Sex Differences in the Response to Genetic and Chemical Pro-Longevity Interventions in Caenorhabditis elegans by Rose Al-Saadi A dissertation accepted and approved in partial fulfillment of the requirements for the degree of Doctor of Philosophy in Biology Dissertation Committee: Cristopher Niell, Chair Patrick Phillips, Advisor Matthew Barber, Core Member Peter Ralph, Core Member Michael Wehr, Institutional Representative University of Oregon Summer 2025 2 © 2025 Rose Al-Saadi This work is openly licensed via CC BY 4.0. https://creativecommons.org/licenses/by/4.0/ 3 DISSERTATION ABSTRACT Rose Al-Saadi Doctor of Philosophy in Biology Title: Sex Differences in the Response to Genetic and Chemical Pro-Longevity Interventions in Caenorhabditis elegans Women often live longer than men yet suffer worse health outcomes in old age. This sexual dimorphism in lifespan and aging trajectories is robust and has been frequently observed and comprehensively documented. Sex differences extend beyond natural aging and are additionally seen in the response to pro-longevity interventions. Despite that, our understanding of the mechanisms underlying such differences remains limited. In this dissertation, I utilize the model organism Caenorhabditis elegans to explore sex differences in aging. I leverage a healthspan measure that is unique to male C. elegans: mating. Males display a complex mating behavior that strongly declines with age due to physiological deterioration, making it an ideal screening phenotype to investigate the efficacy of pro-longevity interventions. Using male reproductive success as a complex healthspan measure, I investigate the effects of DAF-2/ IGF-1 insulin receptor degradation on male longevity and whether the effects of this intervention are sexually dimorphic. Additionally, I examine the effects of several pro-longevity chemical compounds on male lifespan and contrast them to previously published hermaphrodite data to determine whether their effects on longevity are sexually dimorphic or sex shared. Finally, I characterize the transcriptomic signatures of two chemical pro-longevity interventions, metformin and Thioflavin T, on aging C. elegans and determine whether the effects at the transcriptional level are sexually dimorphic or sex shared. This work provides a new experimental paradigm for the study of sex differences in aging using the model organism C. elegans and offers new mechanistic targets for future research. Understanding the mechanistic basis of sex differences in aging will aid in the development of interventions that can benefit individuals of any sex. This dissertation includes previously unpublished coauthored material. 4 ACKNOWLEDGMENTS I wish to express my deep and sincere gratitude to my advisor, Dr. Patrick Phillips. He has demonstrated to me that being a kind mentor and a rigorous scientist are not mutually exclusive. He has advocated for me even before I arrived at UO and has supported me every step of the way. He has always encouraged me to trust my scientific instincts and allowed me the freedom to explore my interests in his lab, which has been a truly invaluable experience. I would also like to thank my first academic advisor, Dr. Sarah Hall, who introduced me to C. elegans research and encouraged me to pursue a PhD and a career in science; without her guidance and mentorship, I would not be where I am today. I would like to also thank my current and previous committee members, Cris Niell, Matt Barber, Peter Ralph, Mike Wehr, and Nadia Singh for their support, mentorship, and insightful feedback on my projects throughout my PhD. I am deeply grateful to the Phillips lab members, both current and past, who have fostered a positive and supportive work environment that made being in the lab both intellectually stimulating and incredibly fun. I want to especially thank Zach Stevenson and Christine Sedore for being the best coffee run crew, and for being amazing friends inside and outside the lab. Their enthusiasm for science is both unparalleled and infectious and they both continue to inspire me to be a better scientist. I want to thank Kristin Robinson and Aubrey Mayer for being great office mates and for allowing me to vent about failed experiments and worms that refuse to die, Megan Moerdyk-Schauwecker for ensuring I always had friends to share a Thanksgiving meal with, Hannah Lewack for being the best undergraduate mentee I could have asked for, and Anna Coleman-Hulbert and Erik Johnson for adding quirky and fun vibes to the lab and making our Tea Times the best. My time as a PhD student has been enriched by a number of student groups including the Graduate Evolutionary Biology and Ecology Students (GrEBES), the Community for Minorities in STEM (CMiS), and Women in Graduate Science (WGS). These groups have offered me a sense of belonging, which was especially needed during the early days of the pandemic, and allowed me to integrate myself into a scientific community of my peers. I am also grateful for the financial support that I have received from all three groups that contributed to attending conferences and recognized my contributions in leadership roles. 5 I want to thank my funding sources who have made this work possible. This work was funded in part by the Genetics Training Program at the University of Oregon, which is funded by the National Institutes of Health (T32GM149387). Additional funding was provided by National Institutes of Health awards to Patrick C. Phillips (U01AG045829, U24AG056052, R01AG088629). I would like to thank all the friends who have made my time in Eugene a happy and exciting time. I want to thank my cohort mates LyAndra Lujan and Masha Korchagina for their friendship and support, Elizabeth Vargas, Jordan Munroe, Kona Shaw, Ethan Shaw, Emily Dennis, and Max Horrocks for teaching me how to work hard and play hard, Leanne Kelley and Alex Nichitean, my worm sisters, and Mayara Ribeiro and Niko Wagner, for their support from afar; reminiscing about Café Disco and Chipotle Wednesdays will always bring me joy. I want to thank my family for all the love and support that they have provided through the years. I am forever grateful for their courage to immigrate to the United States from Iraq and the sacrifices they made that have allowed me to pursue many opportunities I couldn’t have otherwise. I want to acknowledge the important contributions of my cats Sesame, Peppercorn, and Nimbus to this work through their moral support and unwavering love and purrs. I feel incredibly lucky to have shared my grad school journey with my best friend and partner, Zac Bush, who has enriched my life with wonderful people, delicious food, running, and great knowledge of meiotic recombination and obscure internet memes. Thank you for being my main support system over the last three years of my PhD, for sharing and amplifying my enthusiasm for science, for inspiring me to become a better and more compassionate person, and for all the love and joy you bring into my life. 6 DEDICATION This dissertation is dedicated to my mother Wajida. Her passion for knowledge and her drive to pursue education despite all obstacles has inspired me throughout my life and planted in me a love for science and education. 