Deficiency in salivary secretion in DMXAA-induced SS mouse model.

(A) Schematic timeline for the generation of the SS mouse model. Female wild-type (WT) mice were administered two subcutaneous doses of DMXAA on Day 0 and Day 21. Salivary gland function was assessed on day 28. (B-C) Saliva, stimulated by pilocarpine, was collected over 15 minutes. (B) The amount of saliva secretion was determined by measuring the saliva weight. Vehicle: N= 30 mice, SS mouse model: N= 32 mice. Mean ± SD. (C) The weight of collected saliva was normalized to each mouse’s body weight. Vehicle: N= 26 mice, SS mouse model: N= 29 mice. Mean ± SD. Unpaired two-tailed t-test. (D) H&E stained sections from vehicle or DMXAA-treated animals. Treated animals showed minor lymphocyte infiltration and inflammation as focal peri-vascular/peri-ductal lymphocytic sialoadenitis adjacent to normal-looking acini. (E-F) A comparison of total saliva secretion following 1 min stimulations at the indicated frequency (D) from the SMG of mice (Vehicle: N= 8 mice, SS mouse model: N= 6) and (E) from the PG (Vehicle: N= 7 mice, SS mouse model: N= 5 mice). Mean ± SD. Two-way ANOVA with multiple comparisons.

Increased in vivo Ca2+ signals in SS mouse model.

(A) Representative standard deviation images of Ca2+ signals during the 10 s of stimulation. Scale bar: 26 μm (B) The time-course of pseudo-color images of Ca2+ in response to 7Hz stimulation. Scale bar: 26 μm (C) Representative cellular responses to stimulation at the indicated frequencies. N = 10 cells, one animal. (D) A comparison of peak Ca2+, (E) area under curve, and (F) latency during each stimulation in SMG. Each symbol represented the average response of ten cells from one view. Vehicle: N= 3-6 from three mice; SS mouse model: N= 8-10 from four mice. Mean ± SD. Two-way ANOVA with multiple comparisons.

Globalizing in vivo Ca2+ signals in SS mouse model.

(A-B) A representative standard deviation image during the 7Hz stimulation in (A) vehicle condition and (B) in the SS mouse model. Scale bar: 26 μm. (C-D) A representative “kymograph“ image of consecutive lines stacked in space over time for 7Hz stimulation in (C) vehicle condition and (D) SS mouse model. Time is encoded along the X-axis from left to right. Space is encoded along the Y-axis from the apical side (bottom) to the basolateral side (top). Scale bar: 3 μm. (Ε) The ratio of the magnitude of Ca2+ signal on the apical side over the basolateral side upon the stimulation at the indicated frequency. Vehicle: N= 5-6 replicates from three mice; SS mouse model: N=5-8 replicates from four mice. Mean ± SD. Two-way ANOVA with multiple comparisons.

Attenuated whole-cell macroscopic Cl currents induced by CCh stimulation in SS mouse model.

(A) Western blotting showing the protein expression level of TMEM16a in the vehicle condition and the DMXAA-treated SS mouse model. Actin is the internal control. (B) The quantification of TMEM16a protein expression normalized to the internal control, Actin. Vehicle, N= 4 mice; SS mouse model: N= 6 mice. (C) Immunofluorescent staining in SMG tissue for TMEM16a (green), Na+/K+ ATPase (red), and DAPI for nucleus (blue). The upper panel is from the vehicle-treated control and the bottom panel is from DMXAA-treated animals. Scale bar: 30 μm. Unpaired two-tailed t-test. (D) Cl-currents when cells were held at -50 mV and stepped from -80 to 120 mV in 20 mV increments. (E) Time-dependent Cl- current density changes in response to the CCh in the isolated acinar cells in vehicle conditions and SS mouse model. (F) Current-voltage relationships were measured before and after the addition of CCh in vehicle conditions (N=three mice, 3-4 cells per mouse) and SS mouse model (N=three mice, 3-4 cells per mouse). TMEM16a currents in the treated mice were markedly reduced compared to the control mice. Black dots represent the vehicle-treated cells and orange squares represent DMXAA-treated cells. The open symbols represent no stimulation; the solid symbols represent CCh stimulation.

