Sexual Dimorphism in Age-Dependent Neurodegeneration After Mild Head Trauma in Drosophila: Unveiling the Adverse Impact of Female Reproductive Signaling

Reviewer #1 (Public Review):

Summary:

In this manuscript, the authors use the model organism Drosophila to explore the sex and age impacts of a TBI method. They find age and sex differences: older age is susceptible to mild TBI and females are also more susceptible. In particular, they pursue a finding that virgin vs mated females show different responses: virgins are protected but mated females succumb to TBI with climbing deficits. In fact, virgin females compared to mated females are largely protected. They discover that this is associated with exposure of the females to Sex Peptides in the reproductive neurons of the female reproductive tract. When they extend to RNAseq of brains, they show that there are very few genes in common between males, mated females, virgins and females mated with males lacking Sex Peptide. The few chronic genes associated with mated females seem associated with the immune system. These findings suggest that mated females have a compromised immune system, which might make them more vulnerable.

Strengths:

This is an interesting paper that allows a detailed comparison of sex and age in TBI which is largely only possible in such a simple model, where large numbers and many variations can be addressed. Overall the findings are interesting.

Weaknesses:

Although the findings beyond Sex Peptide are observational, the work sets the stage for more detailed studies to pursue the role of the genes they find by RNAseq and whether for example, boosting the innate immune system would protect the mated females, among other experiments.

Reviewer #2 (Public Review):

Summary:

In this manuscript, the authors use the Drosophila model system to study the impact of mild head trauma on sex-dependent brain deficits. They identify Sex Peptide as a modulator of greater negative outcome in female flies. Additionally, they observe that increased age at the time of injury results in worse outcomes, especially in females, and that this is due to chronic suppression of innate immune defense networks in mated females. The results demonstrate a novel signaling pathway that promotes age- and sex-dependent outcomes after head injury.

Strengths:

The authors have modified their previously reported TBI model in flies to mimic mild TBI, which is novel. Methods are explained in detail, allowing for reproducibility. Experiments are rigorous with appropriate statistics. A number of important controls are included. The work tells a complete mechanistic story and adds important data to increase our understanding of sex-dependent differences in recovery after TBI. The discussion is comprehensive and puts the work in the context of the field.

Weaknesses:

A very minor weakness is that exact n values should be included in the figure legends. There should also be confirmation of knockdown by RNAi in female flies either by immunohistochemistry or qRT-PCR if possible.

Reviewer #3 (Public Review):

Summary:

In this manuscript, the authors used a Drosophila model to show that exposure to repetitive mild TBI causes neurodegenerative conditions that emerge late in life and disproportionately affect females. In addition to well-known age-dependent impact, the authors identified Sex Peptide (SP) signaling as a key factor in female susceptibility to post-injury brain deficits.

Strengths:

The authors have presented a compelling set of results showing that female Sex Peptide signaling adversely affects late-life neurodegeneration after early-life exposure to repetitive mild head injury in Drosophila. They have (1) compared the phenotypes of adult male and female flies sustaining TBI at different ages, and the phenotypes of virgin females and mated females, (2) compared the phenotypes of eliminating SP signaling in mating females and introducing SP-signaling into virgin females, (3) compared transcriptomic changes of different groups in response to TBI. The results are generally consistent and robust.

Weaknesses:

The authors have made their claims largely based on assaying climbing index and vacuole formation as the only indicators of late-life neurodegeneration after TBI. However, these phenotypes are not really specific to TBI-related neurodegeneration, and the significance and mechanisms of especially vacuole formation are not clear. The authors should perform additional analyses on TBI-related neurodegeneration in flies, which have been shown before (Genetics. 2015 Oct; 201(2): 377-402). Furthermore, it is also really surprising to see so few DEGs even in wild-type males and mated females, and to see that none of the DEGs overlapped among groups or are even related to the SP-signaling. This raises questions about the validity of the RNA-seq analysis. It is critical to independently verify their RNA-sequencing results and to add some more molecular evidence to support their conclusion. Finally, it is unknown what the implication of female fly mating and its associated Sex Peptide signaling would be to mammalians or humans, and what are the mechanisms underlying the sexual dimorphism.