7 TABLE OF CONTENTS Chapter Page CHAPTER 1: INTRODUCTION ................................................................................ 12 Aging Theories and Hallmarks .............................................................................. 12 Sex Differences in Aging and Age-Associated Diseases ...................................... 13 C. elegans as an Aging Model ............................................................................... 15 Pro-longevity Interventions in C. elegans ............................................................. 16 Challenges and Benefits of C. elegans Males as an Aging Model ........................ 18 Dissertation Outline ............................................................................................... 19 Bridge to Chapter 2 ................................................................................................ 20 CHAPTER 2: KNOCKING DOWN THE DAF-2 INSULIN-LIKE RECEPTOR IN MALE C. ELEGANS DRAMATICALLY INCREASES REPRODUCTIVE HEALTH AND LONGEVITY IN A SEX AND TISSUE-SPECIFIC MANNER ..... 21 Abstract .................................................................................................................. 21 Main ....................................................................................................................... 22 Discussion .............................................................................................................. 28 Methods.................................................................................................................. 31 Supplemental Figures ............................................................................................. 34 Supplemental Tables .............................................................................................. 37 Bridge to Chapter 3 ................................................................................................ 45 8 CHAPTER 3: PRO-LONGEVITY COMPOUNDS EXTEND CAENORHABDITIS ELEGANS MALE LIFESPAN AND REPRODUCTIVE HEALTHSPAN ........................................................................................................... 46 Abstract .................................................................................................................. 46 Introduction ............................................................................................................ 46 Materials and Methods ........................................................................................... 49 Results .................................................................................................................... 51 Discussion .............................................................................................................. 55 Supplemental Tables .............................................................................................. 61 Bridge to Chapter 4 ................................................................................................ 70 CHAPTER 4: PRO-LONGEVITY INTERVENTIONS GENERATE SEXUALLY DIMORPHIC TRANSCRIPTOMIC SIGNATURES IN AGING CAENORHABDITIS ELEGANS .................................................................................. 71 Introduction ............................................................................................................ 71 Materials and Methods ........................................................................................... 73 Results .................................................................................................................... 75 Discussion .............................................................................................................. 87 Supplemental Figures ............................................................................................. 91 Supplemental Tables .............................................................................................. 93 CHAPTER 5: CONCLUSION .................................................................................... 94 REFERENCES CITED ................................................................................................ 96 9 LIST OF FIGURES Figure Page Fig. 2.1 Ubiquitous and tissue-specific DAF-2 degradation extends male lifespan .... 25 Fig. 2.2 Ubiquitous DAF-2 degradation preserves late-life male reproductive success .......................................................................................................................... 27 Fig. S2.1 Neuron- and Hypodermis-specific DAF-2 degradation does not extend male lifespan ................................................................................................................ 34 Fig. S2.2 Tissue-specific DAF-2 degradation does not preserve late-life male reproductive success .................................................................................................... 35 Fig. S2.3 Turning success and LOV efficiency are not improved upon DAF-2 ubiquitous degradation ................................................................................................. 36 Fig. 3.1 Pro-longevity compounds extend male lifespan ............................................. 53 Fig. 3.2 Sex differences in the percent change in median lifespan for different compounds compared to the control ............................................................................ 54 Fig. 3.3 Sulforaphane and metformin preserve late-life male reproductive success ... 56 Fig. 4.1 FUdR interacts with pro-longevity compounds in a sex-dependent manner .......................................................................................................................... 77 Fig. 4.2 Hermaphrodites and males have distinct transcriptomic profiles associated with aging ................................................................................................... 78 Fig. 4.3 Metformin elicits sexually dimorphic transcriptional changes ....................... 80 Fig. 4.4 ThioT elicits sexually dimorphic and sex-shared transcriptional changes ..... 82 Fig. 4.5 Metformin and ThioT interact with age to modulate gene expression changes ......................................................................................................................... 