Staphylococcus aureus-Induced Degeneration of Nociceptive Neurons in Caenorhabditis elegans

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Abstract

Background: In all animals, the nervous system senses microbial signals to influence host defense. Despite emerging as important sensors of infection to regulate immunity and inflammation, the mechanisms by which pain-sensing nociceptor neurons can detect infections are poorly defined. Using C. elegans as a tractable model host that shares many features with mammalian systems, we investigated nociceptor function during bacterial infection. Results In vivo intracellular Ca2+ imaging of nociceptor ASH neurons revealed a drastic reduction in ASH responses to aversive stimuli in Staphylococcus aureus-infected animals compared to noninfected controls. Morphological examination showed that the ASH neurons lost integrity in the sensory processes that extend to the mouth, in a pathogen growth phase-dependent manner. Neighboring neurons did not exhibit this pathogen-induced neurodegeneration (PaIN) phenotype. Genetic analysis suggested that apoptosis, necrosis, ferroptosis, and autophagy are dispensable for the PaIN phenotype. In contrast, loss of the evolutionarily conserved stress-response transcription factor HLH-30/TFEB reduced the penetrance of ASH PaIN by about 50%. Moreover, infected animals showed defective ASH-mediated evasive behaviors, suggesting that the S. aureus-triggered drop in ASH activation and morphological degeneration are physiologically relevant. Conclusions Collectively, these findings reveal that nociceptor neurons lose functional and morphological integrity during infection with S. aureus, with severe consequences for animal behavior. Because S. aureus is a critical human pathogen, the induction of nociceptor PaIN may have important implications for human health.
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Staphylococcus aureus-Induced Degeneration of Nociceptive Neurons in Caenorhabditis elegans | bioRxiv /* */ /* */ <!-- <!-- /*! * yepnope1.5.4 * (c) WTFPL, GPLv2 */ (function(a,b,c){function d(a){return"[object Function]"==o.call(a)}function e(a){return"string"==typeof a}function f(){}function g(a){return!a||"loaded"==a||"complete"==a||"uninitialized"==a}function h(){var a=p.shift();q=1,a?a.t?m(function(){("c"==a.t?B.injectCss:B.injectJs)(a.s,0,a.a,a.x,a.e,1)},0):(a(),h()):q=0}function i(a,c,d,e,f,i,j){function k(b){if(!o&&g(l.readyState)&&(u.r=o=1,!q&&h(),l.onload=l.onreadystatechange=null,b)){"img"!=a&&m(function(){t.removeChild(l)},50);for(var d in y[c])y[c].hasOwnProperty(d)&&y[c][d].onload()}}var j=j||B.errorTimeout,l=b.createElement(a),o=0,r=0,u={t:d,s:c,e:f,a:i,x:j};1===y[c]&&(r=1,y[c]=[]),"object"==a?l.data=c:(l.src=c,l.type=a),l.width=l.height="0",l.onerror=l.onload=l.onreadystatechange=function(){k.call(this,r)},p.splice(e,0,u),"img"!=a&&(r||2===y[c]?(t.insertBefore(l,s?null:n),m(k,j)):y[c].push(l))}function j(a,b,c,d,f){return q=0,b=b||"j",e(a)?i("c"==b?v:u,a,b,this.i++,c,d,f):(p.splice(this.i++,0,a),1==p.length&&h()),this}function k(){var a=B;return a.loader={load:j,i:0},a}var l=b.documentElement,m=a.setTimeout,n=b.getElementsByTagName("script")[0],o={}.toString,p=[],q=0,r="MozAppearance"in l.style,s=r&&!!b.createRange().compareNode,t=s?l:n.parentNode,l=a.opera&&"[object Opera]"==o.call(a.opera),l=!!b.attachEvent&&!l,u=r?"object":l?"script":"img",v=l?"script":u,w=Array.isArray||function(a){return"[object Array]"==o.call(a)},x=[],y={},z={timeout:function(a,b){return b.length&&(a.timeout=b[0]),a}},A,B;B=function(a){function b(a){var a=a.split("!"),b=x.length,c=a.pop(),d=a.length,c={url:c,origUrl:c,prefixes:a},e,f,g;for(f=0;f<d;f++)g=a[f].split("="),(e=z[g.shift()])&&(c=e(c,g));for(f=0;f<b;f++)c=x[f](c);return c}function g(a,e,f,g,h){var i=b(a),j=i.autoCallback;i.url.split(".").pop().split("?").shift(),i.bypass||(e&&(e=d(e)?e:e[a]||e[g]||e[a.split("/").pop().split("?")[0]]),i.instead?i.instead(a,e,f,g,h):(y[i.url]?i.noexec=!0:y[i.url]=1,f.load(i.url,i.forceCSS||!i.forceJS&&"css"==i.url.split(".").pop().split("?").shift()?"c":c,i.noexec,i.attrs,i.timeout),(d(e)||d(j))&&f.load(function(){k(),e&&e(i.origUrl,h,g),j&&j(i.origUrl,h,g),y[i.url]=2})))}function h(a,b){function c(a,c){if(a){if(e(a))c||(j=function(){var a=[].slice.call(arguments);k.apply(this,a),l()}),g(a,j,b,0,h);else if(Object(a)===a)for(n in m=function(){var b=0,c;for(c in a)a.hasOwnProperty(c)&&b++;return b}(),a)a.hasOwnProperty(n)&&(!c&&!--m&&(d(j)?j=function(){var a=[].slice.call(arguments);k.apply(this,a),l()}:j[n]=function(a){return function(){var b=[].slice.call(arguments);a&&a.apply(this,b),l()}}(k[n])),g(a[n],j,b,n,h))}else!c&&l()}var h=!!a.test,i=a.load||a.both,j=a.callback||f,k=j,l=a.complete||f,m,n;c(h?a.yep:a.nope,!!i),i&&c(i)}var i,j,l=this.yepnope.loader;if(e(a))g(a,0,l,0);else if(w(a))for(i=0;i (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];var j=d.createElement(s);var dl=l!='dataLayer'?'&l='+l:'';j.src='//www.googletagmanager.com/gtm.js?id='+i+dl;j.type='text/javascript';j.async=true;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-M677548'); Skip to main content Home About Submit ALERTS / RSS Search for this keyword Advanced Search New Results Staphylococcus aureus -Induced Degeneration of Nociceptive Neurons in Caenorhabditis elegans Elizabeth M. DiLoreto , View ORCID Profile Xavier Gonzalez , Khursheed A. Wani , Jiali Shen , View ORCID Profile Javier E. Irazoqui , View ORCID Profile Jagan Srinivasan doi: https://doi.org/10.1101/2025.05.01.651706 Elizabeth M. DiLoreto 1 Department of Biology and Biotechnology, Worcester Polytechnic Institute , Worcester, MA, United States Find this author on Google Scholar Find this author on PubMed Search for this author on this site Xavier Gonzalez 2 Department of Microbiology, UMass Chan Medical School , Worcester, MA, United States Find this author on Google Scholar Find this author on PubMed Search for this author on this site ORCID record for Xavier Gonzalez Khursheed A. Wani 2 Department of Microbiology, UMass Chan Medical School , Worcester, MA, United States Find this author on Google Scholar Find this author on PubMed Search for this author on this site Jiali Shen 2 Department of Microbiology, UMass Chan Medical School , Worcester, MA, United States Find this author on Google Scholar Find this author on PubMed Search for this author on this site Javier E. Irazoqui 2 Department of Microbiology, UMass Chan Medical School , Worcester, MA, United States Find this author on Google Scholar Find this author on PubMed Search for this author on this site ORCID record for Javier E. Irazoqui For correspondence: jsrinivasan{at}wpi.edu Jagan Srinivasan 1 Department of Biology and Biotechnology, Worcester Polytechnic Institute , Worcester, MA, United States 3 Neuroscience Program, Worcester Polytechnic Institute , Worcester, MA, United States Find this author on Google Scholar Find this author on PubMed Search for this author on this site ORCID record for Jagan Srinivasan For correspondence: jsrinivasan{at}wpi.edu Abstract Full Text Info/History Metrics Supplementary material Preview PDF Abstract Background In all animals, the nervous system senses microbial signals to influence host defense. Despite emerging as important sensors of infection to regulate immunity and inflammation, the mechanisms by which pain-sensing nociceptor neurons can detect infections are poorly defined. Using C. elegans as a tractable model