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<front>
<journal-meta>
<journal-id journal-id-type="pmc">biocell</journal-id>
<journal-id journal-id-type="nlm-ta">biocell</journal-id>
<journal-id journal-id-type="publisher-id">biocell</journal-id>
<journal-title-group>
<journal-title>Biocell</journal-title>
</journal-title-group>
<issn pub-type="epub">1667-5746</issn><issn pub-type="ppub">0327-9545</issn>
<publisher>
<publisher-name>Tech Science Press</publisher-name>
<publisher-loc>USA</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">14602</article-id>
<article-id pub-id-type="doi">10.32604/biocell.2021.014602</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Loss of the ubiquitin-conjugating enzyme Rad6B disturbs mitochondrial function and cellular homeostasis in mouse skin</article-title><alt-title alt-title-type="left-running-head">Loss of the ubiquitin-conjugating enzyme Rad6B disturbs mitochondrial function and cellular homeostasis in mouse skin</alt-title><alt-title alt-title-type="right-running-head">Loss of the ubiquitin-conjugating enzyme Rad6B disturbs mitochondrial function and cellular homeostasis in mouse skin</alt-title>
</title-group>
<contrib-group content-type="authors">
<contrib id="author-1" contrib-type="author">
<name name-style="western">
<surname>Yu</surname>
<given-names>Linghui</given-names>
</name><xref ref-type="author-notes" rid="afn1">#</xref>
</contrib>
<contrib id="author-2" contrib-type="author">
<name name-style="western">
<surname>Shen</surname>
<given-names>Rong</given-names>
</name><xref ref-type="author-notes" rid="afn1">#</xref>
</contrib>
<contrib id="author-3" contrib-type="author">
<name name-style="western">
<surname>Guo</surname>
<given-names>Yanan</given-names>
</name>
</contrib>
<contrib id="author-4" contrib-type="author">
<name name-style="western">
<surname>Guo</surname>
<given-names>Yanxuan</given-names>
</name>
</contrib>
<contrib id="author-5" contrib-type="author">
<name name-style="western">
<surname>Li</surname>
<given-names>Chen</given-names>
</name>
</contrib>
<contrib id="author-6" contrib-type="author" corresp="yes">
<name name-style="western">
<surname>Song</surname>
<given-names>Yanfeng</given-names>
</name>
<email>songyanfeng@lzu.edu.cn</email>
</contrib>
<contrib id="author-7" contrib-type="author" corresp="yes">
<name name-style="western">
<surname>Wang</surname>
<given-names>Degui</given-names>
</name>
<email>wangdegui@lzu.edu.cn</email>
</contrib>
<email></email><aff><institution>Department of Anatomy and Histology, School of Basic Medical Sciences, Lanzhou University</institution>, <addr-line>Lanzhou, 730000</addr-line>, <country>China</country></aff>
</contrib-group><author-notes><corresp id="cor1">&#x002A;Address correspondence to: Yanfeng Song, <email>songyanfeng@lzu.edu.cn</email>; Degui Wang, <email>wangdegui@lzu.edu.cn</email></corresp>
<fn id="afn1">
<p><sup>#</sup>These authors contributed equally to this work</p>
</fn></author-notes>
<pub-date pub-type="epub" date-type="pub" iso-8601-date="2021-02-27">
<day>27</day>
<month>2</month>
<year>2021</year>
</pub-date>
<volume>45</volume>
<issue>3</issue>
<fpage>761</fpage>
<lpage>772</lpage>
<history>
<date date-type="received">
<day>12</day>
<month>10</month>
<year>2020</year>
</date>
<date date-type="accepted">
<day>21</day>
<month>12</month>
<year>2020</year>
</date>
</history>
<permissions>
<copyright-statement>&#x00A9; 2021 Yu et al.</copyright-statement>
<copyright-year>2021</copyright-year>
<copyright-holder>Yu et al.</copyright-holder>
<license xlink:href="https://creativecommons.org/licenses/by/4.0/">
<license-p>This work is licensed under a <ext-link ext-link-type="uri" xlink:type="simple" xlink:href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution 4.0 International License</ext-link>, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<self-uri content-type="pdf" xlink:href="TSP_BIOCELL_14602.pdf"></self-uri>
<abstract>
<p>Various factors can induce cell degeneration by altering the phenotype and metabolism of cells. Mitochondria play an essential role in cellular homeostasis and function, rendering aging processes highly associated with mitochondrial function and status. Herein, we describe an aging-prone phenotype of murine skin cells caused by depletion of Rad6B (Ube2b), an E2 ubiquitin-conjugating enzyme. In this study, using Masson&#x2019;s trichrome, we showed that loss of Rad6B causes physiological structure changes in mouse skin with age. In addition, a combination of western blotting experiments, transmission electron microscopy and employment of immunofluorescence staining revealed that depletion of Rad6B was characterized by an abnormal mitochondrial metabolic profile, including decreased mitochondrial biosynthesis and mitochondrial complex activities, increased ROS production and suppressed mitophagy resulting in metabolic disorders. Taken together, these results highlight an important relationship between Rad6B and skin senescence, suggesting that Rad6B plays an indispensable role in maintaining a healthy mitochondrial network and intracellular homeostasis.</p>
</abstract>
<kwd-group kwd-group-type="author">
<kwd>Rad6B</kwd>
<kwd>Skin</kwd>
<kwd>Mitochondria</kwd>
<kwd>Respiratory chain</kwd>
<kwd>Senescence</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>The skin, which is the self-regulating protective barrier organ. Its structure consists of epidermis, dermis, subcutaneous fat with adnexal structures, and its critical function is to maintain homeostasis of the body and ultimately organism survival (<xref ref-type="bibr" rid="ref-39">Slominski <italic>et al</italic>., 2012</xref>; <xref ref-type="bibr" rid="ref-37">Slominski <italic>et al</italic>., 2018</xref>). Various signaling pathways affect skin degeneration, and the regulators involved influence the metabolic and phenotypic changes that accompany the senescence status. Skin aging is affected by internal and external factors, which ultimately leads to cumulative changes in skin structure, function, and appearance. It is a complex biological process (<xref ref-type="bibr" rid="ref-4">Bocheva <italic>et al</italic>., 2019</xref>). The fundamental mechanisms of skin aging are varied, with recent researches illustrating that multiple pathways, including those regulating mitochondrial function, changes in gene expression, defects in cellular DNA repair, decreased antioxidant defense, telomere attrition, and ubiquitin-regulated proteolysis, are collectively involved in this process (<xref ref-type="bibr" rid="ref-3">Birch-Machin and Bowman, 2016</xref>; <xref ref-type="bibr" rid="ref-4">Bocheva <italic>et al</italic>., 2019</xref>; <xref ref-type="bibr" rid="ref-5">Bourdens <italic>et al</italic>., 2019</xref>; <xref ref-type="bibr" rid="ref-23">Marcheggiani <italic>et al</italic>., 2019</xref>).</p>
<p>One characteristic of cell aging is mitochondrial degeneration and dysfunction. Mitochondria are pivotal cellular organelles that produce adenosine triphosphate (ATP) through oxidative phosphorylation (OXPHOS) in their inner membranes, proceeding in parallel to glycolysis in the cytoplasm. While undergoing fusion and fission, mitochondria remain stable metabolic networks to support essential functions and promote cellular homeostasis (<xref ref-type="bibr" rid="ref-1">Abate <italic>et al</italic>., 2019</xref>). Mitochondria are also the major sources of reactive oxygen species (ROS), assigning a dual character to them with regard to cellular environmental homeostasis, which has profound implications for the occurrence of various diseases, such as neurodegenerative disorders, senescence, and cancer (<xref ref-type="bibr" rid="ref-44">Yan <italic>et al</italic>., 2013</xref>; <xref ref-type="bibr" rid="ref-30">Rimessi <italic>et al</italic>., 2016</xref>). It is reported that the function of skin barrier construction directly or indirectly depends on mitochondria, and mitochondria play an important role in different signal pathways and processes, for example, cell proliferation, hair follicle development, and epidermal differentiation. Furthermore, it is demonstrated that ubiquitous deficiency of mtDNA in mice, which leads to wrinkles and visual hair loss, as well as increased inflammatory responses and a number of dysfunctional hair follicles. In addition, mitochondrial dysfunction is considered to be a driving force of potential age-related human diseases (<xref ref-type="bibr" rid="ref-38">Slominski <italic>et al</italic>., 2017</xref>; <xref ref-type="bibr" rid="ref-36">Singh <italic>et al</italic>., 2018</xref>).</p>
<p>The ubiquitin-proteasome system is composed of three categories of enzymes that act in sequential order: Ubiquitin-activating (E1), ubiquitin-conjugating (E2), and ubiquitin ligase (E3) enzymes. Ubiquitin can be covalently attached to proteins through an enzymatic cascade by E1-3, consequently regulating protein activity or degradation through monoubiquitination or polyubiquitination (polyUb) pathways. Previous studies have confirmed that the ubiquitin-proteasome system is involved in the regulation of mitochondrial fission and fusion in response to oxidative stress and mitochondrial remodeling through the conjunction of E2 and E3 enzymes, with damaged mitochondria being separated from the mitochondrial network to prevent further cell degeneration (<xref ref-type="bibr" rid="ref-27">Norris <italic>et al</italic>., 2015</xref>). Studies have revealed that ubiquitination and autophagy systems cooperate to degrade damaged and dysfunctional mitochondria with polyUb chains via a specialized type of autophagy named mitophagy (<xref ref-type="bibr" rid="ref-6">Dikic, 2017</xref>; <xref ref-type="bibr" rid="ref-24">McWilliams and Muqit, 2017</xref>; <xref ref-type="bibr" rid="ref-13">Harper <italic>et al</italic>., 2018</xref>). A recent study reported that cells depleted of the ubiquitin-conjugating enzyme UBE2E3 tended to senescence in the absence of DNA damage and exhibited a distinct senescence-associated secretory phenotype due to the disruption of the mitochondrial network (<xref ref-type="bibr" rid="ref-29">Plafker <italic>et al</italic>., 2018</xref>).</p>
<p>Rad6B belongs to a group of E2 enzymes that is well known to participate in protein degradation. Humans possess two Rad6 genes, UBE2A and UBE2B, which are also known to encode Rad6A and Rad6B proteins, respectively, which exert largely overlapping functions (<xref ref-type="bibr" rid="ref-7">Game and Chernikova, 2009</xref>). However, the effects of Rad6B deficiency on mitochondria and the cellular events elicited are still unknown. In this study, we found that skin senescence caused by depletion of Rad6B with age is characterized by defective mitochondrial metabolic profiles as well as mitochondrial dysfunction and subsequent metabolic disorders. Our data provide evidence that Rad6B is essential for mitochondrial function and for maintaining normal tissue metabolism.</p>
</sec>
<sec id="s2">
<title>Materials and Methods</title>
<sec id="s2_1">
<title>Animals</title>
<p>We used male wild-type (WT) and Rad6B knockout (KO) mice throughout the experiments and were obtained from COMM (MGI: 102944). The embryonic stem cells of Rad6B knockout C57BL/6 were generated from the knockout mouse project (KOMP) library (UC Davis), embryonic stem cells were implanted into the uterus of mice to breed transgenic mice (<xref ref-type="bibr" rid="ref-9">Guo <italic>et al</italic>., 2018</xref>; <xref ref-type="bibr" rid="ref-10">Guo <italic>et al</italic>., 2019</xref>). These two mice strains were divided into 1-, 3-, and 12-month-old groups. All animals were housed at the Lanzhou University Animal Center. The mice were kept in standard animal facilities and given free access to food and water, and efforts were made to alleviate the suffering of the mice.</p>
</sec>
<sec id="s2_2">
<title>Primary cell culture</title>
<p>Murine skin fibroblasts were isolated from dorsal skin tissues, and the 0.5 &#x00D7; 1 cm full-thickness dorsal skin tissues were obtained. Briefly, skin tissues were steeped with 75% alcohol for about 30 s and subsequently washed three times in phosphate-buffered saline (PBS) with antibiotics (penicillin and streptomycin). Afterwards, the skin tissues were cut into small pieces and incubated with Type I collagenase (BIOSHARP) at 37&#x00B0;C for 2&#x2013;3 h. After being centrifuged and washed repeatedly, the skin fibroblasts isolated were grown in RPMI 1640 medium supplemented with 10% fetal bovine serum (FBS) in an incubator at 37&#x00B0;C with 5% CO<sub>2</sub>.</p>
</sec>
<sec id="s2_3">
<title>Analysis of ATP content</title>
