Chemical inhibition of FBXO7 reduces inflammation and confers neuroprotection by stabilizing the mitochondrial kinase PINK1

1Department of Medicine, the Acute Lung Injury Center of Excellence, 2The McGowan Institute for Regenerative Medicine, 3Department of Environmental and Occupational Health, Graduate School of Public Health, and 4Department of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA. 5Department of Cell Biology and 6Department of Pharmacology and Chemical Biology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA. 7Department of Ophthalmology, 8The Pittsburgh Institute for Neurodegenerative Diseases, 9Vascular Medicine Institute, and 10Medical Specialty Service Line, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, USA.


Introduction
PTEN-induced kinase 1 (PINK1), a serine/threonine protein kinase, functions in a critical role for mitochondria quality maintenance (1,2). Loss-of-function mutations in the PINK1 gene cause mitochondrial dysfunction and an early-onset familial form of Parkinson's disease (3)(4)(5). PINK1 contains an NH 2 -terminal mitochondrial-targeting sequence (6) that facilitates its entry into mitochondria to modulate the lifespan of mitochondrial respiratory chain subunits (7). PINK1 can accumulate on the outer mitochondrial membrane after cell stress to recruit parkin (a ubiquitin E3 ligase) to regulate mitochondrial disposal by mitophagy (8). Parkin, mitochondrial protease HtrA2, mitochondrial chaperone TRAP1, Akt, and protein kinase A are known molecular targets described for PINK1 (9)(10)(11)(12)(13). Collectively, these observations suggest multiple mechanisms whereby PINK1 can regulate mitochondrial and cytosolic substrates that, in turn, impact cellular bioenergetics and human disease.
In the brain, PINK1 has shown diverse cytoprotective effects. Cellular depletion of PINK1 triggers neuronal cell death, possibly through complex interactions with several client proteins including Akt (14). PINK1 deficiency also leads to reduced dopamine levels, essential for coordinated motor function, and triggers synaptodendritic shrinkage (13,15,16) and the release of inflammatory cytokines such as TNF-α, IL-1β, and COX-2 by astrocytes and microglia, and after injury in the brain (17)(18)(19). These observations suggest that approaches that maintain or increase cellular PINK1 protein concentrations may provide important opportunities to preserve chemical energy stores during aging or stress and to Mitochondrial quality control is mediated by the PTEN-induced kinase 1 (PINK1), a cytoprotective protein that is dysregulated in inflammatory lung injury and neurodegenerative diseases. Here, we show that a ubiquitin E3 ligase receptor component, FBXO7, targets PINK1 for its cellular disposal. FBXO7, by mediating PINK1 ubiquitylation and degradation, was sufficient to induce mitochondrial injury and inflammation in experimental pneumonia. A computational simulationbased screen led to the identification of a small molecule, BC1464, which abrogated FBXO7 and PINK1 association, leading to increased cellular PINK1 concentrations and activities, and limiting mitochondrial damage. BC1464 exerted antiinflammatory activity in human tissue explants and murine lung inflammation models. Furthermore, BC1464 conferred neuroprotection in primary cortical neurons, human neuroblastoma cells, and patient-derived cells in several culture models of Parkinson's disease. The data highlight a unique opportunity to use small molecule antagonists that disrupt PINK1 interaction with the ubiquitin apparatus to enhance mitochondrial quality, limit inflammatory injury, and maintain neuronal viability.
limit neurodegeneration, cell death, and inflammation. In this regard, PINK1 undergoes limited proteolysis, and the cleaved PINK1 fragment is degraded by the ubiquitin proteasome system (UPS) (20). Here, we show that the PINK1 protein is targeted for its cellular elimination by the ubiquitin E3 ligase subunit, FBXO7. We identified a compound that attenuates FBXO7 and PINK1 interaction, retains mitochondrial integrity, and confers cytoprotection in several complementary models.