84 10 Fig. 4.6 Sex interacts with compound treatments to modulate age-associated gene expression changes ....................................................................................................... 86 Fig. S4.1 Principal component analysis of RNA-seq replicates .................................. 91 Supplemental Fig. S4.2 Top genes whose expression change by compound treatment is sex biased ................................................................................................. 92 11 LIST OF TABLES Table Page Table S2.1 Lifespan assay summary statistics ............................................................. 37 Table S2.2 Lifespan assay CPH model output ............................................................. 38 Table S2.3 Mating assay summary statistics ............................................................... 39 Table S2.4 Mating assay GLM model output .............................................................. 41 Table S2.5 Behavior assay summary statistics ............................................................ 43 Table S2.6 Behavior assay GLM output ...................................................................... 44 Table S2.7 Strains used in this study ........................................................................... 45 Table S3.1 Lifespan assay summary statistics ............................................................. 61 Table S3.2 Lifespan assay CPH model output ............................................................. 62 Table S3.3 Change in median lifespan by sex summary statistics .............................. 63 Table S3.4 Median lifespan by sex CPH model output ............................................... 64 Table S3.5 Mating assay summary statistics ............................................................... 66 Table S3.6 Mating assay GLMM model output .......................................................... 68 Table S4.1 Compound by FUdR by sex CPH model output ....................................... 93 12 CHAPTER1: INTRODUCTION Aging theories and hallmarks Aging is defined as the progressive deterioration of physiological and cellular functions over time. The study of aging as a biological process is complicated by its multifactorial nature, and by the variable contribution of these factors depending on the genetic background and the environment of an individual (Gems 2022). Several theories and mechanisms for aging have been proposed, with some rooted in evolutionary concepts while others focused on mechanistic causes. One of the most prominent evolutionary explanations of aging is George Williams’ antagonistic pleiotropy, which states that some genes have contrasting or “antagonistic” effects on fitness, beneficial in early life and detrimental in late life (Williams 1957). Given that selection is weaker following reproductive senescence, the detrimental effects of such alleles in late life are “shadowed”, leading to an overall positive selection on loci promoting beneficial “wild type” processes in early life and contribute to aging in late life (Williams 1957). Theories that have since emerged to explain antagonistic pleiotropy from a mechanistic standpoint can be divided into senescent theories and the programmatic aging theory (Gems 2022). The disposable soma theory is a senescent theory that was first proposed by T. B. L. Kirkwood (1977), which holds that given limited resources, natural selection will prioritize resource investment in the germline and reproduction, depleting resources from the soma and leading to an accumulation of damage without enough resources for maintenance mechanisms to reverse it. The programmatic theory, which was proposed independently by Mikhail Blagosklonny (2006) and João Pedro de Magalhães and Church (2005), states that although aging itself is not a programmed process, early programs that evolved to regulate growth and development can have run-on functions (hyperfunction) in late life that lead to aging and age- associated decline. Since their proposal, these theories have received varying degrees of empirical support (Mc Auley 2025). Interestingly, these evolutionary theories of aging do not necessarily predict that there will be conserved genetic pathways that directly influence the process of aging itself, yet the discovery of such pathways has completely revolutionized the field over the last 30 years. 13 In addition to proposing evolutionary and mechanistic theories, the field has benefitted from describing a set of aging hallmarks that are defined by (1) their age-associated onset or progression, and (2) the ability to accelerate or decelerate aging by modifying them (López-Otín et al. 2013; López-Otín et al. 2023). These hallmarks are divided into primary (genomic instability, telomere attrition, epigenetic alterations, loss of proteostasis, disabled macroautophagy), antagonistic (deregulated nutrient-sensing, mitochondrial dysfunction, cellular senescence), and integrative (stem cell exhaustion, altered intercellular communication, chronic inflammation, dysbiosis) (López-Otín et al. 2023). Moreover, the trans-NIH Geroscience Interest Group described aging pillars (adaptation to stress, epigenetics, inflammation, macromolecular damage, metabolism, stem cells and regeneration, and proteostasis) and emphasized their interconnectedness and the importance of understanding how these interactions regulate aging and age-associated disease (Kennedy et al. 2014). A key goal of the aging field is to uncover interventions that can modulate these hallmarks and thus modulate aging progression and trajectories. Sex differences in aging and age-associated diseases A remarkable phenomenon in the aging field and one of its most robust features is that women live longer than men (Austad 2011). This phenomenon is observed across the world and throughout history (Rochelle et al. 2015). In fact, sex-based differences in life expectancy have been documented in datasets dating back to 1751 from Sweden. These differences persisted despite the global average life expectancy increasing by more than two-fold, from 28.5 years in 1751 to 73.2 in 2020 (Dattani et al. 2023). Additionally, sex-based discrepancies are present even in extreme mortality conditions such as famine, slavery, and pandemics (Rochelle et al. 2015; Zarulli et al. 2018; Yan et al. 2024). While these differences may be in part due to the complex social structures and environmental factors in human populations, similar sex-based differences in longevity are observed in social groups where men and women share similar lifestyles (Luy 2003; Lindahl-Jacobsen et al. 2013). Similarly, sex differences in longevity are seen across many other wild mammalian species and commonly used model organisms (Austad and Fischer 2016; Lemaître et al. 2020). 