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Maintenance mechanisms of circuit-integrated axons

Vittoria Mariano1,2, Nuria Domínguez-Iturza1,2, Lukas J. Neukomm1* and Claudia Bagni1,3,*

1Department of Fundamental Neurosciences, University of Lausanne, Switzerland.

2Department of Neurosciences KU Leuven, VIB Center for Brain and Disease Research, Leuven, Belgium.

3Department of Biomedicine and Prevention, University of Rome Tor Vergata, Italy

Shared first authors:

*Shared last authors:

[email protected] [email protected]

Running title: Mechanisms for axon maintenance

Keywords: axonal homeostasis; axon degeneration; neuro-glia crosstalk; mitochondrial dysfunction

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Abstract

Adult, circuit-integrated, neurons must be maintained and supported for the life span of their host. The attenuation of either maintenance or plasticity leads to impaired circuit function and ultimately to neurodegenerative disorders. Over the last few years, significant discoveries of molecular mechanisms were made that mediate the formation and maintenance of axons. Here, we highlight intrinsic and extrinsic mechanisms that ensure the health and survival of axons. We also briefly discuss examples of mutations associated with impaired axonal maintenance identified in specific neurological conditions. A better understanding of these mechanisms will therefore help to define targets for therapeutic interventions.

Highlights

• Following axonal growth and pathfinding, circuit integrated axons require local mechanisms for survival.

• Mitochondrial homeostasis, axoskeletal support, and glial nurturing are crucial for the maintenance of axons.

• Mechanisms of axonal support are impaired in neurodevelopmental and neurodegenerative diseases.

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Introduction

To ensure sustained circuit function the nervous system has to establish proper wiring, integrate neuronal and non-neuronal cells, and at later stages battle the rigors of aging. Neurons use their axons for direct communication with other cells with almost no delay. Remarkably, the distance between a neuron and its target cell can be in the range of meters, e.g. in giraffes, blue whales, and humans [1,2]. While a meter doesn’t sound impressive, it is notable that a 1 m long axon is 20.000x longer than its 50 µm long soma, and it includes >99% of the neuronal volume (Figure 1). Furthermore, axons are highly complex, and they must remain plastic throughout life, which is essential for proper circuit performance. The maintenance of such large and elaborate structures is a major bioenergetic challenge for neurons, but it is essential since axons ensure continued circuit function.

How is an axon able to rapidly and locally cope with energetic and physical challenges to ensure its survival? Recently, an accumulating body of evidence supports the idea that an adult, circuit-integrated, axon cannot solely be supported by its own cell body (soma); the axon must utilize local axonal mechanisms that ensure its own autonomous survival. Besides soma- derived support mediated primarily by axonal transport, soma-independent mechanisms include: (1) intrinsic, local axonal maintenance; and (2) extrinsic glial functions to maintain axon homeostasis (Figure 2). Here, we provide an overview with some specific examples of soma- independent maintenance mechanisms that are essential for the life of the axon, and we also briefly discuss how attenuation of these mechanisms leads to neurological disorders.

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Evidence of soma-independent axonal maintenance mechanisms

The soma of the neuron plays a key role in the life of the axon. A number of distinct cargos, such as RNAs, protein, vesicles and organelles, are synthesized and assembled in the soma and then transported via axonal transport out into the axon. Therefore, it is not surprising that axonal transport is crucial for the maintenance of this highly polarized structure, and defective or attenuated axonal transport culminates in axon degeneration (reviewed in [3]). There are other, distinct mechanisms that help to sustain complex axonal functions. For example, axons need to have the capability to respond quickly and locally to cues and challenges they are exposed to, without waiting for the cargo to be delivered from the soma. Such mechanisms could be of particular significance for long axons further away from their somas. There are several examples in the animal kingdom where the axon seems to be virtually autonomous and able to exist without its own soma. An unusual observation has been reported in the tiny wasp Megaphragma: during metamorphosis, neuronal somas are lysed, while axons are retained [4].

