Abstract
We have reported recently that the mitochondrial Na+/Ca2+ exchanger inhibitor CGP37157 extends lifespan in Caenorhabditis elegans by a mechanism involving mitochondria, the TOR pathway and the insulin/IGF1 pathway. Here we show that CGP37157 significantly improved the evolution with age of the sarcomeric regular structure, delaying development of sarcopenia in C. elegans body wall muscle and increasing the average and maximum speed of the worms. Similarly, CGP37157 favored the maintenance of a regular mitochondrial structure during aging. We have also investigated further the mechanism of the effect of CGP37157 by studying its effect in mutants of aak-1;aak-2/AMP-activated kinase, sir-2.1/sirtuin, rsks-1/S6 kinase and daf-16/FOXO. We found that this compound was still effective increasing lifespan in all these mutants, indicating that these pathways are not involved in the effect. We have then monitored pharynx cytosolic and mitochondrial Ca2+ signalling and our results suggest that CGP37157 is probably inhibiting not only the mitochondrial Na+/Ca2+ exchanger, but also Ca2+ entry through the plasma membrane. Finally, a transcriptomic study detected that CGP37157 induced changes in lipid metabolism enzymes and a four-fold increase in the expression of ncx-6, one of the C. elegans mitochondrial Na+/Ca2+ exchangers. In summary, CGP37157 increases both lifespan and healthspan by a mechanism involving changes in cytosolic and mitochondrial Ca2+ homeostasis. Thus, Ca2+ signalling could be a promising target to act on aging.
Introduction
Mitochondria, the organelle responsible of aerobic energy production, plays also multiple roles in cellular Ca2+ homeostasis (Pizzo et al., 2012; ). Increase in mitochondrial [Ca2+] activates mitochondrial metabolism, linking cell activation to energy production. On the other hand, the rapid mitochondrial Ca2+-accumulation that occurs during cell stimulation constitutes a mechanism of transient buffering of cytosolic Ca2+ (). This mechanism regulates a variety of phenomena triggered by cytosolic Ca2+, such as neurotransmitter secretion or muscle contraction. Moreover, mitochondria play also an important role in the regulation of cell death induced by mitochondrial Ca2+ overload.
The best known pathway for Ca2+ entry into the mitochondria is the mitochondrial Ca2+ uniporter (MCU), a Ca2+-activated Ca2+ channel present in the inner mitochondrial membrane (), although additional pathways must be present to explain the persistence of mitochondrial Ca2+ signalling in MCU knockout models (). Once cell stimulation is finished, cytosolic Ca2+ decreases, MCU becomes inactivated and Ca2+ is extruded from mitochondria through the mitochondrial Na+/Ca2+ exchanger (mNCX), the main Ca2+ exit pathway from mitochondria (Palty et al., 2010). Benzothiazepine CGP37157 is a potent inhibitor of mNCX. However, other targets with a similar dose-response relationship have also been reported. All of them involve the inhibition of other Ca2+ pathways, including plasma membrane L-type Ca2+ channels (), plasma membrane Na+/Ca2+ exchangers (), or CALHM1 Ca2+ channels ().
We have reported recently that CGP37157 extends lifespan on C. elegans worms with a bell-shaped concentration–response, so that the effect was obtained at submaximal concentrations, with higher doses producing no effect (). The actual target responsible for the lifespan effect in C. elegans is unknown, in part because the diversity of Na+/Ca2+ exchanger isoforms is much greater in C. elegans. Humans have only one isoform of mNCX, named NCLX (Palty et al., 2010). Instead, C. elegans has 10 different isoforms of Na+/Ca2+ exchangers (named ncx-1 to ncx-10) and five of them are homologs of NCLX (ncx-6 to ncx-10) with different tissue distribution (Sharma et al., 2013; ; Sharma and O’Halloran, 2014). Out of the 10 ncx genes of C. elegans, only ncx-9 has been studied in more detail, showing that it performs CGP37157-sensitive Na+/Ca2+ exchange activity in mitochondria (Sharma et al., 2017). In addition, C. elegans has also homologs of L-type Ca2+ channels (EGL-19) and CALHM1 Ca2+ channels (CLHM-1), the plasma membrane Ca2+ channels that are also sensitive to CGP37157 in mammalian cells, although it is not known whether the C. elegans homologs are sensitive to CGP37157 or not.