14 Aging is often measured by lifespan (the chronological time between birth and death) and healthspan (the portion of lifespan that is disease-free). Both measurements show sex differences, albeit paradoxically; while women live longer than men, their healthspan is shorter (Oksuzyan et al. 2008; Gordon et al. 2017). Women are more likely than men to experience Alzheimer’s disease and other dementias (Rajan et al. 2021), chronic conditions (Bello-Lujan et al. 2022), bone mineral density loss (Daly et al. 2013), inflammation (Milan-Mattos et al. 2019), and higher rates and levels of frailty as they age (Gordon et al. 2017). On the other hand, men have a higher incidence of ischemic heart disease, trachea, bronchus, and lung cancers, and colon and rectum cancers (Mauvais-Jarvis et al. 2020; Hägg and Jylhävä 2021). Why do sex differences in aging exist? Sex-chromosomal and sex-hormonal mechanisms have been proposed as a proximate explanation for the longevity-gap between sexes (Hägg and Jylhävä 2021). Some of the sex-chromosomal explanations are focused on the X chromosome, largely related to X-chromosome inactivation (Marais et al. 2018). In humans, the homogametic sex has two X chromosomes with one undergoing random inactivation, and the heterogametic sex has one X and one Y chromosome. In the presence of X-linked deleterious mutations, the heterogametic sex has an “unguarded” X chromosome and is more vulnerable to expressing such mutations. Although this is supported by the higher incidence of X-linked diseases such as Duchenne muscular dystrophy and hemophilia in individuals with XY chromosomes, the effect size of this mechanism is not enough to explain the magnitude of lifespan differences (Connallon et al. 2022). Additionally, while X-chromosome inactivation is random, a skewed inactivation is associated with cardiovascular disease risk and cancer incidence, and a balanced inactivation is associated with healthy aging and longevity (Gentilini et al. 2012; Roberts et al. 2022). Other sex-chromosomal explanations are centered around the Y chromosome including Y chromosome toxicity or loss (Marais et al. 2018). The toxic Y hypothesis postulates that the high density of transposable elements on the Y chromosome are activated during aging due to the age- related loss of heterochromatin, contributing to the shorter lifespan of males (Muyle et al. 2021). Although some studies in Drosophila provided support for this hypothesis by detecting a correlation between the number of Y chromosomes and longevity, a recent study refuted it, showing instead that lifespan is correlated with phenotypic sex rather than the number of Y chromosomes (Brown et al. 2020; Delanoue et al. 2023). The mosaic loss of Y chromosome, 15 which is considered the most common somatic mutation in individuals with XY chromosomes, is correlated with cancer and several neurodegenerative and cardiovascular diseases (Bruhn- Olszewska et al. 2025). Sex-hormonal mechanisms lend themselves as an additional explanation for the large disparity in lifespan. While both males and females experience age-related decline in sex-hormone levels, only females experience a sharp decline in hormones during menopause. Natural menopause has been associated with a greater rate of neuromuscular and cognitive decline (Weber et al. 2012; Piasecki et al. 2024). Similarly, surgical menopause, or oophorectomy, has been associated with decline in cognitive function and an increase in the risk of Alzheimer’s (Rocca et al. 2007; Bove et al. 2014; Gurvich et al. 2018). Longer durations of estrogen exposure are associated with longevity while shorter periods are associated with increased risk of cardiovascular diseases (Shadyab et al. 2017; Hägg and Jylhävä 2021; Mishra et al. 2021). All together, these differences have been hypothesized to be a major contributor to the mortality-morbidity paradox. C. elegans as an aging model A French librarian with a personal interest in biology, Émile Maupas, was the first to describe Caenorhabditis elegans (originally named Rhabditis elegans) in 1899, naming it for its rod-like shape (rhabditis) and elegant sinusoidal movement (elegans) (Maupas 1899). Although early work on C. elegans by Nigon and Dougherty described its development and reproductive systems (Nigon 1949; Dougherty et al. 1959), the establishment of C. elegans as a tractable genetic model system is credited to Sydney Brenner who started working on this nematode in 1967 (Brenner 2009). Brenner recognized the power of C. elegans as a model system: they are small and easily maintained, their generation time is short (about 3 days), and their brood size is large (300-350 progeny) which creates a large nearly isogenic population from a single hermaphrodite that is ideal for addressing questions about genetics, development, and behavior (Brenner 1974). Eight years later, Brenner published the first paper outlining C. elegans genetic methods and identified 300 mutations in about 100 genes that mostly affect behavior and morphology (Brenner 1974). The establishment of this model system catalyzed many groundbreaking discoveries and accomplishments including describing the complete cell lineage of an animal and the discovery of apoptosis (Kimble and Hirsh 1979; Hedgecock et al. 1983; 16 Sulston et al. 1983; Ellis and Horvitz 1986), the discovery of RNAi, microRNAs and their role in gene regulation (Lee et al. 1993; Wightman et al. 1993; Fire et al. 1998), and the establishment of green fluorescent proteins as gene expression markers (Chalfie et al. 1994). C. elegans was also the first animal to have its genome sequenced (The C. elegans Sequencing Consortium 1998). This small nematode facilitated one of the greatest discoveries in the aging field; that lifespan can be regulated genetically. In 1983, Michael Klass proposed a method to screen for longevity in C. elegans and conducted the first screen for long-lived mutants in C. elegans, identifying eight such mutants (Klass 1983). Several of those mutants, however, displayed reduced food intake and therefore their long lifespan was attributed to caloric restriction. Tom Johnson’s work later uncoupled the reduced food intake and the prolonged lifespan phenotypes in one of those mutants, age-1 (Friedman and Johnson 1988). Although age-1 mutants experienced reduced fertility which was hypothesized to underlie the increased longevity (in line with the disposable soma theory), they also had a reduced mortality rate (the probability of death at a given time); this provided the first evidence that mortality rate is genetically regulated (Johnson 1990). This work fascinated Cynthia Kenyon and fueled her curiosity about the genetic basis of aging, inspiring her to plan her own screen for long-lived mutants. However, before even conducting such screen, a lucky decision to use daf-2 as the screening strain due to its dauer-constitutive