m\u003csup\u003e6\u003c/sup\u003eA in striatum and neurons increased significantly after Mn exposure compared with the control group (Fig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003eE, I). These findings indicate that FTO is downregulated in striatum and neurons after Mn exposure, resulting in significant increase in the level of total RNA m\u003csup\u003e6\u003c/sup\u003eA in striatum. This implies that FTO plays an inhibitory role in Mn-induced motor dysfunction.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec6\" class=\"Section2\"\u003e \u003ch2\u003eRole of FTO in Mn-induced motor dysfunction and morphological analysis\u003c/h2\u003e \u003cp\u003eEffect of over-expression FTO or inhibition of FTO activity in the striatum on regulating the symptoms was explored to verify that Mn-induced motor disorders were caused by down-regulation of FTO in the striatum. AAV5 were used to express FTO (AAV-FTO) or hrGFP (AAV-control) in the striatum through stereotactic injection (Supplementary Fig.\u0026nbsp;2A, B), resulting in selective re-expression in bilateral striatum (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eA and B, Supplementary Fig.\u0026nbsp;2C). In addition, activity of FTO was inhibited by intraperitoneal administration of MA2, a selective inhibitor of FTO. The results showed that treatment of MA2 did not affect FTO expression (Supplementary Fig.\u0026nbsp;2D and E). Re-expression of FTO in mice exposed to Mn significantly decreased total RNA m\u003csup\u003e6\u003c/sup\u003eA levels, with no significant effect on levels of Mn in the striatum (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eC and Supplementary Fig.\u0026nbsp;3A). On the contrary, inhibition of FTO activity in mice exposed to Mn significantly increased total RNA m\u003csup\u003e6\u003c/sup\u003eA levels, with no significant effect on levels of Mn in the striatum (Supplementary Fig.\u0026nbsp;2F and Supplementary Fig.\u0026nbsp;3K). Re-expression of FTO in striatum exposed to Mn significantly increased their endurance times and fatigue running distance (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eD and E). Furthermore, it improved the distance covered and speed in the open field (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eF and Supplementary Fig.\u0026nbsp;3B-D). In addition, it significantly improved mice gait, mean intensity, run duration, average speed, swing speed and maximum variation performances in gait tests (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eG and Supplementary Fig.\u0026nbsp;3E-J). On the contrary, motor function was damaged more severely after inhibition of FTO activity (Supplementary Fig.\u0026nbsp;2G-J and Supplementary Fig.\u0026nbsp;3L-T). These findings indicate that inhibition of FTO significantly reduces motor performances, implying that FTO plays a protective role in Mn-induced motor dysfunction.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003cp\u003eEffects of Mn on striatum morphology were determined by HE staining. In the control group, the nucleus of striatum was stained clearly. The nucleus was round and giant with evident nucleoli (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eH). The 50 mg/kg MnCl\u003csub\u003e2\u003c/sub\u003e group (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eH) showed significant interstitial vacuolation and cell swelling compared with the control group. Re-expression of FTO significantly improved neuropathological injury compared with the 50 mg/kg MnCl\u003csub\u003e2\u003c/sub\u003e group (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eH). Nissl staining in the control group showed that Nissl bodies were clearly stained, arranged neatly and the number was normal (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eI). Analysis showed significant degeneration of Nissl bodies, deletion and lighter staining in the 50 mg/kg MnCl\u003csub\u003e2\u003c/sub\u003e group compared with the normal control group (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eI). Re-expression of FTO significantly alleviated deformation and deletion of Nissl bodies compared with the 50 mg/kg MnCl\u003csub\u003e2\u003c/sub\u003e group (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eI). Observation under an electron microscope showed that the nucleus of the control group was approximately round and the structure was normal (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eJ). Neuronal nucleus pyknosis, organelle disappearance, swelling and degeneration were observed in the 50 mg/kg MnCl\u003csub\u003e2\u003c/sub\u003e group (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eJ). Notably, re-expression of FTO significantly improved neuronal damage compared with the 50 mg/kg MnCl\u003csub\u003e2\u003c/sub\u003e group (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eJ). Changes in dendritic density and/or morphology were investigated to explore the effects of Mn on axonal guidance regulates synaptic plasticity (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eK-L). Morphology of dendrites was significantly damaged and the density of total dendritic spines decreased significantly after exposure to 50 mg/kg MnCl\u003csub\u003e2\u003c/sub\u003e compared with normal control group (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eK-L). Re-expression of FTO significantly improved the morphology of dendrites and the density of total dendritic spines compared with the 50 mg/kg MnCl\u003csub\u003e2\u003c/sub\u003e group (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eK-L).