Results
As the UPS may show selectivity for different forms of a given protein target (21), we investigated whether or not full-length PINK1 is subjected to ubiquitin-mediated degradation by evaluating the ability of proteasomal or lysosomal inhibitors to regulate stability of the kinase. Considering the well-recognized difficulty in detecting endogenous PINK1 protein, we used human BEAS-2B cells that are rich in mitochondria to observe that both full-length and a fragment of PINK1 undergo rapid degradation when protein synthesis is blocked by the addition of the protein biosynthesis inhibitor cycloheximide (CHX) ( Figure 1A). Moreover, addition of the proteasome inhibitor MG132 accumulated not only the PINK1 fragment, but also full-length PINK1, while the lysosomal inhibitor leupeptin had little impact on basal PINK1 turnover. To further explore if PINK1 is subject to ubiquitin-dependent degradation, we constructed a series of V5-tagged lysine to arginine (K-R) mutants that were expressed in cells to measure exogenous PINK1 protein turnover, as shown in Supplemental Figure 1, A and B (supplemental material available online with this article; https://doi.org/10.1172/jci.insight.131834DS1). The triple mutations of 3 highly exposed, juxtaposed lysine sites (K520, K523, and K526) in PINK1 resulted in an optimally extended half-life (t ½ ), compared with WT PINK1 (Supplemental Figure 1C). These findings confirmed that full-length PINK1 protein is also subjected to ubiquitin-proteasome mediated degradation likely through multisite ubiquitylation. Ubiquitin tagging to a target protein is orchestrated by an enzymatic cascade involving highly conserved E1, E2, and a specific ubiquitin E3 ligase (22). F-box proteins recognize and recruit substrates to a ubiquitin E3 ligase catalytic core (Skp1-Cul1-Rbx1) for ubiquitylation and subsequent degradation (23,24). To identify the ubiquitin E3 ligase that tags PINK1 for proteasomal disposal, we used PINK1 as bait for IP-mass spectrometry and identified the F-box protein FBXO7 as a PINK1 binding partner (Supplemental Table 1). FBXO7 partakes in mitophagy in response to mitochondrial damage (25,26), and mutations in the FBXO7 gene have been identified in families with Parkinson's (27,28). We overexpressed FBXO7 and detected decreased PINK1 protein levels with increasing amounts of FBXO7 plasmid expression ( Figure  1B). FBXO7 knockdown confirmed that decreased FBXO7 led to accumulation of endogenous PINK1 protein and extends PINK1 lifespan (t ½ ) in cells ( Figure 1, C and D). Additionally, in vitro ubiquitylation assays confirmed that FBXO7 enhances PINK1 polyubiquitylation ( Figure 1E). These data suggest that FBXO7 mediates PINK1 polyubiquitylation and proteasomal degradation.
We next examined the role of FBXO7 on mitochondrial homeostasis, given the important role played by PINK1 in regulating mitochondrial function. We monitored mitochondrial membrane potential (ΔΨ) in FBXO7-overexpressed cells using a ΔΨ-dependent dye JC1. In depolarized mitochondria, JC1 experiences a fluorescence shift from red to green. Using the mitochondria depolarizer carbonyl cyanide m-chlorophenylhydrazone (CCCP) as a positive control, we found that overexpression of FBXO7 impairs the ΔΨ ( Figure  2A), indicated by the decrease of fluorescence ratio of red/green, which is similar to effects previously reported in PINK1-KO neurons and cells (29). We then employed a different ΔΨ dye, MitoSense Red, combined with flow cytometry to evaluate mitochondrial damage in FBXO7-overexpressed cells. Compared with cells transfected with control plasmid, overexpression of FBXO7 increased the content of depolarized mitochondria from 16.1%-33.6% ( Figure 2B), determined by a red fluorescence decrease. FBXO7 overexpression with CCCP treatment increased numbers of damaged mitochondria from 25.5%-38% compared with CCCP alone, suggesting that FBXO7 exerts an additive effect on mitochondrial injury induced by CCCP. Conversely, FBXO7 knockdown largely protected mitochondria from CCCP-induced injury ( Figure 2C).
Given the newly described antiinflammatory role of PINK1 in the lung (19,30) and its identification here as a substrate for FBXO7-mediated degradation, we examined effects of FBXO7 on mitochondria and lung inflammation. First, we observed that the gram-negative bacterial component, LPS increased FBXO7 mass and decreased PINK1 protein levels in lung epithelia (data not shown). Likewise, a virulent strain of the gram-negative pathogen, P. aeruginosa (PA103), resulted in reduced ΔΨ (Supplemental Figure 2A) and the appearance of swollen mitochondria with disrupted cristae (Supplemental Figure 2B). Mice infected with empty lentivirus or lentivirus encoding FBXO7 were subsequently challenged with PA103.
Compared with an empty lentivirus control group, i.t. introduction of FBXO7 significantly increased bronchoalveolar lavage (BAL) protein concentration, lavage cell counts, and cell infiltrates ( Figure 3, A, B, and G). FBXO7 overexpression also increased the release of proinflammatory cytokines TNF-α, IL-1β, and IL-6 in the lung (Figure 3, D-F). PA103 infection combined with FBXO7 overexpression in the lung further accentuated lung inflammatory injury, indicated by increased lavage protein concentration, cell counts, cytokines, and cell infiltrates, compared with the control group or each component administered individually. However, overexpressed FBXO7 did not alter the lavage bacterial load ( Figure 3C). In mouse lung tissue, PA103 infection induced endogenous FBXO7 protein levels compared with control, with a corresponding reduction in PINK1 content ( Figure 3H). Compared with the FBXO7-overexpression group, additional PA103 infection further augmented this reduction of PINK1 protein levels. These data as a whole indicate that FBXO7 pulmonary gene transfer is sufficient to trigger tissue inflammatory injury, a process that is further accentuated with concomitant PA103 infection.