phenotype (causing larval arrest) revealed that daf-2 itself was a long-lived mutant, becoming the longest-lived mutant at the time (Kenyon et al. 1993; Kenyon 2011). The gene daf-2 encodes for an insulin/IGF-1 receptor homolog that is conserved in mammals, a finding that revolutionized the aging field because it demonstrated that aging can be regulated genetically via evolutionarily conserved pathways (Kimura et al. 1997; Kenyon 2011). Pro-longevity interventions in C. elegans Since the discovery of daf-2 as a long-lived mutant, C. elegans became a popular aging model, with studies leveraging its short lifespan and amenability to genetic manipulations to investigate a variety of interventions including genetic, pharmacological, and lifestyle interventions. The three major pathways that have been implicated in C. elegans lifespan regulation are the insulin/IGF-1 signaling (IIS), the AMP-activated kinase (AMPK), and the mechanistic target of 17 rapamycin (mTOR) pathways (Kishimoto et al. 2018). In addition to daf-2, two other genes in the IIS pathway play a significant role in its aging regulation aging via nutrient sensing: the PI3K homolog age-1 and the FoxO transcription factor homolog daf-16 (Morris et al. 1996; Lin et al. 1997; Ogg et al. 1997; Paradis and Ruvkun 1998; Uno and Nishida 2016). Under favorable conditions and food abundance, insulin-like peptides bind the DAF-2 receptor which modulates other proteins downstream that ultimately inhibit DAF-16 from translocating into the nucleus. Under unfavorable conditions, however, such as caloric restriction or DAF-2 defects via mutations or knockdowns, DAF-16 is phosphorylated and translocates into the nucleus, activating longevity and stress response pathways that promote longer lifespan (Kishimoto et al. 2018). Similarly, mTOR inhibition by low nutrient conditions of mutations that decrease its activity promote longevity in an AMPK- and DAF-16-dependent manner (Vellai et al. 2003; Jia et al. 2004; Uno and Nishida 2016). The effects of mTOR are mediated by the FoxA transcription homolog PHA-4 via its role in regulating autophagy (Sheaffer et al. 2008). Although there is some level of crosstalk between these signaling pathways, the effect of mTOR on lifespan is independent of DAF-16, and combinatorial attenuation of both pathways increases lifespan in an additive manner (Chen et al. 2013). While genetic interventions offer invaluable mechanistic insights into longevity, they do not satisfy the need for interventions that are more viable for use in human health and longevity. Therefore, an additional important avenue of aging research is the development and investigation of chemical and pharmacological interventions. C. elegans represent an excellent screening platform to identify and characterize such interventions due to the properties mentioned previously and in chapter 3. This provided the basis for the formation of the Caenorhabditis Intervention Testing Program, a National Institute of Aging-funded program to screen for compound interventions in a reproducible and rigorous manner (Driscoll et al. 2025). CITP has screened over 75 compounds and identified 12 compounds that reliably extend hermaphrodite lifespan (Lucanic et al. 2017; Onken et al. 2022; Banse et al. 2024; Banse et al. 2024; Sedore et al. 2025). Due to this wealth of knowledge and established protocols and tools for C. elegans longevity, it represents an ideal model organism for the investigation of aging questions and mechanisms. 18 Challenges and benefits of C. elegans males as an aging model C. elegans is an androdiecious species with two sexes: hermaphrodites which are genetically females that evolved the ability to produce sperm and self-fertilize, and males which mate with hermaphrodites to produce cross progeny. The two sexes show behavioral, neuronal, and physiological differences in addition to differences in aging and lifespan (Barr et al. 2018; Hotzi et al. 2018; Reilly et al. 2021; Weng and Murphy 2024; Purice et al. 2025). However, the studies that have investigated hermaphrodite development and aging far outnumber those that have investigated males. One of the reasons for that is males are rare in the common lab strain N2 Bristol, composing only 0.01% of the population. Moreover, males have a high drive to search for mates, leading them to escape the agar media they are grown on and desiccating on the plastic walls of petri dishes. Another feature of males is their toxic effect on other hermaphrodites and males (more in chapter 3 discussion). Despite the challenges that males present, they offer a unique behavior that can be utilized as a comprehensive health metric: mating. Male mating behavior is considered one of the most complex behaviors in C. elegans nematodes that involves multiple steps, integrates a variety of inputs including chemical and mechanosensory, and requires proper function of neurons, muscle, and the germline (Barr and Garcia 2006). Most importantly, male mating declines with age due to an increase in turning defects that is correlated with neuronal deficits (Guo et al. 2012; Chatterjee et al. 2013). Another unique benefit of using males is the lack of requirement of 5-Fluoro-2'-deoxyuridine (FUdR) supplementation. FUdR is commonly used in hermaphrodite aging studies, despite evidence showing its effect on hermaphrodite lifespan both directly and indirectly (more in chapter 3 introduction, (Mitchell et al. 1979; Gandhi et al. 1980; Anderson et al. 2016; Wang et al. 2019; McIntyre et al. 2021). Because males cannot produce self-progeny, the need for FUdR use is eliminated, allowing for the effects of interventions on lifespan to be interpreted directly without the confounding effect of FUdR. 19 Dissertation outline Sexual dimorphism in aging trajectories has long been noted, yet the mechanisms underlying such differences remain elusive. In the face of an aging population, it is becoming increasingly important to expand our knowledge of the basis of such difference which would aid in the development of pro-longevity interventions that can benefit both men and women alike. This dissertation aims to explore sex differences in aging using C. elegans as the model organism due to its short lifespan, amenability to both genetic and chemical interventions, and the abundance of molecular and genetic resources available in it. In chapter 2, I explore sex differences in the response to genetic pro-longevity interventions. In addition to myself, Hannah B. Lewack and Patrick C. Phillips were key contributors to this work, with Hannah B. Lewack as a co-lead author. We explore how IIS attenuation using an auxin- inducible degron system affect survival and reproductive healthspan in male C. elegans. We uncover an extraordinary longevity phenotype and investigate the