host that shares many features with mammalian systems, we investigated nociceptor function during bacterial infection. Results In vivo intracellular Ca 2+ imaging of nociceptor ASH neurons revealed a drastic reduction in ASH responses to aversive stimuli in Staphylococcus aureus- infected animals compared to noninfected controls. Morphological examination showed that the ASH neurons lost integrity in the sensory processes that extend to the mouth, in a pathogen growth phase-dependent manner. Neighboring neurons did not exhibit this pathogen-induced neurodegeneration (PaIN) phenotype. Genetic analysis suggested that apoptosis, necrosis, ferroptosis, and autophagy are dispensable for the PaIN phenotype. In contrast, loss of the evolutionarily conserved stress-response transcription factor HLH-30/TFEB reduced the penetrance of ASH PaIN by about 50%. Moreover, infected animals showed defective ASH-mediated evasive behaviors, suggesting that the S. aureus- triggered drop in ASH activation and morphological degeneration are physiologically relevant. Conclusions Collectively, these findings reveal that nociceptor neurons lose functional and morphological integrity during infection with S. aureus, with severe consequences for animal behavior. Because S. aureus is a critical human pathogen, the induction of nociceptor PaIN may have important implications for human health. Background Host-pathogen interactions are complex biological processes that engage multiple systems within an organism. Emerging evidence highlights the critical role of the nervous system in pathogen detection and immune regulation ( 1 ). Nociceptor neurons, specialized sensory neurons that detect noxious stimuli, have been implicated in sensing various pathogens and modulating inflammatory responses during infection ( 2 ). Nociceptive neurons have also been activated in the response to urinary tract infections caused by Escherichia coli in mice ( 3 ). Despite these advances in understanding how the nervous system orchestrates host responses and inflammation through nociceptor neurons, how pathogens influence the function of nociceptors remain poorly understood. The genetic tractability of Caenorhabditis elegans , combined with its transparent body and simple nervous system, allows for precise manipulation and real-time visualization of neuronal activity during host-pathogen interactions, making it powerful model for elucidating neuro-immune communication. Many mechanisms of C. elegans neuronal function are conserved in mammals ( 4 ). Research using C. elegans has illuminated nervous system-mediated host defense through behavioral and molecular strategies. Behavioral defense encompasses pathogen avoidance strategies, where sensory neurons detect microbial cues and trigger evasive locomotion patterns to minimize pathogen exposure ( 5 ). These neural responses as a result of bacterial infection have also exhibited pathogen and neuron specific impacts ( 6 ). Molecular defense involves the activation of innate immune host defense genes, including the production of antimicrobial peptides that directly combat pathogens in the intestinal epithelium, and cytoprotective factors that repair the cellular damage caused by infection ( 7 – 11 ). Researchers have found that amphid neurons, located in the head of C. elegans , play a role in both behavioral and molecular host defense responses ( 7 , 12 ). We previously showed that the muscarinic-Wnt signaling cascade is a key pathway in C. elegans host defense against infection ( 8 ). Upon intestinal colonization by the human pathogenic bacterium Staphylococcus aureus , C. elegans exhibits increased acetylcholine signaling, which activates the Wnt signaling pathway in intestinal epithelial cells through muscarinic acetylcholine receptors ( 8 ). Wnt signaling leads to the production of antimicrobial peptides such as CLEC-60, a C-type lectin that is functionally analogous to mammalian antimicrobial C-type lectins ( 8 , 13 ). In C. elegans, only neurons synthesize and release acetylcholine, implicating the nervous system in the host response during S. aureus infection ( 14 ). Although the downstream components of the cholinergic Wnt pathway are better understood, the upstream neuronal circuits that trigger the initial cholinergic response remain unidentified. Understanding these upstream neuronal pathways is crucial for elucidating how the nervous system integrates pathogen detection with the activation of appropriate behavioral and molecular host defense mechanisms and may provide insights into conserved neuro-immune interactions across species. ASH (Amphid Single Cilium H, left/right pair) neurons in C. elegans are polymodal nociceptors that respond to a diverse array of aversive stimuli, including strong mechanical stress, osmotic shock, chemical repellents, and pH changes ( 15 – 19 ). These bilaterally symmetric sensory neurons project dendrites to openings near the mouth, allowing direct contact with the external environment, and have cell bodies positioned in the head near the nerve ring ( 15 , 20 ). ASH neurons have been shown to have distinct roles in mediating pathogen innate immunity during bacterial infection ( 5 ). ASH-ablated animals have increased innate host defense gene expression and increased survival during Pseudomonas aeruginosa infection, suggesting that ASH normally repress innate immune expression; however, the bacterial-sensing mechanisms have not been elucidated. Additional research has shown that in response to different pathogens, sensory neurons can each play a different role in sensation and survival ( 6 ). Forced ASH depolarization has been shown to evoke acetylcholine (ACh) release, suggesting that ASH might be able to sense S. aureus infection and trigger ACh release for Wnt pathway activation ( 8 ). ( 21 ). In this study, we investigated the role of ASH neurons in C. elegans behavioral host defense against S. aureus infection by combining calcium imaging, genetic ablation, and behavioral assays. We demonstrate that infection leads to a rapid inhibition of ASH neuronal activity within 3 hours, followed by progressive neurodegeneration characterized by structural abnormalities in sensory dendrites. This pathogen-induced neurodegeneration (PaIN) is specific to ASH neurons and not observed in neighboring sensory neurons under identical conditions. Furthermore, we show that PaIN is independent of major cell death pathways but requires the transcription factor HLH-30/TFEB. HLH-30/TFEB is a master regulator of autophagy and lysosomal biogenesis that is also critical for the induction of molecular host defense in C. elegans and mammals ( 22 ). Thus, our findings suggest that HLH-30/TFEB plays an important role during S. aureus infection in ASH neurodegeneration. Furthermore, we find that infection impairs ASH-dependent aversive behaviors, suggesting that ASH inhibition and PaIN by S. aureus have important physiological consequences. These findings provide important insights into how bacterial pathogens can modify a host’s behavior by inducing the degeneration of nociceptor neuron form and function. Materials and Methods Strains, media, and culture conditions C. elegans strains were maintained on 60 mm petri dishes containing 10 mL of nematode-growth media (NGM: 51 mM NaCl, 10 mM peptone, 51 mM agar, 1 mM CaCl 2 , 1 mM MgSO 4 , 25 mM KPO 4 (pH 6.0), 13 µM Cholesterol) plates seeded with E. coli OP50 at 15 – 20°C, according to standard procedures ( 23 ). Strains used are listed in Supplementary Table 1 . S. aureus SH1000 was grown normoxically in TSB (Sigma-Aldrich T8907) containing 50 µg/mL ampicillin for 16 hours at 37 °C with 150-200 RPM shaking in a beveled flask. 