Trehalose inhibits hexose uptake in multiple cell types

We examined whether trehalose modulated SLC2A-mediated uptake of [³H]-2-deoxy-D-glucose (2DG), a glucose analog that is transported but not metabolized. We stably transfected 293 cells that also stably expressed GLUT1 shRNA to knockdown the endogenous GLUT1 transporter (16) with empty vector or with plasmids expressing one of the four class I GLUTs (GLUT1-4), which are ubiquitous (3), or GLUT8, which is abundant in hepatocytes (2). We also tested the effect of trehalose on GLUT8-mediated 2DG uptake, because blocking GLUT8 prevents the development of hepatic steatosis (2). We assayed uptake of 2DG in each cell line over a range of substrate concentrations to determine the half-maximal inhibitory concentration (IC₅₀) in each GLUT isoform-enriched system. Trehalose inhibited [³H]-2DG uptake in each of the class I GLUT-overexpressing and the GLUT8-overexpressing 293 lines (Fig. 1C).

We also evaluated the effects of trehalose on [³H]-2DG uptake and [¹⁴C]-fructose uptake in cultured primary murine hepatocytes and the human hepatocyte cell line HepG2. Because GLUT8 is abundant in hepatocytes and the overexpression study indicated an IC₅₀ of 126 mM, we exposed the hepatocyte cells to 100 mM trehalose. In primary hepatocyte cultures, 100 mM trehalose inhibited 2DG uptake without significantly affecting [¹⁴C]-fructose uptake (Fig. 1D). Therefore, for all subsequent experiments involving primary hepatocytes, we used 100 mM trehalose. In HepG2 hepatocytes, 100 mM trehalose significantly blunted both [³H]-2DG and [¹⁴C]-fructose uptake when compared with vehicle-treated cultures (Fig. 1E). The inhibition of fructose uptake may reflect greater dependence of HepG2 cells on GLUT8-mediated fructose uptake in comparison with primary hepatocytes (2).

Trehalose rapidly induces AMPK and ULK1 activation in cultured primary hepatocytes

Preventing glucose uptake into hepatocytes is predicted to induce a starvation-like state and activate cellular autophagy. We therefore determined whether trehalose depleted hepatocyte intracellular ATP by incubating primary hepatocyte cultures with or without trehalose for 30 minutes prior to lysis and then performing an enzymatic-fluorimetric ATP concentration assay (17, 18). ATP concentration in trehalose-treated hepatocyte cultures was 20% lower when compared with untreated cultures (Fig. 2A). Reduced ATP concentration should increase the AMP:ATP ratio, leading to the phosophorylation at Thr¹⁷² and activation of AMPK, an energy-sensing kinase that stimulates autophagy (19). We monitored phosphorylated Thr¹⁷² of AMPK by Western blotting in primary hepatocyte cultures exposed to vehicle or trehalose for up to 4 hours. Trehalose stimulated an increase in AMPK (Thr¹⁷²) phosphorylation within 30 minutes, and this increase was sustained throughout the 4-hour timecourse (Fig. 2B). In contrast, AMPK activation was at basal levels in cells that had not been exposed to trehalose (0, in Fig. 2B) and were analyzed after 4 hours.

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Figure 2

Trehalose decreases hepatocyte ATP and activates AMPK and autophagic flux. A. ATP quantification in hepatocytes treated with or without 100 mM trehalose for 30 minutes. Data are shown as mean fold of control (growth-media-treated) ATP ± SEM for, N= 3 independent experiments, n = 3 replicates per experiment. *, P < 0.05 by two-tailed T-Test. B. Left, immunoblot demonstrating AMPK (Thr¹⁷²) phosphorylation in trehalose-treated hepatocytes (0–4hrs). Right, immunoblot quantification of pAMPK (Thr¹⁷²) normalized to AMPKα band density. Data are shown as mean ± SEM for, N= 3 independent experiments, n = 2–3 replicates per experiment. **, P < 0.01 ***, P < 0.001 versus untreated control (“0 hour” data) (one-way ANOVA and Sidak’s post hoc analysis). C. Left, immunoblot depicting AMPK and ACC1 phosphorylation in HBSS-starved hepatocytes, followed by refeeding with unsupplemented HBSS (denoted as “−” group on blot and “control” on graph) or HBSS containing 25 mM glucose in the presence or absence of 100 mM trehalose for 30 minutes. Right, quantification of AMPK and ACC1 phosphorylation at Thr¹⁷² and Ser⁷⁹ normalized to AMPKα and ACC1 band density, respectively. Data are shown as mean ± SEM for, N = 3 independent experiments, n = 2 replicates per experiment, In the glucose-treated group * and *** represent P < 0.05 and P < 0.001 versus controls (one-way ANOVA and Sidak’s post hoc analysis). In the glucose + trehalose-treated group, *** represents P < 0.001 versus cells treated with glucose alone (one-way ANOVA and Sidak’s post hoc analysis). ## and ###, P < 0.01 and P < 0.001 versus control group (one-way ANOVA and Sidak’s post hoc analysis) D. Left, immunoblot depicting ULK1 phosphorylation (Ser³¹⁷ and Ser⁷⁵⁷) and LC3B-II accumulation after 1 hour incubation without (control) or with 100 mM trehalose. Right, quantification of AMPK and ULK1 phosphorylation, and LC3B-II band density normalized to AMPKα, ULK1, and GAPDH, respectively. Data are shown as mean ± SEM for, N = 3 independent experiments, n = 2 replicates per experiment, **, P < 0.01 versus control and ***, P < 0.001 versus control by 2-tailed T-Test. E. LC3B-I and LC3B–II immunoblotting in hepatocytes following treatment with or without 100 mM trehalose and 100 nM bafilomycin A1 for 1 hr. Control groups were treated with DMSO. Right, LC3B-II band density, normalized to GAPDH density. Data are shown as mean ± SEM for, N = 5 independent experiments, n = 1–3 replicates per experiment ***, P < 0.001 versus control groups. ###, P < 0.001 between bracketed groups by one-way ANOVA and Sidak’s post-hoc analysis for multiple comparisons.

