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Reply to the reviewers
General Response to Review
We would like to thank all three reviewers for their encouraging comments on our manuscript. We now submit our revised study after considerable efforts to address each of the reviewer concerns. I will first provide a response related to a major change we have made in the revision that addressed a concern common to all three reviewers, followed by a point-by-point response to individual comments.
Replacing LRRK2ARM data with a LRRK2 specific type II kinase inhibitor: The most critical issue for all 3 reviewers was the use of our new CRISPR-generated truncation mutant of LRRK2 that we called LRRK2ARM. We had not provided direct evidence of the protein product of this truncation, which was a significant limitation. To address this we performed proteomics analysis of all clones, and to our surprise, we identified 7 peptides that were C-terminal to our "predicted" stop codon we had engineered into the CRISPR design. A repeat of the deep sequencing analysis in both directions then more clearly revealed site specific mutations leading to 4 amino acid changes at the junction of exon 19, without introducing a stop codon. Given that we could not detect the protein by western blot (even though proteomics now indicated the region of LRRK2 recognized by our antibodies was present) we decided to remove this clone from the manuscript. In the meantime we had compared the ineffectiveness of MLi-2 to block Rab8 phosphorylation during iron overload in the LRRK2G2019S cells with a type II kinase inhibitor called rebastinib. The data showed very clearly that treatment with rebastinib reversed the iron-induced phospho-Rab8 at the plasma membrane (and by western blot, in new Fig 3). Since this inhibitor is very broad spectrum inhibiting ~30% of the kinome we reached out to Sam Reck-Peterson and Andres Leschziner, experts in LRRK2 structure/function, who recently developed a much more selective LRRK2-specific type II kinase inhibitor they called RN341 and RN277 (developed with Stefan Knapp PMID: 40465731). These compounds effectively coupled the MLi-2 compound through an indole ring to a rebastinib type II compound to provide LRRK2 binding specificity to the efficient DYG "out" type II inhibitor. As with rebastinib, the new LRRK-specific kinase inhibitors also effectively reversed the cell surface p-Rab8 seen in LRRK2G2019S, iron loaded cells. These new data provide the first biological paradigm where the kinase activity of LRRK2 is resistant to type I MLi-2, yet remains highly sensitive to type II inhibitors. While the loss of our LRRK2ARM clone marks a significant change in the manuscript we believe the main message is stronger with the addition of the new LRRK2 specific type II kinase inhibitor. Our data show that it is indeed the active kinase function of LRRK2G2019S that is impacting the iron phenotypes we observe but highlight the conformational specificity upon iron overload such that MLi-2 is ineffective. The overall phenotypes we observe in LRRK2G2019S macrophages remain unchanged and are now expanded within the manuscript. We hope reviewers will agree that our work provides important new insights into LRRK2 function in iron homeostasis while opening new avenues of research in future studies.
Given this new information we have changed the title from "LRRK2G2019S acts as a dominant interfering mutant in the context of iron overload" to the more accurate "LRRK2G2019S interferes with NCOA4 trafficking in response to iron overload leading to oxidative stress and ferroptotic cell death."
Response to Reviewer 1
Reviewer 1 (R1): There are two major concerns with the data in their present form. In brief, first, the G2019S cells express much less LRRK2 and more Rab8 that the WT cells and this severely affects interpretability.
Heidi McBride (HM): We agree that the LRRK2G2019S lines express lower levels of LRRK2 than wild type, which is a previously documented phenomenon, presumably as the cell attempts to downregulate the increased kinase activity by reducing protein expression. However, the levels of Rab8 across 10s of experiments do not consistently show any differences between the wild type, G2019S and KO. We have provided more comprehensive quantifications of the blots in the revised version, and the Rab8 levels are consistent across all the blots presented in the manuscript (Figure 1A and 1B).
