Healthspan Maintenance and Prevention of Parkinson's-like Phenotypes with Hydroxytyrosol and Oleuropein Aglycone in C. elegans.

Numerous studies highlighted the beneficial effects of the Mediterranean diet (MD) in maintaining health, especially during ageing. Even neurodegeneration, which is part of the natural ageing process, as well as the foundation of ageing-related neurodegenerative disorders like Alzheimer's and Parkinson's disease (PD), was successfully targeted by MD. In this regard, olive oil and its polyphenolic constituents have received increasing attention in the last years. Thus, this study focuses on two main olive oil polyphenols, hydroxytyrosol (HT) and oleuropein aglycone (OLE), and their effects on ageing symptoms with special attention to PD. In order to avoid long-lasting, expensive, and ethically controversial experiments, the established invertebrate model organism Caenorhabditis elegans was used to test HT and OLE treatments. Interestingly, both polyphenols were able to increase the survival after heat stress, but only HT could prolong the lifespan in unstressed conditions. Furthermore, in aged worms, HT and OLE caused improvements of locomotive behavior and the attenuation of autofluorescence as a marker for ageing. In addition, by using three different C. elegans PD models, HT and OLE were shown i) to enhance locomotion in worms suffering from α-synuclein-expression in muscles or rotenone exposure, ii) to reduce α-synuclein accumulation in muscles cells, and iii) to prevent neurodegeneration in α-synuclein-containing dopaminergic neurons. Hormesis, antioxidative capacities and an activity-boost of the proteasome & phase II detoxifying enzymes are discussed as potential underlying causes for these beneficial effects. Further biological and medical trials are indicated to assess the full potential of HT and OLE and to uncover their mode of action.


Introduction
Neurodegenerative diseases are becoming increasingly prevalent in the ageing populations of industrialized nations, going hand in hand with the increase in life expectancy. These disorders, which include Alzheimer's disease and Parkinson's disease, share a common feature: the accumulation of misfolded proteins in pathological inclusions [1].  Survival is expressed as a percentage of the initial population combined with three biological replications. At the third day of adulthood (day 0), wild type nematodes were exposed to heat stress at 37 °C for 3 h prior monitoring survival. (A) Survival curves during OLE treatment with n (control) = 70, n (30 µg/mL) = 74, n (100 µg/mL) = 44, n (250 µg/mL) = 68, and n (500 µg/mL) = 64; (B) Survival curves during HT treatment with n (control) = 90, n (30 µg/mL) = 50, n (100 µg/mL) = 52, n (250 µg/mL) = 67, and n (500 µg/mL) = 79. Statistical significance was calculated by log-rank test including Bonferroni correction. Differences compared to control were considered significant at p < 0.05 (*) and p < 0.001 (**). n: number of tested nematodes.

Hydroxytyrosol Prolonged the Lifespan of Wild Type C. elegans
Several olive polyphenols and preparations have proven to be effective in extending the lifespan in C. elegans [57,58]. However, the olive oil polyphenols investigated in this study have not been tested so far in this sense.
Surprisingly, OLE treatment did not result in any significant lifespan enhancement ( Figure 3A): The mean lifespan of wild type nematodes was only hardly noticeably increased by 2.7%, which is probably the result of a minor, not significant, increase in the median lifespan from 22.55 days to 23.31 days (Table 1). However, the treatment with HT led to an increase of mean lifespan by 14.1% ( Figure 3B). This life prolongation was not only visible in terms of mean and median lifespan, but Tests with mammalian models are very powerful, but are expensive, long-lasting and cause ethical concerns. Therefore, the widely used model organism Caenorhabditis elegans (C. elegans) was applied for this study. Despite its simple structure, C. elegans features several tissues and organs in alignment to higher animals, like muscles, a nervous system, an epidermis, a gastrointestinal tract, and gonads [43]. Furthermore, about 50% of the human protein-coding genome has recognizable worm orthologs [44]. Last but not least, neurological pathways are highly conserved between invertebrates and mammals, and numerous neurodegenerative disease-related transgenic and mutant strains are available in the nematodes [45]. In addition to several neuro-protective substance screenings [45], numerous polyphenols were also successfully tested for their general health and lifespan benefits in C. elegans [46][47][48], making this nematode an optimal model to study the neuroprotective effects of olive polyphenols.
It was hypothesized that the polyphenol OLE and its main metabolite HT increase the mean lifespan of C. elegans in the presence and in the absence of stress conditions. Furthermore, it is assumed that they are able to counteract the age-related decline of general health parameters, which were assessed by determining the swim behaviour as a measure of overall body fitness as well as the intestinal autofluorescence, being one of the most popular ageing biomarkers [49]. Furthermore, numerous cell culture studies were already successfully performed to verify the anti-PD effects of olive ingredients, as summarized in Angeloni, Malaguti, Barbalace, and Hrelia [22], however, in vivo studies are hardly present. Therefore, by using a chemically induced and two transgenic PD models of C. elegans, the polyphenolic treatments were tested for their anti-PD effects in vivo. Although C. elegans is not able to develop PD, the PD models feature characteristic attributes related to PD. Besides the swim performance, neuronal degeneration as well as α-synuclein accumulation were taken into account to assess the anti-PD potential.