To test if trehalose blocked glucose-mediated suppression of AMPK activity, we deprived primary hepatocytes of glucose, then replaced the starvation solution with unsupplemented Hank’s balanced salt solution (HBSS, denoted as “control”, which contains 5.6 mM glucose) or with HBSS containing 25 mM glucose (denoted as “glucose”) in the presence or absence of trehalose (denoted as “Glucose + trehalose”) for 30 minutes. For these experiments, we monitored not only AMPK activation as phosphorylation at Thr¹⁷², but also AMPK activity as measured by phosphorylation of its substrate Actyl-CoA carboxylase 1 (ACC1) at Ser⁷⁹. Compared to control hepatocytes, glucose refeeding suppressed phosphorylation of AMPK and ACC1 (Fig. 2C). In contrast, hepatocytes subjected to glucose refeeding in the presence of trehalose exhibited marked ACC1 (Ser⁷⁹) and AMPK (Thr¹⁷²) phosphorylation when compared with control cultures or when compared with cultures subjected to 25 mM glucose refeeding alone (Fig. 2C), suggesting that glucose refeeding in the presence of trehalose does not simply recapitulate the fed state.

AMPK activates autophagy by phosphorylating the autophagy-promoting protein ULK1 at Ser³¹⁷ (6). To determine whether trehalose activates ULK1 and autophagy, we treated primary hepatocytes with or without trehalose and then monitored ULK1 phosphorylation and the abundance of the autophagosome marker protein, LC3B-II (12), by Western blot. Consistent with induction of autophagy, trehalose significantly enhanced AMPK (Thr¹⁷²) and ULK1 (Ser³¹⁷) phosphorylation when compared with untreated primary hepatocytes (Fig. 2D). Consistent with a nutrient-deprivation response, we also observed that ULK1 phosphorylation at Ser⁷⁵⁷ – a site phosphorylated by the mammalian target of rapamycin complex 1 (mTORC1) (6)– was significantly lower in trehalose-treated cultures after 1 hour (Fig. 2D).

These changes in the autophagy-activating AMPK signaling pathway correlated with LC3B-II accumulation. To directly test whether LC3B-II accumulation was indeed due to trehalose induction of autophagic flux – and not secondary to defects in LC3B-II degradation – we incubated primary hepatocytes with trehalose for one hour in the presence or absence of bafilomycin A1 (BafA1), a vATPase inhibitor (12) that prevents LC3B-II degradation in autophagosomes. Trehalose-treated hepatocytes exhibited increased LC3B-II when compared with untreated cultures (Fig. 2E), and BafA1 further enhanced LC3B-II accumulation (Fig. 2E).

Our data indicated that trehalose acted as a glucose transport inhibitor that induced hepatocyte autophagic flux. Therefore, we evaluated whether other structurally unrelated glucose transport inhibitors could induce autophagy. The HIV protease inhibitors are a class of compounds that inhibit SLC2A family members with distinct isoform specificity (20). The HIV protease inhibitor, Lopinavir, is a class I SLC2A glucose transporter inhibitor (IC₅₀ range: 4–32μM for GLUT1, GLUT2, GLUT3, and GLUT4) (16). To test whether lopinavir blocked glucose uptake in hepatocytes, we incubated primary hepatocyte cultures with solvent (DMSO) or with lopinavir (40 μM) 5 minutes prior to performing 2DG uptake measurements. Lopinavir reduced 2DG uptake in primary hepatocytes by approximately 50% when compared with solvent-treated cultures fig. S1A). Moreover, within 15 minutes we detected AMPK (Thr¹⁷²) and ULK1 (Ser³¹⁷) phosphorylation and LC3B-II accumulation in lopinavir-treated primary hepatocytes (fig. S1B). In contrast, the disaccharide sucrose (100 mM) did not induce AMPK signaling or LC3B-II accumulation at any time point through 4 hours of incubation in primary hepatocytes (fig. S2).