\u003c/p\u003e \u003cp\u003eSpontaneous discharge activity reflects the function of striatal neurons. Acute brain slices from mice were used to record electrical signals through substrate embedded electrodes to explore the discharge activity of the striatum. A typical electrical signal obtained using a microelectrode is shown in Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eM. Individual spontaneous potential was recorded when the individual spontaneous potential exceeds the threshold (\u0026plusmn;\u0026thinsp;0.02 mV). Neurons from the striatum of the control group showed normal spontaneous activity (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eM). The amplitude and frequency of spike waves decreased after treatment with 50 mg/kg MnCl\u003csub\u003e2\u003c/sub\u003e compared with the control group (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eM). Re-expression of FTO significantly improved the damaged spontaneous discharge frequency compared with the 50 mg/kg MnCl\u003csub\u003e2\u003c/sub\u003e group.\u003c/p\u003e \u003cp\u003eOn the contrary, the morphology was severely damaged and electrophysiological signals of striatum were significantly reduced after inhibition of FTO activity compared with over-expression of FTO (Supplementary Fig.\u0026nbsp;2K-P). These findings indicate that FTO plays a promoting role in Mn-induced striatal injury.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec7\" class=\"Section2\"\u003e \u003ch2\u003eEffect of Mn exposure on nigro-striatal projection system\u003c/h2\u003e \u003cp\u003eTo explore the role of Mn treatment on nigro-striatal projection system, FG labeling (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eA), the immunofluorescence triple staining of TH, DARPP32 and DAT (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eB), the DA levels (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eC) and neuronal axons growth (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eD-E) were determined to evaluate the survival rate of nigro-striatal neurons. In the control group, the boundary of neurons was clear and evident cell body were observed (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eA). In the 50 mg/kg MnCl\u003csub\u003e2\u003c/sub\u003e group, the boundary of neurons was unclear, the distribution of cells was uneven, the staining was lighter and disappeared significantly compared with the control group. (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eA). Re-expression of FTO significantly improved survival rate of nigro-striatal projection neurons compared with the 50 mg/kg MnCl\u003csub\u003e2\u003c/sub\u003e group (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eA).\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003cp\u003eTH, DARPP32 and DAT are specific markers of nigro-striatal projection neurons, and their expression can reflect damage of nigro-striatal projection neurons. After treatment with 50 mg/kg MnCl\u003csub\u003e2\u003c/sub\u003e, the nigro-striatal projection neurons marked with TH, DARPP32 and DAT were significantly reduced, and the projection system was severely damaged compared with the control group (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eB). Re-expression of FTO significantly restored the damage to the projection system compared with the 50 mg/kg MnCl\u003csub\u003e2\u003c/sub\u003e group (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eB). After treatment with 50 mg/kg MnCl\u003csub\u003e2\u003c/sub\u003e, DA levels decreased significantly compared with control group (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eC). DA levels increased significantly after re-expression of FTO compared with the 50 mg/kg MnCl\u003csub\u003e2\u003c/sub\u003e group. Neuronal axons grew slowly and shrank in the 50 mg/kg MnCl\u003csub\u003e2\u003c/sub\u003e group compared with control group (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eD and E). Neuronal axon length increased significantly after re-expression of FTO compared with the 50 mg/kg MnCl\u003csub\u003e2\u003c/sub\u003e group. On the contrary, the substantia-striatal projection system was significantly damaged after inhibition of FTO activity compared with that after over-expression of FTO (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eF-J).\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec8\" class=\"Section2\"\u003e \u003ch2\u003eRole of FTO function in neuron and SH-SY5Y cells\u003c/h2\u003e \u003cp\u003eTo explore the role of FTO in neuron and SH-SY5Y cells, the levels of FTO and total RNA m\u003csup\u003e6\u003c/sup\u003eA and performed cytotoxicity were determined using neuron and SH-SY5Y cells (Fig.\u0026nbsp;\u003cspan refid=\"Fig4\" class=\"InternalRef\"\u003e4\u003c/span\u003eA-H). Over-expression of FTO (Fig.\u0026nbsp;\u003cspan refid=\"Fig4\" class=\"InternalRef\"\u003e4\u003c/span\u003eA-B, and Supplementary Fig.\u0026nbsp;4A) in Mn-induced FTO-low neuron and SH-SY5Y cells decreased the levels of total RNA m\u003csup\u003e6\u003c/sup\u003eA, and cytotoxicity (Fig.\u0026nbsp;\u003cspan refid=\"Fig4\" class=\"InternalRef\"\u003e4\u003c/span\u003eC-D). Inhibition of FTO activity in neurons and SH-SY5Y cells significantly increased the levels of total RNA m\u003csup\u003e6\u003c/sup\u003eA and cytotoxicity (Fig.\u0026nbsp;\u003cspan refid=\"Fig4\" class=\"InternalRef\"\u003e4\u003c/span\u003eE-H). These findings indicate that FTO alleviates Mn-induced cytotoxicity \u003cem\u003ein vitro\u003c/em\u003e.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec9\" class=\"Section2\"\u003e \u003ch2\u003eRole of m\u003csup\u003e6\u003c/sup\u003eA in FTO functions in neuron and SH-SY5Y cells\u003c/h2\u003e \u003cp\u003eTo explore the effect of m\u003csup\u003e6\u003c/sup\u003eA in neuron and SH-SY5Y cells function, the gain-of-function of the m\u003csup\u003e6\u003c/sup\u003eA writers METTL3/14 were determined (Fig.\u0026nbsp;\u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003eA-D, and Supplementary Fig.\u0026nbsp;4B-E). Forced over-expression of METTL3/14 significantly increased total m\u003csup\u003e6\u003c/sup\u003eA levels (Fig.\u0026nbsp;\u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003eE, and Supplementary Fig.\u0026nbsp;4F) and decreased cell viability (Fig.\u0026nbsp;\u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003eF, and Supplementary Fig.