R1: Second, the investigators used CRISPR to truncate the endogenous LRRK2 locus to produce a hypothetical truncated LRRK2-ARM polypeptide. This appears to have robust effects on NCOA4, in particular, which drives the overall interpretation of the data. However, the expression of this novel LRRK2 species is not confirmed nor compared to WT or G2019S in these cells (although admittedly the investigators did seek to address this with subsequent KO in the ARM cells). It would be premature to account for the changes reported without evidence of protein expression. This latter issue may be more easily addressed and could provide very strong support for a novel function/finding, see more detailed comments below, most seeking clarifications beyond the above.
HM: As described in my common response above, we have removed the LRRK2ARM data from the manuscript.
R1: Need to make clear in the results whether the G2019S CRISPR mutant is heterozygous or homozygous (presumably homozygous, same for ARM)
HM: The RAW cell line we generated is homozygous for the G2019S and the KO alleles. We added this to the beginning of the results section and methods.
R1: The text of the results implies that MLi2 was used in both WT and G2019S Raw cells, but it's only shown for G2019S. Given the premise for the use of RAW cells, it's important to show that there is basal LRRK2 kinase activity in WT cells to go along with its high protein expression. This is particularly important as the G2019S blot suggests minor LRRK2-independent phosphorylation of Rab8a (and other detected pRabs). One would imagine that pRab8 levels in both WT and G2019S would reduce to the same base line or ratio of total Rab in the presence of MLi2, but WT untreated is similar to G2019S with MLi2. This suggests no basal LRRK2 activity in the Raw cells, but I don't think that is the case.
HM: We have included the data from MLi-2 treatment of wild type cells in Fig 3C quantified in D. Again, the baseline levels of Rab8 are unchanged across the genotypes. However, the reviewer is correct that there is some baseline LRRK2 kinase activity that is sensitive to MLi2 in wild type cells. This is seen most clearly on the autophosphorylation of LRRK2 at S1292 in Fig 3C. The pRab8 blots is not as clear in wild type cells. It is likely that LRRK2 must be actively recruited to membranes (as seen by others with LLOME, etc) to easily visualize p-Rabs in wild type cells. Nevertheless, we do clearly see the activity of autophosphorylation in wild type cells. Therefore while we understand the reviewers point that there should be some Rab8 phosphorylation in wild type cells, we don't see a significant, or very convincing, amount of it in our RAW macrophages.
R1: Also, in terms of these cells, the levels of LRRK2 are surprisingly unmatched (Fig 1A, 1D, 1H, S1D, etc.) as are total levels of Rab8 (but in opposite directions) between the WT and G2019S. This is not mentioned in the Results text and is clearly reproducible and significant. Why do the investigators think this is? If Rab8 plays a role in iron, how do these differences affect the interpretation of the G2019S cells (especially given that MLi2 does not rescue)? Are other LRRK2-related Rabs affected at the protein (not phosphorylation level)? Could reduced levels of LRRK2 or increase Rab 8 alone or together account for some of these differences? Substantial further characterization is required as this seriously affects the interpretability of the data. Since pRab8 is not normalized to total Rab8, this G2019S model may not reflect a total increase in LRRK2 kinase activity, and could in fact have both less LRRK2 protein and less cellular kinase activity than WT (in this case).
HM: In our hands, the RAW cells with homozygous LRRK2G2019S mutations show clearly that the total protein levels of LRRK2 is reduced compared to wild type, which is likely a compensatory effect to reduce cellular kinase activity overall. We understand that some of our previous blots were not so clear on the total Rab8 levels across the different experiments. We have repeated many of these experiments and hope the reviewer can see in Figs 1A, 3C, 3E, 3J, and Sup3A that the total Rab8 levels are stable across the conditions. We also present quantifications from 3 independent experiments normalizing the pRab8/Rab8 levels in all three genotypes in untreated and iron-loaded conditions (Supp Fig 3A and B), and upon MLi2 treatment (Fig 3C). In 3C and D the data show the effectiveness of MLi-2 to reduce pRab8 in control conditions, but the resistance to MLi-2 in FAS treated cells.