Trehalose activates AMPK signaling and autophagic flux in mouse liver

We assessed the effect of trehalose on AMPK signaling and autophagic flux in mice. To first determine whether orally delivered trehalose was detectable in peripheral venous circulation, we administered by gavage saline or trehalose (3 g/kg) for 0.5–4 hours to wild-type mice, collected peripheral blood and performed liquid chromatogaphy-mass spectrometric analysis on separated serum. Within 30 minutes, we detected trehalose in the serum of the mice (Fig. 3A). To ascertain whether AMPK and ULK1 were activated in response to trehalose administration, we excised liver from the mice and immunoblotted for AMPK (Thr¹⁷²) and ULK1 (Ser³¹⁷) phosphorylation. Livers from mice administered trehalose exhibited increased AMPK Thr¹⁷² within 30 minutes, increasing ULK1 Ser³¹⁷ phosphorylation that plateaued after 2 hours, and a peak of LC3B-II accumulation after 1 hour (Fig. 3B). Because LC3B-II could accumulate in liver tissue due to increased autophagic flux or due to decreased LC3B-II degradation, mice were administered saline or trehalose or trehalose (3 g/kg) 1 hour after intraperitoneal injection with saline or leupeptin (40 mg/kg) to block LC3B-II degradation in autophagosomes (12, 21). Consistent with an increase in autophagic flux, leupeptin enhanced the accumulation of LC3B-II in the trehalose-treated animals (Fig. 3C).

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Figure 3

Orally administered trehalose rapidly accumulates in peripheral circulation and induces hepatic autophagy. A. Liquid chromatography-mass spectrometric analysis of serum isolated from mice administered 3 g/kg trehalose by gavage and analyzed after 0.5, 1, 2, or 4 hours. Serum analyzed at the “0 hour” trehalose-treatment time point was derived from mice 30 minutes after gavage with 0.9% NaCl. N = 5 mice per treatment group. B. Left, immunoblot analysis of crude liver lysates from mice administered 3 g/kg trehalose and analyzed after 0.5, 1, 2 or 4 hrs. Liver lysates analyzed at the “0 hour” trehalose-treatment time point were derived from mice 30 minutes after gavage with 0.9% NaCl. Right, Quantification of pAMPK, pULK-1 and LC3B-II, normalized to AMPKα, ULK1, and GAPDH, respectively. Data are shown as mean ± SEM for, N = 5 independent mice per treatment group. ***, P < 0.001 versus 0-hour treatment group (one-way ANOVA and Sidak’s post hoc analysis) C. Left, immunoblot analysis of LC3B-II in liver lysates from mice treated with or without 40 mg/kg leupeptin 1 hr prior to oral gavage with 3 g/kg trehalose. Right, quantification of LC3B-II:Actin band density ratio. Data are shown as mean ± SEM for, N = 3–4 independent mice per treatment group, ***, P < 0.001 and ****, P < 0.0001 versus saline-treated controls (2-tail T-Test). ***, P < 0.001 between trehalose-treated groups treated with leupeptin versus leupeptin-untreated group (denoted by brackets) by 2-tail T-Test.

Trehalose reduces triglyceride accumulation in cultured hepatocytes

Autophagic insufficiency may underlie the pathogenesis of NAFLD (22), a disorder of excessive hepatic fat accumulation that ranges in phenotype from simple steatosis to steatohepatitis, cirrhosis, and liver failure (1). The accumulation of triglycerides in cultured hepatocytes serves as an in vitro model of fatty liver disease and can be induced by exposing the cells to the monosaccharide fructose (2, 23). We tested whether trehalose mitigates hepatocyte triglyceride accumulation in this cell culture model by incubating serum-deprived primary hepatocytes in the presence or absence of fructose (5 mM for 48 hr) with or without co–administration of trehalose. We extracted the lipids and performed enzymatic-colorimetric triglyceride analysis. Fructose significantly induced triglyceride accumulation in the primary hepatocyte cultures, and trehalose blocked the accumulation of triglyceride (Fig. 4A). To quantify key fructose-responsive regulatory factors, we quantified the abundance of transcripts encoding carbohydrate response-element binding protein (ChREBP) and glycerol-3-phosphate acyltransferase (GPAT). Trehalose partially blocked the fructose-mediated increase in ChREBP and GPAT mRNA abundance (Fig. 4B). Trehalose also significantly reduced fatty acid-induced triglyceride accumulation in primary hepatocytes exposed to BSA-conjugated oleic, palmitic, stearic, and linoleic acids conjugated to bovine serum albumin (BSA) at a ratio of 1:1:1:1 for a total of 500μM fatty acid for 48 hours (Fig. 4C).

