We thank the Northwestern University Mouse Histology and Phenotyping Laboratoryfor technical support and assistance, and Noboru Mizushima (University of Tokyo) for providing GFP-LC3 transgenic mice. A. R. and C. H. were supported by the startup funds from Northwestern University and the grant from National Institutes of Health (DK094980).

All procedures involving animals were performed according to guidelines approved by the Northwestern University Institutional Animal Care and Use Committee (IACUC).
1. Mouse Models
<ol>
	<li>Use 8-12 week-old mice in the exercise training. To detect exercised-induced autophagy in vivo, use the GFP-LC3 transgenic mice (C57BL/6 background) for imaging studies and C57BL/6 mice for biochemical analyses.</li>
</ol>
2. Exercise-induced Autophagy
<ol>
	<li>Treadmill setup - forced exercise
	<ol>
		<li>Acclimate and train the mice on a 10&#176; uphill open treadmill for 2 days. On day 1, exercise the mice for 5 min at 8 m/min, and on day 2, exercise the mice for 5 min at 8 m/min followed by another 5 min at 10 m/min10. Encourage the mice to run by gentle hand nudge.</li>
		<li>On the 3rd day, let the mice undergo a single bout of running for 90 min on the 10&#176; uphill treadmill, starting at the speed of 10 m/min. After 40 min, increase the treadmill speed at a rate of 1 m/min every 10 min for a total of 30 min, and then increase the speed at the rate of 1 m/min every 5 min until it reaches 17 m/min, for a total of 90 min of exercise time and 1,070 meters of running distance.</li>
		<li>Set the electric stimulus at a low intensity range (1.2 Hz), and encourage the mice to run to avoid repeated foot shock.</li>
		<li>For tissue collection, euthanize the mice by isoflurane inhalation, followed by cervical dislocation immediately after exercise.&#160;Other approved euthanasia methods can also be used, such as CO2 or I.P. injection of other anesthetics. The level of autophagy does not seem to be affected by methods of euthanasia.</li>
	</ol>
	</li>
	<li>Running wheel setup - voluntary exercise
	<ol>
		<li>Place a mouse-running wheel (11.4 cm diameter) inside a cage with a single-housed mouse.</li>
		<li>Verify the running capacity using a bike odometer. Set up the wheel parameter [distance (in mm) per full rotation of the wheel] at 358 (11.4*&#960;). Measure the running distance after 24 hr.</li>
		<li>Let the mouse run voluntarily for 2 weeks with the running wheel. For tissue collection, sacrifice the mouse in the morning after the running period.</li>
	</ol>
	</li>
</ol>
3. Autophagy Flux Evaluation
<ol>
	<li>To measure the autophagic flux under resting and exercise conditions, treat mice with the autophagy inhibitor chloroquine for three days and compare them to mice treated with PBS.
	<ol>
		<li>Dissolve chloroquine in PBS (5 mg/ml), and inject chloroquine into mice intraperitoneally at the dose of 50 mg/kg/day for three consecutive days. Sacrifice mice and collect tissues 3 hr after the last injection.</li>
		<li>For exercised mice, pretreat them with chloroquine for two consecutive days at the dose of 50 mg/kg/day. On the third day, inject the mice with the same concentration of chloroquine, and after 90 min let them run on the treadmill for another 90 min.</li>
		<li>Euthanize the mice by isoflurane inhalation, followed by cervical dislocation. Collect tissues immediately after running, so that the total incubation time of chloroquine is the same as control (resting) mice (3 hr). 
		NOTE: Alternatively, use a single injection of chloroquine to determine the autophagy flux in mouse tissues.</li>
	</ol>
	</li>
</ol>
4. Tissue Harvest and Fixation
<ol>
	<li>Prior to tissue harvest prepare phosphate buffered saline (PBS) and fresh 4% paraformaldehyde (PFA, caution: personal protection equipment required) in PBS at a final pH of 7.4. Store both solutions at 4 &#176;C.</li>
	<li>Fill 30 ml syringe with 15 - 20 ml of 4% PFA (for GFP-LC3 mice). Connect the syringe with a 20 G catheter needle.</li>
	<li>After the exercise, euthanize the mice by isoflurane inhalation, followed by cervical dislocation.</li>
	<li>Place the animal on a clean work surface on its back. Cut and open the thoracic cavity by cutting the diaphragm to expose the heart.</li>
	<li>Make a small incision on the liver to let the blood come out, and inject a total of 15 ml 4% PFA slowly into the right ventricle of the heart via the catheter, until the lung and liver turn completely pale. Perfuse the mouse immediately after the exercise session, using a syringe pump with a constant flow rate of 90 ml/hr.</li>
	<li>After perfusion, remove the needle and collect tissues of interest (e.g. brain11 and skeletal muscle). For skeletal muscle, dissect the vastus lateralis. Briefly, pull the skin of the leg backwards to expose the muscles, localize the quadriceps femoris12, and dissect out vastus lateralis, which is the external muscle attached to the upper portion of the femoral bone.</li>