CGP37157 has also been shown to induce neuroprotection in several experimental models of neurotoxicity (; Nicolau et al., 2010; ). Neuroprotection has been mainly attributed to inhibition of Ca2+ entry to neurons, either through voltage-dependent Ca2+ channels or through CALHM1 Ca2+ channels (Ruiz et al., 2014; ). Whether the mechanism of neuroprotection is related or not to the mechanism of lifespan increase is still unknown. Correlation between neuroprotection and lifespan extension has been reported before, e.g., the effect of partial mitochondrial uncoupling, which attenuates age-dependent neurodegeneration and increases survival in C. elegans (; ).
On the other hand, it is also important to determine if CGP37157 increases only lifespan, or if it is able to improve also healthspan, the healthy time of life. In some long-lived mutants, the increase in lifespan was achieved at the cost of an increase in frailty time (). We have therefore decided to monitor functional parameters such as speed of mobility and morphological structure of muscle sarcomere and mitochondria during aging, to test if this compound was able to improve the performance with respect to the controls. Our results show that CGP37157 increased mobility and prevented sarcopenia and mitochondrial degeneration with age.
Finally, as for the mechanism underlying the effects of CGP37157 on C. elegans lifespan, we have described that the effect disappeared in mutants of the mitochondrial respiratory chain (nuo-6), the TOR pathway (daf-15) and the insulin/IGF1 pathway (daf-2) (), but further work was required to clarify the pathways involved. We have extended here this study by using mutants of aak-1;aak-2/AMP-activated kinase, sir-2.1/sirtuin, rsks-1/S6 kinase and daf-16/FOXO. In addition, we have performed measurements of the cytosolic and mitochondrial [Ca2+] oscillations in the presence and in the absence of this compound, and we have made a transcriptomic analysis to determine if CGP37157 induces changes in the expression of components of the pathways known to control lifespan, or in components of the Ca2+ signalling machinery. Our analysis reveals that CGP37157 acts downstream of daf-16/FOXO in the insulin pathway, involves TORC1 inhibition and functional mitochondria, induces changes in plasma membrane and mitochondrial Ca2+ fluxes, changes the expression of many lipid metabolism enzymes and increases the expression of the mNCX C. elegans homolog ncx-6 gene.
Materials and Methods
C. Elegans Strains and Maintenance
Strains used were as follows: AQ2038, integrated strain expressing cytosolic yellow cameleon 2.1. (YC2.1) in pharynx controlled by the myo-2 promoter (pmyo-2::YC2.1) (), AQ2121, integrated strain expressing cytosolic yellow cameleon 2.1. (YC2.1) in body wall muscle cells controlled by the myo-3 promoter (pmyo-3::YC2.1), both strains kindly provided by Drs. Robyn Branicky and W. Schafer, MRC Laboratory of Molecular Biology, Cambridge, United Kingdom AQ3055, strain expressing mitochondrially-targeted yellow cameleon 3.60 (YC3.60) as extrachromosomal array on pharynx, also under the myo-2 promoter (pmyo-2::2mt8::YC3.60) (). SJ4103 (zcls14[myo-3::GFP(mit)]), wild-type strain that expresses GFP at high levels in mitochondria of body wall muscle cells. Mutant strains: daf-16(mu86), aak-2(ok524), aak-1(tm 1944);aak-2(ok524), sir-2.1(ok434), and rsks-1(ok1255). The strain TJ375 (gpls1[hsp-16.2p::CFP]), kindly supplied by Dr. Malene Hansen, Sanford Burnham Prebys Medical Discovery Institute, La Jolla, United States, was used to measure cytosolic stress. The other strains were obtained from the Caenorhabditis Genetics Center. Worms were maintained and handled as previously described (Stiernagle, 2006). NGM agar plates were seeded with Escherichia coli (OP50). Strains were maintained at 20°C.