<p>Adenosine triphosphate (ATP) contents of mouse skin tissues were detected using a commercial ATP Content Assay Kit (Solarbio, BC0300). Briefly, skin tissues (0.1 g) were lysed with 1 mL extraction buffer and centrifuged at 8000 &#x00D7; g for 10 min, the supernatant was collected, and 500 mL of chloroform were added, after which the samples were centrifuged at 10000 &#x00D7; g for 3 min. The absorbance of the supernatant was measured immediately using the Automatic Enzyme Marker System (TECAN, SPARK, 1710002409) at 340 nm. Relative ATP contents were normalized against the control samples.</p>
</sec>
<sec id="s2_4">
<title>Paraffin-embedded sections</title>
<p>For this, the dorsal skins of the mice were fixed in 4% buffered formalin, embedded in paraffin, and sectioned into 5&#x2009;&#x03BC;m thick slices. After dewaxing, the sections were stained with hematoxylin and eosin (H&#x0026;E). For immunohistochemistry analyses, the paraffin sections were incubated with anti-TFAM (Abcam, ab272885), anti-PGC-1&#x03B1; (Proteintech, 66369-1-AP) primary antibodies, subsequently with biotin-conjugated, affinity-purified goat anti-rabbit IgG (H&#x0026;L) and HRP-conjugated streptavidin at 37&#x00B0;C, with 3,3-diaminobenzidine serving as the chromogenic substrate. For Masson&#x2019;s trichrome staining, the sections were used sequentially with hematoxylin and ferric oxide, ponceau, glacial acetic acid, phosphomolybdic acid, and aniline blue, and then the sections were mounted with neutral gum.</p>
</sec>
<sec id="s2_5">
<title>Western blotting</title>
<p>Skin tissues were ground and lysed with radioimmunoprecipitation assay (RIPA) lysis buffer (Solarbio, 20180929) containing 1% phenylmethylsulfonyl fluoride (PMSF, Solarbio, 2877K). After being centrifuged, the supernatant was collected, and the protein concentration was determined using the bicinchoninic acid (BCA) Protein Assay Kit (Solarbio, PC0020). Afterwards, the samples were separated by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) and transferred onto polyvinylidene fluoride (PVDF) membranes. The membranes were incubated with primary antibodies for 8&#x2013;16 h at 4&#x00B0;C and incubated with appropriate peroxidase-conjugated secondary antibodies for 1.5 h at 28&#x00B0;C, and the signals were visualized by enhanced chemiluminescence. The following primary antibodies were used in this study at the dilutions indicated: anti-Rad6B (Proteintech, 10733-1-AP, 1:700), anti-PGC-1&#x03B1; (Proteintech, 66369-1-AP, 1:1000), anti-Nrf2 (Immunoway, YT3189, 1:2000), anti-TFAM (Abcam, ab272885, 1:800), anti-Actin (Proteintech, 20536-1-AP, 1:5000), anti-ND1 (Proteintech, 19703-1-AP, 1:1000), anti-UQCRC2 (Proteintech, 14742-1-AP, 1:1000), anti-SDHB (Proteintech, 10620-1-AP, 1:20000), anti-COX4 (Proteintech, 11242-1-AP, 1:10000), anti-ATP5A (Proteintech, 14676-1-AP, 1:1000), anti-Mfn1 (Proteintech, 13798-1-AP, 1:700), anti-Mfn2 (Proteintech, 12186-1-AP, 1:4000), anti-Drp1 (Proteintech, 12957-1-AP, 1:1500), anti-p16 (Abcam, ab51243, 1:4000), anti-p21 (Abcam, ab109199, 1:1000), anti-P62 (Proteintech, 18420-1-AP, 1:2000), anti-LC3 (Proteintech, 14600-1-AP, 1:1000).</p>
</sec>
<sec id="s2_6">
<title>Measurements of oxygen consumption and extracellular acidification rates (OCR and ECAR, respectively) of primary skin fibroblasts</title>
<p>For OCR measurements, primary mouse skin fibroblasts were seeded on Seahorse cell culture plates at 2 &#x00D7; 10<sup>4</sup> cells/well and incubated for 10&#x2013;16 h. Before the examination, the medium was exchanged for 500 &#x00B5;L of assay medium (pH 7.4), which was composed of 10 mM glucose, 1 mM pyruvate, and 2 mM glutamine in XF Base Medium. Inhibitors of electron transport chain (ETC) complexes were injected into different ports of the Seahorse cartridge, including oligomycin A (oligo, 1 &#x00B5;M), carbonyl cyanide 4-(trifluoromethoxy)phenylhydrazone (FCCP, 1 &#x00B5;M), antimycin A (AA, 0.5 &#x00B5;M), rotenone (rot, 0.5 mM), after which the corresponding OCR values were measured with the XF24 Seahorse Biosciences Extracellular Flux Analyzer (Seahorse Bioscience, 102238-100). Five replicates were analyzed for each experimental group.</p>
<p>For ECAR measurements, primary skin fibroblasts were plated on Seahorse cell culture plates at 2 &#x00D7; 10<sup>4</sup> cells/well and incubated as described above. Experiments were performed in assay medium (pH 7.4) with 1 mM glutamine. Additional reagents required, i.e., glucose (10 mM), oligo (1 &#x00B5;M), and 2-deoxyglucose (2-DG, 50 mM), were injected into different ports of the Seahorse cartridge, after which the ECAR values were measured. Five replicates were performed for each experimental group.</p>
</sec>
<sec id="s2_7">
<title>Mitochondrial membrane potential and ROS measurements in primary skin fibroblasts</title>
<p>To evaluate intracellular ROS levels, primary cells were incubated with 10 &#x03BC;M 2&#x2019;,7&#x2019;-dichlorodihydrofluorescein diacetate (DCFH-DA, Solarbio, CA1410) for 20 min at 37&#x00B0;C, subsequently washed three times with serum-free medium, and imaged using an Olympus fluorescence microscope (BX53).</p>
<p>For mitochondrial membrane potential, primary skin fibroblasts were loaded with MitoTracker Red (Solarbio, M9940) in serum-free medium for 15 min at 37&#x00B0;C in the dark, washed three times with PBS, and counterstained with DAPI before being imaged by laser confocal microscopy (Leica, TCS-SP8).</p>
</sec>
<sec id="s2_8">
<title>Immunofluorescence staining of primary skin fibroblasts</title>
<p>Primary skin fibroblasts were fixed in 4% paraformaldehyde, subsequently washed twice with PBS, and permeabilized using 0.5% Triton X-100. After being blocked with 3% bovine serum albumin in PBS, the cells were incubated with the primary antibodies against Vimentin (Proteintech, 10366-1-AP, 1:2000), COX4, and ND1 at 4&#x00B0;C for 8&#x2013;16 h. For detection, goat anti-rabbit IgG-FITC (Abcam, ab6717) and anti-rabbit IgG-Cy3 (Abcam, ab6939) secondary antibodies were used according to standard immunostaining procedures. The nuclei were counterstained with 4&#x2019;,6-diamidino-2-phenylindole (DAPI).</p>
</sec>
<sec id="s2_9">
<title>Cell viability assay</title>
<p>Cell viability was measured using the Cell Counting Kit-8 (CCK-8, Dojindo). To that end, primary fibroblasts were plated at a density of 3 &#x00D7; 10<sup>3</sup> cells/well on 96-well plates and were incubated at 37&#x00B0;C for 24, 48, and 72 h, respectively, after which 100 &#x00B5;L of the assay reagent were added per well, and the plates were incubated for another 3 h. Absorbance was recorded at 450 nm using enzymatic activity as a marker, and relative cell viability was calculated.</p>
</sec>
<sec id="s2_10">
<title>Analysis of cell proliferation</title>
<p>The Real-Time Cellular Analysis System (ACEA Biosciences, xCELLigence RTCA S16) was used for measuring cell proliferation. After having determined the background impedance value of the assay plate (E-Plate), primary skin fibroblasts (3 &#x00D7; 10<sup>3</sup> cells/well) were added, and the assay plate was placed on the test bench and incubated for 72 h. Growth curves were then recorded and analyzed.</p>
</sec>
<sec id="s2_11">
<title>Beta-galactosidase (SA-&#x03B2;-gal) staining</title>
<p>Primary skin fibroblasts were seeded on 24-well plates at 2 &#x00D7; 104 cells/well and incubated for 48 h. Afterwards, the cells were prepared using the commercial Senescence &#x03B2;-gal Staining Kit (Beyotime) according to the manufacturer&#x2019;s instruction and imaged using an Olympus fluorescence microscope.</p>
</sec>
<sec id="s2_12">
<title>Transmission electron microscopy</title>
<p>Primary skin fibroblast clusters were fixed with 2.5% glutaraldehyde in 0.1 M PBS (pH 7.4), washed three times with PBS, and stained with 1% osmium tetroxide. Subsequently, the samples were dehydrated and embedded, and ultrathin sections (70 nm thick) were obtained using an ultramicrotome. Then, the sections were stained with 2% uranyl acetate and lead citrate and viewed under a transmission electron microscope (TEM, HITACHI HT7700).</p>
</sec>
<sec id="s2_13">
<title>Genotype identification</title>
<p>Total DNA was isolated from skin tissues using Wizard<sup>&#x00AE;</sup> SV Genomic DNA Purification System (Promega), and 1 &#x00B5;L DNA solution was added to PCR mixture for amplification. Subsequently, the 1% agarose gel was prepared, heated, and mixed, then poured into the gel mold to solidify for 30 min. Electrophoresis with 6 &#x00B5;L amplification product was added into each well (constant voltage 100 V, 40 min). After electrophoresis, the agarose gel was imaged with a multifunctional molecular imaging analysis system (Azure Biosystems, C500), and the genotype was identified. The primer sequences were used as following: Rad6B (5&#x2019;- CCCCTGTGTATGTGTTATACCATCC-3&#x2019;, 5&#x2019;-TGAATTCAGGACTCAGGGATGCCTG-3&#x2019;).</p>
</sec>
<sec id="s2_14">
<title>Statistical analysis</title>
<p>The data were analyzed using SPSS17.0 software. Figures were generated using Origin 8.5 software. Student&#x2019;s <italic>t</italic>-test was used to assess differences between two groups. A <italic>P</italic>-value &#x003C; 0.05 was considered statistically significant.</p>
</sec>
</sec>
<sec id="s3">
<title>Results</title>
<sec id="s3_1">
<title>Rad6B KO induces phenotypic differences in the skin with age</title>
<p>The results of the genotyping of WT and Rad6B KO C57 mice are shown in Suppl. <xref ref-type="fig" rid="fig-7">Fig. S1</xref>. H&#x0026;E staining of the skin showed that its thickness was reduced in KO groups, especially in 1-month-old KO mice compared with the WT group (<xref ref-type="fig" rid="fig-1">Figs. 1A&#x2013;1B</xref>). Quantitative histomorphometry revealed that the number of hair follicles in anagen were increased in 1-month-old WT groups, and there was evidence of a raised number of hair follicles in telogen in 1-month-old KO groups compared with other groups. Moreover, the number of hair follicles in the catagen was enhanced in 3-, and 12-month-old groups, especially in the 12-month-old KO group (<xref ref-type="fig" rid="fig-1">Figs. 1C&#x2013;</xref><xref ref-type="fig" rid="fig-1">1E</xref>). Masson&#x2019;s trichrome staining showed that the collagen fiber content was also decreased in KO groups but significantly reduced in the 12-month-old KO group (<xref ref-type="fig" rid="fig-1">Figs. 1F&#x2013;1G</xref>). Taken together, the phenotypic skin-related differences between WT and KO mice indicated that Rad6B KO might induce alterations in skin physiological structure with age.</p>
</sec>
<sec id="s3_2">
<title>Rad6B KO affects mitochondrial biogenesis of mouse skin cells</title>
<p>Mice with this genotype are known to feature decreased protein degradation and DNA damage repair capacities. In this study, the metabolism states of cells in the skin were determined. Immunohistochemical staining of samples from each group showed that cells positive for proliferator-activated receptor-&#x03B3; co-activator 1&#x03B1; (PGC-1&#x03B1;), a regulator of mitochondrial synthesis, were less frequently detected in the skin of both 1- and 12-month-old KO mice, but there was no striking difference in the 3-month-old group (<xref ref-type="fig" rid="fig-2">Figs. 2A</xref>, <xref ref-type="fig" rid="fig-2">2B</xref>). The number of mitochondrial transcription factor A (TFAM) positive cells in the skin was also decreased in both 1- and 12-month-old KO mice (<xref ref-type="fig" rid="fig-2">Figs. 2C</xref>, <xref ref-type="fig" rid="fig-2">2D</xref>). Consistently, the expression of PGC-1&#x03B1; and TFAM proteins in skin tissues was decreased, especially in the 1- and 12-month-old KO groups (<xref ref-type="fig" rid="fig-2">Figs. 2E</xref>&#x2013;<xref ref-type="fig" rid="fig-2">2G</xref>). Nrf2 is involved in the regulation of oxidative stress in the case of mitochondrial dysfunction (<xref ref-type="bibr" rid="ref-31">Sabouny <italic>et al</italic>., 2017</xref>; <xref ref-type="bibr" rid="ref-16">Hu <italic>et al</italic>., 2018</xref>). In this study, the expression of nuclear factor (erythroid-derived 2)-like 2 protein (Nrf2) was down-regulated in the KO group (<xref ref-type="fig" rid="fig-2">Figs. 2E</xref> and <xref ref-type="fig" rid="fig-2">2H</xref>), which might have been indicative of different levels of ROS in WT and KO groups. These results suggested that Rad6B KO interfered with the metabolism of cells resident in mouse skin, and this phenotype was particularly prominent in both the 1- and 12-month-old groups.</p>
<fig id="fig-1">
<label>Figure 1</label>
<caption>
<title>Rad6B knockout (KO) induces phenotypic differences in the skin.</title>