Increased [Ca2+]i is capable of restoring TMEM16a functionality to DMXAA-treated mice.

Either 1 or 5 μM [Ca2+]i in the patch pipette elicited a similar magnitude of Cl- currents for both the treated (N= 3 mice, 3-4 cells per mouse) and control mice (N= 3 mice, 3-4 cells per mouse). (A) Cl- currents when cells were held at -50 mV and stepped from -80 to 120 mV in 20 mV increments. (B) Current-voltage relationships for both populations of mice were essentially identical. Vehicle and SS mouse model: N=3 mice, 3-4 cells per mouse.

Disrupted proximity between TMEM16a and IP3R3 in the DMXAA-treated SS mouse model.

(A) Maximum projection of a STED z stack (1 μm) showing TMEM16a (green) and IP3R3 (red) in SMG tissue following Huygens deconvolution. The top panel represents the vehicle-treated control, and the bottom panel represents the SS mouse model. Scale bar: 2 μm. Zoomed images highlight the localization of TMEM16a and IP3R3 from the white square on the merged images. (B) Diagram illustrating the positioning of apical PM TMEM16a and apical IP3R3 in acinar cells. To analyze the proximity, a 1 μm reference line was drawn across the two parallel TMEM16a over two adjacent acinar cells with IP3R3 aligned vertically in the cytoplasm. (C-D) The representative traces of changes in fluorescence of TMEM16a (green) and IP3R3 (red) over the 1μm distance. (E) Analysis of distance between TMEM16a and IP3R3 within cells. (F) Analysis of the distance between parallel TMEM16a on adjacent acinar cells. (G) Distance measurement of apical IP3R3 between two cells. Each symbol represents the mean of 5 examinations per image. Vehicle: N= 8 replicates from 3 mice; SS mouse model: N= 9 replicates from 3 mice. Mean ± SD. Unpaired two-tailed t-test.

Mitochondrial alterations in acinar cells from the DMXAA-treated SS mouse model.

(A) Immunofluorescent staining in SMG tissue for ATP5A (green), Na+/K+ ATPase (red), and DAPI for nucleus (blue). The upper panel is the vehicle, and the bottom panel is the SS mouse model. Scale bar: 12 μm. The mitochondrial content was quantified by (B) the mitochondrial number per acinar cell and (C) the percentage of area occupied by mitochondria per acinar cell. The mitochondrial morphology was analyzed by the (D) AR for the degree of mitochondrial tubular shape and (E) FF for the degree of mitochondrial branching (complexity). In (B) to (E), black dots represent the vehicle condition, and orange squares indicate the SS mouse model. Each symbol represents the mean of 10 cells per image. Vehicle: N= 10-15 from 3 mice; SS mouse model: N= 10-11 from 3 mice. Mean ± SD. Unpaired two-tailed t-test.

Ultrastructural analysis of mitochondria and ER in SS mouse model.

(A-C’’) Images show mitochondrial cristae and ER structure by an EM at scales of (A-A’) 2μm, (B-B’) 800nm, and (C-C’) 400nm. (D) Mitochondrial perimeter, (E) mitochondrial area and (F) circularity were quantified by the shape description in ImageJ. (G) Quantification of mitochondrial cristae dispersion was evaluated by the percentage of cristae occupied in one mitochondrion. The (H) mean and (I) minimum proximity of ER and mitochondria were quantified by the plugin from http://sites.imagej.net/MitoCare/ in ImageJ. Vehicle: N=38 and SS mouse model: N=36 from 3 mice. Mean ± SD. Unpaired two-tailed t-test.

Mitochondrial bioenergetics are compromised in the DMXAA-treated SS model.