Oleuropein Aglycone and Hydroxytyrosol Extended the Survival of Wild-type C. elegans after Heat Stress
To find the optimal concentration for this study, the treatments with polyphenols were initially tested at different concentrations in a heat stress-resistance test. Due to the relatively fast and simple execution, heat stress resistance is frequently measured to screen treatments for potential health and lifespan benefits [50][51][52]. Since stress resistance abilities are strongly correlated to ageing, ageing-associated diseases and lifespan [53][54][55][56], this test was also used as a pre-test in the current study. The monitored survival after stress exposure revealed an improved stress resistance in OLE-treated nematodes (Figure 2A). Two-hundred-and-fifty µg/mL and 500 µg/mL OLE provoked statistically significant changes in all biological repeats performed. The mean lifespan after heat stress increased by 15% and 22% in the OLE 250 µg/mL and OLE 500 µg/mL treated group, respectively. However, the survival differences between OLE 250 µg/mL and OLE 500 µg/mL treated nematodes were not significant. Furthermore, no significant survival benefits were observed with 30 and 100 µg/mL compared to control. Due to the highest percentage benefit, 500 µg/mL OLE was chosen for subsequent experiments. Similar results were achieved by using HT ( Figure 2B). The mean lifespan after heat stress was increased by about 11% by treatment with 100 µg/mL HT, by 22% with 250 µg/mL HT and by 14% with 500 µg/mL HT. There was no significant difference between the survival curves of these treatment groups among each other. Again, 30 µg/mL was not sufficient to improve the survival. Based on these results, 250 µg/mL HT was applied for further experiments. None of the tested concentrations and compounds exerted a harmful effect on the survival of the nematodes after stress exposure.  Heat stress survival in presence of different OLE and HT concentrations. Survival is expressed as a percentage of the initial population combined with three biological replications. At the third day of adulthood (day 0), wild type nematodes were exposed to heat stress at 37 °C for 3 h prior monitoring survival. (A) Survival curves during OLE treatment with n (control) = 70, n (30 µg/mL) = 74, n (100 µg/mL) = 44, n (250 µg/mL) = 68, and n (500 µg/mL) = 64; (B) Survival curves during HT treatment with n (control) = 90, n (30 µg/mL) = 50, n (100 µg/mL) = 52, n (250 µg/mL) = 67, and n (500 µg/mL) = 79. Statistical significance was calculated by log-rank test including Bonferroni correction. Differences compared to control were considered significant at p < 0.05 (*) and p < 0.001 (**). n: number of tested nematodes.

Hydroxytyrosol Prolonged the Lifespan of Wild Type C. elegans
Several olive polyphenols and preparations have proven to be effective in extending the lifespan in C. elegans [57,58]. However, the olive oil polyphenols investigated in this study have not been tested so far in this sense.
Surprisingly, OLE treatment did not result in any significant lifespan enhancement ( Figure 3A): The mean lifespan of wild type nematodes was only hardly noticeably increased by 2.7%, which is probably the result of a minor, not significant, increase in the median lifespan from 22.55 days to 23.31 days (Table 1). However, the treatment with HT led to an increase of mean lifespan by 14.1% ( Figure 3B). This life prolongation was not only visible in terms of mean and median lifespan, but was also reflected in terms of minimum and maximum lifespan (the time point, when 25% or 90%, respectively, of the individuals are dead) as well as in the time point when final death occurred ( Table   Figure 2. Heat stress survival in presence of different OLE and HT concentrations. Survival is expressed as a percentage of the initial population combined with three biological replications. At the third day of adulthood (day 0), wild type nematodes were exposed to heat stress at 37 • C for 3 h prior monitoring survival. (A) Survival curves during OLE treatment with n (control) = 70, n (30 µg/mL) = 74, n (100 µg/mL) = 44, n (250 µg/mL) = 68, and n (500 µg/mL) = 64; (B) Survival curves during HT treatment with n (control) = 90, n (30 µg/mL) = 50, n (100 µg/mL) = 52, n (250 µg/mL) = 67, and n (500 µg/mL) = 79. Statistical significance was calculated by log-rank test including Bonferroni correction. Differences compared to control were considered significant at p < 0.05 (*) and p < 0.001 (**). n: number of tested nematodes. Similar results were achieved by using HT ( Figure 2B). The mean lifespan after heat stress was increased by about 11% by treatment with 100 µg/mL HT, by 22% with 250 µg/mL HT and by 14% with 500 µg/mL HT. There was no significant difference between the survival curves of these treatment groups among each other. Again, 30 µg/mL was not sufficient to improve the survival. Based on these results, 250 µg/mL HT was applied for further experiments. None of the tested concentrations and compounds exerted a harmful effect on the survival of the nematodes after stress exposure.

Hydroxytyrosol Prolonged the Lifespan of Wild Type C. elegans
Several olive polyphenols and preparations have proven to be effective in extending the lifespan in C. elegans [57,58]. However, the olive oil polyphenols investigated in this study have not been tested so far in this sense.
Surprisingly, OLE treatment did not result in any significant lifespan enhancement ( Figure 3A): The mean lifespan of wild type nematodes was only hardly noticeably increased by 2.7%, which is probably the result of a minor, not significant, increase in the median lifespan from 22.55 days to 23.31 days (Table 1). However, the treatment with HT led to an increase of mean lifespan by 14.1% ( Figure 3B). This life prolongation was not only visible in terms of mean and median lifespan, but was also reflected in terms of minimum and maximum lifespan (the time point, when 25% or 90%, respectively, of the individuals are dead) as well as in the time point when final death occurred (Table 1). No obvious side effects, such as extrusion of internal organs through the vulva or morphological alterations in movement in the polyphenols-treated groups compared to the controls were seen during lifelong observation. 1). No obvious side effects, such as extrusion of internal organs through the vulva or morphological alterations in movement in the polyphenols-treated groups compared to the controls were seen during lifelong observation. Differences compared to control were considered significant at p < 0.05 (*) and p < 0.001 (**). p-value determination was realized with log-rank test for the mean lifespan and Mann-Whitney U test for specific time points. . Statistical significance was calculated by log-rank test; differences compared to control were considered significant at p < 0.05 (*) and p < 0.001 (**). n: number of tested nematodes.

Polyphenols Improved Age Pigment Accumulation and Locomotive Behaviour in Wild Type Nematodes
The intestinal autofluorescence, one of the most prominent ageing and health biomarker in C. elegans [49], was surveyed to determine the overall health status. Observations with a fluorescence microscope fitted with a red filter set allowed to detect the accumulation of the "age pigment" in different age classes. As expected, the red fluorescent intensity increased with age ( Figure 4), whereas the increase was only weakly pronounced at the 7 th day of adulthood. Both polyphenolic compounds were able to reduce age-related gain in autofluorescence. The quantity of fluorescent pigments was slightly, yet significantly, diminished at the 12 th day, but not at the 3 rd or 7 th day, of adulthood ( Figure  4).
Since ageing is marked by physical decline, sarcopenia is considered a valuable parameter of health status in organisms of metazoans, including C. elegans [59,60]. Therefore, the ability of both polyphenols to boost the health of nematodes was additionally assessed with a swim assay. We measured the thrashing rate, the body wave number and the activity index to determine the physical performance at different ages. The thrashing rate is the number of body thrashes per minute as an indicator for the speed of movement whereas the activity index sums up the number of pixels that are covered by the body during the time needed for two strokes as an indicator for the vigorousness (B) Representative survival curve of three independent experiments with control and HT-treated worms (n control = 250, n HT = 286). Statistical significance was calculated by log-rank test; differences compared to control were considered significant at p < 0.05 (*) and p < 0.001 (**). n: number of tested nematodes. Differences compared to control were considered significant at p < 0.05 (*) and p < 0.001 (**). p-value determination was realized with log-rank test for the mean lifespan and Mann-Whitney U test for specific time points.