	<li>For further fixation and dehydration, place the tissues of GFP-LC3 mice in 4% PFA for 24 hr at 4 &#176;C, and then transfer them to 15% sucrose-PBS at 4 &#176;C overnight or until the tissues have settled, and then to 30% sucrose-PBS at 4 &#176;C overnight or for longer storage. Keep the samples in the dark as much as possible as they may be sensitive to strong light.</li>
	<li>For western blot analysis snap freeze the tissues from C57BL/6 mice directly in liquid nitrogen, and store them at -80 &#176;C.</li>
</ol>
5. Imaging Analysis of GFP-LC3 Puncta
<ol>
	<li>Tissue process
	<ol>
		<li>Pre-treat the tissues (previously fixed in PFA and stored in 30% sucrose) in embedding medium such as &#34;Optimal Cutting Temperature compound&#34; (OCT) for a few min in a labeled small petri dish.</li>
		<li>Transfer the tissue in a labeled cryomold containing enough fresh OCT to cover the tissue. Orient the sectioning surface toward the bottom of the cryomold (cross section for the vastus lateralis muscle and sagittal section for the hemi-brain). Avoid formation of bubbles.</li>
		<li>Freeze the samples by placing the cryomold for a few min in a covered foam cooler filled with dry ice, until the OCT turns white. Wrap individual samples in labeled foils, seal them in a plastic bag, and store them at -80 &#176;C overnight or longer.</li>
		<li>Use a cryostat to cut sample sections at a thickness of 10 &#181;m, and mount the sections on the slides. Store the slides at -20 &#176;C, and always keep the slides away from light whenever possible.</li>
	</ol>
	</li>
	<li>Slide preparation
	<ol>
		<li>Remove slides from the freezer and thaw them at room temperature. Cover the tissue section with a drop of mounting media with DAPI. Place a coverslip of appropriate size on top and avoid bubble formation.</li>
		<li>Use nail polish to seal the edges of the coverslip, allow nail polish to dry in the dark at room temperature, and then store the slides in a light-tight container at 4 &#176;C, or proceed with imaging capture of GFP-LC3 puncta.</li>
	</ol>
	</li>
	<li>Quantification of GFP - LC3 puncta by fluorescence microscopy
	<ol>
		<li>Perform epifluorescence microscopy, capturing pictures in the same condition (exposure and settings) for all the samples. For GFP, use an emission wavelength of 525 nm; for DAPI, use 490 nm. Acquire at least ten images per sample using a 60X objective for vastus lateralis and the frontal cortex region of the brain.</li>
		<li>Quantify the number of GFP-LC3 puncta in a tissue area of 2,500 &#181;m2 in each image for statistical analysis, blinded for experimental groups. Calculate the average number from 10 images of each sample, using the automatic measurement function of &#34;Object Count&#34;. Settings for the vastus lateralis muscle are: Threshold L = 10, H = 200; 2X smooth; 1X clean, and settings for the brain frontal cortex are: Threshold L = 11, H = 200; 2X smooth; 1X clean.</li>
	</ol>
	</li>
</ol>
6. Western Blot Analysis on Autophagy Markers
<ol>
	<li>Tissue process
	<ol>
		<li>Prepare the lysis buffer: 50 mM Tris-HCl; 150 mM NaCl; 1 mM EDTA; 1% Triton X-100; protease inhibitor and phosphatase inhibitor (freshly added).</li>
		<li>Remove the tissue of C57BL/6 mice from -80 &#176;C storage. Cut the muscle tissue into small pieces with a razor blade prior to the following process. Add 800 &#181;l (for hemi-brain) or 500 &#181;l (for vastus lateralis) of cold lysis buffer to the sample. Homogenize the sample at 4 &#176;C with a homogenizer at a medium speed.</li>
		<li>Fully lyse the homogenized mixture for another 30 min to 1 hr at 4 &#176;C with rotation.</li>
		<li>Spin down the homogenate at 12,000 x g for 10 min at 4 &#176;C, discard the pellet, and collect the supernatant in a new tube.</li>
	</ol>
	</li>
	<li>Autophagy analysis
	<ol>
		<li>Determine the protein concentration of tissue lysates using the BCA Protein assay kit according to the manufacturer&#39;s specifications. Normalize each sample to the same concentration.</li>
		<li>Combine the sample with the 2x Laemmli sample buffer at a 1:1 ratio, boil it at 95 &#176;C for 5 - 10 min, and proceed with western blot analysis on autophagy markers13,14, such as p62 (anti-p62 antibody, 1:500 dilution) and LC3 (anti-LC3 antibody, 1:500 dilution). Boil the samples immediately after addition of the sample buffer, as longer incubation on ice may generate multiple degraded bands of LC3.</li>
		<li>Quantify p62 and LC3 bands by densitometry analysis using ImageJ, and normalize the value to the corresponding actin band.</li>
	</ol>
	</li>
</ol>

