Post-translational derepression of invertase activity in source leaves via down-regulation of invertase inhibitor expression is part of the plant defense response

There is increasing evidence that pathogens do not only elicit direct defense responses, but also cause pronounced changes in primary carbohydrate metabolism. Cell-wall-bound invertases belong to the key regulators of carbohydrate partitioning and source-sink relations. Whereas studies have focused so far only on the transcriptional induction of invertase genes in response to pathogen infection, the role of post-translational regulation of invertase activity has been neglected and was the focus of the present study. Expression analyses revealed that the high mRNA level of one out of three proteinaceous invertase inhibitors in source leaves of Arabidopsis thaliana is strongly repressed upon infection by a virulent strain of Pseudomonas syringae pv. tomato DC3000. This repression is paralleled by a decrease in invertase inhibitor activity. The physiological role of this regulatory mechanism is revealed by the finding that in situ invertase activity was detectable only upon infection by P. syringae. In contrast, a high invertase activity could be measured in vitro in crude and cell wall extracts prepared from both infected and non-infected leaves. The discrepancy between the in situ and in vitro invertase activity of control leaves and the high in situ invertase activity in infected leaves can be explained by the pathogen-dependent repression of invertase inhibitor expression and a concomitant reduction in invertase inhibitor activity. The functional importance of the release of invertase from post-translational inhibition for the defense response was substantiated by the application of the competitive chemical invertase inhibitor acarbose. Post-translational inhibition of extracellular invertase activity by infiltration of acarbose in leaves was shown to increase the susceptibility to P. syringae. The impact of invertase inhibition on spatial and temporal dynamics of the repression of photosynthesis and promotion of bacterial growth during pathogen infection supports a role for extracellular invertase in plant defense. The acarbose-mediated increase in susceptibility was also detectable in sid2 and cpr6 mutants and resulted in slightly elevated levels of salicylic acid, demonstrating that the effect is independent of the salicylic acid-regulated defense pathway. These findings provide an explanation for high extractable invertase activity found in source leaves that is kept inhibited in situ by post-translational interaction between invertase and the invertase inhibitor proteins. Upon pathogen infection, the invertase activity is released by repression of invertase inhibitor expression, thus linking the local induction of sink strength to the plant defense response

Studies on the role of carbohydrate metabolism during plant-pathogen-interactions and seedling development