10 µL of culture was then plated on 35 mm petri dish containing 5 mL of Tryptic Soy Agar (TSA, BD 236950) and 10 µg/mL kanamycin and grown to confluency (37 °C for 6-8 hours, then 25 °C for 16 hours for dilute culture or 25 °C for 16 hours). Plates are stored at 4 °C until use and kept for 7 days. To grow S. aureus hypoxically, cultures were grown in minimally aerated (half volume of container filled with liquid) 15 mL conical tube, shaking at 150 RPM for 16 hours. For experiments, E. coli OP50 was grown shaking in beveled flask for 16 hours at 150 −200 RPM at 37 °C. 10 µL of E. coli was then plated on 35 mm NGM plates and incubated at 20 °C for 16 hours or 10 µL of E. coli was plated on 35 mm TSA plates without kanamycin and grown like S. aureus plates (at 37 °C for 6 hours, followed by 25 °C for 16 hours). CeMbio cultures were grown under normoxic conditions at 25 °C with 170-200 RPM shaking in TSB (Sigma-Aldrich T8907) containing 50 µg/mL ampicillin for 20-24 h. 10 μL of the CeMbio culture was then spread on TSA (BD 236950) containing 50 µg/mL ampicillin at 25 °C for 20-24 hours. TSA containing 50 µg/mL ampicillin plates were used within 10 days. Ampicillin was included to prevent contamination by bacterial carry-over with the animals. Calcium Imaging Imaging of neurons was performed as previously described ( 24 , 25 ). ASH neurons were visualized using the CX10979 (N2;kyEx2865 [ sra-6p ::GCaMP3 @ 100 ng/µL]) C. elegans strain, generously provided by the lab of Cori Bargmann, PhD, which utilizes a genetically encoded calcium indicator green fluorescent protein-calmodulin-M13 peptide version 3 (GCaMP3) expressed in ASH neurons, ASH::GCaMP3 ( 26 ). Transgenic animals expressing the genetically encoded calcium sensor were picked as L4 stage animals. For experiments where the animals were infected prior to imaging, the animals were exposed to S. aureus grown on 35 mm Tryptic Soy Agar (TSA, BD 236950) and kanamycin 10 µg/mL plates or E. coli grown on 35 mm TSA plates for 3 hours at 25 °C prior to imaging. Animals were then immobilized in a microfluidic device and exposed to a buffer control (Pre), then the stimulus (Stimulus), and the stimulus was then removed and the buffer returned (Post). Preparation of the microfluidic device is described in ( 24 ). ASH is a light sensitive neuron ( 16 ). Animals were first photobleached using the blue fluorescent light until the neuron no longer responded to light, no more than 2 minutes of photobleaching. Animals were imaged for a 30 second trial; 5 second recording prior to stimulation, 10 second pulse of 1 M glycerol with 1 mM tetramisole in S. Basal, followed by a 15 second recording post stimulation. For the prolonged exposure experiments, it was a 150 second trial; 30 second recording prior to stimulation, 60 second pulse of S. aureus stimuli in TSB, followed by a 60 second recording post stimulation. The solutions used in imaging are all made in S. Basal medium (100 mM NaCl, 5.7 mM K 2 HPO 4 , 44 mM KH 2 PO 4 , 13 µM cholesterol in H 2 O). The solvent control solution was 1 mM tetramisole, 0.3 µM fluorescein in S. Basal. The flow control solution, not exposed to the animal but controlling the movement of the solutions in the olfactory chip was 1 mM tetramisole and 0.6 µM fluorescein in S. Basal. For the experiments in Figure 3 , the flow control and solvent control are prepared in TSB, not S basal buffer. Calcium imaging was performed on a Zeiss AOM Zeiss Axio Observer Microscope with H-F4-V2, Hamamatsu Flash 4.0 v2 Scientific CMOS camera, and X-120m, Excelitas 120 mini LED direct coupling light source. The initial sample alignment was performed with a Zeiss EC Plan-Neofluar 10x/0.3 M27 objective and image acquisition was performed with a Zeiss LD C-Apochromat 40x/1.1 UV-VIS-IR water immersion objective. Images were collected in V-software, VisiView software for image acquisition and ImageJ software for image analysis. Images were collected at one plane of view at a rate of 10 frames/second. The soma of the ASH neuron in view was traced as the region of interest for fluorescence measurements. The fluorescence of an equally sized region was captured from the background. The fluorescence of the background was then subtracted from the neuron for each frame (equal to 0.1 seconds of the trial) to obtain the ΔF. The ΔF was then adjusted by dividing each frame by F 0 ; this was calculated by the average ΔF from seconds 2-3 (frames 20-30) of each animal recording as this captures the background fluorescence of the neuron prior to stimulation. This adjusted ΔF/F 0 value was corrected to be the percent change in fluorescence by the following equation: (ΔF/F 0 - 1) * 100%. The average for each frame was calculated and plotted overtime with the standard error measure for each 0.1 second. For calcium imaging, the average value for each of these periods was plotted along with the SEM for each group. The maximum change in fluorescence values was compared to one another by One-way ANOVA with Tukey’s Multiple Comparisons test for parametric data and a Kruskal-Wallis H Test for non-parametric data (the pre-stimulus period is often non-parametric). Comparisons of imaging data within a sample (pre-stimulus to stimulus) was compared using a paired Student’s t-test for parametric data or a Wilcoxon signed rank test for non-parametric, paired data and Mann-Whitney test for non-parametric unpaired data. If multiple t-tests were used within a graph, Bonferroni’s correction is applied to adjust for multiple comparisons. At least ten animals were tested per condition, with one trial per animal. Avoidance Drop Assay For experiments where the animals were infected, the animals were exposed to S. aureus grown on 35 mm TSA and kanamycin 10 µg/mL plates or E. coli grown on 35 mm NGM/TSA plates for 3 or 24 hours at 25 °C prior to testing. These infected animals were then transferred into 10 μL of M9 (22 mM KH 2 PO 4 , 42 mM Na 2 HPO 4 , 85 mM NaCl, 1 mM MgSO 4 ) on an unseeded NGM (60 mm petri dish, 51 mM NaCl, 10 mM peptone, 51 mM agar, 25 mM KPO 4 pH 6.0, 1 mM MgSO 4 , 1 mM CaCl 2 , 13 µM cholesterol) plate and allowed to crawl around to clean themselves, before this transfer process was repeated two more times, for a total of three cleaning cycles. From there, 10 animals were transferred to a new NGM plate. An avoidance drop assay was performed as previously described ( 27 ). To the tail of a forward moving animal, a small drop (∼5 nL) of solution was delivered via a hand pulled 10 μL glass capillary tube. Upon exposure, the solution was drawn up the body of the animal by capillary action where it is sensed by the amphid neurons. The animal is then categorized as having one of two behaviors; no avoidance (the animal continues moving forward) or avoidance (the animal reverses by two body bends within 4 seconds of exposure). Animals were first exposed to the solvent control (solvent without the stimulus, water) before the stimulus (1 M glycerol in water or 10 mm copper chloride in water) was applied. The avoidance index was calculated on a per plate basis as the number of animals that avoided drops over the total number of animals tested. One