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Figure 4

Trehalose mitigates triglyceride accumulation in multiple in vitro models of steatosis. A. Triglyceride (TG) quantification in hepatocytes treated with or without 5 mM fructose in the presence or absence of 100 mM trehalose. Data are shown as mean ± SEM for, N = 3 independent experiments, n = 3 replicates per treatment group per experiment. ***, P < 0.001 (one-way ANOVA and Sidak’s post hoc analysis). B. Quantitative, real-time RT-PCR (qPCR) analysis of carbohydrate response element binding protein (ChREBP) and glycerol phosphate acyltransferase (GPAT) mRNA in hepatocytes treated with fructose in the presence or absence of 100mM trehalose. Target abundances are normalized to α-actin expression within each sample. Data are shown as mean ± SEM for, N = 3 independent experiments, n = 3 replicates per treatment group per experiment. ****, P < 0.0001, ***, P < 0.001, and *, P < 0.05 (one-way ANOVA and Sidak’s post hoc analysis). C. TG quantification in hepatocytes treated with or without BSA-conjugated fatty acids (500μM) in the presence or absence of 100mM trehalose (48hr). Data are shown as mean ± SEM for, N = 3 independent experiments, n = 2–3 replicates per treatment group per experiment. ***, P < 0.001, (one-way ANOVA and Sidak’s post hoc analysis). D. TG quantification in microsomal triglyceride transfer protein-deficient primary hepatocytes treated with or without 100mM trehalose (48hr). ****, P < 0.0001 by 2-tail T-Test. Data are shown as mean ± SEM for, N = 3 independent experiments, n = 3 replicates per treatment group per experiment. E., TG quantification in WT and ATG16L1^HM hepatocytes treated with BSA alone (control) or with BSA-conjugated fatty acids in the presence or absence of trehalose (100mM, 48hr). Data are shown as mean ± SEM for, N = 3 independent experiments, n = 3 replicates per treatment group per experiment. ****, P < 0.0001 by one-way ANOVA and Sidak’s post-hoc test.

To determine whether the protective effects of trehalose effects on hepatocyte triglyceride accumulation extended to other models of hepatic triglyceride accumulation, we evaluated the effect of trehalose on hepatocytes from mice genetically deficient in hepatic microsomal triglyceride transfer protein (MTTP), hepatocytes from mice expressing knock-in hypomorphic alleles of the gene encoding the autophagy-promoting complex protein ATG16L1 [ATGH16L1^HM (24)], and HepG2 cells. MTTP-knockout mice develop hepatic steatosis in the absence of dietary stress (25). Trehalose reduced the accumulation of triglycerides in cultured hepatocytes from MTTP-knockout mice compared with the abundance of triglycerides in the untreated MTTP-knockout hepatocytes (Fig. 4D).

Compared to hepatocytes from wild-type mice, the hepatocytes from the ATGH16L1^HM mice exhibit increased triglyceride accumulation even in growth medium (Fig. 4E). However, exposure to the BSA-conjugated fatty acids induced a significant increase in triglyceride accumulation that trehalose did not reduce (Fig. 4E), indicating that the ability of trehalose to prevent triglyceride accumulation required autophagy, which was compromised in the cells from the ATG16L1^HM mice.

HepG2 cells are a cell line derived from a human hepatocellular carcinoma. Similar to the primary hepatocyte response to trehalose, HepG2 cultures exposed to trehalose exhibited significantly greater LC3B-II accumulation, and this response was enhanced by BafA1 (fig. 3A). Furthermore, BSA-conjugated fatty acids induced triglyceride accumulation in the HepG2 cells and trehalose reduced this response (fig. S3B).

Feeding mice trehalose prevents NAFLD and dyslipidemia

High fructose diet (60% of calories from fructose, HFrD) induces hepatic lipid droplet accumulation and dyslipidemia in mice (2, 26–28) and thus is a model of NAFLD. The data in the cultured hepatocytes suggested that trehalose may be liver protective. To investigate this possibility, we fed mice 3% trehalose water ad libitum 48 hours prior to placing the mice on the HFrD for ten days. Biochemical analysis of plasma from fasted mice revealed significantly reduced circulating triglycerides and cholesterol without significant changes in free fatty acids (Fig. 5A) in trehalose-treated mice fed HFrD. Histological analysis and quantitation of lipid vesicles in liver tissue by Oil Red-O neutral lipid staining revealed marked steatosis in HFrD-fed mice, which was significantly reduced by trehalose (Fig. 5B). Biochemical analysis of liver tissue showed that liver triglycerides, cholesterol, and free fatty acids were increased in the HFrD-fed mice and that each was significantly reduced in livers from the trehalose-treated mice fed HFrD (Fig. 5C). Consistent with histological and biochemical improvements, animals fed HFRD and trehalose exhibited significant reductions in transcripts encoding acyl-coA carboxylase 1 (ACC1), stearyl-coA desaturase-1 (SCD1), glycerol phosphate acyltransferase-1 (GPAT), and peroxisome proliferator-activated receptor γ (PPARγ) (Fig. 5D), compared with their abundance in animals fed HFrD alone.

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Figure 5

Trehalose reduces HFrD-induced hepatic steatosis in vivo. A. 8 week-old mice were fed chow, 10-day 60% fructose diet or 10-day 60% fructose diet initiated two days after initiating 3% trehalose fed ad libitum in drinking water. Fasting plasma triglycerides, cholesterol and free fatty acids were quantified. Data are shown as mean ± SEM for, N = 6–12 indepedendent mice per treatment group. ***, P < 0.001 (one-way ANOVA and Sidak’s post hoc analysis). B. Left, Oil Red-O staining in frozen liver sections from mice described above. Scale bar, 200μm. Right, Blinded-observer quantification of staining red staining density (minimum 3 random fields from three cryosections obtained from three different mice per group) by ImageJ (version 1.47) densitometry software. Data are shown as mean ± SEM for, N = 9–12 mice per treatment group. ****, P < 0.0001 (one-way ANOVA and Sidak’s post hoc analysis). C. Hepatic TG, cholesterol and FFA quantification in 8 week-old mice fed chow, 10-day 60% fructose diet or 10-day 60% fructose diet initiated two days after initiating 3% trehalose fed ad libitum in drinking water. Data are shown as mean ± SEM for, N = 9–12 mice per treatment group. ****, P < 0.0001, ***, P < 0.001, and **, P < 0.01 (one-way ANOVA and Sidak’s post hoc analysis). D.Left to right, qPCR analysis of acyl-CoA carboxylase-1 (ACC1), stearyl-coA desaturase-1 (SCD1), glycerol phosphate acyltransferase (GPAT) and peroxisome proliferator antigen receptor-gamma (PPARγ) mRNA in liver tissue mRNA extracted from mice fed 10-day HFrD with or without 3% trehalose water. Target abundances are normalized to α-actin expression within each sample. Data are shown as mean ± SEM for, N = 9–12 mice per treatment group. ****, P < 0.0001, ***, P < 0.001, **, P < 0.01 and *, P < 0.05 (one-way ANOVA and Sidak’s post hoc analysis).