<p>(A) Hematoxylin &#x0026; eosin staining of the skin of mice in the wild-type (WT) and KO groups (N&#x2009;&#x003D;&#x2009;3). Scale bar from left to right respectively represent 100 &#x03BC;m,25 &#x03BC;m. (B) Quantification of skin thickness (epidermis &#x002B; dermis) WT and KO groups (N&#x2009;&#x003D;&#x2009;3). (C-E) Quantification of hair follicles in anagen (C), catagen (D), and telogen (E) stages of hair cycles (N&#x2009;&#x003D;&#x2009;3). (F) Masson&#x2019;s trichrome staining of WT and KO groups. Scale bar from left to right respectively represent 100 &#x03BC;m, 25 &#x03BC;m. (G) Quantitative data of Masson&#x2019;s trichrome staining (N&#x2009;&#x003D;&#x2009;3). Data are expressed as mean &#x00B1; SEM. &#x002A;&#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.01, &#x002A;&#x002A;&#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.001, <italic>vs</italic>. WT.</p>
</caption>
<graphic mimetype="image" mime-subtype="png" xlink:href="fig-1.png"/>
</fig>
<fig id="fig-2">
<label>Figure 2</label>
<caption>
<title>Rad6B knockout (KO) affects the mitochondrial biogenesis of mouse skin cells.</title>
<p>(A) Immunohistochemistry staining of proliferator-activated receptor-&#x03B3; co-activator 1&#x03B1; (PGC-1&#x03B1;) in the different groups. Scale bar, 50 &#x03BC;m. (B) Quantification of the results presented in (A) (N&#x2009;&#x003D;&#x2009;4). (C) Immunohistochemistry staining of mitochondrial transcription factor A (TFAM). Scale bar, 50 &#x03BC;m. (D) Quantification of the results presented in (C) (N&#x2009;&#x003D;&#x2009;4). (E) Expression of PGC-1&#x03B1;, TFAM, and nuclear factor (erythroid-derived 2)-like 2 protein (Nrf2) in skin samples from wild-type (WT) and knockout (KO) groups. (F-H) Quantification of PGC-1&#x03B1;, TFAM, and Nrf2 expression levels presented in (E) (N&#x2009;&#x003D;&#x2009;4). Data are expressed as mean &#x00B1; SEM. &#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.05, &#x002A;&#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.01, &#x002A;&#x002A;&#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.001, <italic>vs</italic>. WT.</p>
</caption>
<graphic mimetype="image" mime-subtype="png" xlink:href="fig-2.png"/>
</fig>
</sec>
<sec id="s3_3">
<title>Changes in mitochondrial complex activities and dynamics in mouse skin following Rad6B loss</title>
<p>The cells of the skin are highly proliferative relative to those in other organs; therefore, the mitochondria are presumed to be highly active and of prime importance. To investigate whether mitochondrial function was changed due to Rad6B KO, the expression of five mitochondrial complex proteins was analyzed. As shown in <xref ref-type="fig" rid="fig-3">Figs. 3A</xref>, <xref ref-type="fig" rid="fig-3">3B</xref> and <xref ref-type="fig" rid="fig-3">3E</xref>, loss of Rad6B caused evident alternations in ND1 and COX4 expression profiles, which correspond to complexes I and IV, respectively. Protein expression analyses revealed that ND1 was markedly increased in the 1-month-old KO group but decreased in the 12-month-old KO group. Interestingly, COX4 expression was depressed in mice of the 1-month-old KO group and enhanced in those of the 12-month-old KO group. However, expression of SDHB, URCRC2, and ATP5A, subunits of complexes II, III, and V, respectively, was unchanged in each group (<xref ref-type="fig" rid="fig-3">Figs. 3C</xref>, <xref ref-type="fig" rid="fig-3">3D</xref> and <xref ref-type="fig" rid="fig-3">3F</xref>). Subsequently, we examined the ATP content of skin tissues in each group, and the results showed that the ATP content was increased in 1-month-old KO mice but diminished significantly in 12-month-old KO mice compared with WT mice (<xref ref-type="fig" rid="fig-3">Fig. 3G</xref>). Evidence has emerged that mitochondrial fusion and fission play important roles in cell metabolism and growth (<xref ref-type="bibr" rid="ref-1">Abate <italic>et al</italic>., 2019</xref>). Therefore, in the present study, we further investigated mitochondrial fusion (mitofusin 1 [MFN1] and mitofusin 2 [MFN2]) and fission (dynamin-related protein 1 [DRP1]) proteins in mouse skins. As shown in <xref ref-type="fig" rid="fig-3">Figs. 3H</xref>&#x2013;<xref ref-type="fig" rid="fig-3">3K</xref>, expression of MFN1, MFN2, and DRP1 was down-regulated in the 12-month-old KO group compared with the WT group, but no differences were observed between other age groups. Hence, we speculated that the whole mitochondrial mass and status in the skin were degenerating with age in the case of Rad6B KO mice. Taken together, these data suggested that Rad6B KO reduced the activity of mitochondrial complexes I and IV, thus impairing mitochondrial function. Moreover, mitochondrial dynamics were declining with old age.</p>
<fig id="fig-3">
<label>Figure 3</label>
<caption>
<title>Changes in mitochondrial complex activities and dynamics in mouse skin following Rad6B loss.</title>
<p>(A) Expression of ND1, SDHB, UQCRC2, COX4, and ATP5A in skin samples. (B&#x2013;F) Quantification of the expression of each of the proteins shown in (A) (N&#x2009;&#x003D;&#x2009;4). (G) Adenosine triphosphate (ATP) content in skin tissues from each study group (N &#x003D;&#x2009;4). (H) Expression of mitofusin 1 (MFN1), mitofusin 1 (MFN2), and dynamin-related protein 1 (DRP1) in skin samples. (I&#x2013;K) Quantification of the expression of each of the proteins presented in (H) (N&#x2009;&#x003D;&#x2009;4). Data are expressed as mean &#x00B1; SEM. &#x002A;&#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.01, &#x002A;&#x002A;&#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.001, <italic>vs</italic>. WT.</p>
</caption>
<graphic mimetype="image" mime-subtype="png" xlink:href="fig-3.png"/>
</fig>
</sec>
<sec id="s3_4">
<title>Abnormal mitochondrial function and cell performance in primary skin fibroblasts lacking Rad6B</title>
<p>We extracted primary fibroblasts from mouse skins for the following experiments. First, the mitochondrial membrane potential of cells from each group was analyzed with MitoTracker Red (<xref ref-type="fig" rid="fig-4">Figs. 4A</xref>, <xref ref-type="fig" rid="fig-4">4B</xref>), and the results revealed that the fluorescence intensity was markedly decreased in the 12-month-old KO group. As oxidative stress plays an important role in aging, we then clarified whether differences in ROS levels were related to Rad6B KO and mitochondrial complex dysfunction. As shown in <xref ref-type="fig" rid="fig-4">Figs. 4C</xref>&#x2013;<xref ref-type="fig" rid="fig-4">4D</xref>, compared with WT cells, the ROS level was significantly increased in the KO groups. In addition, electron microscopic analysis showed that there was no striking difference in mitochondrial morphology in the 1- and 3-month-old groups; however, diminished mitochondrial cristae, elevated swollen and degenerated mitochondria were observed in cells of the 12-month-old KO group (<xref ref-type="fig" rid="fig-4">Fig. 4E</xref>). To evaluate the viability and proliferation ability of the cells, CCK-8 and RTCA assays were performed, respectively. Rad6B KO resulted in a significant decrease in cell viability and proliferation ability over time (<xref ref-type="fig" rid="fig-4">Figs. 4F</xref>&#x2013;<xref ref-type="fig" rid="fig-4">4I</xref>), and the impact on cell proliferation was particularly pronounced in the 12-month-old KO group. These results suggested that loss of Rad6B led to the dysfunction and destruction of the mitochondrial network in primary skin fibroblasts.</p>
<fig id="fig-4">
<label>Figure 4</label>
<caption>
<title>Rad6B knockout (KO) results in abnormal mitochondrial membrane potential and structure, reactive oxygen species (ROS) level production, and reduced cell viability and proliferation of primary skin fibroblasts.</title>
<p>(A) Mitochondria in primary skin fibroblasts were stained with MitoTracker Red. Scale bar, 5 &#x03BC;m. (B) Quantification of the MitroTracker Red signals from (A) (N&#x2009;&#x003D;&#x2009;3). (C) Primary skin fibroblasts were stained with 2&#x2019;,7&#x2019;-dichlorodihydrofluorescein diacetate (DCFH-DA) for intracellular ROS detection. Scale bar, 50 &#x03BC;m. (D) Quantification of fluorescence intensities shown in (C) (N&#x2009;&#x003D;&#x2009;3). (E) Representative images of transmission electron microscopy of cells in each group. Scale bar from left to right respectively represent 2 &#x03BC;m, 0.5 &#x03BC;m. (F-H) The cell viability of primary skin fibroblasts in each group was determined over different periods by the Cell Counting Kit-8 (CCK-8) assay (N&#x2009;&#x003D;&#x2009;3). (I) Cell proliferation rates of primary skin fibroblasts were determined by Real-Time Cellular Analysis (RTCA) (N&#x2009;&#x003D;&#x2009;3). Data are expressed as mean &#x00B1; SEM. &#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.05, &#x002A;&#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.01, <italic>vs</italic>. WT.</p>
</caption>
<graphic mimetype="image" mime-subtype="png" xlink:href="fig-4.png"/>
</fig>
</sec>
<sec id="s3_5">
<title>Rad6B KO causes cell senescence</title>
<p>In fact, it has been shown that autophagy is a hallmark of the senescence process, and the mitophagy markers P62 and LC3-II/LC3-I also seem to be changed in the senescence process (<xref ref-type="bibr" rid="ref-25">Moreira <italic>et al</italic>., 2017</xref>; <xref ref-type="bibr" rid="ref-2">Bakula and Scheibye-Knudsen, 2020</xref>). Based on this, we decided to investigate the mitophagy proteins in primary skin fibroblasts. As shown in <xref ref-type="fig" rid="fig-5">Figs. 5A</xref>&#x2013;<xref ref-type="fig" rid="fig-5">5C</xref>, the rate between microtubule-associated protein 1 light chain 3 (LC3)-II and LC3-I was significantly highest in the 12-month-old KO group. Consistently, expression of the Sequestosome 1 (P62) was also increased dramatically in the 12-month-old KO group compared had increased significantly in primary skin fibroblasts of the 12-month-old KO group (<xref ref-type="fig" rid="fig-5">Figs. 5D</xref> and <xref ref-type="fig" rid="fig-5">5E</xref>). In line with this, p16 and p21 expression increased with age with the WT groups. To test whether Rad6B KO was associated with accelerated aging, we evaluated senescence-associated SA-&#x03B2;-gal activity, as well as the expression of p16 and p21 proteins, which are known biomarkers of aging, for each group. SA-&#x03B2;-gal activity and was hence highest in the 12-month-old KO group (<xref ref-type="fig" rid="fig-5">Figs. 5F</xref>&#x2013;<xref ref-type="fig" rid="fig-5">5H</xref>). These data indicated that Rad6B KO caused the elimination of damaged mitochondria through mitophagy was disturbed, leading to accumulation of damaged mitochondria and accelerated aging.</p>
<fig id="fig-5">
<label>Figure 5</label>
<caption>
<title>Rad6B knockout (KO) leads to accelerated cell aging.</title>
<p>(A) Expression of microtubule-associated protein 1 light chain 3 (LC3)-II and LC3-I, Sequestosome 1 (P62) in skin samples of primary skin fibroblasts. (B&#x2013;C) Quantification of LC3-II/LC3-I and P62 protein expression levels shown in (A) (N&#x2009;&#x003D;&#x2009;4). (D) Representative images of beta-galactosidase (SA-&#x03B2;-gal) stainings of primary skin fibroblasts from each group. Scale bar, 20 &#x03BC;m. (N&#x2009;&#x003D;&#x2009;3). (F) Expression of p16 and p21 in skin samples. (G, H) Quantification of the expression of each of the proteins in (F) (N&#x2009;&#x003D;&#x2009;4). Data are expressed as mean &#x00B1; SEM. &#x002A;&#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.01, &#x002A;&#x002A;&#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.001, <italic>vs</italic>. WT.</p>
</caption>
<graphic mimetype="image" mime-subtype="png" xlink:href="fig-5.png"/>
</fig>
</sec>
<sec id="s3_6">
<title>Energy metabolism changes in primary skin fibroblasts with Rad6B KO</title>
<p>In a previous study, the ATP content was changed in skin tissues from Rad6B KO mice (<xref ref-type="fig" rid="fig-3">Fig. 3G</xref>), allowing us to speculate that OXPHOS in mitochondria of skin cells was affected by Rad6B KO. Moreover, considering that glycolysis was probably coupled with this cellular response, the capacity of OXPHOS and glycolysis of primary skin fibroblasts was examined using the Seahorse XF24 Extracellular Flux Analyzer. As shown in <xref ref-type="fig" rid="fig-6">Fig. 6</xref>, the mitochondrial OCR was elevated in the 1-month-old KO group, and the ECAR was reduced (<xref ref-type="fig" rid="fig-6">Figs. 6A</xref> and <xref ref-type="fig" rid="fig-6">6D</xref>). Dramatically decreased sOCR and increased EACR values were observed in the 12-month-old KO group compared with the WT group (<xref ref-type="fig" rid="fig-6">Figs. 6C</xref> and <xref ref-type="fig" rid="fig-6">6F</xref>). It was considered that glycolysis might have been redeployed to compensate for the reduction in mitochondrial OXPHOS in the case of Rad6B KO. The OCR and ECAR values measured in the 3-month-old groups showed no differences (<xref ref-type="fig" rid="fig-6">Figs. 6B</xref> and <xref ref-type="fig" rid="fig-6">6E</xref>). Together, these results clearly indicated that Rad6B KO caused a switch from OXPHOS to glycolysis with age, which was probably realized by reprogramming the metabolic network, thus compensating the lack of ATP production in old primary skin fibroblasts featuring a KO of Rad6B.</p>