The long-term survival of anucleate axons can range from weeks to years, and this has been reported for many invertebrate phyla [5]. In Aplysia, after axonal injury (axotomy) the distal axon separated from the soma remains morphologically preserved for weeks rather than undergoing degeneration [6]. Similarly, in Drosophila mutants lacking an active axon self-destruction program, an axotomized axon remains for weeks morphologically preserved and capable of eliciting complex postsynaptic behaviors following optogenetic activation [7–9]. Taken together, these findings support the debated view of the “autonomous axon” [10].

How are axons able to ensure their own survival in the absence of soma-derived support for varying amounts of time? Below, we discuss recently discovered key mechanisms that help to explain these scenarios, and we conclude with examples of diseases in which axonopathies are due to defective mechanisms of axonal survival.

1) Local intrinsic survival mechanisms

1.1) Axonal mitochondria

Mitostasis, the maintenance of a healthy mitochondrial population (e.g. number, quality, movement and turnover), is essential for the life of a neuron (recently reviewed in [11]**).

Mitochondrial biogenesis is able to adapt in response to energy requirements of whole neurons, for example during development, and also more locally to oxidative stimuli, to electrical stimulation, or to hormones. Importantly, mitochondria are also crucial for axonal maintenance, as observed in C. elegans, where axons undergo degeneration when mitochondria are depleted [12].

Local axonal synthesis of proteins is an important mechanism for stabilizing mitochondria, and thereby the axon. In cultured embryonic Xenopus retinal neurons, Lamin B2 (LB2) is normally associated with nuclear membranes, however, when triggered by guidance cues, lb2 mRNA is also transported into axons where it is locally translated and incorporated into mitochondria [13]**. This is a remarkable example of axonal protein synthesis sustaining mitochondria and, therefore, axonal survival. In contrast, inhibition of axonal LB2 synthesis

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results in axon degeneration. The anti-apoptotic protein Bclw is also locally translated in axons.

Its synthesis prevents the disruption of mitochondria, which in turn ensures axonal health in rat and mouse sensory neurons [14]. Thus, local axonal translation of proteins that strengthen mitochondrial performance, or inhibit their destruction, provides a key mechanism for axon survival.

Mobility of mitochondria in axons is another key feature of axonal survival. Axonal mitochondria exist in a specific elongated shape and are either anchored or mobile (70% and 30%, respectively) [15]. Anchored mitochondria serve as a local energy source to sustain high energy demands, for example ATP for motor proteins, axonal protein synthesis, axonal branching, and Ca2+ storage [16] (reviewed in [17]*). By contrast, mobile mitochondria are predominantly involved in the cycle of fusion/fission [18,19]. Mitochondrial mobility requires Miro and Milton, molecular adaptors that mediate the attachment of mitochondria to molecular motors [20,21]. Remarkably, in Drosophila, knock-down of Milton, which links mitochondria to kinesins, leads to axon degeneration [22]. This finding builds on a previous observation in a Drosophila model of Alzheimer’s disease (AD) [23]: neuronal expression of toxic amyloid-β peptides (a shortened, 42 amino acid peptide, Aβ42) results in an accumulation of mitochondria in the soma, while their number is reduced in axons. These flies show age-dependent behavioral phenotypes that are enhanced by attenuation of mitochondrial transport through knock-down of either Miro or Milton [24]. Therefore, not only the presence, but also the motility, of axonal mitochondria are important for axonal survival.

Mitochondrial quality control mechanisms also contribute to axonal survival. Mitochondria are morphologically highly plastic, which allows them to adapt to energy demand and supply. The main two features of adaptation are mitochondrial elongation (fusion) and fragmentation (fission): an environment rich in nutrients is associated with a fragmented mitochondrial network, while starvation tends to elongate mitochondria (reviewed in [25]). It is quite remarkable that mutations disrupting mitochondrial fusion (e.g. Mitofusin2) cause specific axonal degeneration in cultured sensory neurons [26]. However, mutations that affect mitochondrial fission (e.g. human dynamin-related protein 1( Drp1)) lead to loss of mitochondria in dopaminergic neuron axons [27] and also to deficient axonal bioenergetic function in the hippocampus [28]: in both cases ultimately resulting in axonal degeneration. These observations suggest that disrupting mitochondrial dynamics can cause axonal dysfunction and degeneration.