C. elegans Lifespan Assays
Lifespan assays were carried out as previously described (). Briefly, eggs were obtained as described previously (Stiernagle, 2006) and transferred to E. coli (OP50) seeded NGM plates, either control plates or plates prepared in the presence of the required drug. For each assay, around 100 synchronized young adults (day 1) were transferred to E. coli (OP50) seeded NGM plates (35 mm plates, 10 worms/plate) containing 15 µM Fluorodeoxyuridine (FUdR) to avoid progeny. CGP37157 was dissolved in the NGM agar at the desired concentration. Control and drug-containing assays were always carried out in parallel. Plates were scored for dead worms every day. Worms that did not respond to touch with a platinum wire were considered dead. Age refers to days following adulthood. Plates with fungal contamination during the first 10 days of the assay were excluded from the study. Missing worms, individuals with extruded gonad or desiccated by crawling in the edge of the plate were censored. Control and drug-containing plates were kept close together in a temperature-controlled incubator set at 20°C. Statistical analysis was performed with the SPSS software, using the Kaplan-Meier estimator and the log-rank routine for significance.
Calcium Imaging
Pharynx cytosolic and mitochondrial Ca2+ measurements were carried out as previously described using the strains AQ2038 and AQ3055 (; ), at day 5 of adult life. Supplementary Figure S1 shows an image of the fluorescence of the pharynx. Body-wall muscle cytosolic [Ca2+] measurements were performed using the strain AQ2121 and focusing the vulva area. Briefly, worms were starved for 4–6 h before the experiments. Then, they were glued (Dermabond Topical Skin Adhesive, Johnson and Johnson) on an agar pad (2% agar in M9 buffer) and the coverslip containing the glued worm was mounted in a chamber in the stage of a Zeiss Axiovert 200 inverted microscope in the presence of 2.3 mM serotonin to stimulate pumping. Fluorescence was excited at 430 nm using a Cairn monochromator (4 nm bandwidth for the cytosolic Ca2+ sensor in AQ2038 and AQ2121, 7 nm bandwidth for the mitochondrial sensor in AQ3055, continuous excitation) and images of the emitted fluorescence obtained with a Zeiss C-apochromat 40 × 1.2 W objective were collected using a 450 nm long pass dichroic mirror and a Cairn Optosplit II emission image splitter to obtain separate images at 480 and 535 nm emission. The splitter contained emission filters DC/ET480/40 and DC/ET535/30 m, and the dichroic mirror FF509-FDi01–25 × 36 (all from Chroma Technology). Simultaneous 200 ms images at the two emission wavelengths were recorded continuously (2.5 Hz image rate) by a Hamamatsu ORCA-ER camera, in order to obtain 535/480 nm fluorescence ratio images values of a region of interest enclosing the pharynx terminal bulb. Experiments were performed at 20°C and carried on during 30 min of continuous recording. Fluorescence was recorded and analyzed using the Metafluor program (Universal Imaging) and a specific algorithm designed to calculate off-line the width at mid-height expressed in seconds and the height obtained as percent of ratio change of all the Ca2+ peaks in each experiment.
Electropharyngeogram
Electropharyngeogram (EPG) was carried out as previously described (), at day 5 of adult life. Briefly, the Nemametrix Screen Chip System (NemaMetrix, Eugene OR; Cat # SK100) with a fresh SC40 screen chip (NemaMetrix, Eugene OR; Cat # SKU: 0002) loaded with M9 buffer containing 2.3 mM serotonin, was placed on an inverted Zeiss Axiovert 200 microscope equipped with an LD A-Plan 10x objective. For each experiment, we picked 100 worms from the culture plate and washed them in 1.5 ml of 0.2 µm filtered M9 buffer + 0.1% Tween. Worms were then washed 4x with 0.2 µm filtered M9 buffer, then once in M9 buffer containing 2.3 mM serotonin, and they were finally suspended in 1 ml of M9 buffer containing 2.3 mM serotonin and allowed to settle for 15 min. All the experiments were performed between 15 and 120 min of the initial serotonin exposure. Experiments were recorded with the NemAcquire software and analyzed with the NemAnalysis v0.2 software. All the experiments with a frequency of less than 0.1 Hz or pump duration coefficient of variation bigger than 50% were rejected.
Confocal Imaging
For confocal imaging, CGP37157 treated and untreated AQ2121 worms (for sarcomere structure evaluation) and SJ4103 (for mitochondrial organization) were transferred to a 2% agarose pad containing a drop of sodium azide 50 mM, which acts as a worm anesthetic. Then, a coverslip was used to cover the drop and worms were imaged on a Leica TCS SP5 confocal microscope. Fluorescence was excited at 488 nm, and the emission between 500 and 554 nm was collected. Images were then processed and analyzed using ImageJ software.