Polyphenols Improved Age Pigment Accumulation and Locomotive Behaviour in Wild Type Nematodes
The intestinal autofluorescence, one of the most prominent ageing and health biomarker in C. elegans [49], was surveyed to determine the overall health status. Observations with a fluorescence microscope fitted with a red filter set allowed to detect the accumulation of the "age pigment" in different age classes. As expected, the red fluorescent intensity increased with age (Figure 4), whereas the increase was only weakly pronounced at the 7th day of adulthood. Both polyphenolic compounds were able to reduce age-related gain in autofluorescence. The quantity of fluorescent pigments was slightly, yet significantly, diminished at the 12th day, but not at the 3rd or 7th day, of adulthood ( Figure 4).
increase was about 23% (A3), 89% (A7) and 64% (A12) and about 49% (A3), 69% (A7) and 61% (A12) for thrashing rate and activity index, respectively. The decrease of the body wave number reached its maximum at the 7 th day of adulthood with a reduction of 39%. Surprisingly, HT was not able to enhance the thrashing rate of the nematodes at any adult-day ( Figure 5A). However, at the 12 th day of adulthood, an increase of 43% was detected by analysing the covered pixel per body and minute ( Figure 5C). In addition, a decrease of 25% in the body wave number was found at A12 as well ( Figure  5B). No polyphenol led to a reduction of motor performance in treated worms. . Data are represented as mean ± SEM, and statistical differences compared to control were considered significant at p < 0.05 (*). n: number of tested nematodes; A3, A7, A12: 3 rd , 7 th and 12 th day of adulthood. In addition, example pictures (right) representing bright field and red fluorescence shots at the 12 th day of adulthood in the control (DMSO and water) and polyphenol-treated (OLE and HT) groups are shown. . Data are represented as mean ± SEM, and statistical differences compared to control were considered significant at p < 0.05 (*). n: number of tested nematodes; A3, A7, A12: 3rd, 7th and 12th day of adulthood. In addition, example pictures (right) representing bright field and red fluorescence shots at the 12th day of adulthood in the control (DMSO and water) and polyphenol-treated (OLE and HT) groups are shown (all scale bars = 200 µm).

C. elegans Parkinsonian Models Profit from Olive Oil Polyphenol Treatments
Since ageing is marked by physical decline, sarcopenia is considered a valuable parameter of health status in organisms of metazoans, including C. elegans [59,60]. Therefore, the ability of both polyphenols to boost the health of nematodes was additionally assessed with a swim assay. We measured the thrashing rate, the body wave number and the activity index to determine the physical performance at different ages. The thrashing rate is the number of body thrashes per minute as an indicator for the speed of movement whereas the activity index sums up the number of pixels that are covered by the body during the time needed for two strokes as an indicator for the vigorousness of bending [61]. Furthermore, the body wave number, a feature that increases with age, determines the waviness of the body at each time point. Indeed, the vigorousness and speed of movement of untreated worms declined with age, as indicated by the differences in both endpoints between the 3rd and 7th or 12th day of adulthood, respectively ( Figure 5A,C). Moreover, the body wave number increased with age ( Figure 5B), in agreement with the results from Restif et al. [61], thus verifying the correct performance of the test. and in contrast to rotenone-untreated nematodes, the locomotion abilities after exposure to rotenone did not decline after the 3 rd day of adulthood ( Figure 6). OLE was able to partly inhibit the rotenoneinduced movement decline in both tested ages and all swim traits by more than doubling the measured values ( Figure 6A, 6C) or by reducing them by at least 42% ( Figure 6B). Quite strong effects were also visible by using HT in all tested ages and endpoints: HT increased the thrashing rate by at least 56% and the activity index by a minimum of 116%. The body wave number was decreased by at least 23%.  . Data are presented as mean ± SEM and differences compared to control were considered significant at p < 0.05 (*) and p < 0.001 (**). A3, A7, A12: day 3, 7, 12 of adulthood.
OLE treatment resulted in a remarkable increase of the number of thrashes per minute ( Figure 5A) and of the activity index ( Figure 5C) displayed by worms at all three tested stages, whereas the body wave number was decreased at the 7th and 12th day of adulthood ( Figure 5B). The percentage increase was about 23% (A3), 89% (A7) and 64% (A12) and about 49% (A3), 69% (A7) and 61% (A12) for thrashing rate and activity index, respectively. The decrease of the body wave number reached its maximum at the 7th day of adulthood with a reduction of 39%. Surprisingly, HT was not able to enhance the thrashing rate of the nematodes at any adult-day ( Figure 5A). However, at the 12th day of adulthood, an increase of 43% was detected by analysing the covered pixel per body and minute ( Figure 5C). In addition, a decrease of 25% in the body wave number was found at A12 as well ( Figure 5B). No polyphenol led to a reduction of motor performance in treated worms.