Cell Cultures

Methods used to generate the HEK 293 cell lines selectively overexpressing human GLUT1, GLUT2, GLUT3, GLUT4 or GLUT8 with concomitant GLUT1 shRNA overexpression were recently described (16). Briefly, HEK 293 cells obtained from the American Type Culture Collection were forced to stably express GLUT1-directed shRNA following lentiviral transfection (obtained from the RNA interference Core Laboratory at Washington University School of Medicine) in order to knock down endogenous “background’ glucose transport through GLUT1 in subsequent studies in which GLUT2, GLUT3, GLUT4 and GLUT8 were overexpressed and studied. Following puromycin selection, cells were stably transfected to express codon-optimized human GLUT2, GLUT3, GLUT4 or GLUT8 DNA in the pcDNA3.1(−)/hygro plasmid (Life Technologies, Carlsbad, CA). GLUT1 overexpression was carried out in wild-type 293 cells not expressing GLUT1 shRNA. Following hygromycin selection, colonies were grown to near confluence in 4-cm tissue culture dishes, and the highest expressing colonies for each of the GLUT isoforms were selected using [³H]-2DG uptake and quantitative reverse transcriptase (RT)-PCR. Absolute GLUT mRNA quantity for 293 cells expressing GLUT1, GLUT2, GLUT3, GLUT4 and GLUT8 are shown in table S1.

HepG2 cultures were obtained from the American Type Culture Collection (Manassas, VA). Cultures were maintained in DMEM containing 4.5 g/L glucose and 10% FBS (e.g. “regular growth media”) through passage 15.

Primary murine hepatocytes obtained from wild-type, ATG16L1^HM knock-in mice and MTTPKO mice were isolated precisely as described (2). Briefly, mice were cannulated through the portal vein under anesthesia with Metophane and pentobarbitol, and the liver was perfused with oxygenated calcium- and magnesium-free Hank’s balanced salt solution, pH 7.4 (Invitrogen, Carlsbad, CA) for 5 minutes, followed by perfusion of oxygenated Dulbecco’s modified eagle medium (Sigma-Aldrich, St. Louis, MO) containing 0.05% Type IV collagenase (Sigma-Aldrich, St. Louis, MO) for 5–10 min. The perfusate was drained through an incision in the inferior vena cava. After perfusion, the liver was removed and submerged into ice-cold DMEM, and the cells were released gently. The resultant cell suspension was then filtered through a 45 μ nylon mesh, pelleted on ice for 30 minutes, then resuspended in regular growth media. Cells were plated onto tissue culture plates coated with type I collagen from (Sigma-Aldrich, St. Louis, MO) and incubated at 37 °C under 5% CO2 in regular growth media. After 1 hour of attachment, cultures were washed in regular growth media, and the cell monolayers were maintained overnight in regular growth media prior to assay.

Adenoviral constructs (KD-AMPK, GLUT2, GLUT8) were purchased from Applied Biological Materials (Richmond, BC, Canada).

Statistics

All data were analyzed using GraphPad Prism 6.0. P < 0.05 was defined as statistically significant after post hoc correction for multiple comparisons. Specific statistical tests applied are noted in the Figure Legends.

Sequence Alignment and Phylogeny

Accession numbers for sequences aligned using ClustalW2 were Trehalase (NP_067456.1), Tre1 (BAA95353.1), GLUT1 (EDL30474.1), GLUT2 (NP_112474.2), and GLUT8 (NP_062361.1). The following program-default parameters were used: Output format – Clustal without numbers; no input sequence dealignment; MBED-like clustering iteration and MBED-like clustering guide-tree; 0 combined guide-tree iterations; “default” maximum guide tree and “default” maximum HMM iterations were used; aligned order output.