Finally, energy provided by mitochondria is another important feature of axonal survival [29].

Axon-specific attenuation of energy production initiates a cascade of events culminating in axon degeneration [30]. Even temporally-restricted attenuation of mitochondrial respiration is sufficient to trigger Wallerian-like degeneration in mouse sciatic nerves [31]. Thus, mitochondrial energetics also play a key role in axon maintenance.

Taken together, an axon is heavily dependent on its mitochondria. These mitochondria must perform efficiently on all levels, and even small perturbations that affect morphology, transport, quality or energy will ultimately culminate in axon degeneration. It is therefore not surprising that impaired fitness of mitochondria has been described in several neurological diseases (see Table). However, it remains to be established whether mitochondrial dysfunctions are a cause or a consequence in those conditions.

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1.2) Axoskeleton

The peripheral nervous system (PNS) is constantly exposed to mechanical stress, and traumatic brain injury affects axons in the central nervous system (CNS) (reviewed in [32]).

Furthermore, axons can grow at a rate ranging from 8 mm/day in vitro (Dorsal root ganglion (DRG) explants from rat embryos) to 3 cm/day in vivo (blue whales) – each day, without breaking [1,33]. It is quite remarkable how circuit-integrated axons undergo “stretch growth” to extend at seemingly impossible rates without the aid of chemical cues or even growth cones. As animals grow, the nervous system appears to rapidly expand purely by mechanical forces, yet, there are no signs of axon degeneration. How do axons maintain their structural integrity when they are mechanistically challenged?

The cytoskeleton plays a crucial role during axonal specification and growth [34,35], as well as in mature circuit-integrated axons. The shaft of an axon is stabilized by a remarkably complex structure, the cytoskeleton of the axon (axoskeleton). Traditionally, electron microscopy [36,37], and more recently super-resolution fluorescence microscopy ([38]**;

reviewed in [39]), helped to decipher the axoskeletal structure: components are organized in ring-like structures consisting of Actin/Adducin, which are interspersed by Spectrin tetramers.

This periodic structure is also called the periodic membrane skeleton (PMS) and is conserved among different cell types and species [40–42]. It allows axons to be highly elastic and bears a unique capacity to withstand stretch, compression, tension, and torsion [43–45].

Recently, observations in C. elegans show that axons in β-spectrin mutants spontaneously break and undergo degeneration in a movement dependent manner [46]. Similarly, the depletion of αII-Spectrin specifically in myelinated large-diameter axons in mice results in signs of axonopathy, as indicated by β-Amyloid precursor protein staining (β-APP), a sensitive method to detect early axonal damage [47]. Likewise, axons lacking α-Adducin undergo progressive enlargement and ultimately degenerate [48]. Conversely, in a model of Nerve Growth Factor (NGF) withdrawal, acute pharmacological treatment that stabilizes Actin filaments following NGF withdrawal ameliorates axon degeneration [49]. These findings highlight the importance of the periodic axoskeleton required for mechanical support for axon survival.

Besides its crucial function for the PMS, the axoskeleton also plays a critical role in the axon initial segment (AIS). There, it is important for neuronal polarity, axonal integrity and identity, and, ultimately, for brain development [47,50].

Another well characterized component of the axoskeleton are microtubules (MTs), which consist of α- and β-Tubulin dimers. They provide the basis for anterograde and retrograde axonal transport [51,52]. Beyond their requirement for axonal transport, MTs are also important for axon maintenance, espcially after stretch; the breakdown of MTs leads to the degeneration of the axon [53], though this degeneration may be due to the absence of soma-derived axonal transport. In addition, a recent observation in Drosophila supports the notion that actin is required for MT polymerization and maintenance of the axon. Defects in the PMS brought about by treating the axon with actin depolymerizing drugs, or directly by MT destabilizers, leads to MT breakdown and ultimately axonal loss [42].