Mobility Measurements
Tracking assays were performed from day 5 to day 15 of C. elegans AQ2121 adult worms to evaluate possible effects of CGP37157 in worm’s motility. Day 1 synchronized adult worms were placed in control 35 mm Ø plates or in plates containing 50 µM CGP37157 and kept at 20°C. Two minute videos were taken every day from day 5 to day 15 of control and treated populations, and they were analyzed offline using the ImageJ plugin “wrMTrck”, as described previously (Nussbaum-Krammer et al., 2015).
Transcriptomic C. elegans Analysis
For worm synchronization, eggs were placed overnight in NGM plates without OP50 to cause L1 larvae arrest. After 12 h, L1 larvae were transferred to NGM plates seeded with OP50 and let develop at 20°C. As soon as they reach the young adult stage, worms were transferred to control and treatment (50 µM CGP37157) seeded plates, incubated at 20°C and transferred every day to new plates. At day 5 of treatment, total RNA extraction was performed. Briefly, control and treated worms were collected with distilled H2O, transferred to a Falcon tube and washed three times to eliminate eggs or larvae left in the plates. Then they were transferred to an eppendorf tube, the rest of the supernatant was carefully removed and three freezing-unfreezing cycles in liquid nitrogen were performed. Then, 10–20 silica beads and 500 µL of TRizol™ were added to each frozen sample, samples were homogenized using a beads homogenizer for 1 min and incubated in ice for 5 more minutes. Then 100 µL of chloroform were added to each sample, incubated for 3 min and centrifuged at 4°C, 15 min at 15.000 rpm. The upper phase was then transferred to another eppendorf tube and finally, a solution 1:1 (v/v) of the sample and Ethanol 70% was prepared. For RNA purification, the QIAGEN RNEasy Mini Kit was used. The RNA solution was transferred to a silica-membrane RNeasy spin column, washed, treated with DNases using the QIAGEN RNase-Free DNase set, and eluted using pre-heated free RNase H2O. Total RNA was quantified in the Nanodrop (Thermo Scientific). Global gene expression profile was analyzed at the Genomic Platform of the CIBIR (http://cibir.es/es/plataformas-tecnologicas-y-servicios/genomica-y-bioinformatica). Expression analysis was performed as described (; ) using DESeq2 () and edgeR (Robinson et al., 2010) algorithms.
Results
We have reported previously that CGP37157 increased lifespan in eat-2(ad1113) mutants (caloric restriction mimetic), but it produced no effect in daf-2(e1370) mutants (insulin/IGF-1 receptor), nuo-6(qm200) mutants (mitochondrial respiratory chain complex I mutant) and daf-15(m81)/unc-24(e138) mutants (mTOR regulatory protein Raptor mutant) (). Therefore, its effects on longevity are somehow mediated by the insulin/IGF-1 and mTOR pathways, and require functional mitochondrial respiratory chain.
To extend our genetic analysis and define which pathways are relevant for the lifespan extension mediated by CGP37157, we scored the effect of this compound on the lifespan of mutants of several additional pathways related to longevity. Figure 1 shows that CGP37157 increased lifespan in a similar way in mutants of the AMP-activated kinase, both in mutants of the catalytic subunit α2 (aak-2(ok524), panel a) and in double mutants of both catalytic α subunits (aak-1(tm 1944);aak-2(ok524), panel b). CGP37157 was also effective increasing the lifespan in mutants of the mTOR substrate S6 kinase (rsks-1(ok1255), panel c), in mutants of the sirtuin pathway (sir-2.1(ok434), panel d), and in mutants of the transcription factor daf-16(mu86)/FOXO (panel e). These pathways are therefore not involved in the lifespan increase induced by CGP37157. Figure 1F, shows a summary of the effects of this compound in the different mutants (see also Supplementary Tables S1, S2).