In contrast, FBXO7 shRNA decreased BAL protein concentration and cell counts without altering bacterial counts in PA103-infected mice ( Figure 4, A-C). Additionally, FBXO7 knockdown attenuated the release of proinflammatory cytokines and exhibited histological evidence of reduced tissue cell infiltrates (Figure 4, D-G). Immunoblotting data from lungs confirmed that FBXO7 knockdown restored PINK1 protein levels, despite bacterial infection ( Figure 4H). Thus, FBXO7 functions as a proinflammatory protein in vivo by downregulating the PINK1 antiinflammatory axis, suggesting that FBXO7 may serve as a potential pharmacologic target.
We analyzed the FBXO7 structure, focusing on the Fbxo7/PI31 domain (FP domain) within its C-terminus, which is crucial for its interaction with substrates or regulatory proteins (31). We hypothesized that small molecule inhibition of the FP domain will induce a conformational change, thereby disrupting the ability of FBXO7 to capture PINK1. We utilized FP domain crystal structure (PDB structure 4L9C.pdb) ( Figure 5A). Using molecular docking analysis and score-ranking operations on the FBXO7-FP domain 3-D structure model, we assessed potential ligands that might fit the FP domain cavities. These docking experiments were conducted using the LibDock program from Discovery Studio 3.5. A library containing 3 million small molecule compounds was first used to screen potential ligands for the FBXO7-FP domain. In this model, GLN215, LYS227, LYS235, SER247, and LYS266 residues within the FP domain are important for interacting with inhibitors ( Figure 5A). The top 20 score-ranking molecules were selected and further evaluated using in vitro experiments. We then tested if 1 selected compound, BC1464, that engages FBXO7 affected the interaction between FBXO7 and PINK1. In vitro binding assays demonstrated that increasing amounts of BC1464 efficiently decreased the interaction between FBXO7 and PINK1 ( Figure 5B). BC1464 also increased PINK1 protein levels in cells in a dose-dependent manner ( Figure 5C). This was not seen using a control compound BC1465, which shares the same quinazoline core with different side chain structures unfit for the FBXO7 cavity. Endogenous full-length PINK1 rapidly degrades upon inhibiting protein synthesis; however, addition of BC1464 largely stabilized PINK1, while compound BC1465 showed no effect on PINK1 protein stability ( Figure 5D). Neither BC1464 nor the control compound, BC1465, affected the mRNA levels of PINK1 or of FBXO7 (Supplemental Figure  3A). The addition of BC1464 elicited a dose-dependent increase in PINK1 levels in control cells with normal levels of FBXO7, while knockdown of FBXO7 caused a basal increase of PINK1 ( Figure 5E). Notably, no further PINK1 protein increase was observed with addition of BC1464 to FBXO7-deficient cells ( Figure 5E), suggesting that BC1464 elevates PINK1 protein levels through inhibiting FBXO7.
We next examined if small molecule inhibition of FBXO7 modulates mitochondrial function. BC1464 prevented CCCP-triggered mitochondrial injury as assessed using MitoSense Red and annexin V staining, decreasing the numbers of CCCP-damaged mitochondria from 17.2%-10.5% ( Figure 6, A and B). In rat myoblast H9C2 cells, rich in mitochondria, JC1 staining demonstrated that BC1464 maintains the ΔΨ damaged by CCCP, compared with the control vehicle and BC1465 groups ( Figure 6C). These data suggest that the FBXO7 inhibitor preserves PINK1 levels and supports the maintenance of mitochondrial function after depolarizing stress. In human PBMCs, the LPS-stimulated release of the proinflammatory cytokine TNF-α was reduced by about 37% at 1 ng/mL and potently blocked at 10 ng/mL of BC1464 (Supplemental Figure 3B). BC1464 also selectively increased PINK1 protein levels and inhibited proinflammatory TNF-α release in response to endotoxin in human lung explants (Supplemental Figure 3, C and D). These results indicate that small molecule inhibition of the interaction between FBXO7 and PINK1 reduces inflammation in human cells. We next tested the FBXO7 inhibitor in experimental mouse pneumonia in which mitochondrial injury plays a vital role. Consistent with our previous observations, PA103 infection potently triggered lung inflammatory injury ( Figure 7, A, B, and G). BC1464 had no effect on lavage bacteria counts ( Figure 7C). However, compared with control groups, administration of BC1464 significantly decreased lavage protein, cell numbers, cytokine levels, and tissue infiltrates with restoration of PINK1 levels ( Figure 7, A, B, and D-H).