C. elegans Parkinsonian Models Profit from Olive Oil Polyphenol Treatments
Exposure to the pesticide rotenone or the transgenic expression of human α-synuclein induces the Parkinsonian-like syndrome in C. elegans, which manifests in impaired movement [62,63]. In order to assess whether the polyphenols are able to reduce this symptom, the swimming analysis was performed with nematodes suffering from Parkinson's-like symptoms induced by exposure to rotenone of wild type worms. Furthermore, transgenic Parkinson's models expressing human α-synuclein in muscle cells (strain OW13) and dopaminergic neurons (strain UA44), respectively, were treated with polyphenols as well.
Treatment with 10 µM rotenone led to dramatically decreased movement abilities. Given that untreated nematodes exhibit more than 50 thrashes per minute at A3, the thrashing rate was reduced by more than 80% to less than 10 thrashes per minute in rotenone-exposed C. elegans ( Figure 6A). Similar proportions could be monitored for the activity index of young control nematodes with or without rotenone treatment ( Figure 6C). Furthermore, the body wave number was more than doubled due to exposure to rotenone compared to untreated nematodes ( Figure 6B). Interestingly and in contrast to rotenone-untreated nematodes, the locomotion abilities after exposure to rotenone did not decline after the 3rd day of adulthood ( Figure 6). OLE was able to partly inhibit the rotenone-induced movement decline in both tested ages and all swim traits by more than doubling the measured values ( Figure 6A,C) or by reducing them by at least 42% ( Figure 6B). Quite strong effects were also visible by using HT in all tested ages and endpoints: HT increased the thrashing rate by at least 56% and the activity index by a minimum of 116%. The body wave number was decreased by at least 23%. mean ± SEM and differences compared to control were considered significant at p < 0.05 (*) and p < 0.001 (**). A3, A7, A12: day 3, 7, 12 of adulthood.
To check the anti-Parkinson's effect of olive oil polyphenols, the motor activity was also assessed in the transgenic C. elegans OW13 and UA44 strains, both models of synucleinopathies. The presence of α-synuclein in the body wall muscle cells (strain OW13) leads to movement deficits, as previously described by Van Ham, et al. [64]. Indeed, the thrashing rate clearly deteriorated from about 50 thrashes/min in young untreated wild type adults to about 35 and 23 thrashes per minute, respectively, in young untreated OW13 worms ( Figure 7A). This effect, albeit weaker, was also seen, in part, in older nematodes as well as for the activity index ( Figure 7C). The body wave number was very stable between the 3 rd and 7 th day of adulthood ( Figure 7B). Interestingly, control DMSO treatment already led to a mild beneficial effect for all three swim parameters in the OW13 strain. of adulthood. Data are pooled from two biological repeats and presented as mean ± SEM, and differences compared to control were considered significant at p < 0.05 (*) and p < 0.001 (**). To enable direct comparisons, data from nematodes without rotenone and polyphenol exposures (see Figure 5) are shown in addition.
Treatment with either polyphenol improved several swim performance features in this strain over control treatments ( Figure 7A-C). OLE administration provoked a 27% increase of thrashes per minute at day 3 and a 40% increase at day 7 ( Figure 7A), whereas the increase of the activity index Data are pooled from two biological repeats and presented as mean ± SEM, and differences compared to control were considered significant at p < 0.05 (*) and p < 0.001 (**). To enable direct comparisons, data from nematodes without rotenone and polyphenol exposures (see Figure 5) are shown in addition.
To check the anti-Parkinson's effect of olive oil polyphenols, the motor activity was also assessed in the transgenic C. elegans OW13 and UA44 strains, both models of synucleinopathies. The presence of α-synuclein in the body wall muscle cells (strain OW13) leads to movement deficits, as previously described by Van Ham, et al. [64]. Indeed, the thrashing rate clearly deteriorated from about 50 thrashes/min in young untreated wild type adults to about 35 and 23 thrashes per minute, respectively, in young untreated OW13 worms ( Figure 7A). This effect, albeit weaker, was also seen, in part, in older nematodes as well as for the activity index ( Figure 7C). The body wave number was very stable between the 3rd and 7th day of adulthood ( Figure 7B). Interestingly, control DMSO treatment already led to a mild beneficial effect for all three swim parameters in the OW13 strain. and young UA44 nematodes was hardly recognizable, a finding that agrees with data from a previous study, showing that α-synuclein controlled by a dopaminergic promotor did not disturb the thrashing speed [65]. Surprisingly, treatment with either polyphenol resulted only in a limited improvement in swim behaviour of the UA44 strain. OLE treatment increased the activity index in young nematodes ( Figure 8C) but resulted only in minor and non-significant changes of the thrashing rate and body wave number for UA44 ( Figure 8A,B). On the other hand, HT supplementation showed beneficial effects only on the number of thrashes per minute in older worms ( Figure 8A), but not on the magnitude of movement or the waviness ( Figure 8B,C).
To summarize, HT and OLE treatments resulted in enhanced swim performance in nematodes suffering from rotenone exposure or α-synuclein expression in muscle cells (strain OW13). However, the strain UA44, characterized by α-synuclein expression in dopaminergic neurons, only weakly profited from the polyphenol treatments.  A3, A7: day 3 and 7 of adulthood. Data are collected in two independent trials and are presented as mean ± SEM. Differences compared to control were considered significant at p < 0.05 (*) and p < 0.001 (**). To enable direct comparisons, data from wild type nematodes without polyphenol exposures (see Figure 5) are shown in addition.
Treatment with either polyphenol improved several swim performance features in this strain over control treatments ( Figure 7A-C). OLE administration provoked a 27% increase of thrashes per minute at day 3 and a 40% increase at day 7 ( Figure 7A), whereas the increase of the activity index (27%) was detected only at day 7 ( Figure 7C) and no significant change was seen in the body wave number ( Figure 7B). HT displayed its advantageous effects in both tested age groups and in all swim parameters ( Figure 7A-C), whereas HT remarkably increased the thrashing rate by 71% in A3.
Interestingly, the strain UA44, which is characterized by the presence of α-synuclein in dopaminergic neurons, did only show a negligible decline in locomotion from day 3 to day 7 of adulthood ( Figure 8). Furthermore, the difference in swim performance between young wild type and young UA44 nematodes was hardly recognizable, a finding that agrees with data from a previous study, showing that α-synuclein controlled by a dopaminergic promotor did not disturb the thrashing speed [65]. Surprisingly, treatment with either polyphenol resulted only in a limited improvement in swim behaviour of the UA44 strain. OLE treatment increased the activity index in young nematodes ( Figure 8C) but resulted only in minor and non-significant changes of the thrashing rate and body wave number for UA44 ( Figure 8A,B). On the other hand, HT supplementation showed beneficial effects only on the number of thrashes per minute in older worms ( Figure 8A), but not on the magnitude of movement or the waviness ( Figure 8B,C).