R1: Presumably, the blots in 1H are whole cell lysates and account for the pooled soluble and insoluble NCOA4 (increased in G2019S), as there is no difference in soluble NCOA4 (Fig 2H). I suspect the prior difference is nicely reflected in the insoluble fraction (Fig 2H). This should be better explained in the Results text. This is a very interesting finding and I wonder what the investigators believe is driving this phenotype? Is the NCOA4 partitioning into a detergent-inaccessible compartment? Does this replicate with other detergents, those perhaps better at solubilizing lipid rafts? Is this a phenotype reversible with MLi2? Very interesting data.
HM: We apologize for not being clearer in the text describing the behavior of NCOA4. The reviewer is correct that the major change in G2019S is the increased triton-X100 insoluble NCOA4. Previous work has established that NCOA4 segregates into detergent-insoluble foci upon iron overload as a way to release it from ferritin cages, and this fraction is then internalized into lysosomes through a microautophagy pathway (see Mizushima's work PMID: 36066504). In Fig 1I we show that the elevation in NCOA4 and ferritin heavy chain seen in untreated G2019S cells can be cleared upon iron chelation with DFO, indicating that the canonical NCOA4 mediated ferritinophagy (macroautophagy) pathway remains intact to recycle the iron in conditions of iron starvation. However in Figure 2 we show that conditions of iron overload, when NCOA4 segregates from ferritin (to allow cytosolic storage of iron), this form of NCOA4 cannot be degraded within the lysosome through the microautophagy pathway, and begins to accumulate. We see this with our live and fixed imaging compared to wild type cells (Fig 2A,D), and by the lack of clearance seen by western blot (Fig 2E). As for the impact of MLi-2, we observe some reversal of NCOA4 accumulation in untreated cells at 4 and 8 hrs after MLi-2 treatment (Supp Fig 2F). However, in iron loaded conditions the high NCOA4 levels in G2019S cells are MLi2 insensitive, while the elevated NCOA4 in wild type cells is reduced upon MLi2 addition (Fig. 2F, compare lates 3vs4 in wt with lanes 7vs8 in G2019S). This is consistent with a block in the microautophagy pathway of phase-separated NCOA4 degradation in G2019S cells.
R1: Figure 2 describes the increased NCOA4-positive iron structures after iron load, but does not emphasize that the G2019S cells begin preloaded with more NCOA4. How do the investigators account for differential NCOA4 in this interpretation? Is this simply a reflection of more NCOA4 available in G2019S cells? This seems reasonable.
HM: The reviewer is correct, we showed that there is some turnover of NCOA4 in untreated conditions through canonical ferritinophagy, but in iron overload this appears to be blocked, the NCOA4 segregates from ferritin and remains within insoluble, phase-separated structures that cannot be degraded through microautophagy. We have written the text to be more clear on these points.
R1: These are very long exposures to iron, some as high as 48 hr which will then take into account novel transcriptomic and protein changes. Did the investigators evaluate cell death? Iron uptake would be trackable much quicker.
HM: We agree that many things will change after our FAS treatments and now provide a full proteomics dataset on wild type and G2019S cells with and without iron overload, which is presented in Figure 4A-B. Indeed Figure 4 is entirely new to this revised submission. The proteomics highlighted a series of cellular changes that reflect major cell stress responses including the upregulation of HMOX1 (western blots to validate in Supp Fig 4A), an NRF2 transcriptional target consistent with our observation that NRF2 is stabilized and translocated to the nucleus in G2019S iron loaded cells (Sup Fig 4B,C). There are several interesting changes, and we highlighted the three major nodes, which are changes in iron response proteins, lysosomal proteins - particularly a loss of catalytic enzymes like lysozymes and granzymes consistent with the loss of hydrolytic capacity we show in Fig. 4C,D. We also noted changes in cytoskeletal proteins we suspect is consistent with the "blebbing" of the plasma membrane we see decorated with pRab8 in Fig 3. To test the activation of lipid oxidation likely resulting from the elevation in Fe2+ and oxidation signatures we employed the C11-bodipy probe and observe strong signal specific to the G2019 iron-loaded cells, particularly labelling endocytic compartments and the cell surface (Fig. 4E-G).