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The authors declare that they have no competing financial interests.

Autophagy is a catabolic process that provides energy and reduces cytotoxicity by lysosomal degradation of cytoplasm components or damaged organelles. Studying autophagy is important to understand the regulation of cellular homeostasis and the mechanisms of stress response. New models and methodologies are emerging in the research field15, to study how impaired autophagy contributes to numerous pathological processes16,17.
<p class="jo...

Autophagy is an evolutionarily conserved degradation pathway, which is induced in response to various stress conditions such as starvation and hypoxia1,2. During autophagy, double-membrane vesicles, called autophagosomes, incorporate unnecessary or damaged subcellular components and transport them into lysosomes for degradation3. Basal autophagy is essential for cellular function and organism development, and impaired basal autophagy is implicated in many disorders, including neurodegeneration, tumorigenesis and type 2 diabetes4,5,6.
The best-known physiological autophagy inducer is starvation. However, it has two major limitations. First, starvation takes a long period to effectively induce autophagy in animals, e.g., 48 hr of food restriction in mice in most organs. Second, starvation barely induces brain autophagy, due to a relatively stable nutrient supply in the brain. In fact, it is also difficult to detect autophagy induction by small-molecule inducers, as many drugs cannot pass the blood brain barrier. Thus, to better analyze the function of autophagy activation in disease pathogenesis, we recently discovered that exercise is a more potent physiological method to induce autophagy in a short period of time7,8,9. Compared with starvation, autophagy is effectively induced by treadmill running as fast as 30 min. Thus, exercise is a convenient and potent physiological approach to study the mechanism of autophagy in mediating health benefits and preventing diseases.
There are several protein markers for the detection of autophagy activity, including LC3 and p62. LC3 (microtubule-associated protein 1A/1B-light chain 3) is a cytosolic protein (LC3-I form) that is conjugated to PE (phosphatidylethanolamine) upon autophagy induction. PE-lipidated LC3 (LC3-II form) is recruited onto autophagosomal membranes and can be used to visualize autophagosomes when labeled with GFP. Its translocation from the cytosol to punctate structures of autophagosomes under microscopy is an indication of autophagy induction. p62 is a cargo receptor for autophagy substrates (such as ubiquitination proteins), and is incorporated into autophagosomes as well. Since the protein is degraded in lysosomes along with autophagosomes, its levels can be used to measure the autophagy flux. Here we show how to use these markers to quantify autophagy in different mouse tissues induced by aerobic exercise, including forced exercise (treadmill) and voluntary exercise (running wheels). The same procedures can also be applied to in vivo measurement of autophagy after treatment of other inducers.