\u0026nbsp;4G). Furthermore, over-expression of METTL3/14 inhibited effects of over-expression of FTO on the total m\u003csup\u003e6\u003c/sup\u003eA levels and cell viability (Fig.\u0026nbsp;\u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003eE-F, and Supplementary Fig.\u0026nbsp;4F-G). These findings show that m\u003csup\u003e6\u003c/sup\u003eA modification of mRNA increases toxicity and viability of Mn exposure on cells, indicating that m\u003csup\u003e6\u003c/sup\u003eA exacerbates Mn-induced parkinsonism.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec10\" class=\"Section2\"\u003e \u003ch2\u003eIdentification of key target genes for FTO function\u003c/h2\u003e \u003cp\u003eAxon guiding molecules are expressed in the nigro-striatal projection system, whereas ephrins are mainly expressed in the striatum [\u003cspan citationid=\"CR17\" class=\"CitationRef\"\u003e17\u003c/span\u003e, \u003cspan citationid=\"CR27\" class=\"CitationRef\"\u003e27\u003c/span\u003e]. Inactivation of the FTO gene impairs DA receptors, controls activity and behavior of neurons in a dose-dependent manner. Therefore, analysis was performed to determine if ephrins are key targets of FTO after Mn exposure. Analysis showed showed that Mn exposure significantly reduces levels of ephrin-A4/5 and ephrin-B2 compared with the control group. Notably, levels of other ephrins of Mn exposed group showed no significant difference with those in the control group (Fig.\u0026nbsp;\u003cspan refid=\"Fig6\" class=\"InternalRef\"\u003e6\u003c/span\u003eA-B, and Supplementary Fig.\u0026nbsp;5A-D). Analysis showed that over-expression of FTO significantly increased ephrin-A5 and ephrin-B2 levels (Fig.\u0026nbsp;\u003cspan refid=\"Fig6\" class=\"InternalRef\"\u003e6\u003c/span\u003eC-H, and Supplementary Fig.\u0026nbsp;5E-F). In addition, over-expression of FTO significantly decreased mRNA m\u003csup\u003e6\u003c/sup\u003eA levels of ephrin-A5 and ephrin-B2, with no significant effect on expression of ephrin-A4 (Fig.\u0026nbsp;\u003cspan refid=\"Fig6\" class=\"InternalRef\"\u003e6\u003c/span\u003eI). On the other hand, downregulation of FTO activity significantly decreased ephrin-A5 and ephrin-B2 levels, and increased mRNA m\u003csup\u003e6\u003c/sup\u003eA levels of ephrin-A5 and ephrin-B2 (Supplementary Fig.\u0026nbsp;5E-G). Notably, over-expression of FTO showed no effect on expression of other methylases (Supplementary Fig.\u0026nbsp;5H-K) implying that Mn affects expression of ephrins only by regulating FTO. These findings indicate that FTO inhibits expression of ephrin-A5 and ephrin-B2 after Mn exposure.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec11\" class=\"Section2\"\u003e \u003ch2\u003eRole of YTHDF2 on function of FTO in neurons\u003c/h2\u003e \u003cp\u003em\u003csup\u003e6\u003c/sup\u003eA regulates gene expression through YTH domain-containing family proteins [\u003cspan citationid=\"CR28\" class=\"CitationRef\"\u003e28\u003c/span\u003e]. In the present study, a gain function test was performed to explore mechanism of regulation of gene expression by Mn via determining m\u003csup\u003e6\u003c/sup\u003eA RNA methylation (Fig.\u0026nbsp;\u003cspan refid=\"Fig7\" class=\"InternalRef\"\u003e7\u003c/span\u003eA) of YTHDF1/2. Over-expression of YTHDF1 showed no effect on the mRNA levels of ephrin-A5 and ephrin-B2 in the control group and FTO over-expression cells (Fig.\u0026nbsp;\u003cspan refid=\"Fig7\" class=\"InternalRef\"\u003e7\u003c/span\u003eB-E). However, over-expression of YTHDF2 significantly decreased levels of ephrin-B2 in both control and FTO over-expression cells, with no significant effect on expression of ephrin-A5 (Fig.\u0026nbsp;\u003cspan refid=\"Fig7\" class=\"InternalRef\"\u003e7\u003c/span\u003eF-I). In addition, over-expression of FTO significantly increased the stability of ephrin-B2 mRNA (Fig.\u0026nbsp;\u003cspan refid=\"Fig7\" class=\"InternalRef\"\u003e7\u003c/span\u003eJ). Over-expression of YTHDF2 decreased the stability of ephrin-B2 mRNA (Fig.\u0026nbsp;\u003cspan refid=\"Fig7\" class=\"InternalRef\"\u003e7\u003c/span\u003eK). Immunofluorescence double staining of FTO and ephrin-B2 showed that Mn did not change the position of FTO and ephrin-B2. However, it decreased expression level of FTO and ephrin-B2. Notably, over-expression of FTO antagonized the effect of Mn (Fig.\u0026nbsp;\u003cspan refid=\"Fig7\" class=\"InternalRef\"\u003e7\u003c/span\u003eL). Grb4 and GIT1 are downstream target genes of ephrins, and play key roles in regulating axonal growth. The findings of the present study showed that Mn treatment decreased mRNA expression of Grb4 and GIT1 (Fig.\u0026nbsp;\u003cspan refid=\"Fig7\" class=\"InternalRef\"\u003e7\u003c/span\u003eM). Over-expression of FTO and activation of ephrin-B2 significantly increased expression of Grb4 and GIT1 (Fig.\u0026nbsp;\u003cspan refid=\"Fig7\" class=\"InternalRef\"\u003e7\u003c/span\u003eN-P). These findings show that YTHDF2 modulates expression of FTO target genes by mediating RNA decay.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec12\" class=\"Section2\"\u003e \u003ch2\u003eRole of FTO and ephrin-B2 in Mn-induced motor dysfunction\u003c/h2\u003e \u003cp\u003eThe relationship between ephin-B2 and FTO-mediated motor dysfunction was explored. Forced activation of ephrin-B2 in FTO gene suppressor mice significantly increased performance of mice in rotating rod, fatigue meter, open field and gait tests (Fig.\u0026nbsp;\u003cspan refid=\"Fig8\" class=\"InternalRef\"\u003e8\u003c/span\u003eA-D and Supplementary Fig.\u0026nbsp;6A-I). Similarly, forced activation of ephrin-B2 in FTO suppressor mice significantly alleviated Mn-induced striatal morphological and functional damage (Fig.\u0026nbsp;\u003cspan refid=\"Fig8\" class=\"InternalRef\"\u003e8\u003c/span\u003eE-J). In addition, forced activation of ephrin-B2 in FTO suppressor neuronal cells significantly improved Mn-induced nigro-striatal projection system damage (Fig.