<fig id="fig-6">
<label>Figure 6</label>
<caption>
<title>Changes in energy metabolism upon Rad6B knockout (KO) in primary skin fibroblasts.</title>
<p>The mitochondrial oxygen consumption rate (OCR) of primary skin fibroblasts isolated from 1-month-old (A), 3-month-old (B), and 12-month-old (C) Groups was measured with a Seahorse XF24 Extracellular Flux Analyzer. Extracellular acidification rates (ECAR) of primary skin fibroblasts from 1-month-old (D), 3-month-old (E), and 12-month-old (F) groups (data points represent average values of four replicates).</p>
</caption>
<graphic mimetype="image" mime-subtype="png" xlink:href="fig-6.png"/>
</fig>
</sec>
</sec>
<sec id="s4">
<title>Discussion</title>
<p>In this study, an aging-prone phenotype was induced in mice by depletion of Rad6B. As a ubiquitin-conjugating enzyme, Rad6B could associate with the corresponding E3 protein to maintain the ubiquitination status of substrates. Efforts to illustrate the cellular functions of Rad6B have reported that it is required for cell repair and proliferation (<xref ref-type="bibr" rid="ref-8">Gerard <italic>et al</italic>., 2011</xref>; <xref ref-type="bibr" rid="ref-21">Liu <italic>et al</italic>., 2013</xref>). In tumor cells, over-expression of Rad6B leads to chromosomal instability, including multi-nucleation, abnormal mitosis, aneuploidy, and transformation (<xref ref-type="bibr" rid="ref-35">Shekhar <italic>et al</italic>., 2002</xref>). Blocking Rad6B by small molecule inhibitors induces mitochondrial dysfunction and PARP-1 hyper-activation in breast cancer cells, eventually leading to cell death (<xref ref-type="bibr" rid="ref-32">Sanders <italic>et al</italic>., 2013</xref>; <xref ref-type="bibr" rid="ref-14">Haynes <italic>et al</italic>., 2016</xref>). In addition, the homologous gene Rad6A has been confirmed to play an important role in mitigating oxidative stress, triggering mitophagy, and maintaining mitochondrial integrity. Accordingly, mutations of Rad6A cause mitochondrial depolarization and neuronal dysfunction <italic>in vivo</italic> (<xref ref-type="bibr" rid="ref-12">Haddad <italic>et al</italic>., 2013</xref>). Our previous research showed that KO of Rad6B in mice led to sperm degeneration and sterile males (<xref ref-type="bibr" rid="ref-9">Guo <italic>et al</italic>., 2018</xref>), and one explanation for this phenotype might be that spermatocytes lacking Rad6B had defective cell proliferation and underwent early senescence.</p>
<p>The histological features of aging skin were reduced of dermal thickness, reduced of adnexal structures and the function, thinning of subcutaneous fat, and reduced number of cutaneous microvessels and nerve endings, etc. (<xref ref-type="bibr" rid="ref-46">Zouboulis and Makrantonaki, 2011</xref>). And proper hair follicle morphogenesis in the skin tissue mainly depends on a functional mitochondrial (<xref ref-type="bibr" rid="ref-20">Kloepper <italic>et al</italic>., 2015</xref>). We observed that the number of hair follicles in the anagen in 1-month-old KO groups were a sharp decrease and a remarkable increase in the telogen (<xref ref-type="fig" rid="fig-1">Figs. 1C</xref> and <xref ref-type="fig" rid="fig-1">1E</xref>). It showed that the hair follicles morphogenesis was severely retarded in 1-month-old KO mice, probably due to their mitochondrial biosynthesis was reduced. The number of hair follicles increased in the catagen in 12-month-old KO groups, and the lower end of the hair follicle retracted to the epithelium and the hair shaft atrophied significantly compared with the WT group (<xref ref-type="fig" rid="fig-1">Fig. 1D</xref>), which possibly indicated the decline in mitochondrial function or the number of functional mitochondria. Because the specific transcription factors of PGC-1&#x03B1; and TFAM, which participate in the regulation of mitochondrial biosynthesis and oxidative stress (<xref ref-type="bibr" rid="ref-41">Wenz, 2013</xref>), were significantly decreased in the 1- and 12-month-old KO groups in this study (<xref ref-type="fig" rid="fig-2">Fig. 2</xref>). Previous studies have indicated that decreased mitochondrial mass or function is often accompanied by depressed levels of PGC-1&#x03B1; and TFAM, which are commonly up-regulated with age and in neurodegenerative diseases, cancers, and some other diseases (<xref ref-type="bibr" rid="ref-45">Zhu <italic>et al</italic>., 2013</xref>; <xref ref-type="bibr" rid="ref-11">Gureev <italic>et al</italic>., 2019</xref>). We considered that Rad6B KO induced mitochondrial synthesis dysfunction with age, which contributed to the disordered metabolism. There are many E3 ubiquitin ligase enzymes, and the corresponding substrates could be covalently combined with Rad6B, but most of them are still unknown. The weakened capacity of the ubiquitin-proteasome system induced by Rad6B depletion resulted in aberrant substrate expression. However, these substrates might be direct regulators of mitochondrial functions or key pathways upstream of mitochondrial synthesis, which are still needed to be explored.</p>
<p>Mitochondria, which are considered intracellular powerhouses, are essential organelles whose major function is to produce ATP via OXPHOS in order to maintain basic physiological functions within cells (<xref ref-type="bibr" rid="ref-43">Willems <italic>et al</italic>., 2015</xref>). In eukaryotic cells, the respiratory chain exists in the inner membrane of the mitochondria, which performs a series of hydrogen and electron transfer reactions to produce ATP and ROS continually. We investigated the five complexes in the respiratory chain, with the results showing that Rad6B KO led to altered activities of the complexes I and IV in the 1- and 12-month-old groups (<xref ref-type="fig" rid="fig-3">Figs. 3A</xref>, <xref ref-type="fig" rid="fig-3">3B</xref> and <xref ref-type="fig" rid="fig-3">3E</xref>). Consistently, ATP production in skin tissue of the KO group was elevated in the case of 1-month-old mice but decreased in 12-month-old mice (<xref ref-type="fig" rid="fig-3">Fig. 3G</xref>), indicating that Rad6B KO induced mitochondrial respiratory chain dysfunction by altering the activities of complexes I and IV with age. Commonly, cells are able to adjust the imbalances of mitochondrial fission and fusion to ensure normal function and maintain intracellular homeostasis (<xref ref-type="bibr" rid="ref-41">Wenz, 2013</xref>). Furthermore, an aggravated cell status and mitochondrial dysfunction caused by affecting replication and transcription associated with mitochondrial synthesis and dynamics in both transgenic mice and patients (<xref ref-type="bibr" rid="ref-26">Niedernhofer <italic>et al</italic>., 2018</xref>). In our study, Rad6B KO caused remarkably reduced expression of the mitochondrial fusion and fission proteins MFN1, MFN2, and DRP1 in 12-month-old mice (<xref ref-type="fig" rid="fig-3">Figs. 3H</xref>&#x2013;<xref ref-type="fig" rid="fig-3">3K</xref>). The results demonstrated that Rad6B KO caused abnormal mitochondrial dynamics, which led to mitochondrial dysfunction.</p>
<p>Subsequently, we extracted primary skin fibroblasts to elucidate the effect of Rad6B deficiency on skin cells. The results confirmed that Rad6B KO reduced cell viability and proliferation with age (<xref ref-type="fig" rid="fig-4">Figs. 4F</xref>&#x2013;<xref ref-type="fig" rid="fig-4">4I</xref>). As byproducts of the mitochondrial respiratory chain, ROS exist as cell stabilization signals, but excessive ROS can induce serious oxidative stress damage to intracellular components and cause organelle dysfunction (<xref ref-type="bibr" rid="ref-30">Rimessi <italic>et al</italic>., 2016</xref>; <xref ref-type="bibr" rid="ref-22">Livingston <italic>et al</italic>., 2019</xref>; <xref ref-type="bibr" rid="ref-28">Oka <italic>et al</italic>., 2019</xref>). According to our results, Rad6B KO led to remarkably up-regulated intracellular ROS contents in all age groups analyzed (<xref ref-type="fig" rid="fig-4">Figs. 4C</xref>&#x2013;<xref ref-type="fig" rid="fig-4">4D</xref>), which hinted at persistent damage in these cells, and clear degeneration of mitochondria at 12 months of age was verified by electron microscopic analysis (<xref ref-type="fig" rid="fig-4">Fig. 4E</xref>). In addition, mitochondrial dysfunction and continuously elevated ROS levels are further believed to cause senescence in the cell (<xref ref-type="bibr" rid="ref-15">Hekimi <italic>et al</italic>., 2011</xref>; <xref ref-type="bibr" rid="ref-42">Wiley <italic>et al</italic>., 2016</xref>). Consistently, various reports on humans and different model organisms have suggested that impaired mitochondrial function might lead to aging and phenotypes of age-related diseases (<xref ref-type="bibr" rid="ref-19">Kauppila <italic>et al</italic>., 2017</xref>).</p>
<p>Some studies have shown that inhibiting mitophagy promotes senescence, and senescent cells show reduced levels of mitophagy(<xref ref-type="bibr" rid="ref-40">Wang <italic>et al</italic>., 2012</xref>; <xref ref-type="bibr" rid="ref-17">Kang <italic>et al</italic>., 2015</xref>). During autophagosome formation, LC3-I is processed into LC3-II, and LC3-II is degraded after autophagosome fusion with lysosomes. A low LC3-II /LC3-I ratio (LC3-II/LC3-I) indicates insufficient autophagosome formation, while a high LC3-II/LC3-I ratio demonstrates an insufficiency in autophagosome degradation or raised autophagosome formation. P62 is required for mitophagy, and inhibition of mitophagy increases p62 protein level (<xref ref-type="bibr" rid="ref-34">Sebori <italic>et al</italic>., 2018</xref>). LC3-II/LC3-I have been shown to increase in aged mice muscle in several studies(<xref ref-type="bibr" rid="ref-33">Sebastian <italic>et al</italic>., 2016</xref>). In our study, the LC3-II/LC3-I and P62 protein levels were significantly higher in the 12-month-old KO group than in the WT group (<xref ref-type="fig" rid="fig-5">Figs. 5A</xref>&#x2013;<xref ref-type="fig" rid="fig-5">5C</xref>). These results demonstrated that mitophagy was suppressed in the 12-month-old KO mice, which resulted in a defective mitochondrial network that may lead to metabolic dysfunction in senescence. Our data also indicated that the senescence-associated phenotype had progressively developed in the 12-month-old KO group (<xref ref-type="fig" rid="fig-5">Figs. 5D</xref>&#x2013;<xref ref-type="fig" rid="fig-5">5H</xref>), with SA-&#x03B2;-gal activity, as well as p16 and p21 expression is affected. The characterization of Rad6B KO-mediated senescence exhibited a senescence signature that might have been derived from mitochondrial dysfunction and degeneration. Based on this model, one explanation would be that KO of Rad6B alters mitochondrial homeostasis, including mitochondrial biosynthesis, complex activities, membrane potential, ROS production, and mitophagy.</p>
<p>Interestingly, senescent cells lacking mitochondria showed increased glycolysis. In some contexts, senescent cells must reprogram their metabolism to support their metabolic needs (<xref ref-type="bibr" rid="ref-18">Kaplon <italic>et al</italic>., 2013</xref>; <xref ref-type="bibr" rid="ref-25">Moreira <italic>et al</italic>., 2017</xref>). Indeed, metabolic flux analysis confirmed that Rad6B KO triggered a metabolic switch from OXPHOS to glycolysis in primary skin fibroblasts with age (<xref ref-type="fig" rid="fig-6">Fig. 6</xref>), which we assume to be a metabolic reprogramming mechanism for maintaining intracellular energy supplies.</p>
</sec>
<sec id="s5">
<title>Conclusions</title>
<p>Research on human diseases has demonstrated that cells are highly dependent on mitochondrial function for their proliferation and survival. Thus, it is important to understand the mitochondrial status in ubiquitin-conjugating enzyme-deficient animals. In addition, more investigations need to be undertaken to explore the mechanisms by which Rad6B KO affects mitochondrial biosynthesis, as well as those underlying the effects on senescence. In conclusion, our work links disordered metabolism caused by Rad6B deficiency to mitochondrial dysfunction and cell senescence with age and reveals that Rad6B plays an indispensable role in maintaining a healthy mitochondrial network and intracellular homeostasis.</p>
</sec>
</body>
<back>
<glossary content-type="abbreviations" id="glossary-1">
<p><bold>Abbreviations</bold></p>
<def-list>
<def-item>
<term>PGC-1&#x03B1;:</term>
<def>