Invertasen sind Schlüsselenzyme in der Kohlenhydratverteilung und haben möglicherweise auch während einer Pathogeninfektion eine zentrale Bedeutung. In vorliegender Arbeit wurde zunächst die Regulation verschiedener Stoffwechselwege in Arabidopsis thaliana nach Infektionen mit einem virulenten oder avirulenten Stamm von Pseudomonas syringae untersucht. Mit Hilfe der Chlorophyllfluoreszenz-Bildgebung konnten räumliche und zeitliche Veränderungen der Photosynthese verfolgt werden. Verschiedene Parameter waren unterschiedlich reguliert. In beiden Interaktionen waren Effekte nur lokal um die Infektionsstellen erkennbar und qualitativ ähnlich. Unterschiede waren im zeitlichen Eintreten und Verlauf sichtbar. Die Methode schien geeignet für die sensitive, nicht-invasive Pathogenfrüherkennung vor dem Auftreten sichtbarer Symptome. Die Regulation verschiedener Gene innerhalb von Source-Sink-Übergängen und die Aktivität von Invertasen war in den beiden Interaktionen qualitativ unterschiedlich. Die Infektion mit virulenten Bakterien resultierte in einer Repression photosynthetischer Gene. Die Aktivität vakuolärer Invertasen stieg vorübergehend nach Infektion mit virulenten Bakterien an, während sie nach Infektion mit avirulenten Bakterien sank. Die Aktivität extrazellulärer Invertasen war in beiden Interaktionen reprimiert. Die erfolgreiche Generierung verschiedener Bakterienstämme von P. syringae, die das grün fluoreszierende Protein exprimieren, kann bei der weiteren Charakterisierung von Pflanze-Pathogen-Interaktionen helfen. Die Regulation von Invertasen erfolgt auf transkriptioneller und posttranslationaler Ebene. Um die Funktion von Invertasen in Pflanze-Pathogen-Interaktionen zu verstehen, wurde zunächst die Regulation von Invertasen durch endogene proteinogene Invertaseinhibitoren untersucht. In Übereinstimmung mit in silico Expressionsdaten konnte durch Untersuchung von Reportergenlinien und in Northern Blot Analysen eine starke Expression von Invertaseinhibitoren in Blättern von A. thaliana festgestellt werden. Nach Applikation biotischer und abiotischer Stressfaktoren wurde diese Expression nahezu vollständig reprimiert. Die indirekte Bestimmung der Invertaseinhibitoraktivität durch Messung der Invertaseaktivität in Mischextrakten zeigte, dass diese nach einer Pathogeninfektion vollständig reprimiert war. In funktionellen Ansätzen wurden transgene Pflanzen generiert, die Invertaseinhibitoren unter Kontrolle induzierbarer Promotoren exprimieren. Die Induktion der Invertaseinhibitorexpression änderte die Sensitivität gegenüber verschiedenen Pathogenen nicht signifikant. In einem pharmakologischen Ansatz wurde der chemische Inhibitor Acarbose zur Hemmung der Invertaseaktivität in A. thaliana verwendet. Eine Behandlung von Blättern bei gleichzeitiger Infektion mit Bakterien verursachte eine erhöhte Sensitivität der Pflanzen gegenüber der Infektion, eine stärkere Repression verschiedener Chlorophyllfluoreszenzparameter sowie ein erhöhtes Bakterienwachstum im Vergleich zu einer Infektion mit den Bakterien allein. Keine Effekte wurden auf transkriptioneller Ebene bei der Untersuchung von Genen verschiedener Stoffwechselwege gefunden. Die Invertaseaktivität nach zusätzlicher Behandlung mit Acarbose war tendenziell niedriger als die Aktivität nach einer Pathogeninfektion alleine. Acarbose erhöhte die Spiegel an Salicylsäure unabhängig von einer Pathogeninfektion. Da das Bakterienwachstum in Mutanten des Salicylsäure-vermittelten Abwehrweges bei zusätzlicher Behandlung mit Acarbose ebenfalls erhöht war, kann eine Beteiligung dieses Abwehrweges am Acarboseeffekt bisher ausgeschlossen werden. Invertasen sind neben ihrer Beteiligung an der Abwehr für die Regulation von Entwicklungsprozessen wichtig. In einem funktionellen Ansatz mit Pflanzen, die Invertaseinhibitoren induzierbar produzieren, wurde die Funktion von Invertasen getestet. Zur Generierung spezifischer Effekte wurden die Inhibitoren unter Kontrolle synthetischer Promotoren in A. thaliana exprimiert. Unerwarteterweise war das Wachstum putativ transgener Keimlinge jedoch im 4-Blatt-Stadium arretiert. Eine Analyse der Aktivität der ß-Glucuronidase in den entsprechenden Reporterlinien zeigte eine Korrelation zwischen der Wachstumsarretierung und einer hohen Aktivität dieser Promotoren unter verschiedenen in vitro Bedingungen. Dieser negative Effekt der Invertaseinhibition auf das Keimlingswachstum wurde in transgenen Tabakpflanzen bekräftigt, die Invertaseinhibitoren unter Kontrolle eines Tetracyclin-induzierbaren Promotors exprimierten. Eine erfolgreiche Induktion des Promotors resultierte in einer Reduktion des Frischgewichtes der Keimlinge. Mittels in silico Expressionsdaten und Northern Blot Analysen konnte für A. thaliana eine spezifische und starke Expression verschiedener Invertaseisoformen in Keimlingen nachgewiesen werden. Diese komplementären Ergebnisse zeigen die Notwendigkeit der Invertaseaktivität für eine normale Keimlingsentwicklung.Invertases are key metabolic enzymes in carbohydrate partitioning which may also play an important role during pathogen infection. In this study, the regulation of different metabolic pathways in Arabidopsis thaliana plants after infection by a virulent and an avirulent strain of Pseudomonas syringae was investigated. With help of chlorophyll fluorescence imaging spatio-temporal changes in photosynthesis were monitored. The monitored chlorophyll fluorescence parameters were showing differential regulation. The effects were restricted to the vicinity of the infection site and did not spread to uninfected areas of the leaf. Qualitatively similar changes in photosynthetic parameters were observed in both interactions. Major differences between the responses to both strains were evident in the onset and time course of changes. Changes could be detected by chlorophyll fluorescence imaging before symptoms were visible by eye. In contrast to photosynthesis, the regulation of marker genes for source/sink relations and the activities of invertase isoenzymes showed qualitative differences between both interactions. Inoculation of the virulent but not the avirulent strain resulted in downregulation of photosynthetic genes and upregulation of vacuolar invertases. The activity of vacuolar invertases transiently increased upon infection with the virulent strain but decreased with the avirulent strain while extracellular invertase activity was downregulated in both interactions. As an advanced tool for the characterization of the interaction between A. thaliana and P. syringae bacteria expressing the green fluorescing protein were generated. Invertases are regulated on transcriptional and posttranscriptional level. To understand the function of invertases in plant-pathogen-interactions, the regulation of endogenous proteinaceous invertase inhibitors was investigated. According to expression profiling the analysis of reporter gene lines and Northern Blot analyses revealed a strong expression of invertase inhibitors in source leaves of A. thaliana. After application of biotic and abiotic stress factors this expression was completely repressed. Indirect determination of invertase inhibitor activity by measurement of invertase activity in mixed extracts revealed a complete repression of inhibitor activity after pathogen infection. In functional approaches transgenic plants were generated, expressing invertase inhibitor proteins under control of inducible promoters. However, no effect of the induction of inhibitor expression on the sensitivity to different pathogens could be observed so far. In a pharmacological approach acarbose war used as an invertase inhibitor. Simultaneous treatment of plants with acarbose and bacteria revealed an increased sensitivity of the plant towards the bacterial infection and a stronger repression of chlorophyll fluorescence parameters compared to plants treated with bacteria alone. No effects on photosynthesis, carbohydrate metabolism and defence could be observed on transcriptional level. A tendency of lowered invertase activity could be observed after treatment with acarbose and bacteria compared to bacterial treatment alone. Acarbose treatment enhanced the levels of salicylic acid independent of bacterial infection. The acarbose-mediated increase in sensitivity was also detectable in sid2 and cpr6 mutants indicating that the effect of acarbose is independent of the salicylic acid mediated defence pathway. Invertases are important enzymes in higher plants, which are involved in regulating developmental processes and responses to external factors. In a functional approach the role of invertases was investigated using transgenic plants ectopically expressing inhibitor proteins to decrease invertase activity. For generating specific effects, these inhibitor proteins were expressed in A. thaliana under the control of synthetic promoters consisting of tetramers of pathogeninducible elements, which were reported to yield low constitutive expression. Unexpectedly, seedling growth of putative transgenic plants was arrested at the four-leaf stage. Analysis of ß-glucuronidase activity of corresponding reporter gene lines showed a correlation of the growth arrest with high activity of these promoters in seedlings grown under tissue culture conditions. The negative effect of invertase inhibition on seedling growth was substantiated by transgenic tobacco plants expressing an invertase inhibitor under control of a tetracycline inducible promoter. Ectopic induction of the invertase inhibitor during early seedling development resulted in a reduced fresh weight of seedlings. Expression profiling and Northern Blot analyses further supported the importance of invertase in Arabidopsis thaliana seedling development. Different invertases were specifically and strongly expressed. These complementing results show that invertase activity is required for normal seedling development