Vivo
The advantage of the C. elegans OW13 strain is the yellow fluorescent labelling of synthesized αsynuclein driven by the muscle specific unc-54-promoter. Therefore, the potential polyphenolic inhibition of the pathological α-synuclein accumulation in muscles can be observed via fluorescence microscopy. Treatment of this model with either polyphenol resulted in a progressive reduction of α-synuclein accumulation in the body wall muscle cells compared to the control groups: The reduction of α-synuclein accumulation was about 5% at day 3 and 8% at day 7 and 12 of adulthood in OLE-treated groups (Figure 9). Even more pronounced effects were monitored by using HT, with a reduction of α-synuclein accumulation by 6% at day 3, 7% at day 7, and 14% at day 12 of adulthood. Overall, the fluorescence intensity declined with age, a finding in line with the ageing-dependent decline of unc-54 expression observed by Adamla and Ignatova [66]. . n: number of tested nematodes. A3, A7: day 3, 7 of adulthood. Data are represented as mean ± SEM and differences compared to control were considered significant at p < 0.05 (*). To enable direct comparisons, data from wild type nematodes without polyphenol exposures (see Figure 5) are shown in addition.
In addition to the OW13 strain, the UA44 transgenic animals were also monitored under fluorescent conditions. The α-synuclein accumulation in dopaminergic neurons causes neurodegeneration in the UA44 transgenic strain [63]. Moreover, GFP linked to the dopamine transporter in dopaminergic nerve cells allows to visualize the quantity and quality of the six anterior and two posterior dopaminergic neurons after α-synuclein-induced damage [67]. . n: number of tested nematodes. A3, A7: day 3, 7 of adulthood. Data are represented as mean ± SEM and differences compared to control were considered significant at p < 0.05 (*). To enable direct comparisons, data from wild type nematodes without polyphenol exposures (see Figure 5) are shown in addition.
To summarize, HT and OLE treatments resulted in enhanced swim performance in nematodes suffering from rotenone exposure or α-synuclein expression in muscle cells (strain OW13). However, the strain UA44, characterized by α-synuclein expression in dopaminergic neurons, only weakly profited from the polyphenol treatments.

α-synuclein Induced Damages and α-synuclein Accumulation was Targeted by Olive Oil Polyphenols In Vivo
The advantage of the C. elegans OW13 strain is the yellow fluorescent labelling of synthesized α-synuclein driven by the muscle specific unc-54-promoter. Therefore, the potential polyphenolic inhibition of the pathological α-synuclein accumulation in muscles can be observed via fluorescence microscopy. Treatment of this model with either polyphenol resulted in a progressive reduction of α-synuclein accumulation in the body wall muscle cells compared to the control groups: The reduction of α-synuclein accumulation was about 5% at day 3 and 8% at day 7 and 12 of adulthood in OLE-treated groups (Figure 9). Even more pronounced effects were monitored by using HT, with a reduction of α-synuclein accumulation by 6% at day 3, 7% at day 7, and 14% at day 12 of adulthood. Overall, the fluorescence intensity declined with age, a finding in line with the ageing-dependent decline of unc-54 expression observed by Adamla and Ignatova [66].
Counting and description of each dopaminergic neuron was performed as proposed by Harrington, et al. [68]. We counted six anterior dopaminergic neurons (four CEP neurons and two ADE neurons) and two posterior DA neurons (PDE neurons) [69]. Every type of alteration, such as the loss of uniformity of the neuronal body and the reduction of the fluorescence up to neuronal shutdown, were noted in order to classify the neurons as degenerated (as shown in Figure 10B) or intact ( Figure 10C). The fraction of worms with damaged dopaminergic neurons was growing with age ( Figure 10A), however, HT was able to minimize neuronal damages especially in older nematodes ( Figure 10A). A smaller and non-significant neuroprotective effect on dopaminergic neurons was also obtained with OLE treatment ( Figure 10A). Figure 9. Changed α-synuclein accumulation in muscle cells of the OW13 strain after OLE and HT treatment. Nematodes from the OW13 strain were subjected to polyphenolic treatments starting from L4 and analysed by fluorescence microscopy using a yellow filter at day 3, 7, and 12 of adulthood. The bars represent the mean fluorescent intensity ± SEM from two biological repeats and the number of tested nematodes were: DMSO control (n A3 = 32, n A7 = 48, n A12 = 38), OLE (n A3 = 28; n A7 = 43, n A12 = 30), water control (n A3 = 47, n A7 = 75, n A12 = 66) and HT (n A3 = 35, n A7 = 39, n A12 = 44). A3, A7, A12: day 3, 7, 12 of adulthood. Differences compared to control were considered significant at p < 0.05 (*) and p < 0.001 (**). In addition, three example pictures from untreated OW13 nematodes visualising the age-dependent fluorescent change are shown. Figure 9. Changed α-synuclein accumulation in muscle cells of the OW13 strain after OLE and HT treatment. Nematodes from the OW13 strain were subjected to polyphenolic treatments starting from L4 and analysed by fluorescence microscopy using a yellow filter at day 3, 7, and 12 of adulthood. The bars represent the mean fluorescent intensity ± SEM from two biological repeats and the number of tested nematodes were: DMSO control (n A3 = 32, n A7 = 48, n A12 = 38), OLE (n A3 = 28; n A7 = 43, n A12 = 30), water control (n A3 = 47, n A7 = 75, n A12 = 66) and HT (n A3 = 35, n A7 = 39, n A12 = 44). A3, A7, A12: day 3, 7, 12 of adulthood. Differences compared to control were considered significant at p < 0.05 (*) and p < 0.001 (**). In addition, three example pictures from untreated OW13 nematodes visualising the age-dependent fluorescent change are shown (all scale bars = 200 µm).
In addition to the OW13 strain, the UA44 transgenic animals were also monitored under fluorescent conditions. The α-synuclein accumulation in dopaminergic neurons causes neurodegeneration in the UA44 transgenic strain [63]. Moreover, GFP linked to the dopamine transporter in dopaminergic nerve cells allows to visualize the quantity and quality of the six anterior and two posterior dopaminergic neurons after α-synuclein-induced damage [67].
Counting and description of each dopaminergic neuron was performed as proposed by Harrington, et al. [68]. We counted six anterior dopaminergic neurons (four CEP neurons and two ADE neurons) and two posterior DA neurons (PDE neurons) [69]. Every type of alteration, such as the loss of uniformity of the neuronal body and the reduction of the fluorescence up to neuronal shutdown, were noted in order to classify the neurons as degenerated (as shown in Figure 10B) or intact ( Figure 10C). The fraction of worms with damaged dopaminergic neurons was growing with age ( Figure 10A), however, HT was able to minimize neuronal damages especially in older nematodes ( Figure 10A). A smaller and non-significant neuroprotective effect on dopaminergic neurons was also obtained with OLE treatment ( Figure 10A).