These findings support the idea that within the axoskeleton there is a tight interplay between MTs and the PMS. While the PMS seems to be important for the stability of MTs [42], there is additional evidence that MT stability is essential for the periodicity of the axoskeleton [54].

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Dissecting this tightly regulated interplay between MTs and PMS presents obvious difficulties, however, we now know that both components of the axoskeleton convey mechanical neuroprotection, and they are both therefore essential for axon survival. Furthermore, this is supported by examples of neurological conditions that are associated with mutations in components of the axoskeleton (see Table).

In conclusion, axonal intrinsic, local, survival mechanisms are heavily dependent on axonal mitochondria as well as on the mechanistic structure of the axoskeleton. It is quite remarkable that a common feature of both mechanisms is local translation of mRNAs. Local protein synthesis turns out not only to be crucial for the development and maintenance of the axon (reviewed in [55]*, and [13,56–62]**), but also for responding to axonal injury and initiating regeneration [63]**.

2) Glial-mediated extrinsic axonal support

The vast majority neuronal volume is taken up by the axon, and it is unlikely that the soma is able to provide the full support necessary for efficient axonal performance. In recent years it has been appreciated that surrounding glial cells provide structural and energetic supporter for axons. Below, we discuss important axon-extrinsic mechanisms that ensure axonal survival.

2.1) Glial nurturing

Myelin, a glial-specific lipid-rich substance surrounding the axon, is essential for electric insulation, and therefore proper nervous system function. Though myelination of axons evolved specifically in vertebrates, a morphologically distinct myelin-like ensheathment of axons evolved independently in arthropods [64].

Myelin was long considered to be a simple passive insulator, but recent reports revealed that it is essential for axonal survival (reviewed in [65]). Mice lacking specific myelin transmembrane proteins develop widespread axonal swellings and degenerate [66]. Similarly, mice and humans lacking proteolipid protein 1 (PLP1), a major myelin protein, develop length-dependent axonopathies [67,68]. Moreover, loss of myelin-associated glycoprotein (MAG), or 2,3-cyclic nucleotide phosphodiesterase (CNP), ultimately leads to progressive axon loss in both the PNS and the CNS [69–71]. These observations demonstrate that glial-specific components of myelin are essential for the survival of the axon.

In addition, glia play a fundamental role in the maturation of the axoskeleton, thereby imposing structural changes on the axon. As mentioned above, the periodic membrane skeleton (PMS) is not only present in axons of the CNS and PNS, but it is also found in glia. It is interesting that the axonal PMS is aligned with the glia PMS: at the node of Ranvier with Schwann cells in the PNS [40,72]**, and in the CNS where differentiating oligodendrocytes use an axoglial adhesion complex for anchoring to the axonal cytoskeleton [73,74]. Both processes are crucial for the formation of nodes. Depletion of glial-specific cytoskeletal proteins that are required for node formation and periodic cytoskeletal organization can result in axon degeneration ([42,45,75–77]; reviewed in [78]). For example, the absence of the nodal adhesion protein Neurofascin 186 results in the destabilization of nodes and axon degeneration, which is exacerbated when the paranodal adhesion molecule Neurofascin 155 is also absent specifically in glia [77]. Similarly, removal of Ankyrin G induces destabilization of the nodes of Ranvier, thus

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resulting in axon degeneration [79]. These observations strongly support a neuroprotective role for the glial cytoskeleton in mediating axonal maintenance.