\u0026nbsp;\u003cspan refid=\"Fig8\" class=\"InternalRef\"\u003e8\u003c/span\u003eK-O). These findings show that ephrin-B2 is a potential target of FTO in the striatum. In summary, the findings of the current study indicate that FTO plays a critical role in inhibiting effect of ephrin-B2 in Mn induced nigro-striatal projection system dysfunction, implying that activation of FTO can promote expression of ephrin-B2 and then antagonize Mn-induced motor dysfunction.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003c/div\u003e"},{"header":"Disscussion","content":"\u003cp\u003ePD is a neurodegenerative disease characterized by bradykinesia. In the top 10 most populated countries in the world, the number of people with PD is projected to be between 8.7 and 9.3\u0026nbsp;million by 2030 [\u003cspan citationid=\"CR29\" class=\"CitationRef\"\u003e29\u003c/span\u003e]. Several studies report that PD is associated with disruptions in metallic ion homeostasis-mainly Mn [\u003cspan citationid=\"CR30\" class=\"CitationRef\"\u003e30\u003c/span\u003e, \u003cspan citationid=\"CR31\" class=\"CitationRef\"\u003e31\u003c/span\u003e]. High levels of Mn results in parkinsonian-like symptoms known as manganism. This is mainly because neurodegeneration in PD occurs mainly in the DA neurons of the substantia nigra whereas Mn toxicity affects striatum. Both types of damage can decrease DA levels [\u003cspan citationid=\"CR30\" class=\"CitationRef\"\u003e30\u003c/span\u003e, \u003cspan citationid=\"CR31\" class=\"CitationRef\"\u003e31\u003c/span\u003e]. Ephrins are important axon guidance molecules which play important roles in regulating motor function [\u003cspan citationid=\"CR32\" class=\"CitationRef\"\u003e32\u003c/span\u003e]. However, mechanisms of Mn in regulating motor function though axon guidance molecular ephrins has not been explored clearly.\u003c/p\u003e \u003cp\u003ePosttranscriptional regulation is implicated in axon guidance, and several RNA-binding proteins are involved in these mechanisms [\u003cspan citationid=\"CR13\" class=\"CitationRef\"\u003e13\u003c/span\u003e, \u003cspan citationid=\"CR33\" class=\"CitationRef\"\u003e33\u003c/span\u003e]. The findings of the current study show significant down-regulation of FTO in Mn treated group in a dose-dependent manner. FTO inhibits striatal nerve and motor dysfunction caused by manganism \u003cem\u003ein vivo.\u003c/em\u003e In addition, FTO inhibits toxicity of manganism cells \u003cem\u003ein vitro\u003c/em\u003e. Notably, at the molecular level, FTO over-expression decreases total RNA m\u003csup\u003e6\u003c/sup\u003eA level and upregulates key manganism inhibitory genes ephrin-A5 and ephrin-B2, and increases their mRNA stability. mRNA decay of ephrin-B2 gene in manganism cells is regulated by m\u003csup\u003e6\u003c/sup\u003eA reader YTHDF2. On the contrary, pretreatment with FTO selective inhibitor MA2 aggravates Mn-induced neurological dysfunction. FTO is the RNA demethylase of m\u003csup\u003e6\u003c/sup\u003eA [\u003cspan citationid=\"CR34\" class=\"CitationRef\"\u003e34\u003c/span\u003e], which has the opposite effect on the stability of mRNA. The findings of this study showed that regulation of ephrin-B2 is partly regulated through the m\u003csup\u003e6\u003c/sup\u003eA/YTHDF2 mechanism due to the following reasons: (1) FTO over-expression increased mRNA stability and level of ephrin-B2 gene, and decreased the abundance of m\u003csup\u003e6\u003c/sup\u003eA; (2) YTHDF2 and METTL3/14 over-expression decreased mRNA stability and level of ephrin-B2 gene, and reversed the effect of FTO over-expression. These findings imply that in Mn-induced parkinsonism, increase in m\u003csup\u003e6\u003c/sup\u003eA level leads to RNA degradation of ephrin-B2 gene through a YTHDF2-dependent mechanism. However, several other undiscovered additional effects of FTO-regulated demethylation should be explored.\u003c/p\u003e \u003cp\u003eMn neurotoxicity is correlated with impaired DA, glutamatergic and GABAergic transmission and neuroinflammation. Mn toxicity causes extrapyramidal motor dysfunction due to preferential accumulation of Mn in the striatum [\u003cspan citationid=\"CR35\" class=\"CitationRef\"\u003e35\u003c/span\u003e]. Previous studies report that ephrin signaling is important for normal connectivity and function of midbrain DA neurons [\u003cspan citationid=\"CR36\" class=\"CitationRef\"\u003e36\u003c/span\u003e, \u003cspan citationid=\"CR37\" class=\"CitationRef\"\u003e37\u003c/span\u003e]. To verify that the observed defects resulted from the loss of FTO and ephrin-B2 mainly in the striatum, the role of ephrin-B2 activation in the striatum of mice in improving motor dysfunction was explored. The findings showed that increase in expression level of ephrin-B2 significantly improved their motor function. On the contrary, pretreatment with MA2 damaged motor function. These findings imply that deregulation of FTO and ephrin-B2 are significant mechanisms underlying Mn-induced neurotoxicity in mice. Future studies should be conducted to further explore anti-Mn effect of ephin-B2.\u003c/p\u003e \u003cp\u003eStriatum is associated with several neurodegenerative diseases such as PD [\u003cspan citationid=\"CR38\" class=\"CitationRef\"\u003e38\u003c/span\u003e] and Huntington's Disease [\u003cspan citationid=\"CR39\" class=\"CitationRef\"\u003e39\u003c/span\u003e]. Effect of Mn linked on motor function in the striatum should be explored further. The findings of the current study show that Mn exposure causes pathological effects on the striatum characterized by cell loss, unusual shape and decrease in the number of neurons. These findings are consistent with previous findings by Song \u003cem\u003eet al\u003c/em\u003e [\u003cspan citationid=\"CR40\" class=\"CitationRef\"\u003e40\u003c/span\u003e]. The findings of the current study showed that increase in ephrin-B2 significantly alleviates neuropathological damage and ultrastructural changes caused by manganism. Notably, the neuropathological injury was severe in the MA2 pretreatment groups. These findings show the effects of FTO and ephin-B2 on ultrastructural changes of Mn-induced neurotoxicity. Studies report that axon guide molecules perform an important role in regulating synaptic formation. Notably, axon guide molecules determine the location of synapses and regulate neuronal function [\u003cspan additionalcitationids=\"CR42\" citationid=\"CR41\" class=\"CitationRef\"\u003e41\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR43\" class=\"CitationRef\"\u003e43\u003c/span\u003e]. In the current study, increased expression of ephrin-B2 antagonized Mn-induced dendritic spine density dysfunction. These findings show for the first time that ephin-B2 plays an important role in Mn-induced neuronal damage.