[³H]-2-DG Uptake

HEK 293 cells overexpressing human GLUTs 1, 2, 3, 4, or 8 were grown in MEM supplemented with 10% FBS, 2 mM L-glutamine, 100 U/ml penicillin, and 100 ug/ml streptomycin. [³H]-2-deoxyglucose (2DG, 50 μM, 1 μCi/ml, obtained from American Radiolabeled Chemicals, St. Louis, MO) uptake was determined at 37°C according to Tordjman et al. (32) with the following modifications. To adhere the cells to tissue culture plates, dishes were first pretreated with 25 μg/ml polyethyleneimine (Fluka, catalog number P3143) in 150 mM NaCl for 20 min followed by the removal of the solution by vacuum. Cells were then plated at 2*10⁵ cells/ml MEM (e.g. normal growth medium containing all additives) supplemented with 10% FBS, 2 mM L-glutamine, 100 U/ml penicillin, and 100 ug/ml streptomycin in 12-well plates and incubated overnight at 37°C. Following a 30-minute incubation at 37°C in glucose-free HEPES, pH 7.3, in the presence or absence of 0–500 mM trehalose, 2DG uptake was measured in glucose-free HEPES, pH 7.3 for 6 min at 37°C. Cultures were washed extensively in phosphate-buffered saline and lysed in 0.1N NaOH, 1% SDS lysis buffer and 80% of each lysate was subjected to liquid scintillation counting (Ultima Gold, Thermo Fisher, Grand Island, NY). Protein concentration was determined in the remaining lysate and total protein per well was used to normalize total 6-minute 2DG uptake in each well. Uptake data are plotted as % uptake relative to trehalose-unexposed HEK293 cultures.

Primary hepatocytes and HepG2 cells were plated at 5*10⁵ cells per well in 12-well plate and maintained at 37°C overnight in regular growth media until 2DG uptake was assayed. On the day of assay, cultures were incubated (30 minutes at 37°C) in glucose-free HEPES, pH 7.3, in the presence or absence of 100 mM trehalose or 40 μM lopinavir. Cultures were then incubated with 1 μCi/mL [³H]-2DG (50 μM) in glucose-free HEPES, pH 7.3, at 37°C for 6 minutes in the presence or absence of 100 mM trehalose or 40 μM lopinavir prior to washing, lysis and analysis as described above. DMSO (vehicle) was used as the vehicle control in 2DG uptake assays in which lopinavir was used to inhibit 2DG uptake.

[¹⁴C]-Fructose uptake was performed as described (2). Briefly, primary hepatocyte and HepG2 cultures were plated at 5*10⁵ cells per well in 12-well plates and maintained at 37°C overnight in regular growth media until assay. On the day of assay, cultures were incubated (30 minutes at 37°C) in glucose-free HEPES, pH 7.3, in the presence or absence of 100mM trehalose. Cultures were then incubated with 1 μCi/mL (4 μM) [¹⁴C]-Fructose (American Radiolabeled Chemicals, St. Louis, MO) for 1 minute, prior to washing, lysis and analysis as described above.

Hepatocyte ATP Measurement

ATP concentrations in cultured hepatocytes were measured as described previously (17, 18). Briefly, primary hepatocytes grown in six-well plates in DMEM containing 4.5 g/L glucose and 10% FBS were treated in the presence or absence of 100mM trehalose for 30 minutes. Cells were trypsinized and the cell pellet was washed in phosphate-buffered saline prior to homogenization in 0.1 mL 0.1 N NaOH, and protein denaturation by incubation at 80°C for 20 minutes. The homogenate was neutralized with 50 μL neutralization buffer (0.15 N HCl, 0.1 M Tris–HCl, pH 6.6) to produce a final 34 mM Tris–HCl, pH 8.1 cell extract.

The enzymatic-fluorimetric ATP assay was carried out using 20 μL of cell extract. 34 mM Tris–HCl, pH 8.1 was used as a “blank” reaction to quantify background fluorescence. ATP standards, and cell extracts were added to 50 μL ATP reagent (60 mM Tris–HCl pH 8.1, 0.03% BSA, 1.5 mM MgCl₂, 1 mM dithiothreitol, 450 μM D-glucose, 100 mM nicotinamide adenine dinucleotide phosphate (NADP⁺), 3 μg/mL hexokinase without (NH₄)₂SO₄, and 1 μg/mL glucose-6-phosphate dehydrogenase without (NH₄)₂SO₄). The reaction was carried out at 60°C for 20 minutes and terminated after 20 minutes by adding 10 mL 0.5 N NaOH. 340nm wavelength emission was subsequently measured on a Packard BF10000 Fluorocount microtitre plate fluorometer following addition of 1mL of 6 N NaOH, 10 mM imidazole, and 0.01% H₂O₂ to each reaction. ATP concentrations in each experiment were normalized to total protein (determined by bicinchoninic acid assay (BCA assay, Thermo Scientific, Grand Island, NY) in the neutralized cell extract and were calculated as (nmol ATP)*(mg total protein)⁻¹. Data from three independent experiments (n = 2–3 samples per condition per experiment) are expressed relative to untreated culture [ATP] obtained in each experiment.