way ANOVA among stimulations with Tukey’s multiple comparisons was used. At least 10 plates were tested per condition, each containing at least 10 animals. PaIN image acquisition and analysis E. coli and S. aureus plates were made the day prior to imaging. More than 50 L4 animals were added to the bacterial plates. The animals were transferred to a 25 °C incubator for 24 hours. After 24 hours, animals were placed in 100 mM sodium azide on top of a 4% agar pad slide. Animals were placed in close proximity before adding a cover slip and lightly sealing an edge with nail polish. Slides were imaged within 15 minutes of preparation. Animals were imaged in BioTek Lionheart FX automated microscope with the 20x objective. Ten to 20 animals were imaged per treatment. To score ASH PaIN, 3 or more breaks in the ASH dendrite was scored as a 1. The scored animals were summed and divided by the total number of animals, then multiplied by 100 to get a percentage of animals with PaIN. The percentage of each biological replicate was graphed with SEM. An unpaired two-tail t test was used for analysis. A p- value ≤ 0.05 was considered significantly different from the control. Statistics and Sample Size Data analysis was performed in GraphPad Prism (version 10.4.1). All data sets were first checked for normal distribution and homogeneity of variance. For two sample comparisons, a paired or unpaired Student’s two-tailed t test was selected for parametric data. For non-parametric data, a Wilcoxon signed rank test was used for paired data and Mann-Whitney test for unpaired data. If multiple t-tests were used within a graph, Bonferroni’s correction was applied to adjust for multiple comparisons, by dividing the alpha value 0.05 by the number of comparisons. For three or more comparisons, a One-way ANOVA with Tukey’s Multiple Comparisons test for parametric data and a Kruskal-Wallis H Test for non-parametric data was used. Appropriate sample size was selected based on a power analysis of preliminary data. For calcium imaging, at least ten animals were tested per condition, with one trial per animal. For the avoidance assays, at least 10 plates were tested per condition, each containing at least 10 animals. For PaIN imaging, 2-3 biological replicates were captured with 10-20 animals per replicate. Results S. aureus infection impairs ASH activation by aversive stimuli To define how ASH neuronal activity changes after S. aureus infection, we visualized calcium concentration in ASH in vivo using the genetically encoded calcium indicator GCaMP3 ( 26 ). We infected animals for 3 hours on agar plates of S. aureus (infected) or E. coli (noninfected) prior to ASH stimulation and recording ( Figure 1A ). Noninfected E. coli controls exhibited a typical increase in cytoplasmic calcium following a 10-second stimulation with glycerol, a well-known aversive stimulus that activates ASH ( Figure 1B and C , Supplemental Video 1, Supplemental Figure 1A ) ( 16 , 26 ). In contrast, S. aureus- infected animals showed greatly impaired Ca 2+ transients ( Figure 1B and C , Supplemental Video 2, Supplemental Figure 1B and C ). This result suggested that S. aureus infection disables the ASH response to glycerol. Download figure Open in new tab Figure 1: S. aureus infection impairs ASH neurons sensation and activity A) C. elegans were infected with E. coli (OP50) or S. aureus (SH1000) for varying lengths of time before the function of ASH neurons was characterized by behavioral testing, anatomical neural imaging or functional neural imaging Created in BioRender. DiLoreto, E. (2025) https://BioRender.com/r16p000 . B) Normalized change in GCaMP3 fluorescence over time. Animals were infected with E. coli or S. aureus for 3 hours. 10 sec exposure to 1 M glycerol (grey box). Data are average with SEM (shaded areas next to curves), E. coli n = 13, S. aureus n = 11. (*p = 0.0218 Maximum Value of Fluorescence during stimulation of 3 hour (hr) infected E. coli and S. aureus animals, Mann-Whitney t-test post to post). C) Maximum peak values of fluorescence changes during Pre (0-5 seconds (sec)), Stimulus (Stim) (5-15 sec), Post (15-30 sec) periods. Box and whisker plot with minimum and maximum values, median indicate. ( E. coli ***p = 0.0002, S. aureus ns p = 0.4648, Wilcoxon paired t-test). D) Percent change graphs of ASH imaging in infected animals at 0.5, 1, or 3 hours, stimulus of 1 M glycerol applied between 5-15 seconds. Each dot represents one individual animal. Line plots mean through each timepoint. (0.5 hr ns p = 0.1454, 1hr ns p = 0.8464, 3hr ****p < 0.0001, Unpaired t-test with Bonferroni’s correction, original *p ≤ 0.05, corrected *p ≤ 0.0167). To determine the duration of infection necessary to disable the ASH response to glycerol, we performed infections for 0.5, 1, and 3 hours prior to ASH stimulation and calcium imaging. Animals that were infected for 0.5 and 1 hours were indistinguishable from noninfected controls, whereas animals infected for 3 hours showed an impaired response ( Figure 1D , Supplemental Figure 1D-F ). We concluded that impairment of the ASH response to glycerol requires longer than 1 hour but less than 3 hours of infection. Together, these data indicated that S. aureus infection disables the glycerol response of ASH over a long timeframe. This led us to directly investigate the effect of S. aureus on ASH neurons in the absence of noxious stimuli. ASH neurons depolarize during S. aureus exposure To determine the effect of short S. aureus exposure on ASH activity, we visualized the calcium concentration in ASH neurons of animals exposed to S. aureus in its conditioned media. During the exponential (log) growth phase, the population experiences rapid growth until limiting media nutrients are depleted, at which time stationary phase is initiated ( 28 ). Because S. aureus physiology, including the expression of virulence factors, is influenced by population density ( 29 ), we compared exponential-phase to stationary-phase cultures of S. aureus . Prior to immobilization in the microfluidic device to view calcium activity, animals were reared under normal laboratory conditions. Once in the microfluidic device, they were exposed to a culture of log-phase or stationary-phase S. aureus grown under hypoxic conditions ( Figure 2A ). As control, a population of animals was exposed to Tryptic Soy Broth (TSB) without S. aureus. Animals exposed to TSB alone or log-phase S. aureus showed ASH activation, as indicated by a calcium transient ( Figure 2B and C ). In contrast, stationary-phase S. aureus did not activate ASH, but rather suppressed the calcium signal ( Figure 2B and C ). This result suggested that stationary phase S. aureus inhibits ASH through an unknown mechanism. Download figure Open in new tab Figure 2: ASH neurons can sense changes in S. aureus culture A) Normoxic (blue) and hypoxic (red) growth curve of S. aureus with 3 replicated per time point. Log phase first dashed line ∼6 hours, stationary phase second dashed line 16 – 18 hours. B) Response of ASH neuron to Log- (red) or stationary- (blue) phase hypoxic S. aureus compared with TSB stimulus (black) after application of a neutral S. Basal buffer. Trace is average response of > 10 animals, SEM indicated with shaded region. C) Maximum peak values of fluorescence changes during Pre (0-5 sec), Stim (5-15 sec), Post (15-30 sec). Plotted Min to Max values with median. (TSB Stim to Log Stim ns p > 