As PINK1 mutations are linked to neurodegenerative disorders such as Parkinson's disease, we tested BC1464 in several Parkinson's disease models. First, we established that human SH-SY5Y neuroblastoma cells stably express FBXO7, and that BC1464 stabilizes PINK1 expression in the presence of CHX in neuronal cells with an IC 50 of 5.2 μg/mL ( Figure 8, A and B). We studied the efficacy of BC1464 in disrupting the FBXO7/PINK1 interaction in PINK1-FLAG-tagged SH-SY5Y cells using proximity ligation assay (PLA). This technique involves immunostaining for the interaction targets using secondary antibodies tagged with oligonucleotide sequences that serve as primers for rolling circle amplification. Amplification only occurs when the antibody targets are in close proximity, and the products are quantified fluorescently. Using this assay, we established a strong PLA signal for FBXO7 and PINK1-FLAG indicative of their interaction. BC1464 elicited significant, dose-related decreases in the PLA signal relative to vehicle (Figure 8, C and D).
PINK1 is known to phosphorylate ubiquitin (32) and the catalytic subunit of protein kinase A (PKAc) (13). To determine whether or not BC1464 increased these markers of PINK1 activity in living cells, we performed Western blot analysis for phosphorylated ubiquitin and phosphorylated PKAc in SH-SY5Y cells treated with vehicle, BC1464, or BC1465. We found that BC1464 increased immunoreactivity to phospho-ubiquitin and phospho-PKAc (Figure 8, E-G), suggesting an ability to activate mitochondrial and cytosolic PINK1 signaling pathways within cells.
Having established that BC1464 disrupts the FBXO7 and PINK1 interaction in neuroblastoma cells, eliciting increased PINK1 expression and function, we studied the effects of BC1464 on neuronal cell injury induced by the complex I inhibitor 1-methyl-4-phenylpyridinium (MPP+). Parkinson's disease is characterized by reduced complex I activity, and MPP+ -the active metabolite of 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP) that causes a human Parkinsonian syndrome -is frequently used to model Parkinsonian cell death (33)(34)(35). Elevated PINK1 is known to protect against MPTP/MPP+ toxicity (36). Similarly, we found that BC1464 significantly decreased MPP+-elicited injury in human SH-SY5Y cells relative to the inactive control BC1465 ( Figure 8H). Likewise, in primary cortical neurons, the interaction inhibitor BC1464 protected against the cytotoxic effects of MPP+ ( Figure 8I).
Neurodegeneration is characterized by neurite retraction, a phenotype that is not generally reversed even if cell death is arrested (37). Given that PINK1 plays a key role in rescuing dendrite complexity (13), we examined the effects of BC1464 versus BC1465 on dendritic injury in primary cortical neurons. Mice were then euthanized, and lungs were lavaged with saline, harvested, and then homogenized. (A-F) Lavage protein, cell count, bacteria loads, and cytokine secretion were measured. (G) H&E staining was performed on lung samples; original magnification, 100×. Data are shown as means ± SEM of 5-6 mice/group. (H) Mouse lung tissue from each group was homogenized and subjected to immunoblotting analysis. *P < 0.05, **P < 0.01, ***P < 0.001, relative to CON shRNA by 2-tailed Student's t test (A-F).
We found that BC1464 was able to not only reduce cell death ( Figure 8I), but also protect against retraction and simplification of the dendritic arbor ( Figure 9).
We obtained fibroblasts from control and 2 Parkinson's disease patients with mutations in leucine-rich repeat kinase (LRRK2) linked to an autosomal dominant form of Parkinson's disease (38,39). We found that BC1464 conferred significant protection against a second Parkinsonian toxin 6-hydroxydopamine (6-OHDA) (40) in these primary human fibroblast cultures ( Figure 10A). Moreover, neuroprotection was maintained even when BC1464 was applied 6 hours after either MPP+ or 6-OHDA ( Figure 10, B and C, and Supplemental Figure 4). As a control for possible transcriptional effects of BC1464 in the primary fibroblasts, we performed quantitative reverse transcription PCR (RT-qPCR) and found no effects on either PINK1 or FBXO7 mRNA levels ( Figure 10D). Finally, we found that BC1464 protects against parkinsonian cell death in neural progenitor cells differentiated from induced pluripotent stem cells (iPSC) from a familial Parkinson's disease patient with triplication of the SNCA gene ( Figure 10, E and F). Taken together, these data indicate that BC1464 stabilizes PINK1 expression, increases markers of PINK1 activity within cells, and exerts cytoprotective activity in a variety of human and mouse cell types and injury models.