FIGURE 1
In order to investigate the mechanism involved in the increase in lifespan induced by this compound, we performed measurements of cytosolic and mitochondrial Ca2+ dynamics in the pharynx of live worms, either treated or untreated with CGP37157. As we have reported previously, the pharynx displays a persistent fast Ca2+ oscillatory activity that can be followed for long time periods, both in the cytosol (
FIGURE 2

Effect of CGP37157 on C. elegans pharynx cytosolic (A) and mitochondrial (B) [Ca2+]. Panels a and d show 5 min of typical records of cytosolic (A) or mitochondrial (B) [Ca2+] oscillations obtained from C. elegans worms at day 5 of adult life either treated (panel d) or untreated (panel a) with 50 µM CGP37157 since day 1 of adult life. Panels b and e show expanded the 1 min region marked with a square in the 5 min record of the panel above. Panels c and f show the single wavelength records with emission at 480 and 535 nm corresponding to the 1 min ratio records of the panels above, showing the expected mirror changes. Panels g and h show the mean peak width and mean peak height of pharynx cytosolic (A) or mitochondrial (B) [Ca2+] oscillations. ***p < 0.001, ANOVA test, n = 5,009 to 8,456 peaks analyzed.
An important point regarding the effects of drugs that modify the lifespan concerns their effects on functional parameters indicative of good health. We have studied here the effect of CGP37157 on the mobility of the worms in tracking experiments. Figure 3 shows the mean average and maximum speed obtained from a series of tracking experiments performed at different days of adult life. The data show that CGP37157 increased the mean average and maximum speed of the worms, an effect that was significant in the interval between days 8–12.
FIGURE 3

Effect of CGP37157 on the mobility of the worms. Mobility was estimated from 2 min videos analyzed with the “wrMTrck” ImageJ plugin to obtain the mean average and maximum speed, as described in Methods. *p < 0.05; **p < 0.01; ***p < 0.005, ANOVA test, n = 9–15 worms per condition.
We have also studied the effect of CGP37157 on cellular stress, which is considered to be a very important phenomenon involved in the toxicity of many drugs, in addition to other mechanisms such as mitochondrial dysfunction or oxidative stress. For that, we have monitored the expression of hsp-16.2, a heat shock protein related to stress resistance that is induced by a number of types of cellular stress, including heat shock or oxidative stress (
FIGURE 4

Effect of CGP37157 on cytosolic stress. hsp-16.2 expression was evaluated at day 3 of adult life using the strain TJ375, that induces GFP expression when hsp-16.2 is transcribed. (A) shows the mean fluorescence obtained before (upper panels) and after (lower panels) a temporary heat shock (HS) treatment of 2 h at 35°C followed by overnight recovery, either in the absence (left panels) or in the presence (right panels) of 50 µM CGP37157. (B) shows the mean fluorescence obtained in each condition compared with the ANOVA test (n = 23 to 37 worms/condition. ***p < 0.001).
Another functional parameter we have monitored is the sarcomere structure in body wall muscle cells. It has been reported that sarcomere structure of body wall muscle cells undergoes a progressive decline with age, so that sarcomere lose their densely packed structures and regular and parallel orientations as aging progresses, a phenomenon typical of sarcopenia (
FIGURE 5

Effect of CGP37157 on the sarcomeric structure in C. elegans body wall muscle during aging. AQ2121 worms, expressing the YC2.1 cameleon probe in the cytosol, were imaged by confocal microscopy at different days of adult life, either treated or not with 50 µM CGP37157 since day 1 of adult life.
It has been recently described that alterations in muscle mitochondrial structure are strongly correlated with the decline of both sarcomeric structure and speed of movement (
FIGURE 6

Effect of CGP37157 on the mitochondrial structure in C. elegans body wall muscle during aging. SJ4103 worms, expressing GFP inside mitochondria of body wall muscle cells, were imaged by confocal microscopy at different days of adult life, either treated or not with 50 µM CGP37157 since day 1 of adult life.