Lastly, an analysis of SYTOX green uptake experiments was done to monitor the uptake of the dye into cells that have died of cell membrane rupture, commonly used to examine ferroptotic cell death. We now show the G2019S cells are very susceptible to this form of death (Fig 4H,I). These data add new functional evidence for the consequence of the G2019S mutation in an increased susceptibility to iron stress.
R1: The legend for 2F is awkward (BSADQRED)
HM: We have changed this to BSA-DQRed, which is a widely used probe to monitor the hydrolytic capacity of the lysosome.
R1: Why are WT cells not included in Fig 2G?
HM: We have now included new panels in Fig 3C,D showing wild type and G2019S +/- FAS and +/-ML-i2 with quantifications of pRab8/Rab8.
R1: The biochemical characterization of NCOA4 in the LRRK2-arm cells is a great experiment and strength of the paper. The field would benefit by a bit further interrogation, other detergents, etc.
HM: We have removed all of the LRRK2ARM data given our confusion over the impact of the 4 amino acid changes in exon 19 and our inability to monitor this protein by western blot. The concept that NCOA4 enters into TX100 insoluble, phase separated compartments has been well established, so we didn't explore other detergents at this point.
R1: Have the investigators looked for aberrant Rab trafficking to lysosomes in the LRRK2-arm cells? Is pRab8 mislocalized compared to WT? Other pRabs?
HM: We did initially show that pRab8 was also at the plasma membrane in the LRRK2ARM cells, and we still focus on this finding for the G2019S, seen in Fig 3A,B,F,H. We did try to look at other p-Rabs known to be targets of LRRK2 but none of them worked in immunofluorescence so we couldn't easily monitor specific traffic and/or localization changes for them.
R1: The expression levels and therefore stability of the ARM fragment is not shown. This is necessary for interpretation. While very intriguing, the data in Aim 3 rely on the assumption that the ARM fragment is expressed, and at comparable levels to G2019S to account for phenotypes. The generation of second clone is admirable, but the expression of the protein must be characterized. This is especially true because of the different LRRK2 levels between WT and G2019S. One could easily conceive of exogenous expression of a tagged-ARM fragment into LRRK2 KO cells, for example, as another proof-of-concept experiment. If it is truly dominant, does this effect require or benefit from some FL LRRK2? It seems easy enough to express the LRRK2-ARM in at least WT and KO RAW cells.
HM: We agree and our attempts to understand this clone resulted in its removal from the manuscript. We did also express cDNA encoding our ARM domain (up to exon 19), but it didn't phenocopy the CRISPR clone, which of course made sense once we had better proteomics and repeated our deep sequencing.
In our further efforts to understand why our phenotype was MLi-2 resistant upon iron overload we expanded to examine the impact of pan-specific TypeII kinase inhibitors, and then reached out to the Reck-Peterson and Leschziner labs to obtain a newly developed LRRK2 selective type II kinase inhibitor. These all very efficiently reversed the pRab8 signals seen at the plasma membrane of G2019S cells upon iron overload (Fig 3E-K). Therefore the G2019S is not dominant negative, as we had initially supposed, rather there is a specific conformation of LRRK2 in high iron that potentially opens the ATP binding pocket to bind the type II inhibitors, but not MLi2. We do not understand exactly what this conformation is but likely involves new protein interactions specific to high iron, or perhaps LRRK2 binds iron directly as a sensor somehow that ultimately leads to the differential sensitivity we observe between type I and type II kinase inhibitors. Our data indicate that MLi-2 treatment in clinic will not be protective against iron toxicity phenotypes that may contribute to PD, where these newer selective type II LRRK2 kinase inhibitors would be effective in this conformation-specific context of iron toxicity.