HT and OLE Boost the Health, but not Necessarily the Lifespan, of Wild Type C. elegans
Lifespan analyses in C. elegans treated with plant polyphenols and other natural compounds were often reported with positive outcome (reviewed in Collins, et al. [70] and Pallauf, et al. [71]). The mechanisms behind this beneficial action are discussed in different directions, ranging from antioxidant, pro-oxidant, hormetic, direct pathway targeting, or caloric restriction mimetic effects, to recall only a few [72][73][74][75][76]. In the present study, HT was shown to improve the lifespan of C. elegans as well as the accumulation of age-pigment and swim behaviour in old worms. Thus, health and lifespan were targeted in parallel as expected. Interestingly, OLE also exerted very good performances regarding the impact on locomotion, stress resistance and age-pigment accumulation, yet in the

HT and OLE Boost the Health, but not Necessarily the Lifespan, of Wild Type C. elegans
Lifespan analyses in C. elegans treated with plant polyphenols and other natural compounds were often reported with positive outcome (reviewed in Collins, et al. [70] and Pallauf, et al. [71]). The mechanisms behind this beneficial action are discussed in different directions, ranging from antioxidant, pro-oxidant, hormetic, direct pathway targeting, or caloric restriction mimetic effects, to recall only a few [72][73][74][75][76]. In the present study, HT was shown to improve the lifespan of C. elegans as well as the accumulation of age-pigment and swim behaviour in old worms. Thus, health and lifespan were targeted in parallel as expected. Interestingly, OLE also exerted very good performances regarding the impact on locomotion, stress resistance and age-pigment accumulation, yet in the absence of a life extending effect. However, since longer life does not automatically indicate healthier life [77,78], the suggestion that vice versa improved health is not a guarantee for a longer life, is not unreasonable.
Healthspan is hard to define and a lot of parameters need to be considered, but, simplifying, it can be described as the period of life in which the individual is functionally independent and free from serious diseases [79,80]. Uncoupling of the correlation between lifespan and healthspan was discussed in detail for daf-2 C. elegans knockout mutants, in which the lifespan-extending inhibition of insulin signalling did [60,81] or did not [78] increase healthspan in parallel. However, this discussion is not restricted to worms, but also takes place for flies, mice and humans [77,82,83]. Thus, it remains unclear how and to what extent healthspan and lifespan correlate. Furthermore, the different outcomes in the labs as exemplified by daf-2 underline that healthspan-related features should be tested in a standardized way; not only to maintain comparability between results from different labs, but also to fully characterize the potential relationship between lifespan and healthspan in an objective manner.
Nevertheless, here the question arises, why OLE only affected healthspan but not lifespan? The stability of OLE in aqueous and ethanol solutions was shown to be better than other polyphenols [84,85] and during UV-induced degradation, the life-extending hydroxytyrosol is one of the main end products of its metabolism. Thus, an elevated level of OLE degradation during long-lasting lifespan analysis is not a sufficient explanation, also because such an effect should be much stronger for other, less stable polyphenols like quercetin (reviewed in Wang, et al. [86]), which it is not [87,88]. Another explanation is provided by the mode of action of the green tea ingredient epigallocatechin 3-gallate (EGCG). Brown et al. [89] and Zhang et al. [90] reported that, in spite of several health benefits in EGCG-treated worms, including prolonged survival under stress, no survival advantages were monitored during standard culture conditions. The antioxidant capacity of EGCG was emphasized as the main biochemical mechanisms responsible for the improvement of diverse health attributes. Due to the known strong antioxidant characteristics of OLE [91], this could also be true for OLE; accordingly, the missing lifespan prolongation by EGCG and OLE is not unexpected considering that Pun et al. [92] observed that antioxidant actions do not lead to longevity in C. elegans. Based on this consideration, the action of HT needs to be reconsidered. It must be concluded that the lifespan extension by HT is probably independent of its antioxidant power.
Finally, it needs to be mentioned that all tests were performed in the presence of 5-fluoro-2-deoxyuridine (FUdR). Since FUdR was shown to have (mainly positive) influences on the stress resistance and lifespan in C. elegans [93][94][95], it cannot be excluded that this could lead to false-negative results. This could be an alternative explanation for the missing life-prolonging effects in the OLE-treated group.