Though myelin and the glial cytoskeleton impact axon survival, recent observations have uncovered a role for these components in proper architecture of the axon bundle and function;

changes in myelination cause improper white matter structure, which is a hallmark of human neurodevelopmental and psychiatric disorders such as Autism Spectrum Disorders (ASD), Schizophrenia (SCZ) and Fragile X syndrome (FXS) [80–83]. The observation of differentially- expressed myelin proteins in SCZ patients supports the notion that functionally impaired oligodendrocytes cause axonal dysfunction [84,85]. This is supported by findings in FXS mice, where oligodendrocytes have altered myelin basic protein MBP [86] levels. Thus, myelination in oligodendrocytes is crucial for axonal function, and the attenuation thereof contributes to neurodevelopmental and psychiatric disorders.

In addition, other glial cell types are required for axonal structure and function. Microglia have been extensively studied in the context of axonal pruning and outgrowth, yet their requirement for axonal structure was less well understood. However, recent observations uncovered a role for microglia both in healthy brains and also in neurodevelopmental or neurodegenerative disorders (Autism Spectrum Disorders or Alzheimer’s disease, respectively [87]). Brains with depleted microglia contain defasciculated callosal axons [88], suggesting that microglia, the immune cells of the brain, are also required for the proper maintenance of axonal architecture.

Taken together, substantial findings have shown that a variety of glial cell types are critical for the maintenance, structure and function of axons. Moreover, analysis of human disease, combined with the development of robust animal models, have contributed to our understanding why and how glial-derived axonopathies occur (see Table).

2.2) Energetic and metabolic support

The maintenance of a long axon poses a bioenergetic challenge for the neuronal soma. Axonal transport and maintenance of sodium gradients necessary for action potentials both consume significant amounts of energy. Axonal transport is unlikely sufficient to replenish energy in axons far from the soma. Recently, specialized mechanisms of energy delivery necessary for axonal survival have emerged, including the so-called “axo-myelinic neurotransmission” (reviewed in [89]**). Axons that transmit electrical impulses release glutamate, which in turn activates NMDA and AMPA receptors in the surrounding myelin sheath and leads to an increase in myelin- intrinsic Ca2+ concentration, which triggers oligodendrocyte release of lactate [90–93]. Thus, myelin is able to sense and respond to axonal activity by providing energetic and metabolic support.

Oligodendrocytes express high levels of monocarboxylate transporter 1 (MCT1), the most abundant lactate transporter in the CNS, and axons express MCT2 [94]**. Importantly, oligodendrocyte-specific loss of MCT1 leads to axonal degeneration, furthering the idea that axons are energetically supported by surrounding glia [94]**. This is also suggested by visualizing ATP dynamics in electrically active axons, where ATP levels correlate with action potentials that are reduced when pyruvate/lactate metabolism is diminished [95]*. Thus, axon survival depends upon metabolic support provided by surrounding glia.

Glia play also a significant role in supporting neuronal energy metabolism. Glial-specific attenuation of glycolysis results in neurodegeneration in Drosophila [96]. However, axon

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degeneration induced by impaired mitochondrial respiration specifically in glia remains controversial: For example, in the PNS, Schwann cell-specific mitochondrial deficits result in severe, progressive, peripheral neuropathy that is characterized by extensive axonal degeneration [97]; however, in the CNS, axons are unaffected [98]. It remains unclear why in mammals, glial-specific energetic perturbations in the PNS affect peripheral neurons and their axons, but this is not observed in the CNS. A possible reason could be that the energetic/metabolic role of Schwann cells to support axons in the PNS differs from that of oligodendrocytes in the CNS.

Lipid metabolism in glia represents another key element in axon support and maintenance.

This is not only because lipids represent almost the 70% of myelin, but also because they control insulation of the axon and therefore the generation of action potentials [99]. In a mouse model of peripheral neuropathy, increased β-oxidation of fatty acids specifically in glia leads to depletion of the myelin lipid component and axonal degeneration [97]. Similarly, perturbation of glial peroxisomal biogenesis results in myelin sheath degeneration, which is required for long- term axonal integrity [100]. Taken together, loss of glial energetic/metabolic support ultimately culminates in progressive axon degeneration, which has been observed both in human disease and animal models of neurodegenerative conditions (see Table). This emphasize the importance of the interplay between axons and glia.