<p>peroxisome proliferator-activated receptor-&#x03B3; co-activator 1&#x03B1;</p>
</def>
</def-item>
<def-item>
<term>Nrf2:</term>
<def>
<p>nuclear factor (erythroid-derived 2)-like 2 protein</p>
</def>
</def-item>
<def-item>
<term>MFN1:</term>
<def>
<p>mitofusin 1</p>
</def>
</def-item>
<def-item>
<term>MFN2:</term>
<def>
<p>mitofusin 2</p>
</def>
</def-item>
<def-item>
<term>PVDF:</term>
<def>
<p>polyvinylidene difluoride</p>
</def>
</def-item>
<def-item>
<term>SDS-PAGE:</term>
<def>
<p>sodium dodecyl sulfate polyacrylamide gel electrophoresis</p>
</def>
</def-item>
<def-item>
<term>ATP:</term>
<def>
<p>adenosine triphosphate</p>
</def>
</def-item>
<def-item>
<term>OXPHOS:</term>
<def>
<p>oxidative phosphorylation</p>
</def>
</def-item>
<def-item>
<term>ROS:</term>
<def>
<p>reactive oxygen species</p>
</def>
</def-item>
<def-item>
<term>DAPI, 4&#x2019;:</term>
<def>
<p>6-diamidino-2-phenylindole</p>
</def>
</def-item>
<def-item>
<term>CCK-8:</term>
<def>
<p>Cell Counting Kit-8</p>
</def>
</def-item>
<def-item>
<term>PMSF:</term>
<def>
<p>phenylmethylsulfonyl fluoride</p>
</def>
</def-item>
<def-item>
<term>PBS:</term>
<def>
<p>phosphate-buffered saline</p>
</def>
</def-item>
<def-item>
<term>FBS:</term>
<def>
<p>fetal bovine serum</p>
</def>
</def-item>
<def-item>
<term>RTCA:</term>
<def>
<p>Real-Time Cellular Analysis</p>
</def>
</def-item>
<def-item>
<term>RIPA:</term>
<def>
<p>radioimmunoprecipitation assay</p>
</def>
</def-item>
<def-item>
<term>BCA:</term>
<def>
<p>bicinchoninic acid</p>
</def>
</def-item>
<def-item>
<term>DCFH-DA, 2&#x2019;:</term>
<def>
<p>7&#x2019;-dichlorodihydrofluorescein diacetate</p>
</def>
</def-item>
<def-item>
<term>2-DG:</term>
<def>
<p>2-deoxy-D-glucose</p>
</def>
</def-item>
<def-item>
<term>FCCP:</term>
<def>
<p>carbonyl cyanide 4-(trifluoromethoxy)phenylhydrazone</p>
</def>
</def-item>
<def-item>
<term>OCR:</term>
<def>
<p>oxygen consumption rate</p>
</def>
</def-item>
<def-item>
<term>ECAR:</term>
<def>
<p>extracellular acidification rate</p>
</def>
</def-item>
<def-item>
<term>ETC:</term>
<def>
<p>electron transport chain</p>
</def>
</def-item>
<def-item>
<term>DRP1:</term>
<def>
<p>dynamin-relatedprotein 1</p>
</def>
</def-item>
<def-item>
<term>TFAM:</term>
<def>
<p>mitochondrial transcription factor A</p>
</def>
</def-item>
<def-item>
<term>LC3:</term>
<def>
<p>microtubule-associated protein 1</p>
</def>
</def-item>
</def-list>
</glossary>
<ack>
<p>We would like to thank Editage (www.editage.com) for English language editing.</p>
</ack><fn-group>
<fn fn-type="other">
<p><bold>Availability of Data and Materials:</bold> ll data supporting the conclusions of this article are included in this manuscript.</p>
</fn>
<fn fn-type="other">
<p><bold>Author Contributions:</bold> D. Wang and R. Shen designed the study. L. Yu and Y. Guo collated the data and carried out data analyses. L. Yu constructed the figures. D. Wang and Y. Song contributed to drafting the manuscript. Y. Guo and C. Li raised the animals. All authors have read and approved the final manuscript submitted.</p>
</fn>
<fn fn-type="other">
<p><bold>Ethics Approval:</bold> All animals&#x2019; protocols were in accordance with the Ethics Committee for Laboratory Animals of Lanzhou University (JCYX-2017-0222).</p>
</fn>
<fn fn-type="other">
<p><bold>Funding Statement:</bold> This work was funded by the National Natural Science Foundation of China (Grant Nos. 82071695 and 81772907 to DW and No. 82060535 to YT) and the Fundamental Research Funds for the Central Universities (Grant lzujbky-2017-k12 to DW).</p>
</fn>
<fn fn-type="conflict">
<p><bold>Conflicts of Interest:</bold> The authors declare that they have no conflicts of interest.</p>
</fn>
</fn-group>
<ref-list content-type="authoryear">
<title>References</title>
<ref id="ref-1">
<label>Abate <italic>et al</italic>. (2019)</label><mixed-citation publication-type="book">
<person-group person-group-type="author"><string-name>
<surname>Abate</surname> 
<given-names>M</given-names></string-name>, <string-name>
<surname>Festa</surname> 
<given-names>A</given-names></string-name>, <string-name>
<surname>Falco</surname> 
<given-names>M</given-names></string-name>, <string-name>
<surname>Lombardi</surname> 
<given-names>A</given-names></string-name>, <string-name>
<surname>Luce</surname> 
<given-names>A</given-names></string-name>, <string-name>
<surname>Grimald</surname> 
<given-names>A</given-names></string-name>, <string-name>
<surname>Zappavigna</surname> 
<given-names>S</given-names></string-name>, <string-name>
<surname>Sperlongano</surname> 
<given-names>P</given-names></string-name>, <string-name>
<surname>Irace</surname> 
<given-names>C</given-names></string-name>, <string-name>
<surname>Caraglia</surname> 
<given-names>M</given-names></string-name>, <string-name>
<surname>Misso</surname> 
<given-names>G</given-names></string-name>
</person-group> (
<year>2019</year>). Mitochondria as playmakers of apoptosis, autophagy and senescence. <italic>Seminars in Cell &#x0026; Developmental Biology</italic> 
<volume>98:</volume> 
<fpage>139</fpage>&#x2013;
<lpage>153</lpage>.</mixed-citation>
</ref>
<ref id="ref-2">
<label>Bakula and Scheibye-Knudsen (2020)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Bakula</surname> 
<given-names>D</given-names></string-name>, <string-name>
<surname>Scheibye-Knudsen</surname> 
<given-names>M</given-names></string-name>
</person-group> (
<year>2020</year>). 
<article-title>MitophAging: Mitophagy in aging and disease</article-title>. 
<source>Frontiers in Cell and Developmental Biology</source> 
<volume>8</volume>: 
<fpage>287</fpage>. DOI 
<pub-id pub-id-type="doi">10.3389/fcell.2020.00239</pub-id>.</mixed-citation>
</ref>
<ref id="ref-3">
<label>Birch-Machin and Bowman (2016)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Birch-Machin</surname> 
<given-names>MA</given-names></string-name>, <string-name>
<surname>Bowman</surname> 
<given-names>A</given-names></string-name>
</person-group> (
<year>2016</year>). 
<article-title>Oxidative stress and ageing</article-title>. 
<source>British Journal of Dermatology</source> 
<volume>175</volume>: 
<fpage>26</fpage>&#x2013;
<lpage>29</lpage>. DOI 
<pub-id pub-id-type="doi">10.1111/bjd.14906</pub-id>.</mixed-citation>
</ref>
<ref id="ref-4">
<label>Bocheva <italic>et al</italic>. (2019)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Bocheva</surname> 
<given-names>G</given-names></string-name>, <string-name>
<surname>Slominski</surname> 
<given-names>RM</given-names></string-name>, <string-name>
<surname>Slominski</surname> 
<given-names>AT</given-names></string-name>
</person-group> (
<year>2019</year>). 
<article-title>Neuroendocrine aspects of skin aging</article-title>. 
<source>International Journal of Molecular Sciences</source> 
<volume>20</volume>: 
<fpage>2798</fpage>. DOI 
<pub-id pub-id-type="doi">10.3390/ijms20112798</pub-id>.</mixed-citation>
</ref>
<ref id="ref-5">
<label>Bourdens <italic>et al</italic>. (2019)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Bourdens</surname> 
<given-names>M</given-names></string-name>, <string-name>
<surname>Jeanson</surname> 
<given-names>Y</given-names></string-name>, <string-name>
<surname>Taurand</surname> 
<given-names>M</given-names></string-name>, <string-name>
<surname>Juin</surname> 
<given-names>N</given-names></string-name>, <string-name>
<surname>Carriere</surname> 
<given-names>A</given-names></string-name>, <string-name>
<surname>Clement</surname> 
<given-names>F</given-names></string-name>, <string-name>
<surname>Casteilla</surname> 
<given-names>L</given-names></string-name>, <string-name>
<surname>Bulteau</surname> 
<given-names>AL</given-names></string-name>, <string-name>
<surname>Planat-Benard</surname> 
<given-names>V</given-names></string-name>
</person-group> (
<year>2019</year>). 
<article-title>Short exposure to cold atmospheric plasma induces senescence in human skin fibroblasts and adipose mesenchymal stromal cells</article-title>. 
<source>Scientific Reports</source> 
<volume>9</volume>: 
<fpage>265sr6</fpage>. DOI 
<pub-id pub-id-type="doi">10.1038/s41598-019-45191-2</pub-id>.</mixed-citation>
</ref>
<ref id="ref-6">
<label>Dikic (2017)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Dikic</surname> 
<given-names>I</given-names></string-name>
</person-group> (
<year>2017</year>). 
<article-title>Proteasomal and Autophagic Degradation Systems</article-title>. 
<source>Annual Review of Biochemistry</source> 
<volume>86</volume>: 
<fpage>193</fpage>&#x2013;
<lpage>224</lpage>. DOI 
<pub-id pub-id-type="doi">10.1146/annurev-biochem-061516-044908</pub-id>.</mixed-citation>
</ref>
<ref id="ref-7">
<label>Game and Chernikova (2009)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Game</surname> 
<given-names>JC</given-names></string-name>, <string-name>
<surname>Chernikova</surname> 
<given-names>SB</given-names></string-name>
</person-group> (
<year>2009</year>). 
<article-title>The role of RAD6 in recombinational repair, checkpoints and meiosis via histone modification</article-title>. 
<source>DNA Repair</source> 
<volume>8</volume>: 
<fpage>470</fpage>&#x2013;
<lpage>482</lpage>. DOI 
<pub-id pub-id-type="doi">10.1016/j.dnarep.2009.01.007</pub-id>.</mixed-citation>
</ref>
<ref id="ref-8">
<label>Gerard <italic>et al</italic>. (2011)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Gerard</surname> 
<given-names>B</given-names></string-name>, <string-name>
<surname>Tait</surname> 
<given-names>L</given-names></string-name>, <string-name>
<surname>Nangia-Makker</surname> 
<given-names>P</given-names></string-name>, <string-name>
<surname>Shekhar</surname> 
<given-names>MP</given-names></string-name>
</person-group> (
<year>2014</year>). 
<article-title>Rad6B acts downstream of Wnt signaling to stabilize beta-catenin: implications for a novel Wnt/beta-catenin target</article-title>. 
<source>Journal of Molecular Signaling</source> 
<volume>6</volume>: 
<fpage>6</fpage>. DOI 
<pub-id pub-id-type="doi">10.1186/1750-2187-6-6</pub-id>.</mixed-citation>
</ref>
<ref id="ref-9">
<label>Guo <italic>et al</italic>. (2018)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Guo</surname> 
<given-names>Y</given-names></string-name>, <string-name>
<surname>Song</surname> 
<given-names>Y</given-names></string-name>, <string-name>
<surname>Guo</surname> 
<given-names>Z</given-names></string-name>, <string-name>
<surname>Hu</surname> 
<given-names>M</given-names></string-name>, <string-name>
<surname>Liu</surname> 
<given-names>B</given-names></string-name>, <string-name>
<surname>Duan</surname> 
<given-names>H</given-names></string-name>, <string-name>
<surname>Wang</surname> 
<given-names>L</given-names></string-name>, <string-name>
<surname>Yuan</surname> 
<given-names>T</given-names></string-name>, <string-name>
<surname>Wang</surname> 
<given-names>D</given-names></string-name>
</person-group> (
<year>2018</year>). 
<article-title>Function of RAD6B and RNF8 in spermatogenesis</article-title>. 
<source>Cell Cycle</source> 
<volume>17</volume>: 
<fpage>162</fpage>&#x2013;
<lpage>173</lpage>. DOI 
<pub-id pub-id-type="doi">10.1080/15384101.2017.1361066</pub-id>.</mixed-citation>
</ref>
<ref id="ref-10">
<label>Guo <italic>et al</italic>. (2019)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Guo</surname> 
<given-names>Z</given-names></string-name>, <string-name>
<surname>Tian</surname> 
<given-names>Y</given-names></string-name>, <string-name>
<surname>Guo</surname> 
<given-names>Y</given-names></string-name>, <string-name>
<surname>Li</surname> 
<given-names>B</given-names></string-name>, <string-name>
<surname>Liu</surname> 
<given-names>X</given-names></string-name>, <string-name>
<surname>Xie</surname> 
<given-names>K</given-names></string-name>, <string-name>
<surname>Song</surname> 
<given-names>Y</given-names></string-name>, <string-name>
<surname>Wang</surname> 
<given-names>D</given-names></string-name>
</person-group> (
<year>2019</year>). 
<article-title>RAD6B plays a critical role in neuronal DNA damage response to resist neurodegeneration</article-title>. 
<source>Frontiers in Cellular Neuroscience</source> 
<volume>13</volume>: 
<fpage>157</fpage>. DOI 
<pub-id pub-id-type="doi">10.3389/fncel.2019.00392</pub-id>.</mixed-citation>
</ref>
<ref id="ref-11">
<label>Gureev <italic>et al</italic>. (2019)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Gureev</surname> 
<given-names>AP</given-names></string-name>, <string-name>
<surname>Shaforostova</surname> 
<given-names>EA</given-names></string-name>, <string-name>
<surname>Popov</surname> 
<given-names>VN</given-names></string-name>
</person-group> (
<year>2019</year>). 
<article-title>Regulation of mitochondrial biogenesis as a way for active longevity: interaction between the Nrf2 and PGC-1&#x03B1; signaling pathways</article-title>. 