Anti-Parkinson's Syndrome Effects: Evidence from Three Different PD Models of C. elegans
Cooper, et al. [96] described that decelerating ageing may provide a possible treatment for PD. The beneficial effects of OLE and HT on the age-related intestinal autofluorescence and on the locomotion in old worms are strong indicators that the ageing process itself is reduced by these polyphenols. Thus, the anti-PD action of OLE and HT was not entirely surprising. Indeed, both polyphenols showed strong and convincing anti-PD activity. However, which is the underlying mechanism?
DA neurons are suffering from oxidative stress in the rotenone PD model because this pesticide generates reactive oxygen species [62]. Therefore, the neuroprotective role of the analysed polyphenols in the C. elegans rotenone model, characterized by defects in swimming behaviour, may be related to their antioxidant activity. Indeed, the treatment and prevention of PD with antioxidants was discussed and tested repeatedly [14,97,98], but the results were sobering, suggesting that antioxidant treatments might not be the key to combat PD [99].
The protective properties of plant polyphenols on DA neurons could also be associated not only with the structure of HT, also a product of dopamine metabolism, but also to its ability to induce phase II detoxifying enzymes. These include NADPH quinone oxidoreductase-1, heme oxygenase-1, glutathione S-transferase, and the modifier subunit of glutamate cysteine ligase which catalyses the first step in the synthesis of GSH [22]. Indeed, a Drosophila PD model was used to show that boosted phase II enzyme activity reduces α-synuclein-mediated neuronal loss [100].
Interestingly, both polyphenols reduced, age-dependently, the build-up of human α-synuclein in the body wall muscle cells of a transgenic C. elegans model (strain OW13) and improved swim performance. However, it is not clear whether the polyphenols are able to eliminate accumulated α-synuclein or prevent its accumulation and which mechanistic process is responsible for their action. One further idea regarding their mode of action is delivered by Angeloni et al. [22] who showed that polyphenols are able to modulate the proteostatic machinery, both at the proteasome complex and at the autophagic flux. More specifically, one study evaluated the effect of OLE on the proteasome complex of human embryonic fibroblasts, showing an improvement of the proteasome activity [101]. Since the impairment of the ubiquitin-proteasome complex is deeply involved in the pathogenesis of neurodegenerative diseases [102], the induction of proteasome activity might be a possible reason for the anti-PD effects of polyphenols. Other studies with OLE and HT reported a remarkable activation of the autophagic flux in a murine model of Aβ deposition, with a significant reduction of plaque load following activation of microglia [38,39]. These data also support the anti-PD activity of these polyphenols following reduction of α-synuclein aggregates in the affected brain areas.
To validate the neuroprotective action of polyphenols on dopaminergic neurons, experiments were performed also in another C. elegans model of PD, the strain UA44, where α-synuclein induces qualitative and quantitative damages of the six anterior and two posterior dopaminergic neurons. Our data showed that HT was able to minimize neuronal damage especially in older nematodes.
As reported above, HT is also endogenous to the brain as a catabolite of neurotransmitter breakdown. The neurotoxic action by dopamine and its intermediate metabolites is described as an autotoxic mechanism that contributes to the selective loss of dopaminergic neurons in PD [3]. HT, also known as DOPET (3,4-dihydroxyphenylethanol), is produced from dopamine by dopamine oxidative metabolism [103] in order to reduce the levels of the neurotoxic intermediate product 3,4-dihydroxyphenyl-acetaldehyde (DOPAL) in dopaminergic neurons [104]. Whether this metabolic pathway is connected to the observed beneficial action of exogenous HT remains an open question. A smaller and non-significant neuroprotective effect on dopaminergic neurons also resulted from OLE treatment. In future studies, the question needs to be answered, whether the longevity effect and the beneficial effects in the UA44 strain following HT treatment are based on the same mechanisms, which are not present or weaker in OLE-treated worms.
Tyrosol differs from HT only by one hydroxyl group; it was also shown to be a potent healthand lifespan-boosting substance in C. elegans [58]. However, in contrast to HT, tyrosol could not exert any preventive effects in kidney cells subjected to oxidative stress [105]. The beneficial action of HT compared to that of tyrosol could be explained by the higher scavenging and antioxidant activity of HT due to the additional hydroxyl group [106]. Nevertheless, this increased antioxidant power seems not to be the only mode of action as suggested by the convincing antioxidant-study in C. elegans from Pun et al. [92], by additional studies, questioning the power of antioxidants, reviewed in [107] as well as by the mitohormesis concept, which underlines the importance of ROS [108,109].
Another possible background mechanism for the observed effects could be hormesis, already considered in the case of the effect of tyrosol in C. elegans [58]. Several studies indicate that different stressors extend lifespan in C. elegans in a hormetic-like manner [110][111][112] and suggest that hormetic effects could be exploited to prevent the onset of various diseases [13,113,114], including neurodegenerative disorders, and to slow down the ageing process [115,116].
In addition, a recent study demonstrated that hormetic dietary phytochemicals might improve health and extend lifespan through mild elevation of ROS, which activate a number of stress adaptive genes in C. elegans via HSF-1 and SKN-1/Nrf2 signalling pathways [117]. Govindan and colleagues also note that the hormetic stress by phytochemicals suppresses the late age onset of misfolding and aggregation of proteins such as α-synuclein in PD. The close link between stress and ageing suggests that interventions harnessing the hormetic mechanisms may extend lifespan or delay age-associated functional decline. Taken together, these data indicate that low concentrations of natural polyphenols such as OLE and HT generate a moderate functional stress that extends healthspan in wild type and experimental models of PD. This is consistent with the idea that "neurohormesis" may have anti-ageing effects thanks to the induction of adaptive pathways triggered to cope with a mild neuronal stress, opening novel potential therapeutic strategies for clinical interventions against the onset and/or progression of PD in humans.

C. elegans Strains and Culture Conditions
The wild type C. elegans strain N2 (Var. Bristol), the transgenic C. elegans strain OW13 (grk-1(ok1239), pkIs2386 [unc-54p::α-synuclein::YFP + unc-119(+)]), as well as the E. coli OP50 feeding strain were obtained from the Caenorhabditis Genetics Centre, University of Minnesota (Minneapolis, MN, USA). The C. elegans strain UA44 (baIn11[Pdat-1::α-synuclein, Pdat-1::GFP]) was kindly provided by the Caldwell laboratory, University of Alabama (Tuscaloosa, AL, USA) [118]. C. elegans wild type and transgenic strains were grown on standard nematode growth medium (NGM) at 22 • C, seeded with E. coli OP50 and maintained following standard protocols as described previously [119]. Prior to all tests, synchronous L1 larvae were obtained via "egg prep" by strongly shaking at least 2000 young adults for about 4 min in 10 mL bleaching solution (0.5 mL NaOH (10 M), 2.5 mL sodium hypochlorite-solution (12%), and 7 mL bidest water). After washing with M9 buffer at least three times, the resulting egg pellet was slightly shaken overnight in 4 mL M9 buffer. The following day, the hatched L1 larvae were distributed to NGM plates seeded with OP50. Forty-eight hours later, L4 larvae were transferred to treatment plates as described below. 5-fluoro-2-deoxyuridine (FUdR; Tokyo Chemical Industry, Eschborn, Germany) was used to inhibit fertilization [120] and was dropped onto each plate with a final concentration of 100 µM (according to agar volume).