specific tissue types that contribute to it. We additionally develop male mating success as a novel and complex healthspan measure and describe a novel phenotype that inhibits mating in older males and is repressed by IIS disruption. In chapter 3, I explore sex differences in the response to chemical pro-longevity interventions at the physiological level. In addition to myself, Patrick Phillips was a key contributor to this work, which is currently under review. I describe a new compound-screening paradigm using male C. elegans survival and reproductive success as a complex healthspan metric. I screened several compounds that have been shown to promote hermaphrodite lifespan and found that their effect size on lifespan is sex specific. The chapter provides further support to idea that lifespan and healthspan are two separate aging metrics that can be uncoupled. In chapter 4, I explore sex differences in the response to chemical pro-longevity interventions at the transcriptional level. In addition to myself, Christine A. Sedore, Erik Johnson, Erik Segerdell, and Patrick Phillips were key contributors to this work. We characterize the effects of two compounds, metformin and Thioflavin T, on the transcriptomic landscape of C. elegans hermaphrodites and males. Additionally, we explore how biological sex modulates these effects. 20 We uncover some sex-biased and sex-shared mechanisms by which these compounds extend lifespan. Taken together, these chapters describe sex differences at the physiological and transcriptional level of a classic aging model in the response to pro-longevity interventions and propose a new experimental paradigm that leverages the unique benefits of C. elegans males as a screening tool for chemical and pharmacological interventions. Bridge to chapter 2 In chapter 1, I provide an introduction into the aging field, reviewing historical evolutionary theories and current knowledge of the molecular pathways that contribute to aging. I highlight the prevalence and complexity of sex differences in aging trajectories and the growing demand for understanding the mechanisms that underlie differences in the response to pro-longevity interventions. In chapter 2, I explore sex differences in the response to genetic interventions. Specifically, I explore how targeting the IIS pathway in C. elegans males in a ubiquitous and tissue-specific manner affect lifespan and reproductive healthspan. 21 CHAPTER 2: KNOCKING DOWN THE DAF-2 INSULIN-LIKE RECEPTOR IN MALE C. ELEGANS DRAMATICALLY INCREASES REPRODUCTIVE HEALTH AND LONGEVITY IN A SEX AND TISSUE-SPECIFIC MANNER Rose S. Al-Saadi, Hannah B. Lewack, Patrick C. Phillips Author Contributions RSA and PCP conceptualized the project. RSA conducted the lifespan assays, the mating assays for ages 12–21 days, conducted the statistical analysis and visualization, and co-wrote the original manuscript. HBL conducted the mating success and mating behavior assays and co- wrote the original manuscript. PCP supervised the project, reviewed and edited the manuscript, and acquired funding. Abstract Aging is a universal phenomenon experienced by nearly all multicellular organisms, with several factors including sex impacting its manifestation (Austad and Fischer 2016). In the nematode model Caenorhabditis elegans, most aging studies have been conducted with hermaphrodites, and little is known about male-specific responses to pro-longevity mutations. The auxin- inducible degron system has been used to degrade DAF-2/IGF-1 in hermaphrodites and it was found that both ubiquitous and tissue-specific degradation extended lifespan (Venz et al. 2021; Roy et al. 2022; Zhang et al. 2022). However, the role of sex in modulating this lifespan extension remains unknown. Here we show that ubiquitous degradation of DAF-2 in male C. elegans increases median lifespan by 446%, the longest lifespan extension by a single intervention to date. Degrading DAF-2 in the male germline decreased lifespan, which is the opposite of its effect on hermaphrodites (Zhang et al. 2022). We identified a novel age- associated male tail paralysis phenotype that prohibits aged males from mating. A significant reduction in this phenotype is observed with ubiquitous DAF-2 degradation and is associated with an increase in reproductive healthspan at old age by 39.6%. This work highlights the importance of studying sex differences in aging and builds upon a paradigm for examining pro- longevity genetic interventions and their effects on both lifespan and healthspan. 22 Main Sex underlies incredibly robust differences in aging and longevity between males and females (Austad 2011). Such differences are seen in human populations and many other wild mammalian species (Rochelle et al. 2015; Lemaître et al. 2020). While complex social structures and other environmental factors undoubtedly contribute to this phenomenon, sex-based differences in longevity are nevertheless observed in social groups where both sexes share similar lifestyles (Luy 2003; Lindahl-Jacobsen et al. 2013). Precisely how sex regulates aging and longevity, especially at a molecular level, is still largely understudied. This is in part due to the complex nature of aging, and in part due to limited emphasis in research programs on how sex modulates different biological processes. Developing better tools and interventions that are effective at enhancing late life health and longevity for both males and females depends critically on increased understanding of the biological basis of sex-specific differences in aging responses. While the influence of sex on the natural aging trajectories is clear, over the last two decades it has become evident that the sexes respond differently to pro-longevity interventions including genetic and pharmacological interventions (Knufinke et al. 2023; Bartke et al. 2024). While we know these differences in response to longevity interventions exist, the molecular mechanisms underlying these differences remain to be fully elucidated. Here, we use Caenorhabditis elegans as a genetic model to investigate how tissue-specific degradation of the classic DAF-2 insulin- like receptor enhances health and lifespan in a sex-dependent manner. The insulin/ insulin-like growth factor 1 (IGF-1) signaling pathway (IIS) is one of the best described genetic pathways that modulate aging. Knocking out components of this pathway confers significant longevity extensions in worms, flies, mice, and other animals (Kenyon 2010). Sex differences in the IIS pathway have also been well documented in humans and other species (Tramunt et al. 2020). For example, women develop lower sensitivity to insulin than men as they age and generally have lower incidences of metabolic diseases (Ciarambino et al. 2023). Reduced IIS pathway activity in mice leads to a larger