0.9999, TSB Stim to Stationary Stim ***p = 0.0009, Log Stim to Stationary Stim **p = 0.0028, Kruskal-Wallis with Dunn’s multiple comparisons). ASH inhibition depends on S. aureus growth conditions S. aureus is a facultative anaerobe and has different metabolic, proteomic, and genetic profiles depending on the concentration of oxygen in culture ( 30 – 33 ). Under our previous hypoxic culture condition, the pH of the S. aureus media dropped from 7 to ∼4, consistent with the known fermentative metabolism of S. aureus ( Supplemental Figure 2A ) ( 32 ). To determine the effect of S. aureus culture oxygen concentration affects its ability to induce the ASH response, we cultured S. aureus in normal and low oxygen conditions prior application to the animals. We cultured S. aureus under normoxic and hypoxic conditions to both mid-log and stationary phases ( Figure 3A and D ). Normoxic culture did not cause the pH of the culture to decrease as from 7 as dramatically as the hypoxic growing conditions, allowing us to disentangle stationary phase from pH during ASH visualization ( Supplemental Figure 2A ). To exclude the effects of TSB media, the animals were first acclimated to unconditioned TSB media before the stimulus of S. aureus . We determined that with this “pre-activation” to TSB media, the ASH neurons were still capable of responding to a novel stimulus ( Supplemental Figure 2B and C ), showing that prior stimulation with TSB does not desensitize ASH to noxious stimuli. We extended the stimulus time to capture potentially late changes in neural activation. Download figure Open in new tab Figure 3: Growth-phase dependent inhibition of ASH activity by S. aureus activity A) Log-phase normoxic (blue) and hypoxic (red) S. aureus exposed to ASH neuron (during grey bar) pre-exposed to TSB. Trace is average change in fluorescence intensity normalized to baseline fluorescence, shaded region is SEM. B) Maximum value of fluorescence intensity during Pre stimulus period (0-30 sec), Stimulus period (30-90 sec), and Post stimulus period (90-150 sec) of log phase S. aureus stimulation. (Normoxic Pre to Stim Wilcoxon ns p = 0.3013; Hypoxic Pre to Stim Wilcoxon ns p = 0.2247; Normoxic Stim to Hypoxic Stim Mann-Whitney ns p = 0.0183). C) Minimum value of fluorescence intensity during Pre, Stimulus and Post periods of log phase S. aureus stimulation. (Normoxic Pre to Stim Paired t-test ns p = 0.0337; Hypoxic Pre to Stim Paired t-test ns p = 0.4164; Normoxic Stim to Hypoxic Stim Unpaired t-test ns p = 0.1053). D) Stationary-phase normoxic and hypoxic S. aureus exposed to ASH neuron (during grey bar) pre-exposed to TSB. Trace is the average change in fluorescence intensity normalized to baseline fluorescence, shaded region is SEM. E) Maximum value of fluorescence intensity during Pre, Stimulus and Post periods of stationary phase S. aureus stimulation. (Normoxic pre to stim Wilcoxon p = 0.3880, Hypoxic pre to stim Wilcoxon p = 0.0730, Normoxic stim to Hypoxic stim Mann-Whitney p = 0.0386). F) Minimum value of fluorescence intensity during Pre, Stimulus and Post periods of stationary phase S. aureus stimulation. (Normoxic pre to stim Wilcoxon *p = 0.0103, Hypoxic pre to stim Wilcoxon ****p < 0.0001, Normoxic stim to Hypoxic stim Mann-Whitney ns p = 0.5306). Box and whiskers plot minimum to maximum values with median indicated. Each individual point is the value of one animal. (All statistics with Bonferroni’s multiple comparison correction, original *p ≤ 0.05, corrected *p ≤ 0.0167). In animals exposed to normoxic mid-log phase S. aureus, calcium levels trended lower than controls over 60 seconds of exposure and remained low after S. aureus removal ( Figure 3A ). However, this trend did not reach statistical significance either by comparing the maximal fluorescence change values for each animal during different phases of stimulation or by comparing the minima ( Figure 3B and C ). In contrast, in animals exposed to hypoxic mid-log S. aureus calcium levels to initially trended higher followed by a downward trend that slowly recovered after S. aureus removal; however, these trends also did not reach statistical significance ( Figure 3B and C ). We concluded that mid-log S. aureus caused slight decrease in cytosolic calcium in ASH neurons. Stationary phase S. aureus suppressed calcium concentration with faster kinetics than exponential phase ( Figure 3D – F ). [Say something about statistical significance?] Normoxic and hypoxic cultures exhibited similar kinetics and magnitudes of ASH suppression ( Figure 3D – F ). Thus, in exponential phase, normoxic S. aureus was slightly more effective at reducing ASH activity than hypoxic S. aureus, while in stationary phase both conditions were equally effective. These data suggest that stationary phase increases the ability of S. aureus cultures to inhibit ASH, regardless of culture oxygen and media pH. ASH inhibition is associated with pathogen-induced neurodegeneration (PaIN) The two ASH cell bodies in C. elegans reside near the nerve ring, in the posterior end of the head, and project one dendrite each to openings near the mouth ( Figure 4A ) ( 16 ). In our previous calcium recordings, which focused on the neuron cell body, we noticed that infected animals frequently showed defective dendrites. The observed phenotype, which we termed pathogen-induced neurodegeneration (PaIN), evidenced dendrite gaps and beading as revealed by GFP-labelled ASH in vivo ( Figure 4A lower ). After 3 hours of S. aureus infection, we observed a slight and statistically nonsignificant increase in this phenotype compared to noninfected controls ( Figure 4B ). The PaIN phenotype worsened considerably by 24 hours of infection to significantly different levels than noninfected controls ( Figure 4C ). Control experiments showed that 24 hours of starvation or OP50 feeding on TSA media used in the S. aureus infection assays do not induce PaIN, ruling out the possibility that S. aureus- induced intestinal destruction (i.e. lack of nutrition) or the culture medium induce PaIN by themselves ( Supplemental Figure 3 ). Thus, ASH PaIN is specifically caused by S. aureus and takes place between 3 and 24 hours. Download figure Open in new tab Figure 4: Pathogen Induced Neurodegeneration (PaIN) disproportionately affects ASH Sensory Neurons. A) Cartoon of ASH neurons alongside representative epifluorescence micrographs of ASH::GCaMP (CX10979) animals fed E. coli (top) or infected with S. aureus (bottom) for 24 hours at 25 °C. Scale bar = 100 μm. B) Quantification of ASH PaIN in animals infected for 3 hrs ( ns p = 0.1734). C) Quantification of ASH PaIN in animals infected for 24 hrs (*p = 0.0203). D) Representative cartoon of ADL neurons alongside representative epifluorescence. ADL::GCaMP (OH14884) animals fed E. coli (top) or infected with S. aureus (bottom) for 24 hrs. Scale bar = 100 μm. E) Quantification of ADL PaIN in animals infected for 24 hrs ( ns p = 0.1475) F) Cartoon of AWC neurons alongside representative epifluorescence micrographs of AWC::GCaMP (CX10536) animals head fed E. coli (top) or infected with S. aureus (bottom) for 24 hrs. Scale bar = 100 μm. G) Quantification of AWC PaIN in animals infected for 24 hrs ( ns p = 0.5836). Average ± SEM of 2-3 biological replicates each with n = 10-25 animals. (Unpaired two-tailed t-test). ASH is one of 12 amphid-ciliated sensory neurons located in the C. elegans that are exposed to the environment ( 34 ). To determine the specificity of the S. aureus- caused PaIN phenotype to ASH neurons, we examined neighboring amphid-ciliated sensory neurons. We examined ADL (Amphid Dual Ciliated Ending L, left/right pair) sensory neurons, which have similar position and project dendrites to openings next to the mouth, similar to ASH ( Figures 4D ) ( 15 ). After 24 hours of infection, we did not observe an increase in the number of defective ADL dendrites ( Figure 4E ). Similarly, we examined AWC (Amphid Wing Neuron C left/right pair) sensory neurons, which show similar position to ASH and ADL, but display wing-like cilia and that do not reach the exterior by the mouth ( Figure 4F ) ( 34 ). Like ADL neurons and unlike ASH neurons, we did not observe an increase in defective AWC dendrites after 24 hour infection with S. aureus ( Figure 4G ). We concluded that S. aureus induces the degeneration of ASH but not ADL and AWC neurons, suggesting that S. aureus induces PaIN specifically in ASH neurons. PaIN is S. aureus -specific Several bacterial species can be found in natural association with C. elegans. Efforts to define a minimal set as a natural intestinal microbiota for C. elegans have yielded a reference collection of 12 species, named the CeMbio ( C. elegans Microbiome) ( 35 ). In previous work, we showed that these isolates overall do not exhibit virulence against immunocompetent C. elegans. Instead, a subset shows virulence against specific immunocompromised mutants, a phenomenon termed cryptic virulence ( 36 ).To evaluate the ability of the CeMbio bacteria to cause ASH PaIN, we mono-associated C. elegans with each isolate. While E. coli controls showed no PaIN and S. aureus- infected animals showed significantly increased PaIN, animals in mono-association with most of the CeMbio bacteria did not show PaIN ( Figure 4C and 5 ). However, animals associated with Pseudomonas lurida MYb11 showed slight, but significant, induction of PaIN after 24 hours ( Figure 5 ). This result suggests that S. aureus -induced PaIN may be an extreme manifestation of a phenotype that is induced by distinct bacteria that naturally associate with C. elegans . Download figure Open in new tab Figure 5: C. elegans microbiota members do not induce ASH PaIN, except for P. lurida Quantitative percentage of animals showing ASH PaIN. Animals fed E. coli , infected with S. aureus , or associated with individual CeMbio members for 24 hrs. Average ± SEM, 3-5 biological replicates, n = 10 - 25 animals per biological replicate. ( E. coli to S. aureus ****p < 0.0001, E. coli to P. lurida ** p = 0.0042, Unpaired 2-tail t-test with Bonferroni correction, original **p ≤ 0.01, ****p ≤ 0.0001, corrected **p ≤ 0.005, ****p ≤ 0.00005). PaIN partially requires HLH-30/TFEB Neurodegeneration in C. elegans and mammals may occur as a result of programmed cell death. In addition to apoptosis, neuronal death has been described to occur in C. elegans through necrosis and ferroptosis ( 37 – 39 ). To define their roles in S. aureus -induced ASH PaIN, we examined PaIN in mutants that are defective in each cell death modality. ced-3 mutants, defective in apoptosis, did not show altered PaIN ( Figure 6A ) ( 37 , 40 , 41 ). Neither did asp-4 or itr-1 mutants (defective in necrosis) ( Figure 6B ) ( 42 – 45 ) nor fat-3 mutants (defective in ferroptosis) ( Figure 6C ) ( 46 – 49 ). Thus, ASH PaIN is unlikely to proceed through apoptosis, necrosis, or ferroptosis. Download figure Open in new tab Figure 6: Necrosis, apoptosis, ferroptosis, and autophagy genes are dispensable for ASH PaIN A) ASH PaIN tested in relation to apoptosis mechanisms by ced-3 and ced-9 loss of function mutants ( ced-3 ns p = 0.5260, ced-9 ns p = 0.4187). B) ASH PaIN tested in relation to necrosis mechanisms by asp-4 and itr-1 loss of function mutants ( asp-4 ns p = 0.7517, itr-1 ns p = 0.9798). C) ASH PaIN tested in relation to ferroptosis mechanisms by fat-3 loss of function mutant ( fat-3 ns p = 0.5756). D) ASH PaIN tested in relation to autophagy/lysosomal biogenesis mechanisms by hlh-30 loss of function mutant ( hlh-30 ns p = 0.0434). E) Autophagy pathways investigated in relation to ASH PaIN by atg-4.2 and atg-18 mutants ( atg-4.2 ns p = 0.3663, atg-18 ns p = 0.7581). Average ± SEM from two – three biological replicates; n = 15 - 25 animals per biological replicate. (****p ≤ 0.0001, ***p ≤ 0.001, **p ≤ 0.01, *p ≤ 0.05. Unpaired two-tail t-test *p ≤ 0.05, Bonferroni’s correction applied to graphs with two statistical comparisons, corrected p ≤ 0.025). In mammals, neurons can also die by autophagy- and lysosome-mechanisms ( 50 , 51 ). To determine how disruption of autophagy and lysosomal biogenesis may affect ASH PaIN, we used hlh-30/TFEB mutants. Loss of hlh-30 decreased the frequency of PaIN by about 50% compared to wildtype ( Figure 6D ), suggesting that HLH-30/TFEB is partially required for full ASH PaIN. HLH-30 and TFEB are well-known as positive regulators of autophagy gene expression ( 10 ). Moreover, autophagy genes and autophagy itself are induced by HLH-30/TFEB during S. aureus infection, and the loss of autophagy enhances C. elegans susceptibility to S. aureus- mediated killing ( 52 ). To test if autophagy plays a role in ASH PaIN, we examined PaIN in loss-of-function mutants atg-4.2 and atg-18, two autophagy genes that function in neurons ( 53 , 54 ). However, both atg-4.2 and atg-18 mutants were indistinguishable from wildtype ( Figure 6E ), suggesting that autophagy is dispensable for ASH PaIN. Mutants that disrupt lysosome-mediated cell death are not available, precluding our investigation of that mechanism. Altogether, these data suggest that HLH-30/TFEB promotes ASH PaIN through an autophagy-independent mechanism that is also independent of major cell death pathways. S. aureus infection disrupts behavior Copper (Cu 2+ ) and glycerol are sensed by ASH neurons, which feed into the motor program to promote evasion of these aversive stimuli ( 16 ). To define the physiological relevance of the inhibition of ASH function and the induction of PaIN by S. aureus, we measured Cu 2+ aversion by infected animals. Cu 2+ is detected by both ADL, which can sense heavy metals but do not exhibit PaIN, and ASH sensory neurons, which exhibit PaIN ( Figure 4C and E ) ( 55 ). Animals infected with S. aureus for 3 hours showed aversion to Cu 2+ that was indistinguishable from noninfected controls ( Figure 7A ). In contrast, after 24 hours of infection, infected animals showed a marked reduction in Cu 2+ avoidance compared with noninfected controls ( Figure 7B ). This result suggested that aversive behaviors are negatively impacted by S. aureus infection over a timescale that correlates with ASH PaIN severity. Download figure Open in new tab Figure 7: S. aureus infection impacts ASH associated behaviors A,B) Drop Avoidance Assay of animals fed E. coli grown on TSA plates compared to S. aureus grown on TSA plates with 10 µg/mL kanamycin for A) 3 or B) 24 hours at 25°C before exposure to a drop of water (solvent control, SC) or 10 mM copper chloride (Cu +2 ). (3 hrs ns p = 0.5727, 24 hrs ***p = 0.0004). C, D) Drop Avoidance Assay of animals fed E. coli grown on TSA plates compared to S. aureus grown on TSA plates with 10 µg/mL kanamycin for C) 3 or D) 24 hours at 25°C before exposure to a drop of water (solvent control, SC) or 1 M glycerol (Gly). (3 hrs **p = 0.0017, 24 hrs ****p 10 animals per plate. Students