Discussion
Mitochondria have long been appreciated as essential effectors of cellular processes beyond energy production. Our discovery that the ubiquitin E3 ligase subunit FBXO7 targets prosurvival, antiinflammatory PINK1 for degradation led us to the development of a mitochondrial protective therapeutic small molecule compound. This FBXO7-targeted small molecule, which disrupts the interaction between PINK1 and FBXO7, protects cells and mice from inflammatory injury induced by endotoxin and bacterial infection. Moreover, BC1464 shows striking neuroprotective effects in cellular models of Parkinson's disease. His pull down Fbxo7 protein was exposed to BC1464 at indicated concentrations. TnT-synthesized PINK1 protein was then incubated with drug-bound Fbxo7 beads overnight. The eluate was subjected to immunoblotting. The relative amounts of PINK1 detected in the pull-downs were normalized to loading and quantified; data are shown as means ± SEM (n = 3). (C) BEAS-2B cells were incubated with BC1464 or the control compound BC1465 at the indicated concentrations for 16 hours before immunoblotting. (D) BEAS-2B cells were pretreated with BC1464 or BC1465 (1 μg/mL) for 16 hours, and the cells were then incubated with CHX (40 μg/mL). The cells were collected at indicated time points for immunoblot analysis. (E) BEAS-2B cells were nucleofected with control or Fbxo7 siRNA (50 pg) and incubated for 72 hours. BC1464 was then administrated at indicated concentration for an additional 18-hour incubation. The cell lysates were subjected to immunoblotting.
As both PINK1 and FBXO7 proteins have varied functions depending on species, tissue, or cellular contexts, there are several potential mechanisms underlying the ability to regulate mitochondrial function and modulate Parkinson's disease pathogenesis. One of the functions of PINK1 involves recruitment of Parkin to depolarized mitochondria to initiate the ubiquitin pathway of mitophagy (Reviewed in ref. 41). In fibroblasts and neuroblastoma cell lines, FBXO7 functions downstream of PINK1 to enhance Parkin recruitment (26). Theoretically, inhibiting mitophagy may comprise an undesired side effect of inhibiting FBXO7. However, the PINK1-parkin pathway is not necessary for receptor-mediated mitophagy (42), cardiolipin-mediated mitophagy (43), or mitophagy in brain tissues in vivo (44,45). These data suggest that inhibiting FBXO7 may be well tolerated due to redundancy in mitophagy mechanisms.
Our data indicate that PINK1 is degraded through interaction with FBXO7. Thus, FBXO7 functions not only to facilitate mitophagy downstream of PINK1 (26), but also to downregulate PINK1 itself. This may serve as a feedback mechanism to terminate the acute mitophagy response. Given that sustained mitophagy that leads to mitochondrial depletion is harmful to neurons (46)(47)(48), activation of a feedback mechanism to limit the extent of mitochondrial clearance may be particularly important in the nervous system.
Through its role in mitochondrial quality control, PINK1 may prevent the release of danger signals from damaged mitochondria or act directly to regulate inflammatory cell function (55, 56). We cannot exclude the possibility that, aside from PINK1, other yet-unknown substrates targeted by FBXO7 may also regulate mitochondria, neuritic branching, and inflammation. FBXO7 elevates NF-κB activity through inhibition of cIAP1 and TRAF2. NF-κB inhibitors have been proposed as treatments for both Parkinson's disease and for inflammatory lung disease. Notably, PINK1 plays an important role in limiting inflammation in multiple tissues in vivo. PINK1 deficiency results in increased T cell responses to gram-negative gut bacteria, triggering autoimmune mechanisms in both the periphery and the brain to cause motor symptoms (57).
In conclusion, with its neuroprotective, mitoprotective, prosurvival, and antiinflammatory effects, elevating PINK1 represents a promising therapeutic goal. Not only are destabilizing mutations implicated for Parkinson's disease (58), but WT PINK1 expression is also reduced in brains of patients with Alzheimer's disease (59), the muscle of patients with diabetes (60), and the lungs of patients with age-related idiopathic pulmonary fibrosis (30). The identification of an F-box protein-targeted small molecule antagonist capable of restoring PINK1 concentrations in cells fulfills a void in the preclinical arena with implications for neurodegenerative, proinflammatory, and mitochondrial disorders. These data set the stage for additional target validation and lead optimization work for the potential treatment of a range of neurodegenerative and other diseases characterized by dysregulation of mitochondrial function and/or inflammation.