lifespan extension and better health outcomes in females than in males (Garratt 2020). Despite these differences, the molecular basis of sex-specific responses to insulin signaling remains relatively understudied. Investigating these 23 differences ensures that sex differences are included in the design and implementation of therapeutics aimed at enhancing health late in life. Within C. elegans, daf-2 encodes for an insulin-like receptor that, when mutated, can double individual lifespan (Kenyon et al. 1993; Kimura et al. 1997; Kenyon 2010). This lifespan- extension phenotype is dependent on the downstream FoxO transcription factor DAF-16 (Kenyon et al. 1993). Since the discovery of this phenotype, the molecular components and the signaling cascade regulated by DAF-2 have been extensively studied (Kenyon 2011). Recently, the auxin-inducible degron (AID) system has been used to knock down DAF-2 in a spatially and temporally controlled manner, demonstrating that DAF-2 regulates hermaphrodite lifespan primarily through the intestine, without negatively impacting development and reproduction (Venz et al. 2021; Roy et al. 2022; Zhang et al. 2022). Here, we examined the sex-specific differences in longevity and healthspan in C. elegans by using the AID system to contrast the tissue-specific effects of DAF-2 degradation in males and hermaphrodites. Male mating represents an ideal measure of reproductive healthspan because it is a neurologically complex behavior that uses the majority of the male’s 93 sex-specific neurons to achieve (Sulston et al. 1980; Barr et al. 2018; Molina-García et al. 2020). It also declines rapidly with age (Barr and Garcia 2006; Chatterjee et al. 2013) due to behavioral and neuronal deficits (Guo et al. 2012; Chatterjee et al. 2013) rather than a decrease in mating drive or sperm quality. We find that ubiquitous downregulation of insulin-like signaling leads to a much larger increase in lifespan in males compared to hermaphrodites and greatly enhances male sexual function late in life. In contrast, downregulating insulin-like signaling in the male germline decreases lifespan (Zhang et al. 2022). This study demonstrates the importance of studying sex differences in longevity and adds to a platform for investigating these effects in one of the most important model systems for the study of the biology of aging. DAF-2 degradation drastically extends male lifespan The two major components of the AID system are: 1. a short sequence called a degron tag that is fused to the protein of interest, and 2. the plant F-box protein Transport Inhibitor Response 1 (TIR1) (Nishimura et al. 2009; Zhang et al. 2015). TIR1, along with other endogenous proteins, 24 forms an E3 ubiquitin ligase complex that, when auxin is added, will target the protein of interest for degradation. However, auxin treatment alone has been previously shown to increase hermaphrodite lifespan (Loose and Ghazi 2021). To account for the effects of TIR1 and auxin treatment on male lifespan independent of protein degradation, we measured survival using the CA1200 strain that contains ubiquitously expressed TIR1 but no degron tag. We found that although there was a significant difference in survival between the ethanol control and auxin (p = 0.0008), there was no difference in the median lifespan for the two treatments (Supplemental Fig. S2.1a). Three different groups have previously shown that ubiquitous DAF-2 degradation increased hermaphrodite lifespan significantly (Venz et al. 2021; Roy et al. 2022; Zhang et al. 2022). However, the effects of DAF-2 degradation on male lifespan remains unexplored. Using previously published AID strains, we asked whether the effect of ubiquitous DAF-2 degradation on lifespan is sexually dimorphic. We degraded DAF-2 in both males and hermaphrodites and measured their lifespan. We note that the whole-body DAF-2 AID strain used here produced occasional spontaneous dauers, indicative of leaky DAF-2 degradation without auxin exposure. Therefore, we used the TIR1-only strain on auxin as our negative control as reported previously (Zhang et al. 2022). We placed 40 animals per plate (in triplicates), with hermaphrodites and males housed separately, and measured their lifespan, finding that DAF-2 degradation, sex, and the interaction between the two factors have a significant effect on survival. Ubiquitous DAF-2 degradation in males led to a significant increase in survival (p < 0.0001) accompanied by a dramatic increase in median lifespan (+446%, Fig. 2.1a), with a maximum lifespan of 127 days compared to 38 days in controls. This is much greater than the increase in hermaphrodite lifespan reported here (+109%, Fig. 2.1a) and previously (+70–135% in Venz et al. 2021, +167% in Zhang et al. 2022, and +88–117% in Roy et al. 2022). Sex clearly plays a key role in regulating the response to IIS signaling disruption, consistent with previous findings in the canonical daf-2 mutant (Hotzi et al. 2018). Male-specific pheromones in C. elegans have been shown to decrease both male and hermaphrodite lifespan, resulting in “male-induced demise” (Maures et al. 2014; Shi and Murphy 2014; Shi et al. 2017). To eliminate the effect of male pheromones on lifespan, we housed males 25 Fig. 2.1 Ubiquitous and tissue-specific DAF-2 degradation extends male lifespan. (a) Kaplan-Meier curves showing survival of C. elegans hermaphrodites and males following ubiquitous DAF-2 degradation. Yellow lines denote hermaphrodites and purple lines denote males. Dashed lines denote the negative controls treated with ethanol and solid lines denote DAF-degradation with 1mM auxin treatment. Each line represents at least two biological replicates with total n = 183-235. (b, c) Kaplan-Meier curves showing survival of C. elegans males following DAF-2 degradation in the (b) intestine and (c) germline. Gray lines denote the negative controls treated with ethanol and purple lines denote DAF-degradation with 1mM auxin treatment. The intestine lifespan curve represents one biological replicate with n = 80-109 and the germline represents two biological replicates with n = 137 – 202. The black dashed lines denote the age at which 50% of the population has died. The asterisks denote p-values from a Cox Proportional Hazards model where ****p<.0001. For additional information and the output of the CPH model, see Supplemental Tables S2.1 and S2.2 on individual plates then measured the effects of DAF-2 degradation on their lifespan. We found that when males are housed individually, ubiquitous DAF-2 degradation resulted in a significant increase in lifespan (+230%, Supplemental Fig. S2.1b). We hypothesized that individually housed males would display increased lifespan. Indeed, control males lived longer when housed individually. However, DAF-2 AID males did not