Immunoblotting

Immunoblotting was performed as recently described (33). Samples for immunoblot analysis were prepared as follows: Cultures for HepG2 and primary hepatocytes were seeded at 1 X 10⁶ cells per well, grown in six-well plates were placed on ice following experimental manipulations. Each sample was lysed in 125 μL ice-cold RIPA (50 mM Tris-HCl, pH 8.0, with 150 mM sodium chloride, 1.0% Igepal CA-630 (NP-40), 0.5% sodium deoxycholate, and 0.1% sodium dodecyl sulfate). Cell debris was cleared from each lysate by microcentrifugation (16,200 RCF) prior to protein concentration determination by BCA assay (Thermo Fisher, Grand Island, NY) to normalize protein loading. Samples were diluted 1:1 in 2X Laemmli sample buffer (BioRad, Hercules, CA). 10–25 μg protein were resolved by 10% bis-acrylamide SDS-PAGE and transferred to 0.2 μm-pore nitrocellulose membranes (VWR, Batavia, IL) by semi-dry electrophoresis (Bio-Rad, Hercules, CA). Non-specific antibody binding to nitrocellulose membranes was blocked by 60-minute incubation in 5% milk in Tris-buffered saline, tween 20 (TBST, 0.05M Tris-HCl, 0.138 M NaCl, 0.0027 M KCl, TWEEN 20, pH 7.4). Following antibody blocking, primary antibodies were diluted in TBST containing 5% bovine serum albumin (Sigma-Aldrich, St. Louis, MO) overnight at 4°C. Membranes were washed in TBST and incubated (1 hour at room temperature) with horseradish peroxidase-linked anti-rabbit IgG or anti-mouse IgG (both obtained from Cell Signaling Technologies, Beverly, MA) diluted in TBST containing 5% milk. Following TBST washing, immunoreactive bands were visualized by incubating each membrane with chemiluminscent horseradish peroxidase substrate (Clarity ECL, BioRad, Hercules, CA) and exposing to autoradiographic film (VWR, Batavia, IL).

Primary antibodies were from Cell Signaling Technologies (Beverly, MA): AMPKα (#5831); phospho-AMPK(T172) (#2535); phospho-ACC1 (S79) (#11818); ACC1 (#3676); phospho-ULK1 (S317) (#2535); phospho-ULK1 (S757) (#6888); ULK1 (#8054); Actin (#4970); GAPDH (#5174); LC3B antiserum was obtained from Novus Biologicals (Littleton, CO) (#NB-100-2200).

For autophagic flux assays, primary hepatocytes and HepG2 cell lines were maintained in regular growth media prior to experiment. Cultures were then incubated in the presence or absence of dimethyl sulfoxide (DMSO) or 100 nM Bafilomycin A1 (Cayman Chemicals, Ann Arbor, MI) with or without 100 mM trehalose for 1 hour. Cultures were lysed and subjected to immunoblot analysis as above.

Lopinavir effects on autophagic flux were tested in primary hepatocytes grown in regular growth media overnight after isolation. DMSO or 40 μM lopinavir was added to regular growth media and added to cultures for 15 minutes prior to lysis and immunoblotting as above.

For HBSS starvation-refeed assays, primary murine hepatocytes were incubated in HBSS (5.3 mM KCl, 0.44 mM KH₂PO₄, 4.17 mM NaHCO₃, 137.9 mM NaCl, 0.34 mM Na₂HPO₄, 5.56 mM D-glucose, Thermo Fisher, Grand Island, NY) prior to addition of HBSS alone or HBSS supplemented to a final glucose concentration of 25 mM in the presence or absence of 100mM trehalose. Cultures were lysed in ice-cold RIPA prior to protein determination and immunoblot analysis as above.

GC-MS Trehalose Quantification

¹³C₁₂ trehalose (Omicron Biochemical, South Bend IN) was used as an extraction and derivatization internal standard for samples. 5nmol internal standard were added to excess 200ul isopropanol:CH₃CN:H₂O and the sample was vortexed centrifuged to achieve phase separation. The supernatant was dried at room temperature overnight under nitrogen gas following addition of MSTFA with 10% pyridine in CH₃CN. Derivatized samples were analyzed on an Agilent 7890A gas chromatograph interfaced to an Agilent 5975C mass spectrometer. The GC column used for the study was a HP-5MS (30 m, 0.25 mm internal diameter, 0.25 μm film coating, P.J. Cobert, St. Louis, MO). A linear temperature gradient was used. The initial temperature of 80° was held for 2 minute and increased to 300 at 10°/minute. The temperature was held at 300°C for 2 minutes. The samples were run by electron ionization (EI) and the source temperature, electron energy and emission current were 200°C, 70 eV and 300 μA, respectively. The injector and transfer line temperatures were 250°C.

Quantitative Real-Time RT-PCR (qPCR)

qPCR was performed with primer sequences and method precisely as described (2). Briefly, RNA was isolated from either 1 X 10⁶ cells (for primary hepatocyte experiments) or from 100mg dissected liver tissue (derived from in vivo chow- HFrD- and trehalose-treated animals) homogenized in Trizol reagent (Invitrogen, Carlsbad, CA) per manufacturer protocol. 1000 ng RNA per sample was reverse-transcribed to cDNA using the Quantitect Qiagen reverse transcriptase kit (Qiagen, Valencia, CA). cDNA was subjected to quantitative, real-time PCR using the SYBR Green master mix reagent (Applied Biosystems, Carlsbad, CA). Primers for quantitative real-time RT-PCR, (listed 5′ to 3′) are (2, 34–36): Acyl-CoA Carboxylase (ACC1) (sense) TGTCCGCACTGACTGTAACCA, (antisense) TGCTCCGCACAGATTCTTCA; Carbohydrate response element binding protein (ChREBP) (sense) CTGGGGACCTAAACAGGAGC, (antisense) GAAGCCACCCTATAGCTCCC; Glyceraldehyde 3-phosphate acyltransferase (GPAT) (sense) CAACACCATCCCCGACATC, (antisense) GTGACCT TCGATTATGCGATCA; Peroxisome proliferator activated receptor PPARγ (sense) CCACCAACTTCGGAATCAGCT, (antisense) TTTGTGGATCCGGCAGTTAAGA; Stearoyl-CoA desaturase (SCD)-1 (sense) CCGGAGACCCTTAGATCGA, (antisense) TAGCCTGTAAAAGATT TCTGCA AACC.