Methods
Cell culture and transfection. Murine lung epithelial (MLE12) cells (ATCC) and human bronchial epithelial (BEAS-2B) cells (ATCC) were cultured with HITES medium (DMEM/F12 supplemented with insulin, transferrin, hydrocortisone, β-estradiol, and glutamine) containing 10% FBS and antibiotics as described previously (61). For t ½ studies, cells were treated with CHX (40 μg/mL) in blank medium and collected at different time points. Cell lysates were prepared by brief sonication in RIPA buffer including 150 mM NaCl, 50 mM Tris, 1.0 mM EDTA, 2 mM dithiothreitol, and 0.025% sodium azide, supplemented with Pierce protease inhibitor tablets (Thermo Fisher Scientific) at 4°C. All plasmids were delivered into cells using nucleofection following manufacturer's protocols (Lonza). All plasmid constructs were generated using PCR-based strategies with appropriate primers; point mutants were generated using site-directed mutagenesis kit (62). Rat myoblast H9C2 cells (ATCC) were cultured in DMEM medium supplemented with 10% FBS and antibiotics. SH-SY5Y cells (ATCC) were maintained in antibiotic-free DMEM medium supplemented with 10% FBS, 2 mM L-glutamine, and 10 mM HEPES in a humidified incubator at 37°C and 5% CO 2 . Primary fibroblasts and an iPSC line from a PD patient with SNCA gene triplication were purchased from the NINDS Human Cell and Data Repository at Rutgers University (RUCDR Infinite Biologics). Timed pregnant female C57BL/6N mice were purchased from Charles River Laboratories. Primary E16 cortical neurons were isolated as previously described (13), plated at 150,000-200,000 cells/cm 2 in LabTek II coverglass chamber slides or tissue culture plates coated with poly-L-lysine (0.1 mg/mL), and maintained in antibiotic-free neurobasal (NB) medium supplemented with 2% B27 and 2 mM glutamax (Thermo Fisher Scientific). SH-SY5Y cells and cortical neurons in 96-well plates were treated with the indicated concentrations of MPP+ and 5 μg/mL of either BC1464 or BC1465. Fibroblasts were treated with MPP+ (400 μM) or 6-OHDA (300 μM), and BC1464 or BC1465 were added 0-6 hours after the toxin. After 24 hours, cell viability was analyzed using the alamarBlue Assay according to the manufacturer's instructions (Bio-Rad Laboratories). Late neural progenitor cells were derived as previously described (63). Briefly, iPSCs were differentiated into neural stem cells (NSCs)/ectodermal neural progenitor cells (eNPCs) by manual fragmentation and culture in ultra-low attachment plates; they were then transferred to Matrigel-coated Ibidi plates (Ibidi, 80426) and seeded at about 33,000 cells/mL. eNPCs were cultured for an additional 3 weeks in NB  Figure 4). Mean ± SD, n = 3 independent experiments, ANOVA with post hoc 2-tailed t test for A-C. (D) The fibroblasts from each subject were treated with DMSO vehicle, BC1464, and BC1465 and analyzed for PINK1 and FBXO7 mRNA by RT-qPCR (mean ± SD, n = 3 independent experiments, 1-way ANOVA, P > 0.548). (E and F) Late NPCs from SNCA triplication iPSC line were treated with Neurobasal media (Neg), DMSO, BC1464, or BC1465 as indicated and analyzed for cell death using propidium iodide (mean ± SD, n = 3-5 independent experiments, ANOVA with post hoc t test). Scale bar: 100 μm. media (Thermo Fisher Scientific, 21103049) supplemented with B27 and BDNF (Invitrogen, RP8642) to obtain late NPCs, with NB media change every other day, and treated with BC1464, BC1465, DMSO vehicle (MilliporeSigma, D2660), or NB media for 1 week. Cells were stained with propidium iodide for analysis of nuclear morphology, and images were acquired with a 40× oil objective (1.30 NA) on an Olympus IX71 microscope using Olympus CellSens V1.17 with a DP80 camera. Primary cortical neurons were transfected with IRES-GFP (gift from Dennis Selkoe, Harvard University, Cambridge, Massachusetts, USA) at 7 days in vitro (DIV7), allowed to mature to DIV14, and then treated with 5 μg/mL of BC1464 or BC1465 four hours before addition of MPP+. After 24 hours, cultures were analyzed for propidium iodide exclusion or processed for morphological analysis as described below. If not otherwise specified, all chemicals were obtained from MilliporeSigma, and culture media was from Lonza. BC1464 and BC1465 are from ChemDIV Inc.
Molecular docking studies and compound screening. The docking experiments were performed using software from Discovery Studio 3.5. A library containing 3 million compounds was first used to screen potential ligands for Fbxo7 FP domain. FP domain structural analysis revealed a major drug-binding cavity. The binding cavity was adopted into the LibDock algorithm to screen for the optimum inhibitor. Based on the docking and best-fit analysis of suitable ligands, BC-1464 was selected and tested as the hit compound.