R1: Does iron overload induce Rab8a phosphorylation in a LRRK2 KO cell? This would be a solid extension on the ARM data and support the important finding that an additional kinase(s) can phosphorylate Rab8a under these conditions, and while not unexpected, this may not have been demonstrated by others as clearly. It also addresses whether the ARM domain is important to this other putative kinase(s), which may add value to the authors' model.
HM: Iron overload does not induce pRab8 in LRRK2 KO cells, as seen by immunofluorescence in Fig 3A,B, and western blot in Supp Fig 3 A,B. With our new type II kinase inhibitor data we can confirm that the plasma membrane localized Rab8 is indeed phosphorylated by LRRK2.
R1: Minor concern - the abstract but not the introduction emphasizes a hypothesis that loss of neuromelanin may promote cell loss in PD (through loss of iron chelation), while post mortem studies are by definition only correlative, early works suggested that the higher melanized DA neurons were preferentially lost when compared to poorly melanized neurons in PD. This speculation in the abstract is not necessary to the novel findings of the paper.
HM: We appreciate that the links to iron in PD are correlative, we have maintained some of our discussion on this point within the manuscript given the lack of attention the field has paid to the cell biology of iron homeostasis in PD models. If there is a cell autonomous nature to the loss of DA neurons in PD, iron is very likely to be a part of this specificity in our opinion. Most of the newer MRI studies looking at iron levels in patient brains are showing higher free iron and working on this as potential biomarkers of disease. The precise timing of this relative to the stability/loss of neuromelanin is, I agree, not really clear.
R1: (Significance (Required)): This study could shed light on a both novel and unexpected behavior of the LRRK2 protein, and open new insights into how pathogenic mutations may affect the cell. While studied in one cell line known for unusually high LRRK2 expression levels, data in this cell type have been broadly applicable elsewhere. Give the link to Parkinson's disease, Rab-dependent trafficking, and iron homeostasis, the findings could have import and relevance to a rather broad audience.
HM: We are so very appreciative that reviewer 1 feels our work will be of interest to the PD and cell biology communities.
Response to Reviewer 2
Reviewer 2 (R2): Major: Please confirm that the observed phenotype is conserved within bone marrow-derived macrophages of LRRK2 G2019S mice. These mice are widely available within the community and frozen bone marrow could be sent to the labs. The main reason for this experiment is that CRISPR macrophage cell lines do sometimes acquire weird phenotypes (at least in our lab they sometimes do!) and it would strengthen the validity of the observations.
HM: We did a series of experiments on primary BMDM derived from 3 pairs of wild type, LRRK2G2019S and LRRK2KO mice. We examined levels of ferritin heavy and light chains in steady state and withFAS treatment experiments. Unfortunately the data did not phenocopy the RAW macrophage lines we present here since FTL and FTH were mostly unchanged. We did observe an increase in NCOA4 levels, consistent with potential issues with microautophagy as observed in our RAW system.
While we understand the danger that our phenotypes are nonspecific and linked to a CRISPR-based anomaly, there are a number of arguments we would make that these data and pathways are potentially very important to our understanding of LRRK2 mutant phenotypes and pathology. The first point is that we now include a LRRK2-specific type II kinase inhibitor that reverses the iron-overload pRab8 accumulation at the plasma membrane in LRRK2G2019S cells, showing that this is at least directly linked to LRRK2 kinase activity, even though it is resistant to MLi2.
Second, Suzanne Pfeffer recently published their single cell RNAseq datasets from brains of untreated LRRK2G2019S mice (PMID: 39088390). She reported major changes in Ferritin heavy chain (it is lost) in very specific cell types of the brain, astrocytes, microglia and oligodendrocytes, with no changes in other cell types at all (her Fig 6 included left). This is consistent with a very context specific impact of LRRK2 on iron homeostasis that we don't yet understand.