\u003c/p\u003e \u003cp\u003eBrain DA neurons play important role in motor function control and related disorders by transmitting electrophysiological signals [\u003cspan additionalcitationids=\"CR45 CR46\" citationid=\"CR44\" class=\"CitationRef\"\u003e44\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR47\" class=\"CitationRef\"\u003e47\u003c/span\u003e]. In addition, spontaneous firing activity is responsible for placing baseline DA ranges in the striatum [\u003cspan citationid=\"CR48\" class=\"CitationRef\"\u003e48\u003c/span\u003e], which regulate cognitive and motor function [\u003cspan citationid=\"CR49\" class=\"CitationRef\"\u003e49\u003c/span\u003e, \u003cspan citationid=\"CR50\" class=\"CitationRef\"\u003e50\u003c/span\u003e]. Therefore, determinants of the spontaneous firing activity \u003cem\u003ein vivo\u003c/em\u003e play important roles in regulation of DA signaling and motor function. Notably, Mn-induced disappearance of spontaneous discharge was improved by ephrin-B2 activation. Spontaneous discharge frequency was damaged in MA2 pretreatment groups. These findings indicate a novel mechanism for Mn regulation of spontaneous firing rate of DA neurons in manganism.\u003c/p\u003e \u003cp\u003eMn induced Parkinsonism is mainly caused by decrease in DA content in the striatum [\u003cspan citationid=\"CR12\" class=\"CitationRef\"\u003e12\u003c/span\u003e]. DA is derived from release of DA neurons from the substantia nigra after projecting to the striatum. This pathway is known as the nigro-striatal projection pathway of DA neurons [\u003cspan citationid=\"CR51\" class=\"CitationRef\"\u003e51\u003c/span\u003e]. To explore the effect of Mn exposure on snigro-striatal projection system, FG labeling, immunofluorescence triple staining of TH, DARPP32 and DAT, DA levels and neuronal axons growth were determined to evaluate the survival rate of nigro-striatal neurons. The findings showed that Mn treatment significantly damaged the nigro-striatal projection system, whereas re-expression of FTO and ephrin-B2 significantly increased survival rate of the projection neurons. Notably, substantia-striatal projection system was severely damaged after inhibition of FTO activity. These findings show that down-regulation of FTO and ephrin-B2 significantly affect morphology and function of the nigro-striatal projection system, implying that FTO mediated axon guidance promotes Mn-induced dysfunction of the nigro-striatal projection system, resulting in the failure of DA to be transmitted to the striatum, which may eventually cause striatal motor dysfunction.\u003c/p\u003e"},{"header":"Conclusions","content":"\u003cp\u003eIn summary, the findings of the current study show that FTO over-expression inhibits Mn-induced parkinsonism and promotes expression of ephrin-B2 gene, partially through inhibits ephrin-B2 mRNA degradation, which is mediated by YTHDF2. In addition, promoting the expression of ephrin-B2 antagonizes Mn-induced parkinsonism in mice. These findings provide a basis to explore the specific mechanisms of Mn-induced motor dysfunction and provides a novel approach for treatment of Mn-induced parkinsonism.\u003c/p\u003e"},{"header":"Abbreviations","content":"\u003cdiv class=\"DefinitionList\"\u003e \u003cdiv class=\"DefinitionListEntry\"\u003e \u003cdiv class=\"Term\"\u003e\u003c/div\u003e \u003cdiv class=\"Description\"\u003e \u003cp\u003eAAV5: adeno-associated virus 5; ALKBH5:α-ketoglutarate-dependent dioxygenase alkB homolog 5; CCK-8:Cell Counting Kit-8; CNS:central nervous system; DA:dopamine; DAPI:2-(4-Amidinophenyl)-6-indolecarbamidine dihydrochloride; DARPP32:Dopamine- and cAMP-regulated neuronal phosphoprotein 32 kDa; DAT:dopamine transporter; DMEM:Dulbecco\u0026rsquo;s modified Eagle\u0026rsquo;s medium; ELISA:Enzyme-linked immunosorbent assay; ephrins:erythropoietin-producing hepatocyte receptor-interacting proteins; FBS:fetal bovine serum; FG:Fluoro-Gold; FTO:fat mass and obesity-associated protein; HE:Hematoxylin and eosin; HRP:Horseradish peroxidase; ICP-MS:inductively coupled plasma mass spectrometry; i.p:intraperitoneal; m\u003csup\u003e6\u003c/sup\u003eA:N\u003csup\u003e6\u003c/sup\u003e-methyladenosine; MA2:Ethyl ester derivative of MA; mACSF:modified artificial cerebrospinal fluid; METTL3:methyltransferase like 3; MnCl\u003csub\u003e2\u003c/sub\u003e:Manganese chloride; Mn:Manganese; NC:negative control; OE:over-expression; PBS:phosphate buffered solution; PD:Parkinson's disease; PVDF:polyvinylidene difluoride; RT-qPCR:Real-time quantitative PCR; s.c:subcutaneous; TH:tyrosine hydroxylase; YTHDF1/2:YT521-B homology domain family proteins 1/2\u003c/p\u003e \u003c/div\u003e \u003c/div\u003e \u003c/div\u003e"},{"header":"Declarations","content":"\u003cp\u003e\u003cstrong\u003eAvailability of data and material\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAll data generated or analyzed during this study are included in this published article.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eFunding\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eWe gratefully acknowledge funding from the Natural Science Foundation of Liaoning Province [2020-MS-152], the Basic Research Fund of Young Program of Higher Education of Liaoning Province (Grant No. QNK201735), and the Funds for Distinguished Young Scientists in School of Public Health, China Medical University.