Polyphenol and Rotenone Treatment
The treatment plates were prepared with the polyphenols oleuropein aglycone (Extrasynthese) and hydroxytyrosol (Sigma-Aldrich, St. Louis, MO, USA). Glycated oleuropein was de-glycosylated by treatment with almond β-glucosidase (EC 3.2.1.21, Fluka, Sigma Aldrich, St. Louis, MO, USA) as previously described [121], with minor modifications. Briefly, 10 mM oleuropein in 0.1 M phosphate buffer (pH 7.0) was incubated overnight with β-glucosidase (8.9 I.U.) at RT. Then, the reaction mixture was centrifuged, the precipitate re-suspended in 50% (v/v) dimethyl sulfoxide (DMSO) and the solution kept frozen. Complete deglycosylation was assessed by assaying the released glucose. HT powder was dissolved in bidest water at 60 mg/mL and the solution stored at −20 • C. OLE and HT were added to the bacteria and agar at a final concentration of 30 µg/mL, 100 µg/mL, 250 µg/mL, or 500 µg/mL, respectively. A final concentration of 0.05% DMSO (for OLE assays) or equal amounts of bidest water (for HT assays) were applied in all treatment and control plates as well as feeding bacteria.
To trigger the Parkinsonian-related phenotype, wild type nematodes were treated with rotenone (Sigma-Aldrich, St. Louis, MO, USA). A stock solution of 0.5 mg/mL rotenone was prepared in DMSO and added with a final concentration of 10 µM to the control and polyphenol plates. After distribution with a spatula and drying for 24 h in the dark, OP50, including 10 µM rotenone and the respective polyphenol, was spread on the plates. L4 nematodes were transferred to the rotenone plates until they were used for bioassays.

Lifespan and Heat Stress Assay
Synchronized wild-type nematodes were observed and scored for their survival throughout their lifespan. The animals were counted daily from the first day of adulthood until all died. To assess the viability of the nematodes, they were first gently touched with a platinum wire at the tail and the head. If no movements were recognizable, the pharyngeal pumping was observed. The worms were considered dead when none of these movements were recognizable. The nematodes at the edge of the plate or in the depth of the agar were considered lost and excluded from the count.
The heat stress test was performed according to the lifespan protocol with the difference that nematodes at the third day of adulthood were stressed for 3 h at 37 • C and counting of dead and alive worms started 1 day after stress exposure.

Fluorescence Microscopy Analysis
For the fluorescence observation, the nematodes were placed on a 2% agar pad on a microscope slide and anesthetized with 4 µL NaN 3 (1M). The images were taken with the aid of the Axioskop fluorescence microscope (Carl Zeiss, Oberkochen, Germany) and filter set 13 from the Zeiss 4880 series (Carl Zeiss, Oberkochen, Germany). Nematodes with a ruptured vulva phenotype were excluded from analysis. The images were captured and analysed on the 3rd, 7th or 12th day of adulthood, respectively.
Wild type nematodes were analysed to determine and quantify ageing-related pigment accumulation. The images were captured at 100x magnification and a red filterset (TRITC, 545/30 nm ex, 610/70 nm em) was used. It was necessary to acquire additional images in a bright field, because of the poor visibility of the body contour in the dark field. The images in the bright field were used to delineate the perimeter of the worm to which the dark field image was overlayed by the CellProfiler Software (Version 3.1.9; Broad Institute, Cambridge, MA, USA) [122,123]. The quantification of age-related pigment accumulation was expressed by the mean intensity of the red fluorescence per total worm body.
The OW13 transgenic strain features yellow fluorescent protein linked to α-synuclein in the body wall muscle cells. Therefore, the nematodes were monitored using a yellow barrier filter with 100x magnification to quantify the light emission proportional to the amount of accumulation of the pathological protein. The images were processed using the CellProfiler software, and the yellow fluorescence intensity emitted per total worm body was calculated.
The UA44 transgenic strain features GFP linked to the dopamine transporter in the six dopaminergic neurons of the head and two in the tail as well as harmful α-synuclein in dopaminergic neurons. The green fluorescence intensity represents the vitality of the neurons, therefore, the green barrier filter was used for the analysis. The number of detectable anterior neurons was counted at the microscope with 200x magnification. In addition, individual images of the head were captured. The nematodes were assayed for patterns of degeneration at indicated time points, as described previously from Harrington, et al. [68].

Swim Behaviour Assay
The study of locomotion was realized with a swim assay according to Restif et al. [61] and Ibáñez-Ventoso et al. [124]. Wells with a depth of 0.5 mm and Ø 10 mm were created with two self-adhesive marking films for microscope slides and filled with M9 buffer. Five to 10 nematodes were transferred per well and covered by a cover slip to facilitate visualization and recorded with a connected camera. Nematodes with a ruptured vulva phenotype were excluded from analysis. The analysis was conducted with wild type nematodes at the 3rd, 7th, and 12th day of adulthood. Furthermore, wild type rotenone-treated worms and the strains OW13 and UA44 were analysed at the 3rd and 7th day of adulthood. Each video was converted into single frames and processed with Photoshop (version 19.1.7; Adobe Inc., San José, CA, USA) to meet the required settings. Thereafter, pictures were analysed with the CeleST software (version 3.1; distributed by GitHub Pages, https://github.com/DCS-LCSR/CeleST, accessed on 08 April 2020) as described by Restif et al. [61] and Ibáñez-Ventoso, et al. [124]. The thrashing rate, the body wave number and the activity index were evaluated as representative parameters of motor activity.

Statistical Analysis
All experiments were independently conducted at least two times. The Online Application for Survival Analysis (OASIS 2; https://sbi.postech.ac.kr/oasis2/, accessed on 8 April 2020) [125] was used for comparing survival differences between two conditions. Fluorescence intensities as well as swim behaviour parameters were calculated as mean ± SEM, and statistical significance was calculated by a two-tailed t-test using GraphPad (https://www.graphpad.com/quickcalcs/, accessed on 8 April 2020). Chi-square test was used to compare the number of worms with intact and degenerated neurons in the UA44 strain.

Conclusions
Due to their different actions in terms of lifespan during non-stressful conditions, disparate modes of actions could be the underlying cause of the beneficial characteristics of the olive polyphenols OLE and HT. Accordingly, possible additive or even synergistic effects by combining both polyphenols should be studied in the future. Intense research in the last decade has provided increasing knowledge of the biochemical and cell biology basis of the beneficial effects of plant, notably olive polyphenols. Such growing information indicates that these polyphenols have the potential as promising tools to be used to develop new therapeutic and preventive approaches against ageing and ageing-associated neurodegenerative diseases. However, even though C. elegans and mammalian models are frequently used to test possible human treatments, human clinical trials are still needed to verify this assumption.