Third, the labs of both Cookson, Mamais and Lavoie have been working on the impact of LRRK2 mutations on iron handling in a few different model systems, including iPSCs, and see changes in transferrin recycling and iron accumulation. Those studies did not go into much detail on ferritin, NCOA4 and other readouts of iron homeostasis but are roughly in agreement with our work here. In the last biorxiv study submitted after we sent this work for review they concluded their phenotypes were reversed by MLi2 treatment, however they required 7 days of treatment for a ~20% restoration in iron levels. Given our work it would seem the impact of LRRK2G019S in high iron conditions is also very resistant to MLi2 treatment. In all these studies we do not yet know for sure whether iron overload in the brain may be a precursor to DA neuron cell death, which could be exacerbated in G2019S carriers. But we hope the reviewer will agree that our approach and findings will be useful for the field to expand on these concepts within different models of PD.
R2: Minor comments: Supplementary Fig 1: I don't think one should normalize all controls to 1 and then do a statistical test as obviously the standard deviation of control is 0.
HM: We agree with the reviewer that statistical testing is not appropriate when the WT control is fixed to a value of 1, as this necessarily eliminates variance in that group; accordingly, we have removed both statistical comparisons and standard deviation from the WT control while retaining variability measures for all experimental conditions. Raw densitometry values could not be pooled across independent experiments due to substantial inter-blot variability, and therefore normalization to the WT control was used solely to allow relative comparison within experiments, acknowledging the inherent quantitative limitations of Western blot densitometry. Ultimately the magnitude of the changes relative to the control lanes in each biological replicate was consistent across experiments, even if the absolute density of the bands between experiments was not always the same.
R2: The raw data needs to be submitted to PRIDE or similar.
HM: All of our data is being uploaded to the GEO databases, protocols to protocols.io and raw data deposited on Zenodo site in compliance with our ASAP funding requirements and the journals.
R2: Some of the western blots could be improved. If these are the best shown, I am a little concerned about the reproducibility. How often has they been done?
HM: We now ensure there is quantification of all the blots for at least 3 independent experiments and have worked to improve the quality of them throughout the revision period.
R2: (Significance (Required)): Considering the importance of LRRK2 biology in Parkinson's and the new biology shown, this paper will be of great interest to the community and wider research fields.
HM: We are so very grateful that the reviewer appreciates that the LRRK2 and PD community will find our work of interest. We hope our revisions will prove satisfactory even in the absence of ferritin changes in primary G2019S BMDM.
Response to Reviewer 3
Reviewer 3 (R3): What is missing in the study is the physiological relevance of these findings, mainly whether this effect actually results in higher cell death during iron overload. Since iron overload is known to result in ferroptosis, it is surprising that the authors have not checked whether the LRRK2 G2019S and ARM cells undergo more ferroptosis relative to LRRK2 WT cells.
HM: We thank the reviewer for pushing us to monitor the functional implications of the iron mishandling upon iron overload in the G2019S RAW cell system. We now add a completely new Figure 4 to get to these functional points. We employed two tools to look at established aspects of ferroptosis, first the C11-bodipy probe that labels oxidized lipids and we see significant signals specific to the G2019S iron loaded cells, where it labels endocytic membranes and the cell surface (Fig 4 E-G). This is consistent with the elevation of free iron 2+. We also used the SYTOX green death assay where the dye is internalized into cells when the cell surface is ruptured and show that G2019S cells die upon iron overload, but not the LRRK2KO or wild type cells (Fig 4 H,I). Lastly, we performed full proteomics analysis of the wt and G2019S RAW cells in iron overload conditions. These data provide a better view of the full stress response initiated in the G2019S cells, including the upregulation of HMOX1 (an NRF2 target gene), changes in lysosomal hydrolytic enzymes consistent with the reduction in BSA-DQRed signals, and in cytoskeleton, which is consistent with the plasma membrane blebbing phenotypes we see in G2019S (Fig. 4A-D and Supp. Fig 4 data). We hope these new data help to position the phenotype into a more physiological output.
R3: Moreover, their conclusion of the findings as "resistant to LRRK2 kinase inhibitors" is not convincing, since in most of the studies, they have removed the kinase domain, and this description implies the use of pharmacological kinase inhibition which has not been done in this paper.