<source>Frontiers in Genetics</source> 
<volume>10</volume>: 
<fpage>64</fpage>. DOI 
<pub-id pub-id-type="doi">10.3389/fgene.2019.00435</pub-id>.</mixed-citation>
</ref>
<ref id="ref-12">
<label>Haddad <italic>et al</italic>. (2013)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Haddad</surname> 
<given-names>DM</given-names></string-name>, <string-name>
<surname>Vilain</surname> 
<given-names>S</given-names></string-name>, <string-name>
<surname>Vos</surname> 
<given-names>M</given-names></string-name>, <string-name>
<surname>Esposito</surname> 
<given-names>G</given-names></string-name>, <string-name>
<surname>Matta</surname> 
<given-names>S</given-names></string-name>, <string-name>
<surname>Kalscheuer</surname> 
<given-names>VM</given-names></string-name>, <string-name>
<surname>Craessaerts</surname> 
<given-names>K</given-names></string-name>, <string-name>
<surname>Leyssen</surname> 
<given-names>M</given-names></string-name>, <string-name>
<surname>Nascimento</surname> 
<given-names>RM</given-names></string-name>, <string-name>
<surname>Vianna-Morgante</surname> 
<given-names>AM</given-names></string-name>, <string-name>
<surname>Strooper</surname> 
<given-names>BD</given-names></string-name>, <string-name>
<surname>Esch</surname> 
<given-names>HV</given-names></string-name>, <string-name>
<surname>Morais</surname> 
<given-names>VA</given-names></string-name>, <string-name>
<surname>Verstreken</surname> 
<given-names>P</given-names></string-name>
</person-group> (
<year>2013</year>). 
<article-title>Mutations in the intellectual disability gene Ube2a cause neuronal dysfunction and impair parkin-dependent mitophagy</article-title>. 
<source>Molecular Cell</source> 
<volume>50</volume>: 
<fpage>831</fpage>&#x2013;
<lpage>843</lpage>. DOI 
<pub-id pub-id-type="doi">10.1016/j.molcel.2013.04.012</pub-id>.</mixed-citation>
</ref>
<ref id="ref-13">
<label>Harper <italic>et al</italic>. (2018)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Harper</surname> 
<given-names>JW</given-names></string-name>, <string-name>
<surname>Ordureau</surname> 
<given-names>A</given-names></string-name>, <string-name>
<surname>Heo</surname> 
<given-names>JM</given-names></string-name>
</person-group> (
<year>2018</year>). 
<article-title>Building and decoding ubiquitin chains for mitophagy</article-title>. 
<source>Nature Reviews Molecular Cell Biology</source> 
<volume>19</volume>: 
<fpage>93</fpage>&#x2013;
<lpage>108</lpage>. DOI 
<pub-id pub-id-type="doi">10.1038/nrm.2017.129</pub-id>.</mixed-citation>
</ref>
<ref id="ref-14">
<label>Haynes <italic>et al</italic>. (2016)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Haynes</surname> 
<given-names>B</given-names></string-name>, <string-name>
<surname>Zhang</surname> 
<given-names>Y</given-names></string-name>, <string-name>
<surname>Liu</surname> 
<given-names>F</given-names></string-name>, <string-name>
<surname>Li</surname> 
<given-names>J</given-names></string-name>, <string-name>
<surname>Petit</surname> 
<given-names>S</given-names></string-name>, <string-name>
<surname>Kothayer</surname> 
<given-names>H</given-names></string-name>, <string-name>
<surname>Bao</surname> 
<given-names>X</given-names></string-name>, <string-name>
<surname>Westwell</surname> 
<given-names>AD</given-names></string-name>, <string-name>
<surname>Mao</surname> 
<given-names>G</given-names></string-name>, <string-name>
<surname>Shekhar</surname> 
<given-names>MPV</given-names></string-name>
</person-group> (
<year>2016</year>). 
<article-title>Gold nanoparticle conjugated Rad6 inhibitor induces cell death in triple negative breast cancer cells by inducing mitochondrial dysfunction and PARP-1 hyperactivation: Synthesis and characterization</article-title>. 
<source>Nanomedicine: Nanotechnology, Biology and Medicine</source> 
<volume>12</volume>: 
<fpage>745</fpage>&#x2013;
<lpage>757</lpage>. DOI 
<pub-id pub-id-type="doi">10.1016/j.nano.2015.10.010</pub-id>.</mixed-citation>
</ref>
<ref id="ref-15">
<label>Hekimi <italic>et al</italic>. (2011)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Hekimi</surname> 
<given-names>S</given-names></string-name>, <string-name>
<surname>Lapointe</surname> 
<given-names>J</given-names></string-name>, <string-name>
<surname>Wen</surname> 
<given-names>Y</given-names></string-name>
</person-group> (
<year>2011</year>). 
<article-title>Taking a &#x201C;good&#x201D; look at free radicals in the aging process</article-title>. 
<source>Trends in Cell Biology</source> 
<volume>21</volume>: 
<fpage>569</fpage>&#x2013;
<lpage>576</lpage>. DOI 
<pub-id pub-id-type="doi">10.1016/j.tcb.2011.06.008</pub-id>.</mixed-citation>
</ref>
<ref id="ref-16">
<label>Hu <italic>et al</italic>. (2018)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Hu</surname> 
<given-names>Q</given-names></string-name>, <string-name>
<surname>Ren</surname> 
<given-names>J</given-names></string-name>, <string-name>
<surname>Li</surname> 
<given-names>G</given-names></string-name>, <string-name>
<surname>Wu</surname> 
<given-names>J</given-names></string-name>, <string-name>
<surname>Wu</surname> 
<given-names>X</given-names></string-name>, <string-name>
<surname>Wang</surname> 
<given-names>G</given-names></string-name>, <string-name>
<surname>Gu</surname> 
<given-names>G</given-names></string-name>, <string-name>
<surname>Ren</surname> 
<given-names>H</given-names></string-name>, <string-name>
<surname>Hong</surname> 
<given-names>Z</given-names></string-name>, <string-name>
<surname>Li</surname> 
<given-names>J</given-names></string-name>
</person-group> (
<year>2018</year>). 
<article-title>The mitochondrially targeted antioxidant MitoQ protects the intestinal barrier by ameliorating mitochondrial DNA damage via the Nrf2/ARE signaling pathway</article-title>. 
<source>Cell Death &#x0026; Disease</source> 
<volume>9</volume>: 
<fpage>1007</fpage>. DOI 
<pub-id pub-id-type="doi">10.1038/s41419-018-0436-x</pub-id>.</mixed-citation>
</ref>
<ref id="ref-17">
<label>Kang <italic>et al</italic>. (2015)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Kang</surname> 
<given-names>C</given-names></string-name>, <string-name>
<surname>Xu</surname> 
<given-names>Q</given-names></string-name>, <string-name>
<surname>Martin</surname> 
<given-names>TD</given-names></string-name>, <string-name>
<surname>Li</surname> 
<given-names>MZ</given-names></string-name>, <string-name>
<surname>Demaria</surname> 
<given-names>M</given-names></string-name>, <string-name>
<surname>Aron</surname> 
<given-names>L</given-names></string-name>, <string-name>
<surname>Lu</surname> 
<given-names>T</given-names></string-name>, <string-name>
<surname>Yankner</surname> 
<given-names>BA</given-names></string-name>, <string-name>
<surname>Campisi</surname> 
<given-names>J</given-names></string-name>, <string-name>
<surname>Elledge</surname> 
<given-names>SJ</given-names></string-name>
</person-group> (
<year>2015</year>). 
<article-title>The DNA damage response induces inflammation and senescence by inhibiting autophagy of GATA4</article-title>. 
<source>Science</source> 
<volume>349</volume>: 
<fpage>6225</fpage>. DOI 
<pub-id pub-id-type="doi">10.1126/science.aaa5612</pub-id>.</mixed-citation>
</ref>
<ref id="ref-18">
<label>Kaplon <italic>et al</italic>. (2013)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Kaplon</surname> 
<given-names>J</given-names></string-name>, <string-name>
<surname>Zheng</surname> 
<given-names>L</given-names></string-name>, <string-name>
<surname>Meissl</surname> 
<given-names>K</given-names></string-name>, <string-name>
<surname>Chaneton</surname> 
<given-names>B</given-names></string-name>, <string-name>
<surname>Selivanov</surname> 
<given-names>VA</given-names></string-name>, <string-name>
<surname>Mackay</surname> 
<given-names>G</given-names></string-name>, <string-name>
<surname>van der Burg</surname> 
<given-names>SHV</given-names></string-name>, <string-name>
<surname>Verdegaal</surname> 
<given-names>EM</given-names></string-name>, <string-name>
<surname>Cascante</surname> 
<given-names>M</given-names></string-name>, <string-name>
<surname>Shlomi</surname> 
<given-names>T</given-names></string-name>, <string-name>
<surname>Gottlieb</surname> 
<given-names>E</given-names></string-name>, <string-name>
<surname>Peeper</surname> 
<given-names>DS</given-names></string-name>
</person-group> (
<year>2013</year>). 
<article-title>A key role for mitochondrial gatekeeper pyruvate dehydrogenase in oncogene-induced senescence</article-title>. 
<source>Nature</source> 
<volume>498</volume>: 
<fpage>109</fpage>&#x2013;
<lpage>112</lpage>. DOI 
<pub-id pub-id-type="doi">10.1038/nature12154</pub-id>.</mixed-citation>
</ref>
<ref id="ref-19">
<label>Kauppila <italic>et al</italic>. (2017)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Kauppila</surname> 
<given-names>TES</given-names></string-name>, <string-name>
<surname>Kauppila</surname> 
<given-names>JHK</given-names></string-name>, <string-name>
<surname>Larsson</surname> 
<given-names>NG</given-names></string-name>
</person-group> (
<year>2017</year>). 
<article-title>Mammalian mitochondria and aging: An update</article-title>. 
<source>Cell Metabolism</source> 
<volume>25</volume>: 
<fpage>57</fpage>&#x2013;
<lpage>71</lpage>. DOI 
<pub-id pub-id-type="doi">10.1016/j.cmet.2016.09.017</pub-id>.</mixed-citation>
</ref>
<ref id="ref-20">
<label>Kloepper <italic>et al</italic>. (2015)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Kloepper</surname> 
<given-names>JE</given-names></string-name>, <string-name>
<surname>Baris</surname> 
<given-names>OR</given-names></string-name>, <string-name>
<surname>Reuter</surname> 
<given-names>K</given-names></string-name>, <string-name>
<surname>Kobayashi</surname> 
<given-names>K</given-names></string-name>, <string-name>
<surname>Weiland</surname> 
<given-names>D</given-names></string-name>, <string-name>
<surname>Vidali</surname> 
<given-names>S</given-names></string-name>, <string-name>
<surname>Tobin</surname> 
<given-names>DJ</given-names></string-name>, <string-name>
<surname>Niemann</surname> 
<given-names>C</given-names></string-name>, <string-name>
<surname>Wiesner</surname> 
<given-names>RJ</given-names></string-name>, <string-name>
<surname>Paus</surname> 
<given-names>R</given-names></string-name>
</person-group> (
<year>2015</year>). 
<article-title>Mitochondrial function in murine skin epithelium is crucial for hair follicle morphogenesis and epithelial&#x2013;mesenchymal interactions</article-title>. 
<source>Journal of Investigative Dermatology</source> 
<volume>135</volume>: 
<fpage>679</fpage>&#x2013;
<lpage>689</lpage>. DOI 
<pub-id pub-id-type="doi">10.1038/jid.2014.475</pub-id>.</mixed-citation>
</ref>
<ref id="ref-21">
<label>Liu <italic>et al</italic>. (2013)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Liu</surname> 
<given-names>C</given-names></string-name>, <string-name>
<surname>Wang</surname> 
<given-names>D</given-names></string-name>, <string-name>
<surname>Wu</surname> 
<given-names>J</given-names></string-name>, <string-name>
<surname>Keller</surname> 
<given-names>J</given-names></string-name>, <string-name>
<surname>Ma</surname> 
<given-names>T</given-names></string-name>, <string-name>
<surname>Yu</surname> 
<given-names>X</given-names></string-name>
</person-group> (
<year>2013</year>). 
<article-title>RNF168 forms a functional complex with RAD6 during the DNA damage response</article-title>. 
<source>Journal of Cell Science</source> 
<volume>126</volume>: 
<fpage>2042</fpage>&#x2013;
<lpage>2051</lpage>. DOI 
<pub-id pub-id-type="doi">10.1242/jcs.122945</pub-id>.</mixed-citation>
</ref>
<ref id="ref-22">
<label>Livingston <italic>et al</italic>. (2019)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Livingston</surname> 
<given-names>MJ</given-names></string-name>, <string-name>
<surname>Wang</surname> 
<given-names>JH</given-names></string-name>, <string-name>
<surname>Zhou</surname> 
<given-names>JL</given-names></string-name>, <string-name>
<surname>Wu</surname> 
<given-names>GY</given-names></string-name>, <string-name>
<surname>Ganley</surname> 
<given-names>IG</given-names></string-name>, <string-name>
<surname>Hill</surname> 
<given-names>JA</given-names></string-name>, <string-name>
<surname>Yin</surname> 
<given-names>XM</given-names></string-name>, <string-name>
<surname>Dong</surname> 
<given-names>Z</given-names></string-name>
</person-group> (
<year>2019</year>). 
<article-title>Clearance of damaged mitochondria via mitophagy is important to the protective effect of ischemic preconditioning in kidneys</article-title>. 