Our understanding of glial-mediated metabolic and structural support for the axon – and thus axon preservation – is still in its infancy. We are just beginning to gain insight into these mechanisms. Further investigations are required, and these hold promise for the development of therapeutic targets. The manipulation glial support for axons may, therefore, eventually lead to the promotion of remyelination and the restoration of normal nerve function in patients suffering from glial-related peripheral neuropathies (Table).

Conclusion

Axons rely on soma-derived support mediated by axonal transport. Yet, over the last several years we have only begun to appreciate that other support mechanisms are equally important for the life of the axon. Here, we have discussed distinct axon intrinsic, as well as extrinsic, mechanisms that ensure axonal structure, function and survival. Mutations in genes whose products impact these mechanisms have also been linked to axonopathies in humans.

Therefore, it is important to understand how axons are supported and maintained throughout the life span of their host. The availability of robust disease models offers great opportunities for the identification of disease mechanisms and will open the door to preclinical studies.

There are other mechanisms we have not covered here. Among them are, for example, glial- derived extracellular vesicles (exosomes) that have the potential to deliver proteins, lipids and RNAs to axons, rendering them more resistant to stress [101]. In addition, glial-derived neurotrophic factors promote axonal stability and preservation, as has been observed in mutant mice lacking Neurotrophin-3 in which motor axons initially innervate muscles but then experience catastrophic breakdown of intramuscular nerve branches and axon terminals [102].

These examples highlight the fact that we still know very little about how axons are maintained : for months in flies, for years in mice, and for decades in humans.

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Another issue we have not covered in depth here is autophagy and its derivatives (e.g.

mitophagy and lysophagy). While the link between autophagy and a variety of neurodegenerative diseases has been clearly established (see Table), it remains to be determined whether axon degeneration is a cause, or a consequence. Particularly in the context of the axon and its terminal, distinct observations have been made: mitophagy of damaged mitochondria can occur locally within axons [103], and depolarized mitochondria can also be transported towards the soma where degradation occurs [104,105]. In the latter case, axonal transport forms the basis for autophagy to ensure axon homeostasis by removing aging proteins and damaged organelles from the distal axon for degradation and recycling. Of course, the longer the axon becomes, the more likely it is vulnerable to such mechanisms and therefore must rely on soma-independent mechanisms.

Axon degeneration has been observed as an early feature in many neurological conditions, not only in neurodegenerative diseases, but also in neurodevelopmental disorders [106,107], traumatic brain injuries (reviewed in [32]) and diabetes-induced peripheral neuropathies (reviewed in [108]) (see Table). Finally, it remains to be established whether or not certain dysfunctions are the cause, or consequence, of specific axonopathies. We are just beginning to understand the underlying mechanisms, and so are now on the road toward being able to define potential targets for therapeutic intervention.

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ACKNOWLEDGMENTS

We apologize to our colleagues whose work could not be included due to space restrictions.

This work was supported by the État de Vaud (University of Lausanne) to CB and LJN, NCCR Synapsy (51NF40-158776) to CB, Swiss National Science Foundation (SNSF) Assistant Professor Grant (176855) to LJN, Fonds Wetenschappelijk Onderzoek (FWO) aspirant fellowship to NDI, and Opening the Future (OTF, Belgium) to VM and CB.

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11 •• Misgeld T, Schwarz TL: Mitostasis in Neurons: Maintaining Mitochondria in an Extended Cellular Architecture. Neuron 2017, 96:651–666.

In this review the authors cover to a large extent the mechanisms of mitochondrial homeostasis in axons fosuing on mitochondrial transport, fusion, fission, local protein synthesis and mitophagy.

13 •• Yoon BC, Jung H, Dwivedy A, O’Hare CM, Zivraj KH, Holt CE: Local translation of extranuclear lamin B promotes axon maintenance. Cell 2012, 148:752–64.