Because of the decline we see in worm mobility and body-wall muscle sarcomere and mitochondrial structure, we have also investigated the effect of CGP37157 on body-wall muscle cytosolic [Ca2+] dynamics at both day 2 and day 12. We used the AQ2121 strain (expressing the [Ca2+] sensor YC2.1 in body-wall muscle and vulva muscle) and monitored the vulva region, which shows spontaneous large [Ca2+] oscillations even in the glued worms. Although the function of these contractions is to expel the eggs, they are present throughout the worm's life. Figure 7A shows the [Ca2+] dynamics observed at day 2, both in the absence and in the presence of CGP37157. [Ca2+] peaks were much larger and wider than those measured in the pharynx, and the presence of CGP37157 did not modify the height of the peaks, but produced a large increase in the mean width, both in the width measured at the foot of the peaks and in the width measured at half-height. Similar results were obtained at day 12 (Figure 7B). Although the magnitude of the effects was smaller at day 12, the presence of CGP37157 significantly increased also the width of the peaks, and did not modify the height.
FIGURE 7

Effect of CGP37157 on C. elegans vulva cytosolic [Ca2+] at day 2 (A) and day 12 (B) of adult life. Panels a and c show 5 min of typical records of spontaneous cytosolic [Ca2+] oscillations obtained from C. elegans worms at day 2 of adult life either treated (panel c) or untreated (panel a) with 50 µM CGP37157 since day 1 of adult life. Panels b and d show the single wavelength records with emission at 480 and 535 nm corresponding to the 5 min ratio records of the panels above, showing the expected mirror changes. Panels e. g., and h show the mean peak width at the foot of the peak, the mean peak width at half-height and the mean peak height of the vulva cytosolic [Ca2+] oscillations. ***p < 0.001; **p < 0.01; ANOVA test, n = 113 to 190 peaks analyzed.
Finally, to obtain further information on the functional effects induced by CGP37157 treatment, we have studied the changes induced by this treatment on the global gene expression pattern. Analysis was performed as described previously (
FIGURE 8

C. elegans gene up-regulation and down regulation in the presence of CGP37157. Gene Ontology (GO) Biological Processes (BP) vs. number of genes within each category appears represented in color bars, 1 bar per GO term. The length of the bars indicates the number of genes belonging to the different GO categories and the color indicates the statistical significance, from those with highly significant expression difference (red) to those with lower significance (blue). Gene expression data were normalized by a negative binomial distribution model by using DESeq2 and EdgeR implementations and compared in pairs to analyze the effect of CGP37157 treatment. Common up-regulated (A) and down-regulated (B) genes determined by both methodologies were used for annotation and GO analyses.
In addition, looking carefully at the list of genes showing significant changes in the presence of this compound, we could detect ncx-6, one of the mitochondrial Na+/Ca2+ exchanger genes, which increased expression 4-fold with very high significance. Of the rest of Na+/Ca2+ exchanger genes, only ncx-9 showed a significant change, but with smaller significance and only when analyzed using DESeq2 algorithm, not with EdgeR algorithm. No other gene related to calcium homeostasis showed significant differences.
Discussion
In this work, we have further explored the mechanism of the increased lifespan induced by compound CGP37157 in C. elegans worms. First, we have studied the effect of this compound in several mutants of pathways related to longevity. Together with studies performed in other mutants reported previously (
The eat-2 mutant has increased longevity due to caloric restriction, and thus the effect of CGP37157 is not mediated by caloric restriction. daf-16 is a transcription factor that activates several genes that promote longevity, and daf-2 is the insulin/IGF-1 receptor, whose activation leads to inactivation of daf-16 by cytoplasmic sequestration. Our results suggest that CGP37157 may activate directly some longevity mechanism downstream of daf-16. In that case, it could be activated in daf-16 mutants (in the absence of DAF-16), but it would disappear in daf-2 mutants because daf-16 is maximally activated in those mutants. One of the downstream targets of daf-16 is the TORC1 coactivator daf-15/Raptor, and DAF-16/FOXO inhibits the expression of daf-15/Raptor (Sun et al., 2017). Given that CGP37157 was also ineffective in daf-15/raptor mutants, the DAF-16-sensitive TORC1 pathway could be essential for the effect of CGP37157. Instead, sirtuins and AMP-activated kinase are not involved. Also, the TORC1 substrate S6 kinase is not required, as CGP37157 is still effective in rsks-1 mutants. Finally, the presence of a functional mitochondrial respiratory chain is necessary, because the compound was ineffective in the respiratory chain complex I mutant nuo-6. In summary, the increase in lifespan induced by CGP37157 is probably mediated by TORC1 inhibition and requires functional mitochondrial respiration to develop.