Oil Red-O Staining

Oil-Red-O Staining was performed precisely as described (2). Briefly, 10 μm frozen sections from dissected mouse livers were fixed five minutes (−20 °C) and washed in phosphate-buffered saline. Sections were stained in 0.3% Oil-Red-O in 60% isopropanol (15 minutes) followed by extensive distilled water washes until the effluate cleared. Sections were mounted in 54% aqueous glycerol mounting media prior to imaging. For staining density quantification, high-powered (40X objective) photomicrographs of stained sections were obtained while each slide’s treatment group was blinded to the research assistant. Within ImageJ software (version 1.47), pixel densities from 3–5 random fields within three distinct cryosection photomicrographs obtained from at least three different mice per group were quantified. Photomicrograph data were unblinded prior to calculating density mean and SEM, as presented in Fig. 5.

Analysis of AMPK signaling and autophagic flux in mouse liver

For in vivo autophagic flux assays, 8-week old wild-type mice were injected with 40 mg/kg leupeptin hemisulfate (21) (Sigma-Aldrich, St. Louis, MO) or with saline intraperitoneally one hour prior to orogastric gavage with saline or with 3 g/kg trehalose in saline. Mice were killed two hours after orogastric gavage, and livers were rapidly dissected and snap-frozen in liquid nitrogen prior to homogenization in ice-cold RIPA lysis buffer and immunoblot analysis. Throughout the experiment, mice were given ad libitum access to standard rodent chow and water.

For in vivo signaling assays, 8-week old wild-type mice were subjected to orogastric gavage with 3 g/kg trehalose dissolved in saline. Mice were killed 0.5–4 hours after gavage, and livers were rapidly dissected and snap frozen in liquid nitrogen prior to homogenization in ice-cold RIPA lysis buffer and immunoblot analysis. Control mice were gavaged with saline alone and killed 0.5 hours post-gavage. They are labeled as “0 hour” trehalose exposure.

Plasma and Liver Biochemical analyses

In vivo plasma and liver biochemistries were performed precisely as described previously (2, 28). Briefly, 100mg dissected liver tissue was homogenized on ice in 2 mL 2:1 chloroform:methanol (both obtained from Sigma-Aldrich, St. Louis, MO). Residual tissue debris was pelleted by centrifugation at 16,200 RCF and (20 μL supernatant was dried in chloroform-resistant microcentrifuge tubes (Thermo Fisher, Grand Island, NY) prior to addition of 200 μL Infinity TG assay reagent (1 hour at room temperature) and 490 nm optical density quantification by 96-well format plate reader (Bio-Tek, Winooski, VT). 5mM glycerol standard solutions were treated identically in parallel to obtain absolute TG quantification.

For plasma biochemical analysis, mice were fasted a minimum of 4 hours prior to killing. Venous blood was sampled by puncturing the facial vein at the time of killing, and plasma was separated from whole blood by centrifugation at 16,200 RCF in plasma separator tubes (Becton Dickinson, Franklin Lakes, NJ). Triglycerides, cholesterol and free fatty acids were quantified using the Infinity TG Assay Kit, Infinity Cholesterol Assay Kit (Thermo Scientific, Grand Island, NY) or the NEFA-HR(2) Fatty Acid Assay Kit (Wako Diagnostics, Richmond, VA), respectively, per manufacturer specification.

We thank Herbert Virgin, Washington University School of Medicine, for the ATG16L1^HM mouse line.

Funding sources: BJD is a Scholar of the Washington University Child Health Research Center (K12HD076224), and of the Children’s Discovery Institute (MI-FR-2014-426). This work was also supported by grants from the Robert Wood Johnson Foundation, the AGA-Gilead Sciences Research Scholar Award in Liver Disease, the Pediatric Scientist Development Program (K12HD000850-29), the Nutrition & Obesity Research Center (P30DK056341), the Washington University Digestive Disease Research Core Center (P30DK52574) (to BJD and NOD, specifically the Administration and Resource Access Core, the Advanced Imaging and Tissue Analysis Core, and the Murine Models core) HL-38180 and DK-56260 (NOD), R01-DK078187 (BNF), American Heart Association Grant 14PRE18320006 (TEK), the Washington University Spencer T. Olin Fellowship (ALM), the Washington University NIGMS Institutional Training Grant in Cell and Molecular Biosciences (T32GM007067 to ALM), National Science Foundation Graduate Student Fellowship (DGE-1143954), and the Washington University Biomedical Mass Spectrometry Research Facility (P41 GM103422, P30 DK020579).