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAuthors\u0026apos; contributions\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eEach author notably contributed to the article. Zhipeng Qi: design and draft the article; Jiashuo Li, Ke Zhang, Yanan, Liu, Xinxin Yang, Minghui Li, Xianchao Du, Lei Zhang, Yi Wen, Bin Xu, Wei Liu, and Zhaofa Xu: revise the manuscript; Yu Deng: conception, design, and revise it severely for essential intellectual content, and final approval of the version to be published. All authors read and permitted the final version of the manuscript.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAcknowledgements\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eWe would like to acknowledge Hui Yuan, Fengdi Wu, Haiying Wang, Bingchen Liu, Shuang Wang, Xuda Liu, Rong Cui, Binbin Liu, Tingwei Pan and Miaoling Wu for their valuable advices.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eCompeting interests\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe authors declare that they have no competing interests.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAuthor details\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u003csup\u003e1\u003c/sup\u003eDepartment of Environmental Health, School of Public Health, China Medical University, Puhe Road, ShenBei New Area, Shenyang, Liaoning 110122, People\u0026rsquo;s Republic of China. \u003csup\u003e2\u003c/sup\u003eDepartment of Developmental Cell Biology, Key Laboratory of Cell Biology, Ministry of Public Health, Key Laboratory of Medical Cell Biology, Ministry of Education, China Medical University, Puhe Road, ShenBei New Area, Shenyang, Liaoning 110122, People\u0026rsquo;s Republic of China. \u003csup\u003e3\u003c/sup\u003eDepartment of Preventive Health, Zhuhai People\u0026apos;s Hospital, Kangning Road, Xiangzhou Area, Zhuhai, Guangdong, 519070, People\u0026apos;s Republic of China.\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\u003cli\u003e\u003cspan\u003eKalia LV, Lang AE. Parkinson's disease. Lancet. 2015;386(9996):896\u0026ndash;912.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eLi G, Ma J, Cui S, He Y, Xiao Q, Liu J, et al. Parkinson's disease in China: a forty-year growing track of bedside work. Transl Neurodegener. 2019;8:22.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eLauretti E, Di Meco A, Merali S, Pratico D. Circadian rhythm dysfunction: a novel environmental risk factor for Parkinson's disease. Mol Psychiatry. 2017;22(2):280\u0026ndash;6.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eGorell JM, Johnson CC, Rybicki BA, Peterson EL, Kortsha GX, Brown GG, et al. Occupational exposure to manganese, copper, lead, iron, mercury and zinc and the risk of Parkinson's disease. Neurotoxicology. 1999;20(2\u0026ndash;3):239\u0026ndash;47.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eHorning KJ, Caito SW, Tipps KG, Bowman AB, Aschner M. Manganese Is Essential for Neuronal Health. Annu Rev Nutr. 2015;35:71\u0026ndash;108.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eGuilarte TR. Manganese and Parkinson's disease: a critical review and new findings. Environ Health Perspect. 2010;118(8):1071\u0026ndash;80.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eVijayan B, Raj V, Nandakumar S, Kishore A, Thekkuveettil A. Spermine protects alpha-synuclein expressing dopaminergic neurons from manganese-induced degeneration. Cell Biol Toxicol. 2019;35(2):147\u0026ndash;59.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eRacette BA, Searles NS, Criswell SR, Sheppard L, Seixas N, Warden MN, et al. Dose-dependent progression of parkinsonism in manganese-exposed welders. Neurology. 2017;88(4):344\u0026ndash;51.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003ePajarillo E, Johnson JJ, Kim J, Karki P, Son DS, Aschner M, et al. 17beta-estradiol and tamoxifen protect mice from manganese-induced dopaminergic neurotoxicity. Neurotoxicology. 2018;65:280\u0026ndash;8.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eYang X, Yang H, Wu F, Qi Z, Li J, Xu B, et al. Mn Inhibits GSH Synthesis via Downregulation of Neuronal EAAC1 and Astrocytic xCT to Cause Oxidative Damage in the Striatum of Mice. Oxid Med Cell Longev. 2018;2018:4235695.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eCriswell SR, Warden MN, Searles NS, Perlmutter JS, Moerlein SM, Sheppard L, et al. Selective D2 receptor PET in manganese-exposed workers. Neurology. 2018;91(11):e1022\u0026ndash;30.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003ePeneder TM, Scholze P, Berger ML, Reither H, Heinze G, Bertl J, et al. Chronic exposure to manganese decreases striatal dopamine turnover in human alpha-synuclein transgenic mice. Neuroscience. 2011;180:280\u0026ndash;92.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eZhuang M, Li X, Zhu J, Zhang J, Niu F, Liang F, et al. The m6A reader YTHDF1 regulates axon guidance through translational control of Robo3.1 expression. Nucleic Acids Res. 2019;47(9):4765\u0026ndash;77.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eSoleilhavoup C, Travaglio M, Patrick K, Garcao P, Boobalan E, Adolfs Y, et al. Nolz1 expression is required in dopaminergic axon guidance and striatal innervation. Nat Commun. 2020;11(1):3111.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eLivesey FJ, Hunt SP. Netrin and netrin receptor expression in the embryonic mammalian nervous system suggests roles in retinal, striatal, nigral, and cerebellar development. Mol Cell Neurosci. 1997;8(6):417\u0026ndash;29.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eSeiradake E, Jones EY, Klein R. Structural Perspectives on Axon Guidance. Annu Rev Cell Dev Biol. 2016;32:577\u0026ndash;608.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eBrambilla R, Bruckner K, Orioli D, Bergemann AD, Flanagan JG, Klein R. Similarities and differences in the way transmembrane-type ligands interact with the Elk subclass of Eph receptors. Mol Cell Neurosci. 