This paper unveils how localized mRNA translation plays a cruicial role in axon homeostasis.

The authors unexpectedly found that the nuclear protein lamin B2 was translated in axons in vivo, thereby promoting mitochondrial function and axon survival.

17 •• Sheng Z-H: The Interplay of Axonal Energy Homeostasis and Mitochondrial Trafficking and Anchoring. Trends Cell Biol 2017, 27:403–416.

The authors review mitochondrial trafficking and anchoring in maintaining axonal homeostasis and function.

38 •• Xu K, Zhong G, Zhuang X: Actin, spectrin, and associated proteins form a periodic cytoskeletal structure in axons. Science (80- ) 2013, 339:452–456.

The authors discovered a periodic, structural organisation of cytoskeletal actin, spectrin and associated proteins in axons. These periodical structures regulate specific distributions of membrane proteins, for example sodium channels, which correlate with the actin-spectrin rings.

57 •• Izumikawa K, Nobe Y, Yoshikawa H, Ishikawa H, Miura Y, Nakayama H, Nonaka T, Hasegawa M, Egawa N, Inoue H, et al.: TDP-43 stabilises the processing intermediates of mitochondrial transcripts. Sci Rep 2017, 7:7709.

This publication describes a novel role for TDP-43 in maintaining mitochondria homeostasis.

TDP-43 accumulates inside mitochondria, and regulates the expression of mitochondria transcripts.

63. •• Terenzio M, Koley S, Samra N, Rishal I, Zhao Q, Sahoo PK, Urisman A, Marvaldi L, Oses-Prieto JA, Forester C, et al.: Locally translated mTOR controls axonal local translation in nerve injury. Science 2018, 359:1416–1421.

The authors found that mTOR mRNA is axonaly localized and orchestrates local translation both in physiological conditions and after injury. These findings highlight the importance of

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mTOR mRNA transport and synthesis in axons and the spatiotemporal regulation of its pathways.

72 •• D’Este E, Kamin D, Balzarotti F, Hell SW: Ultrastructural anatomy of nodes of Ranvier in the peripheral nervous system as revealed by STED microscopy. Proc Natl Acad Sci 2017, 114:E191–E199.

The authors describe the nanoscale organisation of 12 glial and axonal proteins at the nodes of Ranviers. The analysis revealed a specific structural and aligned organisation of proteins between glial and axonal cytoskeleton.

89 •• Micu I, Plemel JR, Caprariello A V., Nave K-A, Stys PK: Axo-myelinic neurotransmission: a novel mode of cell signalling in the central nervous system. Nat Rev Neurosci 2017, 19:49–58.

This review discusses recent findings of the dynamic communication between axons and myelin-forming olygodendrocytes, with a particular focus on metabolic support.

94 • Lee Y, Morrison BM, Li Y, Lengacher S, Farah MH, Hoffman PN, Liu Y, Tsingalia A, Jin L, Zhang P-W, et al.: Oligodendroglia metabolically support axons and contribute to neurodegeneration. Nature 2012, 487:443–8.

The authors elucidate the mechanisms of the astrocyte-neuron lactate shunt, by which oligodendroglia support neurons. Oligodendroglia express high levels of MCT1, the principal metabolic transmembrane transporter of lactate to axons.

95 • Trevisiol A, Saab AS, Winkler U, Marx G, Imamura H, Möbius W, Kusch K, Nave K-A, Hirrlinger J: Monitoring ATP dynamics in electrically active white matter tracts. Elife 2017, 6:e24241.

The authors show that ATP homeostasis correlates with action potentials, which is dependent on glia lactate metabolism.

55 • Cioni J-M, Koppers M, Holt CE: Molecular control of local translation in axon development and maintenance. Curr Opin Neurobiol 2018, 51:86–94.

This review discusses the mechanisms of local protein synthesis in axons, and how it regulates axonal development, stability, homeostasis, shape, and survival.