Author response:

Public Reviews:

Reviewer #1 (Public Review):

Summary:

In this manuscript, the authors use the model organism Drosophila to explore the sex and age impacts of a TBI method. They find age and sex differences: older age is susceptible to mild TBI and females are also more susceptible. In particular, they pursue a finding that virgin vs mated females show different responses: virgins are protected but mated females succumb to TBI with climbing deficits. In fact, virgin females compared to mated females are largely protected. They discover that this is associated with exposure of the females to Sex Peptides in the reproductive neurons of the female reproductive tract. When they extend to RNAseq of brains, they show that there are very few genes in common between males, mated females, virgins and females mated with males lacking Sex Peptide. The few chronic genes associated with mated females seem associated with the immune system. These findings suggest that mated females have a compromised immune system, which might make them more vulnerable.

Strengths:

This is an interesting paper that allows a detailed comparison of sex and age in TBI which is largely only possible in such a simple model, where large numbers and many variations can be addressed. Overall the findings are interesting.

Weaknesses:

Although the findings beyond Sex Peptide are observational, the work sets the stage for more detailed studies to pursue the role of the genes they find by RNAseq and whether for example, boosting the innate immune system would protect the mated females, among other experiments.

We thank the reviewer for their time and effort in evaluating our manuscript. We agree that future studies are needed to further determine the role of the genes that we have identified through RNA sequencing in the late life emergence of neurodegenerative conditions after the exposure to mild head trauma. We would like to investigate whether elevating mated female immunity can mitigate the risk for age-dependent neurodegeneration after mild head trauma.

Reviewer #2 (Public Review):

Summary:

In this manuscript, the authors use the Drosophila model system to study the impact of mild head trauma on sex-dependent brain deficits. They identify Sex Peptide as a modulator of greater negative outcome in female flies. Additionally, they observe that increased age at the time of injury results in worse outcomes, especially in females, and that this is due to chronic suppression of innate immune defense networks in mated females. The results demonstrate a novel signaling pathway that promotes age- and sex-dependent outcomes after head injury.

Strengths:

The authors have modified their previously reported TBI model in flies to mimic mild TBI, which is novel. Methods are explained in detail, allowing for reproducibility. Experiments are rigorous with appropriate statistics. A number of important controls are included. The work tells a complete mechanistic story and adds important data to increase our understanding of sex-dependent differences in recovery after TBI. The discussion is comprehensive and puts the work in the context of the field.

Weaknesses:

A very minor weakness is that exact n values should be included in the figure legends. There should also be confirmation of knockdown by RNAi in female flies either by immunohistochemistry or qRT-PCR if possible.

We thank the reviewer for the evaluation of our manuscript and for the suggestion to include the exact n values in the figure legends. We will include the n values in our revision.

Regarding RNAi knockdown of sex peptide receptors (SPRs), we agree that confirmation of the knockdown by IHC or qRT-PCR will further strengthen our findings. It should be noted, however, that the RNAi line we used has been extensively validated by Yapici et al., 2007 and several subsequent publications. Importantly, the effectiveness of SPR knockdown is evident in female flies as they exhibit dramatically reduced egg laying and, importantly, lack the typical post-mating behaviors (such as rejection of male flies after initial mating) observed in the wild type mated female flies. In fact, female flies with RNAi-mediated SPR knockdown behave identically to females mated with SP-null male flies, confirming the effective disruption of the SP-SPR signaling pathway. We will revise the manuscript to make these points clear.

Reviewer #3 (Public Review):

Summary:

In this manuscript, the authors used a Drosophila model to show that exposure to repetitive mild TBI causes neurodegenerative conditions that emerge late in life and disproportionately affect females. In addition to well-known age-dependent impact, the authors identified Sex Peptide (SP) signaling as a key factor in female susceptibility to post-injury brain deficits.