(A) Mitochondria in the isolated acinar cells were labeled by the MitoTracker Green and co-stained with mitochondrial membrane potential dye, TMRE (red). The merged image shows the colocalization of both dyes, with maximal z-stack projection throughout the acinar cells. (B) Representative changes in mitochondrial membrane potential following FCCP-induced depolarization. The vehicle is shown in black; SS mouse model is in orange. (C) The quantification was achieved by the difference of TMRE normalized to MitoTracker Green. Each dot is the mean of 10 cells from one experiment. Vehicle: N=14 and SS mouse model: N=13 from 3 mice. (D) Real-time mitochondrial respiration function was assessed in isolated acinar cells from the vehicle (black) and SS mouse model (orange) using the Seahorse XFe96 extracellular flux analyzer, in response to the pharmacological mito stress (oligomycin, FCCP, rotenone, and antimycin). Vehicle: N=59 and SS mouse model: N=32 from 6 mice. (E-G) Mitochondrial respiration function parameters were quantified by OCR substracted the non-mitochondrial OCR for (E) basal respiration rate, (F) ATP-linked respiration rate, and (G) maximal respiration rate. Mean ± SD. Unpaired two-tailed t-test.

Up-regulation of STING protein expression in both SMG and PG treated with DMXAA.

Immunofluorescent staining in SMG tissue for STING (green), Na+/K+ ATPase (red), and DAPI for nucleus (blue). The upper panel is in vehicle-treated condition and the bottom panel is the SS mouse model. Scale bar: 12 μm. (B-C) STING protein expression was quantified by the percentage of a cell occupied by STING protein in (B) SMG and (C) PG. Vehicle, N= 3 mice; SS mouse model: N= 3 mice. Unpaired two-tailed t-test.

Deficiency in secretion in Mist1CreERT+/-GCamp6F+/- genetic mouse treated with DMXAA.

(A) Schematic timeline for the generation of the SS mouse model in the Mist1CreERT+/- GCamp6F+/- genetic mouse. The female Mist1CreERT+/-Gcamp6F+/- mouse received two subcutaneous doses of DMXAA on day 0 and day 21. The salivary gland function was assessed on day 28. (B) The gland function was evaluated by the weight of pilocarpine-induced saliva, normalized to each mouse’s weight. Vehicle = 3 mice, DMXAA= 4 mice. Mean ± SD. Unpaired two-tailed t-test.

Mitochondrial alterations in the parotid gland of SS mouse model.

(A) Immunofluorescent staining in PG tissue for ATP5A (green), Na+/K+ ATPase (red), and DAPI for nucleus (blue). The upper panel is from vehicle-treated animals and the bottom panel is from the SS mouse model. Scale bar: 12 μm. The mitochondrial content was quantified by (B) the mitochondrial number per acinar cell and (C) the percentage of area occupied by mitochondria per acinar cell. The mitochondrial morphology was analyzed by the (D) AR for the degree of mitochondrial tubular shape and (E) FF for the degree of mitochondrial branching (complexity). In (B) to (E), black dots represent the vehicle condition, and orange squares indicate the SS mouse model. Each symbol represents the mean of 10 cells per image. Vehicle: N= 20 and SS mouse model: N= 15-17 from four mice. Mean ± SD. Unpaired two-tailed t-test.

AQP5, the water channel, remained the comparable expression and proper localization in SMG in the disease mouse model.

(A) Immunofluorescent staining in SMG tissue for AQP5 (green), Na+/K+ ATPase (red), and DAPI for nucleus (blue). The upper panel is from vehicle condition and the bottom panel is from the SS mouse model. Scale bar: 12 μm. (B) Western blotting showed the protein level of AQP5 in SMG from vehicle-treated control and disease mouse model. (C) The quantification of AQP5 normalized to internal control, Actin. Vehicle: N= 4; SS mouse model: N= 6. Mean ± SD. Unpaired two-tailed t-test.

No significant alteration in IP3R protein levels in SMG in the DMXAA-treated mouse model.

(A) Western blotting indicated the IP3R2 and IP3R3 protein levels from vehicle-treated control and SS mouse model. Actin was probed as the internal control. (B) The quantification of IP3R2 and IP3R3 normalized to Actin, the internal control. Vehicle: N= 4; SS mouse model: N= 6. Mean ± SD. Unpaired two-tailed t-test.