<table><tbody><tr><td>Treadmill</td><td>Columbus Instruments</td><td>150-RM Exer 3/6</td><td></td></tr><tr><td>Mouse running wheel</td><td>Super Pet</td><td>100079365</td><td>diameter 11.4 cm</td></tr><tr><td>Odometer</td><td>Bell</td><td>DASHBOARD 100</td><td></td></tr><tr><td>Syringe pump</td><td>KD Scientific</td><td>KDS100</td><td></td></tr><tr><td>Fluorescence microscope</td><td>Nikon</td><td>Model: inverted microscope ECLIPSE</td><td></td></tr><tr><td>Cryostat</td><td>Leica</td><td>CM 1850UV</td><td></td></tr><tr><td>Homogenizer</td><td>IKA</td><td>003737001 / Model: T10 Basic S1</td><td></td></tr><tr><td>Chloroquine</td><td>CAYMAN CHEMICAL COMPANY</td><td>14194</td><td></td></tr><tr><td>Parafolmaldehye</td><td>SIGMA-ALDRICH</td><td>P6148</td><td>Personal protection equipment required. This product may release formaldehyde gas, a chemical known to cause cancer.</td></tr><tr><td>Mounting media</td><td>Vector Laboratories</td><td>H-1200</td><td></td></tr><tr><td>p62 antibody</td><td>BD Biosciences</td><td>610833</td><td></td></tr><tr><td>LC3 antibody</td><td>Novus Biologicals</td><td>NB100-2220</td><td></td></tr><tr><td>2x Laemmli Sample Buffer</td><td>Bio-Rad Laboratories</td><td>161-0737</td><td></td></tr><tr><td>ImageJ</td><td>NIH</td><td></td><td></td></tr></tbody></table>

activating autophagy by aerobic exercise in mice

Autophagy is a lysosomal degradation pathway essential for cell homeostasis, function and differentiation. Under stress conditions, autophagy is induced and targets various cargos, such as bulk cytosol, damaged organelles and misfolded proteins, for degradation in lysosomes. Resulting nutrient molecules are recycled back to the cytosol for new protein synthesis and ATP production. Upregulation of autophagy has beneficial effects against the pathogenesis of many diseases, and pharmacological and physiological strategies to activate autophagy have been reported. Aerobic exercise is recently identified as an efficient autophagy inducer in multiple organs in mice, including muscle, liver, heart and brain. Here we show procedures to induce autophagy in vivo by either forced treadmill exercise or voluntary wheel running. We also demonstrate microscopic and biochemical methods to quantitatively analyze autophagy levels in mouse tissues, using the marker proteins LC3 and p62 that are transported to and degraded in lysosomes along with autophagosomes.

This protocol describes two different methods to induce autophagy in mouse tissues by aerobic exercise: a total of 90 min of forced exercise on a multi-lane treadmill proceeded by two days of acclimation; or two weeks of voluntary exercise on a running wheel used by single-housed mice. In each exercise protocol, we can measure the autophagy flux by fluorescence microscopy and western blot analysis in various organs.
We used a tr...

Watch this Scientific Journal Video about Activating Autophagy by Aerobic Exercise in Mice at JoVE.com

Activating Autophagy by Aerobic Exercise in Mice

Autophagy activation is beneficial in the prevention of a number of diseases. One of the physiological approaches to induce autophagy in vivo is physical exercise. Here we show how to activate autophagy by aerobic exercise and measure autophagy levels in mice.

Autophagy is a lysosomal degradation pathway essential for cell homeostasis, function and differentiation. Under stress conditions, autophagy is induced ...

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