Noninvasive Phenotyping of Plant–Pathogen Interaction: Consecutive In Situ Imaging of Fluorescing Pseudomonas syringae, Plant Phenolic Fluorescence, and Chlorophyll Fluorescence in Arabidopsis Leaves

Plant–pathogen interactions have been widely studied, but mostly from the site of the plant secondary defense. Less is known about the effects of pathogen infection on plant primary metabolism. The possibility to transform a fluorescing protein into prokaryotes is a promising phenotyping tool to follow a bacterial infection in plants in a noninvasive manner. In the present study, virulent and avirulent Pseudomonas syringae strains were transformed with green fluorescent protein (GFP) to follow the spread of bacteria in vivo by imaging Pulse-Amplitude-Modulation (PAM) fluorescence and conventional binocular microscopy. The combination of various wavelengths and filters allowed simultaneous detection of GFP-transformed bacteria, PAM chlorophyll fluorescence, and phenolic fluorescence from pathogen-infected plant leaves. The results show that fluorescence imaging allows spatiotemporal monitoring of pathogen spread as well as phenolic and chlorophyll fluorescence in situ, thus providing a novel means to study complex plant–pathogen interactions and relate the responses of primary and secondary metabolism to pathogen spread and multiplication. The study establishes a deeper understanding of imaging data and their implementation into disease screening