We have then monitored cytosolic and mitochondrial [Ca2+] oscillations in the worm pharynx both in the presence and in the absence of CGP37157. Although oscillatory activity was similar, there were small but significant changes in the shape and frequency of the [Ca2+] peaks. Treatment with CGP37157 reduced both the width and the height of the cytosolic [Ca2+] peaks. Instead, it reduced the width but increased the height of the mitochondrial [Ca2+] peaks (Figure 2). The electropharyngeogram showed a decrease in pump duration that was consistent with the changes in [Ca2+], although it was not statistically significant, probably because of the large variability of the pump electrical recordings. The decrease in the width and height of the cytosolic [Ca2+] peaks may be explained by inhibition of Ca2+ entry through either a voltage-dependent Ca2+ channel (such as EGL-19) or the CLHM-1 channel. CGP37157 has been shown to inhibit the mammalian homologues of these channels (
We have also investigated the effects of CGP37157 on several functional parameters representative of good health. This is an important aspect, because not all the increases in lifespan correlate with an improvement in healthspan. In this sense, several possible biomarkers of aging have been proposed in C. elegans including physiological markers such as locomotion (
One of the physiological biomarkers studied in this work was locomotion. It has been widely described that an improvement in locomotion, either in worms that display fast locomotion during early adulthood (
Among the molecular markers that have been described, the expression of hsp-16.2 has been evaluated after the treatment with CGP37157. This chaperone is a marker of cytosolic stress and it has been proven to correlate in a positive manner with aging (Rea et al., 2005). To assess the possible changes in hsp-16.2 expression with the treatment, the strain TJ375 was used, as GFP expression in this strain is driven by the hsp-16.2 promoter. The results show that the treatment with CGP37157, at day 3 of adulthood, did not produce changes in GFP expression in this worms, thus no cytosolic stress was induced by the treatment.
We have also investigated the effects of CGP37157 on the development of sarcopenia in body wall muscle. Sarcopenia is defined as a progressive loss of muscle mass with advancing age characterized by a decline in muscle quantity and quality (
The sarcopenia process has been demonstrated to be conserved in C. elegans, and recently a greater loss of mitochondrial function with aging has been associated with an earlier onset of sarcopenia in C. elegans (
Our results show that treatment with CGP37157 is able to delay the sarcopenia process in C. elegans worms, maintaining the parallel sarcomeric structure of body wall muscle cells of treated worms when compared to the control group. Moreover, mitochondrial distribution and morphology was also improved in the worms under the CGP37157 treatment. Since loss-of-function mutations in daf-2 and daf-15 blocked the effect of CGP37157, these beneficial effects in muscle integrity and maintenance may be due to the negative modulation by CGP37157 of both the insulin and mTOR pathways. Interestingly, in spite of the progressive decline in muscle structure and function with age, we found little changes in [Ca2+] dynamics in vulva muscle at day 2 and day 12. We have reported before a similar effect when studying [Ca2+] dynamics in the pharynx during aging. While pharynx pumping is drastically reduced with age, [Ca2+] dynamics was much better preserved (
Finally, the transcriptomic study detected that CGP37157 induced significant changes in a series of genes related to the cellular response to exogenous drugs, immune and defense response and lipid metabolic processes. While changes in the expression of genes related to response to xenobiotics were expected, the changes observed in lipid metabolism enzymes may perhaps be more relevant for its effect in lifespan. Many changes in C. elegans lipid metabolism have been previously associated to longevity (O’Rourke and Ruvkun, 2013;
In addition, we found in the transcriptomic study one gene involved in Ca2+ homeostasis that underwent a highly significant change. That was ncx-6, one of the 10 genes corresponding to Na+/Ca2+ exchangers present in the C. elegans genome, whose expression increased 4-fold in the presence of CGP37157. ncx-6 belongs to the NCLX family, which in humans has only one representative and in C. elegans includes ncx-6, ncx-7, ncx-8, ncx-9 and ncx-10 (Sharma et al., 2013;
FIGURE 9

Cartoon showing the main pathways involved in the effect of CGP37157. Activation of the daf-2 receptor leads to inactivation of daf-16 by cytoplasmic sequestration. When this pathway is downregulated, daf-16 enters the nucleus and regulates a series of target genes that increase longevity. AMP-activated kinase and SIR-2.1 promote daf-16 activation, while the TORC1 complex inhibits it. Among the downstream targets of daf-16 we have the TORC1 coactivator daf-15/Raptor and also the mitochondrial Na+/Ca2+ exchanger ncx-6. Both are downregulated by daf-16. CGP37157 also inhibits ncx-6/ncx-9, and it may also inhibit several Ca2+ channels and transporters in the plasma membrane. The cartoon also includes the Ca2+ connection between endoplasmic reticulum and mitochondria, composed of the Ca2+ channels itr-1 (IP3 receptor) and unc-68 (ryanodine receptor), the ER Ca2+ pump (sca-1) and the mitochondrial Ca2+ uniporter (mcu-1). In green, pathways pro-survival. In red, pathways pro-aging.