Strengths:

The authors have presented a compelling set of results showing that female Sex Peptide signaling adversely affects late-life neurodegeneration after early-life exposure to repetitive mild head injury in Drosophila. They have (1) compared the phenotypes of adult male and female flies sustaining TBI at different ages, and the phenotypes of virgin females and mated females, (2) compared the phenotypes of eliminating SP signaling in mating females and introducing SP-signaling into virgin females, (3) compared transcriptomic changes of different groups in response to TBI. The results are generally consistent and robust.

Weaknesses:

The authors have made their claims largely based on assaying climbing index and vacuole formation as the only indicators of late-life neurodegeneration after TBI. However, these phenotypes are not really specific to TBI-related neurodegeneration, and the significance and mechanisms of especially vacuole formation are not clear. The authors should perform additional analyses on TBI-related neurodegeneration in flies, which have been shown before (Genetics. 2015 Oct; 201(2): 377-402). Furthermore, it is also really surprising to see so few DEGs even in wild-type males and mated females, and to see that none of the DEGs overlapped among groups or are even related to the SP-signaling. This raises questions about the validity of the RNA-seq analysis. It is critical to independently verify their RNA-sequencing results and to add some more molecular evidence to support their conclusion. Finally, it is unknown what the implication of female fly mating and its associated Sex Peptide signaling would be to mammalians or humans, and what are the mechanisms underlying the sexual dimorphism.

We thank the reviewer for the thorough evaluation of our manuscript. The reviewer raised a very important question: whether the neurodegeneration observed in our model is specific to TBI. As the reviewer rightly pointed out, the neurodegenerative phenotypes are unlikely specific to TBI-related neurodegeneration. Throughout the manuscript, we have tried to convey the notion that the mild physical impacts to the head represent one form of environmental insults, which in combination with other risk factors such as aging can lead to the emergence of neurodegenerative conditions. It should be noted that the negative geotaxis assay and vacuolation quantification are two well-established approaches to assess sensorimotor deficits and frank brain degeneration in fly brains.

It is important to emphasize that the head-specific impacts delivered to the flies in our study are much milder than those used in previous studies. As we showed in our figure 1, this very mild form of head trauma (referred to as vmHT) did not cause any death, nor affected the lifespan of the injured flies. Our supplemental data also show very minimal structural neuronal damage and essentially no acute and chronic apoptosis induced by vmHT exposure. Consistently, we did not observe any exoskeletal or eye damage immediately following injuries, nor did we observe any retinal degeneration and pseudopupil loss at the chronic stage of these flies. We will incorporate these important points in the revision.

We agree that future studies are needed to independently validate our RNA sequencing results. We believe that the small number of DEGs are likely due to two unique features of our study: (1) the very mild nature of our injury paradigm and (2) the chronic examination timepoint that was long after the head injury and SP exposure, which distinguish our study from previous fly TBI studies. As pointed out in the manuscript, our study was aimed to understand how early life exposure to repetitive head traumatic insults could lead to the late-life onset of neurodegenerative conditions. We hope to further validate our results in our next phase of experiments using single-cell RNA sequencing and RT-qPCR.

As the reviewer pointed out, it would be very interesting to explore the possible roles of sex peptide-signaling in other animals and humans. As far as we know, there is no known mammalian ortholog to the insect sex peptide, so it would be difficult to study SP or an SP-like molecule in mammalian models. However, we believe that prolonged post-mating changes associated with reproduction in female fruit flies contribute to their elevated vulnerability to neurodegeneration. In this regard, drastic changes within the biology of female mammals associated with reproduction can potentially lead to vulnerability to neurodegeneration. We agree that this demands further study, which may be done with future collaborators using rodent or large animal models. We have discussed this point in the manuscript, but will revise it to further clarify the discussion.