Characterisation and clinical outcomes in children and adolescents with diabetes according to newly defined subgroups: a cohort study from the DPV registryResearch in context

Summary: Background: Personalised therapy has emerged as a possibly more efficient approach taking disease heterogeneity into account. The aim of this study was to determine whether recently described subgroups of childhood diabetes have prognostic association with diabetes-specific complications and, therefore, might be a basis for personalised therapies. Methods: We applied a previously developed subgroup classification to pediatric patients (diabetes onset <18 years) from the prospective Diabetes Patient Follow-up (DPV) registry with documented data between January 1, 2000 and March 31, 2022, from diabetes centers in Germany, Austria, Switzerland, and Luxembourg. The classification required information on islet autoantibody status, age, haemoglobin A1c (HbA1c), and body-mass index (BMI-SDS) at disease manifestation, as well as follow up data after 2 and after 4 years, which was available in 22,719 patients. Patients without documented data on these parameters were excluded from the analysis. The cumulative risk of severe hypoglycemia, diabetic ketoacidosis (DKA), retinopathy, and nephropathy were analysed by Kaplan–Meier analyses over a median follow-up of 6.8 years (IQR 4.8–9.6). Findings: Patients were classified into 10 subgroups (P1–P7 islet autoantibody-positive, n = 19,811; N1–N3 islet autoantibody-negative, n = 2908). The groups varied markedly with respect to specific acute and chronic complications. Severe hypoglycemia was a characteristic feature in young islet autoantibody-positive subgroups P1, P3, P4 (10-year risk 46, 46 and 47%) and the islet autoantibody-negative groups N1, N2 (43 and 46%). Nephropathy was identified in patient groups P2 and P5 (10-year risk 16%), which had features of moderate disease such as preserved C-peptide, low HbA1c, and very low frequency of DKA at diabetes onset. Group P7, which was defined by a high BMI, was associated with poor metabolic control, DKA, and retinopathy. In contrast, islet autoantibody-negative patients with high BMI (N3) had a low risk for all four complications. Interpretation: Subgrouping of childhood diabetes at diabetes onset provided prognostic value for the development of acute and chronic diabetes-specific complications. Funding: The DPV initiative is supported by The German Ministry of Education and Research (BMBF) within the German Center for Diabetes Research, the diabetes surveillance of the Robert Koch Institute, the German Diabetes Association (DDG) and INNODIA

Metabolic Safety of Growth Hormone in Type 1 Diabetes and Idiopathic Growth Hormone Deficiency

Objective To evaluate metabolic consequences of growth hormone (GH) treatment in children with type 1 diabetes. Study design This study is an analysis of metabolic changes in 37 patients with childhood-onset GH deficiency and type 1 diabetes, documented in the Diabetes Patienten Verlaufsdocumentationsystem database. Main outcome measures were changes in hemoglobin A1c and daily insulin requirements during GH therapy in children with GH deficiency and type 1 diabetes compared with a large cohort of adolescents with type 1 diabetes. Results Thirty-seven patients with type 1 diabetes and a diagnosis of idiopathic GH deficiency after onset of diabetes were compared with 48 856 patients with type 1 diabetes. After adjustment for age, sex, duration of diabetes, and migration background, a significant difference in mean daily insulin requirement was seen between the 2 groups (1.0 IU/kg/day in subjects with GH deficiency and type 1 diabetes vs 0.85 IU/kg/day in controls; P .05). Conclusion An increased daily insulin requirement should be considered in patients with type 1 diabetes treated with GH. With adequate adaptation of insulin dosage, metabolic control is not impaired during GH treatment

Twenty years of newborn screening for congenital adrenal hyperplasia and congenital primary hypothyroidism - experiences from the DGKED/AQUAPE study group for quality improvement in Germany

Congenital primary hypothyroidism (CH) and congenital adrenal hyperplasia (CAH) are targeted by the German and Austrian newborn screening. For both diseases, there are registries for quality improvement, based on standardized observational data from long-term patient follow-up, under the auspices of the DGKED study group. By September 2021, the CH registry HypoDOK includes datasets from 23,348 visits of 1,840 patients, and the CAH registry contains datasets from 36,237 visits of 1,976 patients. Here, we report on the recruitment process, patient characteristics, and research contributions from the registries, and underline that the registries are an important tool to improve patient care and outcomes. Registries for rare conditions should thus be considered as an important public health measure and they should be adequately institutionalized and funded