Mass spectrometry. GFP IP products from HEK293 cells expressing either EGFPc-1 or WT-PINK1-GFP, isolated using the μMACS Epitope Tag Protein Isolation Kit (Miltenyi Biotec), were electrophoresed into a stacking gel. Resulting gel bands were excised, destained in 100 mM ammonium bicarbonate, reduced in 5 mM DTT, and alkylated in 15 mM iodoacetamide as previously described (64). Gel spots were washed in 50% acetonitrile/100 mM AMBIC and incubated overnight in 0.05 μg/μL trypsin in 100 mM AMBIC at a 1:100 enzyme to protein ratio. Digested peptides were extracted in 60% acetonitrile/0.1% trifluoroacetic acid before being lyophilized and resuspended in 5% formic acid. An EASY-nLC II liquid chromatography system was used to separate peptides. High-resolution peptide precursor measurements were made in the Orbitrap (R = 60,000 at 400 m/z), and low-resolution peptide fragment ion spectra were collected by collision-induced dissociation in the dual-linear ion trap of an Orbitrap Elite Mass Spectrometer. Data were searched using SEQUEST against a UniProt-derived human protein database (downloaded 01/17/2011; https://www.uniprot.org/) that contained 67,173 TrEMBL and Swiss-Prot human protein entries further amended with an entry for GFP. Foldchange (log 2 ) ratios were calculated following addition of 0.5 to summed peptide spectral matches (PSMs) for corresponding protein identifications to enable comparative analyses of "presence-absence" scenarios.
Mutants. All Fbxo7 mutant constructs were generated by site-directed mutagenesis using the site-directed mutagenesis kit (Agilent).
Flow cytometry. Transfected cells were incubated with MitoTracker Red (50 nM) for 15 minutes following the protocols of the manufacturer (Invitrogen). Cells were washed with medium 4 times before harvesting with trypsin digestion. Cell suspensions were then analyzed with an AccuriC6 system with De Novo software. MitoTracker staining was measured by flow cytometry FL1 (FITC; excitation wavelength, 488 nm; emission wavelength, 530 nm) and FL3 (MitoTracker Red; excitation wavelength, 488 nm; emission wavelength, 610 nm) with unstained cells serving as negative controls. The enclosed areas represent the percentage of defective mitochondria.
Immunoblotting and IP. Whole cell extracts (normalized to total protein concentration) were subjected to SDS-PAGE, electrotransferred to membranes, and immunoblotted. For IP, 1 mg of cell lysates (in PBS with 0.5% Triton X-100 plus protease inhibitors) were incubated with 2 μg of V5 mouse antibodies for 3-4 hours at 4°C, followed by addition of 30 μL of protein A/G-agarose for an additional 1 hour at 4°C. The precipitated complex was washed 3 times with 0.5% Triton X-100 in PBS and analyzed by immunoblotting with an enhanced ECL system. Duolink PLA. PLA was conducted using Duolink technology, according to manufacturer's protocol (MilliporeSigma). Briefly, SH-SY5Y cells stably expressing PINK1-FLAG were seeded to 96-well glass bottom plate (Cellvis) and treated with a titration of BC1464 for 18 hours before fixation with 4% paraformaldehyde for 1 hour. Cells were permeabilized with 0.5% Triton-X-100 for 0.5 hours and blocked with Duolink Blocking solution at 37°C for 2 hours. Anti-Fbxo7 (Proteintech, 10696-1-AP) and anti-FLAG (M2) (MilliporeSigma, F1804) antibodies were incubated with cells overnight. PLA probe incubation (secondary antibody), ligation, and amplification were conducted according to manufacturer's protocol. Cells were counterstained with Hoescht 33342 (Invitrogen). Fluorescence was measured and processed with Cytation5 high content imager (BioTek), and the PLA signal per cell was calculated using CellProfiler (65). Representative confocal images were taken using a Leica SP8 confocal microscope.
PA103 infection. PA103 inoculums were freshly prepared before experiments using frozen stocks of P. aeruginosa (ATCC strain 29213, frozen at mid-log phase; OD625 = 0.8). P. aeruginosa was maintained in tryptic soy broth minimal agar. Cultures were plated and grown overnight from frozen stock. Overnight plate cultures were then inoculated in tryptic soy broth and grown by rotary shaking at 37°C to log phase. Cells were then infected with P. aeruginosa at multiplicity of infection (MOI) of 10, 50, or 100 for 1, 2, or 16 hours.
Co-IP. A total of 500 μg of total protein from cell lysates was precleared with 20 μL of protein A/G beads for 1 hour at 4°C. A total of 2 μg of primary antibody was added to TnT synthesized PINK1 for 18-hour incubation at 4°C. A total of 20 μL of protein A/G beads was added for an additional 6 hours of incubation. Beads were slowly centrifuged at 500 g for 2 minutes and washed 5 times using 50 mM HEPES, 150 mM NaCl, 0.5 mM EGTA, 50 mM NaF, 10 mM Na 3 VO 4 , 1 mM phenylmethylsulfonyl fluoride, 20 μM leupeptin, and 1% (v/v) Triton X-100 (radio-IP assay) buffer, as described (66). The beads were heated at 100°C for 5 minutes with 80 μL of protein sample buffer before SDS-PAGE and immunoblotting.