1996;8(2\u0026ndash;3):199\u0026ndash;209.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eSieber BA, Kuzmin A, Canals JM, Danielsson A, Paratcha G, Arenas E, et al. Disruption of EphA/ephrin-a signaling in the nigrostriatal system reduces dopaminergic innervation and dissociates behavioral responses to amphetamine and cocaine. Mol Cell Neurosci. 2004;26(3):418\u0026ndash;28.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eLiu J, Harada BT, He C. Regulation of Gene Expression by N(6)-methyladenosine in Cancer. Trends Cell Biol. 2019;29(6):487\u0026ndash;99.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eYu J, Chen M, Huang H, Zhu J, Song H, Zhu J, et al. Dynamic m6A modification regulates local translation of mRNA in axons. Nucleic Acids Res. 2018;46(3):1412\u0026ndash;23.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eYue Y, Liu J, He C. RNA N6-methyladenosine methylation in post-transcriptional gene expression regulation. Genes Dev. 2015;29(13):1343\u0026ndash;55.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eJia G, Fu Y, Zhao X, Dai Q, Zheng G, Yang Y, et al. N6-methyladenosine in nuclear RNA is a major substrate of the obesity-associated FTO. Nat Chem Biol. 2011;7(12):885\u0026ndash;7.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eZhang L, Cheng Y, Xue Z, Li J, Wu N, Yan J, et al. Sevoflurane impairs m6A-mediated mRNA translation and leads to fine motor and cognitive deficits. Cell Biol Toxicol. 2021.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eWeng YL, Wang X, An R, Cassin J, Vissers C, Liu Y, et al. Epitranscriptomic m(6)A Regulation of Axon Regeneration in the Adult Mammalian Nervous System. Neuron. 2018;97(2):313\u0026ndash;25.e6.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eRichard EM, Polla DL, Assir MZ, Contreras M, Shahzad M, Khan AA, et al. Bi-allelic Variants in METTL5 Cause Autosomal-Recessive Intellectual Disability and Microcephaly. Am J Hum Genet. 2019;105(4):869\u0026ndash;78.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eHess ME, Hess S, Meyer KD, Verhagen LA, Koch L, Bronneke HS, et al. The fat mass and obesity associated gene (Fto) regulates activity of the dopaminergic midbrain circuitry. Nat Neurosci. 2013;16(8):1042\u0026ndash;8.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eSoleilhavoup C, Travaglio M, Patrick K, Garcao P, Boobalan E, Adolfs Y, et al. Nolz1 expression is required in dopaminergic axon guidance and striatal innervation. Nat Commun. 2020;11(1):3111.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eDominissini D, Moshitch-Moshkovitz S, Schwartz S, Salmon-Divon M, Ungar L, Osenberg S, et al. Topology of the human and mouse m6A RNA methylomes revealed by m6A-sEq. Nature. 2012;485(7397):201\u0026ndash;6.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eDorsey ER, Constantinescu R, Thompson JP, Biglan KM, Holloway RG, Kieburtz K, et al. Projected number of people with Parkinson disease in the most populous nations, 2005 through 2030. Neurology. 2007;68(5):384\u0026ndash;6.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eSun Y, He Y, Yang L, Liang D, Shi W, Zhu X, et al. Manganese induced nervous injury by alpha-synuclein accumulation via ATP-sensitive K(+) channels and GABA receptors. Toxicol Lett. 2020;332:164\u0026ndash;70.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eLu X, Kim-Han JS, Harmon S, Sakiyama-Elbert SE, O'Malley KL. The Parkinsonian mimetic, 6-OHDA, impairs axonal transport in dopaminergic axons. Mol Neurodegener. 2014;9:17.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eLahaie S, Morales D, Bagci H, Hamoud N, Castonguay CE, Kazan JM, et al. The endosomal sorting adaptor HD-PTP is required for ephrin-B:EphB signalling in cellular collapse and spinal motor axon guidance. Sci Rep. 2019;9(1):11945.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003ePreitner N, Quan J, Li X, Nielsen FC, Flanagan JG. IMP2 axonal localization, RNA interactome, and function in the development of axon trajectories. Development. 2016;143(15):2753\u0026ndash;9.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eNiu Y, Lin Z, Wan A, Chen H, Liang H, Sun L, et al. RNA N6-methyladenosine demethylase FTO promotes breast tumor progression through inhibiting BNIP3. Mol Cancer. 2019;18(1):46.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eDeng Y, Jiao C, Mi C, Xu B, Li Y, Wang F, et al. Melatonin inhibits manganese-induced motor dysfunction and neuronal loss in mice: involvement of oxidative stress and dopaminergic neurodegeneration. Mol Neurobiol. 2015;51(1):68\u0026ndash;88.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eSun JH, Gao Q, Zhang J, Bao LH, Dong HM, Liang N, et al. Ephrinb3 induces mesostriatal dopaminergic projection to the striatum. Biochem Biophys Res Commun. 2010;400(2):194\u0026ndash;9.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eWang T, Chen J, Tang CX, Zhou XY, Gao DS. Inverse Expression Levels of EphrinA3 and EphrinA5 Contribute to Dopaminergic Differentiation of Human SH-SY5Y Cells. J Mol Neurosci. 2016;59(4):483\u0026ndash;92.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eKetzef M, Spigolon G, Johansson Y, Bonito-Oliva A, Fisone G, Silberberg G. Dopamine Depletion Impairs Bilateral Sensory Processing in the Striatum in a Pathway-Dependent Manner. Neuron. 2017;94(4):855\u0026ndash;65.e5.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eCherubini M, Lopez-Molina L, Gines S. Mitochondrial fission in Huntington's disease mouse striatum disrupts ER-mitochondria contacts leading to disturbances in Ca(2+) efflux and Reactive Oxygen Species (ROS) homeostasis. Neurobiol Dis. 2020;136:104741.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eSong Q, Deng Y, Yang X, Bai Y, Xu B, Liu W, et al. Manganese-Disrupted Interaction of Dopamine D1 and NMDAR in the Striatum to Injury Learning and Memory Ability of Mice. Mol Neurobiol. 2016;53(10):6745\u0026ndash;58.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eFrei JA, Stoeckli ET. SynCAMs - From axon guidance to neurodevelopmental disorders. Mol Cell Neurosci. 