HM: We took this comment to heart and, as explained in the general response we removed the LRRK2ARM clones from the study. To understand the kinase function in the iron overload conditions we first explored the pan-specific type II kinase inhibitor rebastinib, shown to inhibit LRRK2. In contrast to MLi2, this drug effectively blocked p-Rab8 in G2019S cells exposed to high iron. However, since it is not specific and likely inhibits about 30-40% of all kinases we reached out to the Reck-Peterson and Leschziner labs who have developed a LRRK2 specific type II kinase inhibitor (published in June 2025 PMID: 40465731). They provided these to us (along with a great deal of discussion) and the two drugs both blocked the effect of LRRK2G2019 on p-Rab8 at the plasma membrane. These data show that the phenotypes we observe are indeed linked to the increased kinase activity of LRRK2, even though they are fully resistant to MLi-2. It suggests that high iron results in some alteration in LRRK2 conformation that alters the ability of MLi2 to block the kinase activity, while still allowing the type II kinase inhibitors that bind deeper in the ATP-binding pocket, to functionally block activity. We believe that these new data remove a great deal of confusion we had in the initial submission to explain the MLi-2 resistance.
R3: There is lower LRRK2 expression in LRRK2 G2019S cells, have the authors checked Rab phosphorylation to validate the mutation?
HM: We agree that the G2019S mutation leads a reduction in total LRRK2 levels in the cell, which is likely a compensatory effect to lower kinase activity in the cell. We do show that the G2019S mutation has clear activation of phosphorylation on both Rab8 and at the autophosphorylation site S1292 of LRRK2, as seen in Fig 1A, quantified in Fig 1B. In untreated conditions, these phosphorylation events are reversible upon treatment with MLi-2. We also provide the sequencing data in the supplement to confirm the presence of the G2019S mutation in this clone, shown in Supp Fig. 1A.
R3: The authors should specify if their cells are heterozygous or homozygous since they are discussing a dominant interfering mutant.
HM: The G2019S and LRRK2 KO are both homozygous. We state this early in the results section and the methods.
R3: The transferrin phenotype validated through proteomics and western blot is solid. HM: We agree, thank you very much!
R3: Quantification in figure 1F-G is problematic, not clear what they mean by "diffuse and lysosomal". Puncta is either colocalising with lysosomes or not colocalising. This needs to be clarified and re-analysed.
HM: We apologize for the confusion. In control cells the Cherry tagged FTL is efficiently cycling through the lysosomes and we don't see a strong cytosolic (diffuse) pool, which likely reflects the relatively iron-poor culture conditions. However, in G2019S cells, there is a highly elevated amount of FTL, with a strong cytosolic/diffuse stain in steady state, with some flux into lysosomes. In this experiment we chelated iron to test whether this cytosolic pool of FTL was capable of clearing through the lysosomes (ferritinophagy). While there is a cytosolic (diffuse) pool that remains, the pool that fluxes into the lysosome increases in G2019S chelated cells. This is also seen by the reduction in total FTL seen by western blot (endogenous FTL). Our conclusion here is that the general ferritinophagy machinery remains functional in G2019S cells. We have changed the term "diffuse" to "cytosolic" and improved our description of this experiment in the text.
R3: Text in the first results part called "LRRK2G2019S RAW macrophages have altered iron homeostasis" is very long. It could be divided into more sections to improve readability. HM: We have improved the text to be more descriptive of the conclusions and added new sections
R3: If the effect is armadillo-dependent, where does LRRK2 G2019S is implicated since there is no kinase domain in these cells?
HM: Our new data employing the LRRK2-specific type II kinase inhibitors now confirm that the effects of the G2019S on iron overload are indeed kinase dependent, it's just insensitive to MLi2.
R3: The authors do not show any controls (PCR, sequencing) confirming knockout or truncation. HM: We did higher resolution proteomics and deep sequencing and learned that the "Arm" mutation was not a truncation but a series of 4 point mutations around exon 19. Therefore we removed all data referring to this clone and replaced it with the use of the type II kinase inhibitor experiments. We feel this removed a lot of confusion and provides much clearer conclusions on the role of the kinase activity in iron overload. We may continue to explore what the 4 amino acid mutations created such strong phenotypes, as it could reflect a critical conformational change that impacts the kinase activity. But that is for future work. We now include the sequencing files of the G2019 and KO as Supplementary Data Files 1 and 2.