<source>Autophagy</source> 
<volume>15</volume>: 
<fpage>2142</fpage>&#x2013;
<lpage>2162</lpage>. DOI 
<pub-id pub-id-type="doi">10.1080/15548627.2019.1615822</pub-id>.</mixed-citation>
</ref>
<ref id="ref-23">
<label>Marcheggiani <italic>et al</italic>. (2019)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Marcheggiani</surname> 
<given-names>F</given-names></string-name>, <string-name>
<surname>Cirilli</surname> 
<given-names>I</given-names></string-name>, <string-name>
<surname>Orlando</surname> 
<given-names>P</given-names></string-name>, <string-name>
<surname>Silvestri</surname> 
<given-names>S</given-names></string-name>, <string-name>
<surname>Vogelsang</surname> 
<given-names>A</given-names></string-name>, <string-name>
<surname>Knott</surname> 
<given-names>A</given-names></string-name>, <string-name>
<surname>Blatt</surname> 
<given-names>T</given-names></string-name>, <string-name>
<surname>Weise</surname> 
<given-names>JM</given-names></string-name>, <string-name>
<surname>Tiano</surname> 
<given-names>L</given-names></string-name>
</person-group> (
<year>2019</year>). 
<article-title>Modulation of Coenzyme Q10 content and oxidative status in human dermal fibroblasts using HMG-CoA reductase inhibitor over a broad range of concentrations. From mitohormesis to mitochondrial dysfunction and accelerated aging</article-title>. 
<source>Aging</source> 
<volume>11</volume>: 
<fpage>2565</fpage>&#x2013;
<lpage>2582</lpage>.</mixed-citation>
</ref>
<ref id="ref-24">
<label>McWilliams and Muqit (2017)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>McWilliams</surname> 
<given-names>TG</given-names></string-name>, <string-name>
<surname>Muqit</surname> 
<given-names>MM</given-names></string-name>
</person-group> (
<year>2017</year>). 
<article-title>PINK1 and Parkin: Emerging themes in mitochondrial homeostasis</article-title>. 
<source>Current Opinion in Cell Biology</source> 
<volume>45</volume>: 
<fpage>83</fpage>&#x2013;
<lpage>91</lpage>. DOI 
<pub-id pub-id-type="doi">10.1016/j.ceb.2017.03.013</pub-id>.</mixed-citation>
</ref>
<ref id="ref-25">
<label>Moreira <italic>et al</italic>. (2017)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Moreira</surname> 
<given-names>OC</given-names></string-name>, <string-name>
<surname>Estebanez</surname> 
<given-names>B</given-names></string-name>, <string-name>
<surname>Martinez-Florez</surname> 
<given-names>S</given-names></string-name>, <string-name>
<surname>de Paz</surname> 
<given-names>JA</given-names></string-name>, <string-name>
<surname>Cuevas</surname> 
<given-names>MJ</given-names></string-name>, <string-name>
<surname>Gonzalez-Gallego</surname> 
<given-names>J</given-names></string-name>
</person-group> (
<year>2017</year>). 
<article-title>Mitochondrial function and mitophagy in the elderly: Effects of exercise</article-title>. 
<source>Oxidative Medicine and Cellular Longevity</source> 
<volume>2017</volume>: 
<fpage>1</fpage>&#x2013;
<lpage>13</lpage>. DOI 
<pub-id pub-id-type="doi">10.1155/2017/2012798</pub-id>.</mixed-citation>
</ref>
<ref id="ref-26">
<label>Niedernhofer <italic>et al</italic>. (2018)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Niedernhofer</surname> 
<given-names>LJ</given-names></string-name>, <string-name>
<surname>Gurkar</surname> 
<given-names>AU</given-names></string-name>, <string-name>
<surname>Wang</surname> 
<given-names>Y</given-names></string-name>, <string-name>
<surname>Vijg</surname> 
<given-names>J</given-names></string-name>, <string-name>
<surname>Hoeijmakers</surname> 
<given-names>JHJ</given-names></string-name>, <string-name>
<surname>Robbins</surname> 
<given-names>PD</given-names></string-name>
</person-group> (
<year>2018</year>). 
<article-title>Nuclear genomic instability and aging</article-title>. 
<source>Annual Review of Biochemistry</source> 
<volume>87</volume>: 
<fpage>295</fpage>&#x2013;
<lpage>322</lpage>. DOI 
<pub-id pub-id-type="doi">10.1146/annurev-biochem-062917-012239</pub-id>.</mixed-citation>
</ref>
<ref id="ref-27">
<label>Norris <italic>et al</italic>. (2015)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Norris</surname> 
<given-names>KL</given-names></string-name>, <string-name>
<surname>Hao</surname> 
<given-names>R</given-names></string-name>, <string-name>
<surname>Chen</surname> 
<given-names>LF</given-names></string-name>, <string-name>
<surname>Lai</surname> 
<given-names>CH</given-names></string-name>, <string-name>
<surname>Kapur</surname> 
<given-names>M</given-names></string-name>, <string-name>
<surname>Shaughnessy</surname> 
<given-names>PJ</given-names></string-name>, <string-name>
<surname>Chou</surname> 
<given-names>D</given-names></string-name>, <string-name>
<surname>Yan</surname> 
<given-names>J</given-names></string-name>, <string-name>
<surname>Taylor</surname> 
<given-names>JP</given-names></string-name>, <string-name>
<surname>Engelender</surname> 
<given-names>S</given-names></string-name>, <string-name>
<surname>West</surname> 
<given-names>AE</given-names></string-name>, <string-name>
<surname>Lim</surname> 
<given-names>KL</given-names></string-name>, <string-name>
<surname>Yao</surname> 
<given-names>TP</given-names></string-name>
</person-group> (
<year>2015</year>). 
<article-title>Convergence of Parkin, PINK1, and &#x03B1;-Synuclein on stress-induced mitochondrial morphological remodeling</article-title>. 
<source>Journal of Biological Chemistry</source> 
<volume>290</volume>: 
<fpage>13862</fpage>&#x2013;
<lpage>13874</lpage>. DOI 
<pub-id pub-id-type="doi">10.1074/jbc.M114.634063</pub-id>.</mixed-citation>
</ref>
<ref id="ref-28">
<label>Oka <italic>et al</italic>. (2019)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Oka</surname> 
<given-names>S</given-names></string-name>, <string-name>
<surname>Hayashi</surname> 
<given-names>M</given-names></string-name>, <string-name>
<surname>Taguchi</surname> 
<given-names>K</given-names></string-name>, <string-name>
<surname>Hidaka</surname> 
<given-names>M</given-names></string-name>, <string-name>
<surname>Tsuzuki</surname> 
<given-names>T</given-names></string-name>, <string-name>
<surname>Sekiguchi</surname> 
<given-names>M</given-names></string-name>
</person-group> (
<year>2019</year>). 
<article-title>ROS control in human iPS cells reveals early events in spontaneous carcinogenesis</article-title>. 
<source>Carcinogenesis</source> 
<volume>41</volume>: 
<fpage>36</fpage>&#x2013;
<lpage>43</lpage>.</mixed-citation>
</ref>
<ref id="ref-29">
<label>Plafker <italic>et al</italic>. (2018)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Plafker</surname> 
<given-names>KS</given-names></string-name>, <string-name>
<surname>Zyla</surname> 
<given-names>K</given-names></string-name>, <string-name>
<surname>Berry</surname> 
<given-names>W</given-names></string-name>, <string-name>
<surname>Plafker</surname> 
<given-names>SM</given-names></string-name>
</person-group> (
<year>2018</year>). 
<article-title>Loss of the ubiquitin conjugating enzyme UBE2E3 induces cellular senescence</article-title>. 
<source>Redox Biology</source> 
<volume>17</volume>: 
<fpage>411</fpage>&#x2013;
<lpage>422</lpage>. DOI 
<pub-id pub-id-type="doi">10.1016/j.redox.2018.05.008</pub-id>.</mixed-citation>
</ref>
<ref id="ref-30">
<label>Rimessi <italic>et al</italic>. (2016)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Rimessi</surname> 
<given-names>A</given-names></string-name>, <string-name>
<surname>Previati</surname> 
<given-names>M</given-names></string-name>, <string-name>
<surname>Nigro</surname> 
<given-names>F</given-names></string-name>, <string-name>
<surname>Wieckowski</surname> 
<given-names>MR</given-names></string-name>, <string-name>
<surname>Pinton</surname> 
<given-names>P</given-names></string-name>
</person-group> (
<year>2016</year>). 
<article-title>Mitochondrial reactive oxygen species and inflammation: Molecular mechanisms, diseases and promising therapies</article-title>. 
<source>International Journal of Biochemistry &#x0026; Cell Biology</source> 
<volume>81</volume>: 
<fpage>281</fpage>&#x2013;
<lpage>293</lpage>. DOI 
<pub-id pub-id-type="doi">10.1016/j.biocel.2016.06.015</pub-id>.</mixed-citation>
</ref>
<ref id="ref-31">
<label>Sabouny <italic>et al</italic>. (2017)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Sabouny</surname> 
<given-names>R</given-names></string-name>, <string-name>
<surname>Fraunberger</surname> 
<given-names>E</given-names></string-name>, <string-name>
<surname>Geoffrion</surname> 
<given-names>M&#x00E8;le</given-names></string-name>, <string-name>
<surname>Ng</surname> 
<given-names>ACH</given-names></string-name>, <string-name>
<surname>Baird</surname> 
<given-names>SD</given-names></string-name>, <string-name>
<surname>Screaton</surname> 
<given-names>RA</given-names></string-name>, <string-name>
<surname>Milne</surname> 
<given-names>R</given-names></string-name>, <string-name>
<surname>McBride</surname> 
<given-names>HM</given-names></string-name>, <string-name>
<surname>Shutt</surname> 
<given-names>TE</given-names></string-name>
</person-group> (
<year>2017</year>). 
<article-title>The Keap12013;Nrf2 stress response pathway promotes mitochondrial hyperfusion through degradation of the mitochondrial fission protein drp1</article-title>. 
<source>Antioxidants &#x0026; Redox Signaling</source> 
<volume>27</volume>: 
<fpage>1447</fpage>&#x2013;
<lpage>1459</lpage>. DOI 
<pub-id pub-id-type="doi">10.1089/ars.2016.6855</pub-id>.</mixed-citation>
</ref>
<ref id="ref-32">
<label>Sanders <italic>et al</italic>. (2013)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Sanders</surname> 
<given-names>MA</given-names></string-name>, <string-name>
<surname>Brahemi</surname> 
<given-names>G</given-names></string-name>, <string-name>
<surname>Nangia-Makker</surname> 
<given-names>P</given-names></string-name>, <string-name>
<surname>Balan</surname> 
<given-names>V</given-names></string-name>, <string-name>
<surname>Morelli</surname> 
<given-names>M</given-names></string-name>, <string-name>
<surname>Kothayer</surname> 
<given-names>H</given-names></string-name>, <string-name>
<surname>Westwell</surname> 
<given-names>AD</given-names></string-name>, <string-name>
<surname>Shekhar</surname> 
<given-names>MPV</given-names></string-name>
</person-group> (
<year>2013</year>). 
<article-title>Novel inhibitors of Rad6 ubiquitin conjugating enzyme: design, synthesis, identification, and functional characterization</article-title>. 
<source>Molecular Cancer Therapeutics</source> 
<volume>12</volume>: 
<fpage>373</fpage>&#x2013;
<lpage>383</lpage>. DOI 
<pub-id pub-id-type="doi">10.1158/1535-7163.MCT-12-0793</pub-id>.</mixed-citation>
</ref>
<ref id="ref-33">
<label>Sebastian <italic>et al</italic>. (2016)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Sebastian</surname> 
<given-names>D</given-names></string-name>, <string-name>
<surname>Sorianello</surname> 
<given-names>E</given-names></string-name>, <string-name>
<surname>Segales</surname> 
<given-names>J</given-names></string-name>, <string-name>
<surname>Irazoki</surname> 
<given-names>A</given-names></string-name>, <string-name>
<surname>Ruiz-Bonilla</surname> 
<given-names>V</given-names></string-name>, <string-name>
<surname>Sala</surname> 
<given-names>D</given-names></string-name>, <string-name>
<surname>Planet</surname> 
<given-names>E</given-names></string-name>, <string-name>
<surname>Berenguer-Llergo</surname> 
<given-names>A</given-names></string-name>, <string-name>
<surname>Munoz</surname> 
<given-names>JP</given-names></string-name>, <string-name>
<surname>Sanchez-Feutrie</surname> 
<given-names>M</given-names></string-name>, <string-name>
<surname>Plana</surname> 
<given-names>N</given-names></string-name>, <string-name>
<surname>Hernandez-Alvarez</surname> 
<given-names>MI</given-names></string-name>, <string-name>
<surname>Serrano</surname> 
<given-names>AL</given-names></string-name>, <string-name>
<surname>Palacin</surname> 
<given-names>M</given-names></string-name>, <string-name>
<surname>Zorzano</surname> 
<given-names>A</given-names></string-name>
</person-group> (
<year>2016</year>). 
<article-title>Mfn2 deficiency links age-related sarcopenia and impaired autophagy to activation of an adaptive mitophagy pathway</article-title>. 
<source>EMBO Journal</source> 
<volume>35</volume>: 
<fpage>1677</fpage>&#x2013;
<lpage>1693</lpage>. DOI 
<pub-id pub-id-type="doi">10.15252/embj.201593084</pub-id>.</mixed-citation>
</ref>
<ref id="ref-34">
<label>Sebori <italic>et al</italic>. (2018)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Sebori</surname> 
<given-names>R</given-names></string-name>, <string-name>
<surname>Kuno</surname> 
<given-names>A</given-names></string-name>, <string-name>
<surname>Hosoda</surname> 
<given-names>R</given-names></string-name>, <string-name>
<surname>Hayashi</surname> 
<given-names>T</given-names></string-name>, <string-name>
<surname>Horio</surname> 
<given-names>Y</given-names></string-name>
</person-group> (
<year>2018</year>). 