two-tailed t-test. To further test this conclusion, we used glycerol avoidance as a second ASH-dependent aversive behavior. In this assay, defective avoidance was apparent by 3 hours of infection ( Figure 7C ) and worsened by 24 hours ( Figure 7D ). These data are consistent with the hypothesis that ASH PaIN impairs ASH function and behavior after S. aureus infection. Discussion The ASH neurons, which are amphid sensory neurons directly connected to the animal’s external environment, have long been characterized as polymodal nociceptive neurons that respond to various aversive stimuli ( 16 , 17 , 27 , 56 ). We found that S. aureus quickly represses the activity of C. elegans ASH neurons. This ASH repression was dependent on the late, stationary phase of S. aureus growth, suggesting that it may require a specific pathogen phenotype. As in mammals, sensory neurons emerge as mechanisms for pathogen detection in C. elegans , responding to metabolites and odors related to microbes. For instance, Escherichia coli produces propyl acetate and butyl acetate metabolites, which elicit a response in AWA (Amphid Wing Neuron A, left/right pair) to induce attraction ( 57 ). Additionally, Pseudomonas aeruginosa creates 1-undecene which triggers amphid neuron AWB (Amphid Wing Neuron B, left/right pair) activation, which causes attraction behaviors ( 58 ). More recently Enterococcus faecalis was shown to induce host defense gene expression through unidentified volatile compounds that function through AWA and perhaps AFD (Amphid Finger-like Endings D, left/right pair) ( 6 ). Further work will need to investigate which S. aureus metabolites causes the change in ASH activity. Towards this objective, we challenged S. aureus growth conditions. Since oxygen availability has a major impact on metabolism in S. aureus ( 29 ) and both high- and low-oxygen cultures repressed ASH activity, such repression is unlikely to be the result of metabolic changes between culturing conditions. Similarly, since normoxic cultures did not modify the pH of the media, low pH does not appear to be the cause of ASH repression. Previous research has shown that ASH becomes activated, not inhibited, by low pH stimuli ( 17 , 18 ). Further work is needed to define if soluble mediators produced by S. aureus inhibit ASH activity, and what their identity might be. Where we found a difference in ASH suppression was between exponential and stationary phase cultures of S. aureus . Previous studies have found that the pathogenicity of S. aureus may change throughout its growth ( 59 ). During late-exponential growth, there are more toxins produced and more toxin forming genes upregulated in S. aureus culture, and environmental factors can influence this regulation ( 59 , 60 ). Several virulence factors are known to be induced in stationary phase in S. aureus, notably pore-forming toxins ( 61 ). Pore-forming toxins created by S. aureus have been shown to activate mammalian nociceptor neurons, raising the possibility that such virulence factors may differentially affect nociceptor neurons in nematodes and mammals ( 62 ). The roles of pore-forming toxins and other virulence factors in ASH repression will be a major focus for future work. We also discovered that S. aureus infection causes neuron-specific degeneration. Infection by S. aureus results in structural changes specifically targeting the ASH neurons, which we term pathogen-induced neurodegeneration (PaIN). This PaIN manifests as breaks along the ASH dendrites, resembling the beaded dendrites ( 63 ) or blebbing ( 64 ) observed in other neurodegenerative conditions, even in mammals. ASH PaIN is detectable early, by 3 hours of infection, and becomes severe by 24 hours, at which time ASH-dependent aversive behavior is defective. We have previously found that this time point was selected as preliminary, as prior investigations revealed increased ACh levels in S. aureus infected animals compared to E. coli -fed animals and consequently, the host defense response by this time ( 8 ). The PaIN phenotype we observe in ASH resembles other C. elegans neurodegeneration phenotypes, including degeneration of neurons including ASI (amphid single cilium neuron I) during P. aeruginosa infection ( 63 ), PVQ (posterior ventral process neuron Q) during mitochondrial loss ( 65 ), and PVD (posterior ventral process neuron D) during hyperactivation of NLP-29 peptides by an overactive immune response to fungal infection ( 64 ). P. aeruginosa infection can also cause PaIN in ASE (amphid single cilium neuron E) and AWC amphid neurons, which neighbor ASH ( 63 , 66 , 67 ). In contrast, we did not observe PaIN in AWC and other amphid neurons aside from ASH neurons during S. aureus infection. This suggests that ASH PaIN is not part of a general neurodegeneration during infection, but rather a specific interaction between S. aureus and ASH neurons. We have demonstrated that S. aureus causes morphological changes consistent with degeneration in ASH (but not two other sensory neurons that were tested) and weakens ASH-dependent aversive behavior, suggesting that the ASH neurons are functionally as well as morphologically impaired by infection. Further work will investigate how this disrupted ASH function impairs downstream neural communication since ASH are highly connected sensory neurons ( 68 ). Genetic analysis suggests that S. aureus- induced ASH PaIN occurs independently of common cell death pathways, in contrast to certain mammalian neurodegenerative conditions. However, deletion of the host defense transcription factor HLH-30/TFEB reduced the penetrance of PaIN through an unknown mechanism that is unlikely to involve autophagy. Future investigations will uncover these mechanisms. HLH-30/TFEB is known as a master regulator of autophagy and lysosomal biogenesis ( 10 , 69 ), and there is long-standing evidence of the involvement of autophagy-dependent and lysosome-dependent mechanisms in neurodegeneration in humans and other animal models ( 70 – 73 ). There is also a longstanding theory that microbial infection may precede neurodegeneration ( 74 ). Supporting this theory of infection-promoted neurodegeneration by host defense mechanisms, previous research shows that PVD dendrites are enriched with autophagosomes and fragmented microtubules during fungal infection and aging ( 63 ). However, this response in PVD neurons were triggered by ligand binding to the G protein-coupled receptor NPR-12, which ASH does not express ( 75 ). This might suggest that the impact of HLH-30/TFEB occurs outside of ASH in some of the downstream neurons in the neuro-immune circuit. Further exploration of the start of this host-immune pathway will be important as TFEB has been implicated in human neurodegenerative diseases and is a therapeutic target for multiple neurodegenerative diseases ( 76 , 77 ). Involved in this ASH neurodegeneration mechanism is the HLH-30/TFEB pathway, which impacts the degree of ASH PaIN. Future work will explore if ASH PaIN could be prevented or treated after S. aureus infection. Future studies will investigate whether ASH-mediated ACh release is the signal that activates the muscarinic-WNT host defense pathway. This information provides evidence that supports the specificity and important regulation of the neuro-immune response along the gut-brain axis. Conclusion The biological logic of ASH PaIN during infection by S. aureus remains unclear. Our results