Microscopy and immunostaining. Microscopy work was performed using a Nikon A1 confocal microscope with a 60× oil objective. The microscope was equipped with Ti Perfect Focus system and Tokai Hit live cell chamber providing a humidified atmosphere at 37°C with 5% CO 2 . Nucleofected cells (2 × 10 5 ) were plated at 70% confluence on 35 mm MatTek glass-bottom culture dishes, treated with or without CCCP, and labeled with either MitoTracker Red (50 nM) or JC1 (2 μM) for an additional 20 minutes. Image analysis was performed by Nikon NIS-element and ImageJ (NIH) software. Pseudocolor green was used for optimal resolution of mitochondria MitoTracker image display. Primary neurons were fixed in 2% paraformaldehyde at room temperature for 20 minutes, washed 3× in PBS, permeabilized with 0.5% triton-X 100 for 10 minutes, and washed 4×. After 1 hour, in SuperBlock and washing 3× in PBS with 0.1% Tween-20, neurons were incubated with rabbit anti-GFP (Invitrogen, A6455) at 1:1000 for 1 hour, washed 4×, and incubated with Alexa 488-conjugated secondary antibody (Invitrogen, A-11008) at 1:500 for 1 hour. Morphological injury was assessed by Sholl and AUC analysis.
Animal studies. Male C57LB/6 mice (purchased from the Jackson Laboratory) were acclimated at the University of Pittsburgh Animal Care Facility and maintained according to all federal and institutional animal care guidelines and under a University of Pittsburgh IACUC-approved protocol. Mice were deeply anesthetized with ketamine (80-100 mg/kg of body weight, i.p.) and xylazine (10 mg/kg, i.p.); then, the larynx was well visualized under a fiber optic light source before endotracheal intubation with a 24-gauge plastic catheter. Replication-deficient lentivirus (Lenti) alone or Lenti-Fbxo7, Lenti-shRNA control, or Lenti-shRNA Fbxo7 (1 × 10 8 plaque-forming units in 50 μL of PBS) was instilled i.t. on day 1, after which animals were allowed to recover for 7 days before bacterial infection (67). For the drug treatment studies, compound solutions were prepared in corn oil with brief sonication (final concentration, 1.5mg/mL), with 100 μL injected i.p. following bacterial infection. Mice were euthanized 18 hours after bacterial infection. The BAL fluids were analyzed by immunoblotting, cell count, and cytokine ELISA with H&E staining of lung tissue.
Human lung explants. Donor human lungs not accepted for transplant were obtained through the University of Pittsburgh Committee for Oversight of Research and Clinical Training Involving Decedents (CORID). Donor medical records were deidentified, and IRB approval is not required to access these tissues. Organs were considered appropriate for study if there was no evidence of parenchymal lung disease, gas exchange was within normal limits before harvest, and organs could be processed with less than 6 hours cold ischemic time. Localized lesions (e.g., solitary nodules) were avoided during tissue selection. Single lung segments were dissected and warmed in a weighted plastic bag in a 37°C water bath for 30 minutes. A 2% low melting point agarose in PBS (Invitrogen Ultrapure) is also maintained at 37°C. The lung segments were filled with agarose by instillation into airways via syringe with 18-gauge cannula and inspected for appropriate expansion, followed by airway clamping. Tissue was placed in a bag and submerged in ice for 30 minutes or until the agarose had set. Tissue was cut to block size (2 cm × 1 cm × 1 cm) and sliced in ice cold saline with a vibratome (Leica VT 1200) at slice thickness of 300 μm. Uniform slices were sectioned into 1 cm × 1 cm sections and cultured in RPMI containing penicillin-streptomycin and Amphotericin B (Thermo Fisher Scientific) without serum in 12-well dishes at 37°C in a tissue incubator with 5% CO 2 . Medium was changed after 2 hours, and experiments were performed in 1 mL media after overnight incubation. Slices were treated with the indicated concentrations of test compounds and simultaneously exposed to 50 ng/mL LPS for 4 hours before homogenization and resuspension in lysis buffer.
Statistics. Statistical analysis was performed with 1-way ANOVA followed by post hoc Dunnett's or Bonferroni-corrected 2-tailed t tests. F-test was used to compare variances. P < 0.05 were considered significant.
Study approval. Procedures for the derivation of primary neuron cultures were approved by the University of Pittsburgh IACUC. Mice were maintained according to all federal and institutional animal care guidelines under a protocol approved by the University of Pittsburgh IACUC. Donor human lungs not accepted for transplant were obtained through the University of Pittsburgh CORID. Donor medical records were deidentified, and IRB approval is not required to access postmortem tissues.

Author contributions
YL conducted experiments, analyzed data and wrote the manuscript. TBL, MV, KZQW, PAO, ACM, SRD, ES, NWB, YJ, NMW, and MR conducted experiments and analyzed data. CW directed the mass spectrometry work. CTC, BBC, and RKM directed the overall study, designed experiments, and wrote the manuscript.