<article-title>Resveratrol decreases oxidative stress by restoring mitophagy and improves the pathophysiology of dystrophin-deficient mdx mice</article-title>. 
<source>Oxidative Medicine and Cellular Longevity</source> 
<volume>2018</volume>: 
<fpage>1</fpage>&#x2013;
<lpage>13</lpage>. DOI 
<pub-id pub-id-type="doi">10.1155/2018/9179270</pub-id> .</mixed-citation>
</ref>
<ref id="ref-35">
<label>Shekhar <italic>et al</italic>. (2002)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Shekhar</surname> 
<given-names>MP</given-names></string-name>, <string-name>
<surname>Lyakhovich</surname> 
<given-names>A</given-names></string-name>, <string-name>
<surname>Visscher</surname> 
<given-names>DW</given-names></string-name>, <string-name>
<surname>Heng</surname> 
<given-names>H</given-names></string-name>, <string-name>
<surname>Kondrat</surname> 
<given-names>N</given-names></string-name>
</person-group> (
<year>2002</year>). 
<article-title>Rad6 overexpression induces multinucleation, centrosome amplification, abnormal mitosis, aneuploidy, and transformation</article-title>. 
<source>Cancer Research</source> 
<volume>62</volume>: 
<fpage>2115</fpage>&#x2013;
<lpage>2124</lpage>.</mixed-citation>
</ref>
<ref id="ref-36">
<label>Singh <italic>et al</italic>. (2018)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Singh</surname> 
<given-names>B</given-names></string-name>, <string-name>
<surname>Schoeb</surname> 
<given-names>TR</given-names></string-name>, <string-name>
<surname>Bajpai</surname> 
<given-names>P</given-names></string-name>, <string-name>
<surname>Slominski</surname> 
<given-names>A</given-names></string-name>, <string-name>
<surname>Singh</surname> 
<given-names>KK</given-names></string-name>
</person-group> (
<year>2018</year>). 
<article-title>Reversing wrinkled skin and hair loss in mice by restoring mitochondrial function</article-title>. 
<source>Cell Death &#x0026; Disease</source> 
<volume>9</volume>: 
<fpage>6</fpage>. DOI 
<pub-id pub-id-type="doi">10.1038/s41419-018-0765-9</pub-id>.</mixed-citation>
</ref>
<ref id="ref-37">
<label>Slominski <italic>et al</italic>. (2018)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Slominski</surname> 
<given-names>AT</given-names></string-name>, <string-name>
<surname>Zmijewski</surname> 
<given-names>MA</given-names></string-name>, <string-name>
<surname>Plonka</surname> 
<given-names>PM</given-names></string-name>, <string-name>
<surname>Szaflarski</surname> 
<given-names>JP</given-names></string-name>, <string-name>
<surname>Paus</surname> 
<given-names>R</given-names></string-name>
</person-group> (
<year>2018</year>). 
<article-title>How UV light touches the brain and endocrine system through skin, and why</article-title>. 
<source>Endocrinology</source> 
<volume>159</volume>: 
<fpage>1992</fpage>&#x2013;
<lpage>2007</lpage>. DOI 
<pub-id pub-id-type="doi">10.1210/en.2017-03230</pub-id>.</mixed-citation>
</ref>
<ref id="ref-38">
<label>Slominski <italic>et al</italic>. (2017)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Slominski</surname> 
<given-names>AT</given-names></string-name>, <string-name>
<surname>Zmijewski</surname> 
<given-names>MA</given-names></string-name>, <string-name>
<surname>Semak</surname> 
<given-names>I</given-names></string-name>, <string-name>
<surname>Kim</surname> 
<given-names>TK</given-names></string-name>, <string-name>
<surname>Janjetovic</surname> 
<given-names>Z</given-names></string-name>, <string-name>
<surname>Slominski</surname> 
<given-names>RM</given-names></string-name>, <string-name>
<surname>Zmijewski</surname> 
<given-names>JW</given-names></string-name>
</person-group> (
<year>2017</year>). 
<article-title>Melatonin, mitochondria, and the skin</article-title>. 
<source>Cellular and Molecular Life Sciences</source> 
<volume>74</volume>: 
<fpage>3913</fpage>&#x2013;
<lpage>3925</lpage>. DOI 
<pub-id pub-id-type="doi">10.1007/s00018-017-2617-7</pub-id>.</mixed-citation>
</ref>
<ref id="ref-39">
<label>Slominski <italic>et al</italic>. (2012)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Slominski</surname> 
<given-names>AT</given-names></string-name>, <string-name>
<surname>Zmijewski</surname> 
<given-names>MA</given-names></string-name>, <string-name>
<surname>Skobowiat</surname> 
<given-names>C</given-names></string-name>, <string-name>
<surname>Zbytek</surname> 
<given-names>B</given-names></string-name>, <string-name>
<surname>Slominski</surname> 
<given-names>RM</given-names></string-name>, <string-name>
<surname>Steketee</surname> 
<given-names>JD</given-names></string-name>
</person-group> (
<year>2012</year>). 
<article-title>Sensing the environment: regulation of local and global homeostasis by the skin&#x0027;s neuroendocrine system</article-title>. 
<source>Advances in Anatomy Embryology and Cell Biology</source> 
<volume>212</volume>: 
<fpage>1</fpage>&#x2013;
<lpage>115</lpage>.</mixed-citation>
</ref>
<ref id="ref-40">
<label>Wang <italic>et al</italic>. (2012)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Wang</surname> 
<given-names>Y</given-names></string-name>, <string-name>
<surname>Wang</surname> 
<given-names>XD</given-names></string-name>, <string-name>
<surname>Lapi</surname> 
<given-names>E</given-names></string-name>, <string-name>
<surname>Sullivan</surname> 
<given-names>A</given-names></string-name>, <string-name>
<surname>Jia</surname> 
<given-names>W</given-names></string-name>, <string-name>
<surname>He</surname> 
<given-names>YW</given-names></string-name>, <string-name>
<surname>Ratnayaka</surname> 
<given-names>I</given-names></string-name>, <string-name>
<surname>Zhong</surname> 
<given-names>S</given-names></string-name>, <string-name>
<surname>Goldin</surname> 
<given-names>RD</given-names></string-name>, <string-name>
<surname>Goemans</surname> 
<given-names>CG</given-names></string-name>, <string-name>
<surname>Tolkovsky</surname> 
<given-names>AM</given-names></string-name>, <string-name>
<surname>Lu</surname> 
<given-names>X</given-names></string-name>
</person-group> (
<year>2012</year>). 
<article-title>Autophagic activity dictates the cellular response to oncogenic RAS</article-title>. 
<source>Proceedings of the National Academy of Sciences of the United States of America</source> 
<volume>109</volume>: 
<fpage>13325</fpage>&#x2013;
<lpage>13330</lpage>. DOI 
<pub-id pub-id-type="doi">10.1073/pnas.1120193109</pub-id>.</mixed-citation>
</ref>
<ref id="ref-41">
<label>Wenz (2013)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Wenz</surname> 
<given-names>T</given-names></string-name>
</person-group> (
<year>2013</year>). 
<article-title>Regulation of mitochondrial biogenesis and PGC-1alpha under cellular stress</article-title>. 
<source>Mitochondrion</source> 
<volume>13</volume>: 
<fpage>134</fpage>&#x2013;
<lpage>142</lpage>. DOI 
<pub-id pub-id-type="doi">10.1016/j.mito.2013.01.006</pub-id>.</mixed-citation>
</ref>
<ref id="ref-42">
<label>Wiley <italic>et al</italic>. (2016)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Wiley</surname> 
<given-names>CD</given-names></string-name>, <string-name>
<surname>Velarde</surname> 
<given-names>MC</given-names></string-name>, <string-name>
<surname>Lecot</surname> 
<given-names>P</given-names></string-name>, <string-name>
<surname>Liu</surname> 
<given-names>S</given-names></string-name>, <string-name>
<surname>Sarnoski</surname> 
<given-names>EA</given-names></string-name>, <string-name>
<surname>Freund</surname> 
<given-names>A</given-names></string-name>, <string-name>
<surname>Shirakawa</surname> 
<given-names>K</given-names></string-name>, <string-name>
<surname>Lim</surname> 
<given-names>HW</given-names></string-name>, <string-name>
<surname>Davis</surname> 
<given-names>SS</given-names></string-name>, <string-name>
<surname>Ramanathan</surname> 
<given-names>A</given-names></string-name>, <string-name>
<surname>Gerencser</surname> 
<given-names>AA</given-names></string-name>, <string-name>
<surname>Verdin</surname> 
<given-names>E</given-names></string-name>, <string-name>
<surname>Campisi</surname> 
<given-names>J</given-names></string-name>
</person-group> (
<year>2016</year>). 
<article-title>Mitochondrial dysfunction induces senescence with a distinct secretory phenotype</article-title>. 
<source>Cell Metabolism</source> 
<volume>23</volume>: 
<fpage>303</fpage>&#x2013;
<lpage>314</lpage>. DOI 
<pub-id pub-id-type="doi">10.1016/j.cmet.2015.11.011</pub-id>.</mixed-citation>
</ref>
<ref id="ref-43">
<label>Willems <italic>et al</italic>. (2015)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Willems</surname> 
<given-names>PH</given-names></string-name>, <string-name>
<surname>Rossignol</surname> 
<given-names>R</given-names></string-name>, <string-name>
<surname>Dieteren</surname> 
<given-names>CE</given-names></string-name>, <string-name>
<surname>Murphy</surname> 
<given-names>MP</given-names></string-name>, <string-name>
<surname>Koopman</surname> 
<given-names>WJ</given-names></string-name>
</person-group> (
<year>2015</year>). 
<article-title>Redox homeostasis and mitochondrial dynamics</article-title>. 
<source>Cell Metabolism</source> 
<volume>22</volume>: 
<fpage>207</fpage>&#x2013;
<lpage>218</lpage>. DOI 
<pub-id pub-id-type="doi">10.1016/j.cmet.2015.06.006</pub-id>.</mixed-citation>
</ref>
<ref id="ref-44">
<label>Yan <italic>et al</italic>. (2013)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Yan</surname> 
<given-names>MH</given-names></string-name>, <string-name>
<surname>Wang</surname> 
<given-names>X</given-names></string-name>, <string-name>
<surname>Zhu</surname> 
<given-names>X</given-names></string-name>
</person-group> (
<year>2013</year>). 
<article-title>Mitochondrial defects and oxidative stress in Alzheimer disease and Parkinson disease</article-title>. 
<source>Free Radical Biology and Medicine</source> 
<volume>62</volume>: 
<fpage>90</fpage>&#x2013;
<lpage>101</lpage>. DOI 
<pub-id pub-id-type="doi">10.1016/j.freeradbiomed.2012.11.014</pub-id>.</mixed-citation>
</ref>
<ref id="ref-45">
<label>Zhu <italic>et al</italic>. (2013)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Zhu</surname> 
<given-names>J</given-names></string-name>, <string-name>
<surname>Wang</surname> 
<given-names>KZ</given-names></string-name>, <string-name>
<surname>Chu</surname> 
<given-names>CT</given-names></string-name>
</person-group> (
<year>2014</year>). 
<article-title>After the banquet: Mitochondrial biogenesis, mitophagy, and cell survival</article-title>. 
<source>Autophagy</source> 
<volume>9</volume>: 
<fpage>1663</fpage>&#x2013;
<lpage>1676</lpage>. DOI 
<pub-id pub-id-type="doi">10.4161/auto.24135</pub-id>.</mixed-citation>
</ref>
<ref id="ref-46">
<label>Zouboulis and Makrantonaki (2011)</label><mixed-citation publication-type="journal">
<person-group person-group-type="author"><string-name>
<surname>Zouboulis</surname> 
<given-names>CC</given-names></string-name>, <string-name>
<surname>Makrantonaki</surname> 
<given-names>E</given-names></string-name>
</person-group> (
<year>2011</year>). 
<article-title>Clinical aspects and molecular diagnostics of skin aging</article-title>. 
<source>Clinics in Dermatology</source> 
<volume>29</volume>: 
<fpage>3</fpage>&#x2013;
<lpage>14</lpage>. DOI 
<pub-id pub-id-type="doi">10.1016/j.clindermatol.2010.07.001</pub-id>.</mixed-citation>
</ref>
</ref-list>
<app-group>
<fig id="fig-7">
<label>SUPPLEMENTARY FIGURE S1</label>
<caption>
<title>Genotyping of wild-type (WT) and Rad6B knockout (KO) of C57BL/6 mice.</title>
<p>(A) PCR genotyping of Rad6B&#x002B;/&#x002B; and Rad6B&#x2212;/&#x2212; mice. (B) Western blot for the detection of Rad6B. (C) Quantification of the data shown in (B) (N&#x2009;&#x003D;&#x2009;4). The data are expressed as mean &#x00B1; SEM. &#x002A;&#x002A;&#x002A;<italic>P</italic>&#x2009;&#x003C;&#x2009;0.001, <italic>vs</italic>. WT.</p>
</caption>
<graphic mimetype="image" mime-subtype="png" xlink:href="fig-7.png"/>
</fig>
</app-group>
</back>
</article>