showing that Pseudomonas lurida causes mild ASH PaIN, suggesting that the morphological and functional impairment of ASH may be relevant in the C. elegans native environment. We have previously found that both P. lurida and S. aureus decrease survival among C. elegans ( 36 ). In one scenario (bacteria-first model), bacteria (pathogens) may have evolved the ability to disrupt ASH neurons, thus promoting favorable host behaviors. A lack of aversion towards pathogen-derived molecules could favor the ingestion of the pathogen, promoting infection and dispersion. In a likelier scenario (host-first model), the host may have evolved the ability to suppress evasive behaviors by eliminating neurons that trigger them. This may be advantageous under conditions where the host cannot escape pathogens by evading chemical signals, such as in S. aureus infection plates. Under these conditions, it may benefit the host to become insensitive to some environmental cues and charge on in a linear direction with the chance to leave a noxious environment. This may explain why S. aureus- infected ASH-animals forged up the plate sides even as they died from desiccation. Further research is needed to test the bacteria-first and host-first models and their implications for higher organisms. Declarations Ethics approval and consent to participate- not applicable Consent for publication- not applicable Availability of data and materials- All data generated or analyzed during this study are included in this published article and its supplementary information files. All bacterial and nematode strains can be provided upon request. Competing interests- the authors declare no competing interests Funding- grants R01DC016058 (JS), R35GM149284 (JEI), R01GM101056 (JEI), T32AI095213 (XG) and R25GM113686 (XG) from the National Institutes of Health of the USA, and the Dr. Marcellette G. Williams Memorial Fund (JEI). Authors’ contributions EMD- conceptualization, investigation of calcium imaging of ASH and behavior, formal analysis, visualization, validation, writing-original draft, writing-review and editing. XG- investigation of PaIN phenotype in ASH, ADL, CEMbio strains and mutant mechanisms of PaIN, formal analysis, visualization, writing-original draft. KAW- investigation of PaIN phenotype in ASH and AWC, formal analysis, visualization. JSh- investigation of mutants involved in PaIN mechansism, formal analysis, visualization. JEI- conceptualization, formal analysis, visualization, funding acquisition, supervision, writing-review and editing. JSr- conceptualization, funding acquisition, supervision, writing-review and editing. All authors read and approved the final manuscript Authors’ information (optional)- not applicable Supporting Information View this table: View inline View popup Download powerpoint Supplemental Table 1: C. elegans Strains Used Supplemental Video 1: C. elegans ASH neuron after 3 hours of E. coli feeding C. elegans labeled with GCaMP3.0 in ASH neurons exposed to OP50 E. coli on TSA plates for 3 hours. Animals were exposed to aversive chemical 1 M glycerol starting at second 5 for 10 seconds. Supplemental Video 2: Activity in C. elegans ASH neuron decreased after 3 hours of S. aureus infection C. elegans labeled with GCaMP3.0 in ASH neurons exposed to SH1000 S. aureus on TSA + 10 µg/mL kanamycin plates for 3 hours. Animals were exposed to aversive chemical 1 M glycerol starting at second 5 for 10 seconds. Download figure Open in new tab Supplemental Figure 1: S. aureus infection for 3 hours results in a significant decrease in ASH neurons physiology A) Annotated workflow of calcium imaging on animals fed E. coli for 3 hours prior to imaging with 1 M glycerol. A1) Animals labeled with GCaMP3.0 in ASH neuron (promoter sra-6 ), soma (outlined in red) used as region of interest. A2) Normalized change in fluorescence of at least 10 animals ( E. coli fed on TSA plates for 3 hours) are averaged and plotted with SEM, grey bar indicated application of stimulus, 1 M glycerol; A3) the maximum change in fluorescence values of each animal is plotted at the different time points of the stimulation, Pre (0-4.9 seconds) Stimulus (5-14.9 seconds), and Post (15.0-30.0 seconds), median plotted with minimum and maximum points. ( ns p > 0.05, ****p < 0.0001, Kruskal-Wallis test with Dunn’s multiple comparisons). A4) heat map plotting response of every animal (1 row = 1 animal) across time of trial, arrow indicates how one point from the maximum peak graph can be mapped to heat map. B) Heat map of all animals exposed to S. aureus for 3 hours, left same scale as B) C) Heat map of all animals exposed to S. aureus for 3 hours adjusted scale to display variability in response D-F) Percent change graphs ASH imaging of infected animals at D) 0.5, E) 1, F) 3 hours, stimulus of 1 M glycerol applied between 5-15 seconds. Download figure Open in new tab Supplemental Figure 2: ASH activity is suppressed by stationary phase S. aureus A) OD 600 and pH of 5 mL S. aureus cultures grown under normoxic or hypoxic conditions. B) Response of ASH neurons to 1 M glycerol in TSB solvent, with TSB pre-exposure. Replicates performed twice throughout the course of experiments, a year apart. Trace is average response of n > 10 animals, SEM indicated with shaded region. C) Maximum values of fluorescence intensity of neuron with background subtracted during times of pre-stimulus exposure (0-30 seconds), stimulus exposure (30-90 seconds), and post-stimulus exposure (90-150 seconds). Each data point is the value of an individual animal. (Replicate 1 (red) parametric paired t-test ***p = 0.0003, Replicate 2 (blue) non-parametric paired Wilcoxon test **p = 0.0020, between replicated parametric Student’s unpaired two-tailed t-test ns p= 0.4381. All tests with Bonferroni correction, original *p ≤ 0.05, **p ≤ 0.01, ***p ≤ 0.001, corrected *p ≤ 0.025, **p ≤ 0.005, ***p ≤ 0.0005). Download figure Open in new tab Supplemental Figure 3: S. aureus infection results in Pathogen Induced Neurodegeneration (PaIN) Quantitative percent of ASH::GCaMP animals with ASH PaIN after fed E. coli , infected with S. aureus , or starved (TSA without bacteria) for 24 hours at 25 °C. Average ± SEM, three biological replicates; n = 15 - 25 animals per biological replicate. (***p = 0.0002, ns p = 0.8804; Unpaired two-tail t-test with Bonferroni correction, original values ns p ≥ 0.05, ***p ≤ 0.001, corrected values ns p ≥ 0.025, ***p ≤ 0.0005). Acknowledgements Some strains were purchased from the Caenorhabditis Genetics Center which is funded by NIH Office of Research Infrastructure Programs (P40 OD010440). Funder Information Declared National Institutes of Health, https://ror.org/01cwqze88 , R01DC016058 , R35GM149284 , R01GM101056 , T32AI095213 , R25GM113686 Dr. Marcellette G. Williams Memorial Fund List of Abbreviations C. elegans Caenorhabditis elegans S. aureus Staphylococcus aureus E. coli Escherichia coli P. lurida Pseudomonas lurida ASH Amphid Single Ciliated Neuron H ADL Amphid Dual Ciliated Neuron L AWC Amphid Wing Ciliated Neuron L ACh acetylcholine CeMbio C. elegans Microbiome bacteria Cu 2+ copper HLH-30/TFEB helix-loop-helix protein 30 / transcription factor EB References 1. ↵ Jacobson A , Yang D , Vella M , Chiu IM . The intestinal neuro-immune axis: crosstalk between neurons, immune cells, and microbes . Mucosal Immunol . 2021 ; 14 ( 3 ): 555 – 65 . 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