R3: The data is interesting and the image quality with the insets is very high. HM: We thank the reviewer for their positive comments!
R3: Mutant not clearly described in text, did the authors remove just the kinase and ROC-COR domains or all the domains downstream of the Armadillo domain? This is not clear. HM: We have removed the clone from the manuscript.
R3: The authors cannot conclude that their phenotype is due to the independence of the kinase domain specifically as they are also interfering with the GTPase activity by removing the ROC-COR domains. HM: We agree and our new drugs allow us to confirm that the phenotypes are due to kinase activity, but there is a new conformation of LRRK2 induced in high iron that renders the kinase domain resistant to MLi-2 inhibition. We discuss this in the manuscript now.
R3: In Figure 3E, is the difference between the "ARM CTRL" and the "ARM FAS" conditions significant? A trend appears to be there, but the p-value is not shown. HM: these data are now removed.
R3: In figure 4A, it would have been important to check if Rab8 phosphorylation is also observed in LRRK2 KO cells after administration of FAS to further evaluate the mechanism through which this Rab8 phosphorylation is occurring.
HM: We show that the pRab8 is specific to the G2019S lines and not seen in LRRK2 KO (Fig 3A,B, Supp. Fig. 3A,B).
R3: The vinculin bands in figure 4A are misaligned with the rest of the bands.
HM: We now provide new blots for all of these experiments (in Fig 3) as we removed the LRRK2ARM data from the manuscript and the appropriate loading controls are all included.
R3: The authors do not have any controls to validate the pRab8 staining in IF. This is an important caveat and needs to be addressed. HM: We now include siRNA validation of Rab8 (vs Rab10) to confirm the specificity of the antibody to pRab8 in IF where it labels the plasma membrane in G2019S iron loaded cells.
R3: The authors should have checked if FAS administration in the LRRK2 G2019S and the ARM cells is leading to ferroptotic cell death (or cell death in general). This is key to validate the link between the altered iron homeostasis in LRRK2 G2019S cells and increased cytotoxicity observed during neurodegeneration.
HM: As mentioned above, we have added extensively to our new Fig 4 to include full proteomics analysis of the changes in iron loaded G2019S cells, we use C11-Bodipy probes to monitor lipid oxidation, and SYTOX green assays to monitor cell death through cell surface rupture (consistent with ferroptosis). We thank the reviewer for pushing us to do these experiments and provide further relevance to the potential for LRRK2 mutations to promote cell toxicity during neurodegeneration.
R3: Regarding the literature, the authors are missing some important papers that are preprinted and these studies need to be discussed. This includes a report with opposite findingshttps://www.biorxiv.org/content/10.1101/2025.09.26.678370v1.full and a report showing kinase independent cell death in macrophages https://www.biorxiv.org/content/10.1101/2023.09.27.559807v1.abstract
HM: We thank the reviewers for alerting us to the biorxiv papers, one of which was submitted after we sent our manuscript to review. We are excited to see the growing interest in the impact of LRRK2 function in iron homeostasis and hope our work will contribute to this. Upon reading the study from the LaVoie lab they do show some sensitivity of the iron loaded phenotype in G2019S cells, however they see a ~20% reduction in lysosomal iron after 7 days of MLi treatment in Astrocytes (their Fig 2L). To us, this is very likely an indication of a relatively high resistance to the drug. I'm sure if they tried these new Type II inhibitors the iron load would be much more rapidly reversed. The specificity of their phenotype to Rab8 is also very interesting considering the cell surface localization we see for pRab8 in our iron loaded system. Similar comments for the Guttierez study in macrophages. We have included the findings of these papers within the manuscript and thank the reviewer for pointing them out.