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Figure Legends

Figure 1. The longest cell in the history of life. Axons of neurons innervating muscles in blue whales reach up to 30m in length. For example, an axon of a 1 m long neuron can be up to 20.000x longer than its soma (around 50µm).

Figure 2. Soma-independent axonal maintenance mechanisms. Local mechanisms allow axons to respond dynamically to environmental challenges and thereby guarantee stability. Our review focuses on four of the major soma-independent mechanisms that ensure axon maintenance and function: mitochondrial and axoskeletal support, as well as glial-derived energetic support and nurturing (green, red, blue and yellow, respectively).

Table 1. Axonal survival mechanisms in disease. Defects in axon maintenance lead to axonal degeneration in several neurological disorders. Here we listed some examples of disease and disease models, where abnormalities in mechanisms of axonal survival result in axonal degeneration. Soma independent axonal maintenance mechanisms are color-coded as in Figure 2: mitochondrial and axoskeletal support, as well as glial-derived energetic support and nurturing (green, red, blue and yellow, respectively). Abbreviations: induced pluripotent stem cells (iPSCs).

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Soma: 1x

Axon: up to 20.000x

Figure 1.

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Figure 2.

Mitochondria Axoskeleton

Glial Support Glia Nurturing

* Local protein synthesis

* Motility

* Quality control

* Energy production

* Structural support

* Transport

* Local protein synthesis

* Myelin ensheatment

* Axoglial adhesion complex

* Energetic and metabolic supply

* Action potential propagation

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Disease Mechanism Protein Disease model Human disease

Charcot-Marie-Tooth disease

Mitochondria: mitophagy PINK1

Motor neurons (iPSCs) [109] [109]

Mitochondria: mitophagy Parkin

Mitochondria: fusion Mitofusin 2 Cultured sensory neurons [26] [110–113]

West Syndrome Axoskeleton: PMS αll-Spectrin Mouse [47] [114,115]

Amyotrophic Lateral Sclerosis (ALS)

Mitochondria: energetic support, protein synthesis Complex I Mouse [56] [56]

Mitochondria: mobility Miro Mouse [116–118] [118]

Mitochondria: mobility and mitophagy PINK, Parkin and Miro Drosophila [119]

Mitochondria: mitophagy Ɨ PINK and Parkin Mouse [120]

Mitochondria: mitophagy Ɨ Autophagy

Ubiquitin-binding proteins

(SQSTM1, OPTN) [121,122]

Axoskeleton: Retrograde transport Ɨ

Autophagy Dynactin C. elegans [123] [122,124]

Axoskeleton: microtubule stability SOD1, TDP-43, TUBA4A, Mouse, Drosophila and Neuronal culture [125]

Axoskeleton: microtubule stability

Protein synthesis MAP1B Drosophila [58] [58]

Glia energetic support MCT1 Mouse and Spinal cord culture [94] [94]

Alzheimer’s Disease (AD) Mitochondria: mobility Miro and Milton Drosophila [23]

Parkinson’s disease (PD)

Mitochondria: mitophagy PINK1 $ Drosophila and Mouse [126] [127]

Mitochondria: mitophagy Parkin $ Drosophila and Mouse [103,126] [128]

Mitochondria: mobility Miro and LRRK2 Neurons (iPSCs), Fibroblast and

Drosophila [129] [129]

Axoskeleton: microtubule transport Ubiquitin and Tau [130]

Vesicle transport Φ α-Synuclein Rat [131] [132–134]

Multiple Sclerosis(MS)

Mitochondria: energetic support Complex IV Mouse [135] [29,136]

Glia nurturing: node of Ranvier

CASPR - [137]

Neurofascins - [138]

Sodium channels - [139]

Glia nurturing: myelin ™ Myelin-associated glycoprotein

(MAG) Mouse [70,140]

Glia nurturing: myelin ™ Cnp1 Mouse [71,140]

Glia nurturing: myelin ™ Myelin membrane Proteolipids

(PLP and DM20) Mouse [66,140]

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