2017;81:41\u0026ndash;8.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eVarshney A, Benedetti K, Watters K, Shankar R, Tatarakis D, Coto VD, et al. The receptor protein tyrosine phosphatase CLR-1 is required for synaptic partner recognition. Plos Genet. 2018;14(5):e1007312.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eStanic K, Saldivia N, Forstera B, Torrejon M, Montecinos H, Caprile T. Expression Patterns of Extracellular Matrix Proteins during Posterior Commissure Development. Front Neuroanat. 2016;10:89.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eKriks S, Shim JW, Piao J, Ganat YM, Wakeman DR, Xie Z, et al. Dopamine neurons derived from human ES cells efficiently engraft in animal models of Parkinson's disease. Nature. 2011;480(7378):547\u0026ndash;51.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eBranch SY, Chen C, Sharma R, Lechleiter JD, Li S, Beckstead MJ. Dopaminergic Neurons Exhibit an Age-Dependent Decline in Electrophysiological Parameters in the MitoPark Mouse Model of Parkinson's Disease. J Neurosci. 2016;36(14):4026\u0026ndash;37.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eStamatakis AM, Jennings JH, Ung RL, Blair GA, Weinberg RJ, Neve RL, et al. A unique population of ventral tegmental area neurons inhibits the lateral habenula to promote reward. Neuron. 2013;80(4):1039\u0026ndash;53.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003ePicconi B, De Leonibus E, Calabresi P. Synaptic plasticity and levodopa-induced dyskinesia: electrophysiological and structural abnormalities. J Neural Transm (Vienna). 2018;125(8):1263\u0026ndash;71.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eMeza RC, Lopez-Jury L, Canavier CC, Henny P. Role of the Axon Initial Segment in the Control of Spontaneous Frequency of Nigral Dopaminergic Neurons In Vivo. J Neurosci. 2018;38(3):733\u0026ndash;44.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eEngelhard B, Finkelstein J, Cox J, Fleming W, Jang HJ, Ornelas S, et al. Specialized coding of sensory, motor and cognitive variables in VTA dopamine neurons. Nature. 2019;570(7762):509\u0026ndash;13.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eMckinley JW, Shi Z, Kawikova I, Hur M, Bamford IJ, Sudarsana DS, et al. Dopamine Deficiency Reduces Striatal Cholinergic Interneuron Function in Models of Parkinson's Disease. Neuron. 2019;103(6):1056\u0026ndash;72.e6.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eKoutzoumis DN, Vergara M, Pino J, Buddendorff J, Khoshbouei H, Mandel RJ, et al. Alterations of the gut microbiota with antibiotics protects dopamine neuron loss and improve motor deficits in a pharmacological rodent model of Parkinson's disease. Exp Neurol. 2020;325:113159.\u003c/span\u003e\u003c/li\u003e\u003c/ol\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":true,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"Manganese, Parkinsonism, FTO, ephrin-B2, m6A, YTHDF2","lastPublishedDoi":"10.21203/rs.3.rs-710184/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-710184/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003ch2\u003eBackground\u003c/h2\u003e \u003cp\u003eParkinson's disease (PD) is a neurodegenerative disease caused by environmental and genetic factors. Manganese (Mn) exposure is a major environmental cause of PD. Cellular and molecular mechanism of Parkinsonism caused by Mn has not been explored clearly. In addition, patients with Mn-induced Parkinsonism show poor therapeutic response to levodopa. Therefore, there is need to explore the mechanisms underlying neurotoxicity of Mn exposure.\u003c/p\u003e\u003ch2\u003eMethods\u003c/h2\u003e \u003cp\u003eIn short, we used SH-SY5Y cells and C57BL/6 mice to characterize Mn-induced Parkinsonism. We measured the behavioral, histological, ultrastructural and nigro-striatal projection system changes, cell viability, axon growth, and other target indicator levels, which led to the discovery of a novel mechanism of Mn-induced neurotoxicity.\u003c/p\u003e\u003ch2\u003eResults\u003c/h2\u003e \u003cp\u003eThe findings of the current study showed that inhibition of fat mass and obesity-associated protein (FTO)-mediated demethylation of N\u003csup\u003e6\u003c/sup\u003e-methyladenosine (m\u003csup\u003e6\u003c/sup\u003eA) mRNA aggravates Mn-induced motor dysfunction. Notably, FTO level is low in Mn exposure model mice and enhances occurrence of dyskinesia in mice. Over-expression of FTO reduces m\u003csup\u003e6\u003c/sup\u003eA methylation in the key axon guiding molecules of nigro-striatal projection system, including ephrin-A5 and ephrin-B2. It increases ephrin-B2 mRNA decay through the m\u003csup\u003e6\u003c/sup\u003eA reader YT521-B homology domain family proteins 2 (YTHDF2).\u003c/p\u003e\u003ch2\u003eConclusions\u003c/h2\u003e \u003cp\u003eThe findings of this study show that FTO, a m\u003csup\u003e6\u003c/sup\u003eA demethylase, performs an indispensable function in Mn-induced Parkinsonism. Notably, re-expression of FTO and ephrin-B2 improved motor dysfunction after Mn exposure.\u003c/p\u003e","manuscriptTitle":"Protective role of mRNA demethylase FTO on axon guiding molecules of nigro-striatal projection system in manganese-induced Parkinsonism","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2021-07-19 15:01:08","doi":"10.21203/rs.3.rs-710184/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"662bc76c-f266-48bd-9e74-d5316fa0c696","owner":[],"postedDate":"July 19th, 2021","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[{"id":5806151,"name":"Neurology"},{"id":5806152,"name":"Structural Biology"},{"id":5806153,"name":"Preventive Medicine"}],"tags":[],"updatedAt":"2021-07-28T22:09:35+00:00","versionOfRecord":[],"versionCreatedAt":"2021-07-19 15:01:08","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-710184","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-710184","identity":"rs-710184","version":["v1"]},"buildId":"J0_U0BvcaRcwD8yVFaRlm","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}