Our results indicate that CGP37157 modulates Ca2+ homeostasis by acting on mitochondrial Na+/Ca2+ exchangers (with the NCX-6 isoform playing an important role) and plasma membrane Ca2+ channels, and it is able to increase longevity by a mechanism involving mitochondria and mTOR. This results add on our previous reports of the increase in lifespan induced by the inhibition of the Sarco Endoplasmic Reticulum Ca2+ Pump (
Statements
Data availability statement
The datasets presented in this study can be found in online repositories. The names of the repository/repositories and accession number(s) can be found below: www.ncbi.nlm.nih.gov/geo/, GSE173646
Author contributions
MM and JA designed the project. EG-O and JC analyzed the transcriptomic study. PG-C, PA-I, and RF performed the rest of the experiments. JA wrote the manuscript and RF, MM, EG-O, and JC helped in discussing and editing the manuscript. All authors read and approved the final manuscript.
Funding
This work was supported by a grant from the Spanish Ministerio de Economía, Industria y Competitividad (BFU2017-83509-R) to JA and MM, project co-financed by the European Union through the European Regional Development Fund, and by grants from the Spanish Ministerio de Ciencia, Innovación y Universidades (PGC 2018–094276-B-I00) and the Rioja Salud Foundation (FEDER funds) to JC. PG-C had a FPI fellowship from Ministerio de Economía y Competitividad. Financial support from Programa Estratégico Instituto de Biología y Genética Molecular (IBGM), Escalera de Excelencia, Junta de Castilla y León (Ref. CLU-2019-02) is gratefully acknowledged. Some C. elegans strains were provided by the Caenorhabditis Genetics Center (CGC), which is funded by NIH Office of Research Infrastructure Programs (P40 OD010440).
Acknowledgments
We thank the Genomic Platform of the CIBIR (http://cibir.es/es/plataformas-tecnologicas-y-servicios/genomica-y-bioinformatica) for carrying out the transcriptomic study and Jaime Santo-Domingo for helpful discussions and comments on the manuscript.
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Supplementary material
The Supplementary Material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/fphar.2021.695687/full#supplementary-material
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Summary
Keywords
C. elegans, CGP37157, lifespan, endoplasmic reticulum, mitochondria, sarcopenia
Citation
García-Casas P, Alvarez-Illera P, Gómez-Orte E, Cabello J, Fonteriz RI, Montero M and Alvarez J (2021) The Mitochondrial Na+/Ca2+ Exchanger Inhibitor CGP37157 Preserves Muscle Structure and Function to Increase Lifespan and Healthspan in Caenorhabditis elegans. Front. Pharmacol. 12:695687. doi: 10.3389/fphar.2021.695687
Received
15 April 2021
Accepted
03 June 2021
Published
15 June 2021
Volume
12 - 2021
Edited by
Anant Parekh, University of Oxford, United Kingdom
Reviewed by
Israel Sekler, Ben-Gurion University of the Negev, Israel
Svetlana Voronina, University of Liverpool, United Kingdom
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© 2021 García-Casas, Alvarez-Illera, Gómez-Orte, Cabello, Fonteriz, Montero and Alvarez.
This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Javier Alvarez, jalvarez@ibgm.uva.es
† These authors have contributed equally to this work and share first authorship
This article was submitted to Pharmacology of Ion Channels and Channelopathies, a section of the journal Frontiers in Pharmacology
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