display an added benefit of being housed individually. This indicates the DAF-2 degradation confers the maximum benefit to lifespan extension in males, and eliminating male pheromones provides no added benefits. This increase in the baseline lifespan also explains the decreased effect size of this intervention on single males compared grouped males. Next, we wanted to identify which tissues contribute to this dramatic lifespan extension. Using strains with tissue-specific promoters driving DAF-2 degradation, we targeted DAF-2 in tissues known to regulate hermaphrodite lifespan (intestine, germline, neurons, hypodermis) and measured male lifespan (Venz et al. 2021; Roy et al. 2022; Zhang et al. 2022). We found that intestinal degradation of DAF-2 in males extended median lifespan by 83% (p < 10-14, Fig. 2.1b). Germline degradation of DAF-2, however, decreased median lifespan by 19% (p =0.00001, Fig. 0.00 0.25 0.50 0.75 1.00 0 25 50 75 100 125 Age at death (days) Fr ac tio n su rv iv in g Hermaphrodite control Hermaphrodite ubiquitous Male control Male ubiquitous a cb 0.00 0.25 0.50 0.75 1.00 0 10 20 30 40 Age at death (days) Fr ac tio n su rv iv in g Control Intestine**** 0.00 0.25 0.50 0.75 1.00 0 10 20 30 40 Age at death (days) Fr ac tio n su rv iv in g Control Germline**** 0.0 0.1 0.2 0.3 0.4 0.5 1 7 9 Age (days of adulthood) P ro ba bi lit y of ta il in co or di na tio n Control Ubiquitous a cb Figure 1 Figure 2 0 20 40 60 80 1 7 9 Age (days of adulthood) Ti m e on th e vu lv a (s ec on ds ) Control Ubiquitous 0.00 0.25 0.50 0.75 1.00 1 7 9 12 15 18 21 Age (days of adulthood) P ro ba bi lit y of M at in g S uc ce ss Control Ubiquitous**** * *** * ******** **** 26 2.1c). This negative effect of germline-specific degradation on lifespan is the opposite of what was observed previously in hermaphrodites (Zhang et al. 2022). Degradation of DAF-2 in the neurons and hypodermis did not alter survival (Supplemental Fig. S2.1c, d). Overall, we find that sex plays a significant role in modulating the magnitude of response to DAF-2 degradation in C. elegans, with males displaying a much greater increase in lifespan in response to this intervention compared to hermaphrodites. Ubiquitous DAF-2 degradation prolongs reproductive healthspan in old males Lifespan and healthspan can often be decoupled, and it has become increasingly important to test the effects of pro-longevity interventions on both metrics (Bansal et al. 2015; Hahm et al. 2015; Banse et al. 2024). Therefore, we tested whether the extension in male lifespan produced by DAF-2 degradation was accompanied by an extension in reproductive healthspan. We used reproductive success as our healthspan metric because it is a complex behavior that requires fidelity of multiple tissues and systems (muscles, neurons, reproductive organs) (Barr and Garcia 2006), and declines with age due to physiological changes and not due to a decrease in motivation (Guo et al. 2012; Chatterjee et al. 2013). We tested the mating success of young (day 1 of adulthood), middle-aged (day 7), and old (day 9) adults. Because hermaphrodites produce sperm and can self-fertilize, we used fog-2 pseudo-females, which are essentially hermaphrodites that are unable to produce sperm (Schedl and Kimble 1988), as mating partners for the males to ensure that only cross progeny were counted. To assess mating success, one male and two virgin fog-2 pseudo-females were allowed to mate for 24 hours, then mating success was measured. Using a logistic regression model, we asked whether age, DAF-2 degradation, and the interaction between the two factors have an effect on mating success. When DAF-2 is degraded ubiquitously, mating success at both days 7 and 9 was maintained while the no-auxin controls displayed the anticipated decline in mating success. Because the males were still capable of mating at day 9, we additionally tested days 12, 15, 18, and 21 and found that ubiquitous DAF-2 degradation decreased the overall rate of reproductive decline by 40% (p = 4 x 10-5) compared to the no-auxin control (Fig. 2.2a). Ubiquitous DAF-2 AID males mate successfully later in life, with successful mating events occurring until day 18 of adulthood, a substantial extension compared to the no-auxin controls that stop mating successfully at day 9 of adulthood (Fig. 2.2a). Despite extending lifespan, intestinal DAF-2 degradation was not sufficient to preserve 27 Fig. 2.2 Ubiquitous DAF-2 degradation preserves late-life male reproductive success. (a) Logistic regression lines showing mating success for C. elegans males following ubiquitous DAF-2 degradation. Gray lines denote untreated controls, and purple lines denote DAF-2 degradation with 1mM auxin treatment. Shapes represent biological replicates, with 4–58 technical replicates in each. The gray shading around the regression lines represents SEM. A generalized linear mixed model with a binomial distribution was used to assess the effect of treatment and age (and the interaction) on mating success. (b, c) Bar graphs showing (b) the time on the vulva and (c) the probability of tail incoordination in C. elegans males following ubiquitous DAF-2 degradation. Gray bars denote untreated controls, and purple bars denote DAF-2 degradation with 1 mM auxin. Each bar represents at least two biological replicates, with a total n = 48–52. Error bars represent SEM. A generalized linear mixed model with a binomial distribution for tail incoordination and a gaussian distribution for the time on the vulva was used to assess the effect of treatment and age (and the interaction) on behavior. The asterisks denote p-values the generalized linear models followed by planned comparisons where *p<.05, **p<.01, ****p<.0001. For additional information and the output of the linear models, see Supplemental Tables S2.3–S2.6 reproductive success in late life (Supplemental Fig. S2.2a). In fact, degradation of DAF-2 in any single tissue type did not preserve reproductive success in late life (Supplemental Fig. S2.2b-d). Overall, we found that ubiquitous degradation of DAF-2 is the only intervention that prolongs reproductive healthspan in males. DAF-2 degradation lowers the incidence of male tail incoordination For a mating event to be successful, a male must complete a series of complex behaviors. Males must locate a hermaphrodite, scan the body using its tail via backward movement, turn once it reaches the head or the tail of the hermaphrodite, locate the vulva, insert the spicule, and transfer sperm (Barr and Garcia 2006). This sequence of behaviors, which is considered the most complex in C. elegans, declines rapidly with age (Chatterjee et al. 2013). To investigate which changes at the behavioral level contribute to sustained mating success, we degraded DAF-2 ubiquitously in young (day 1 of adulthood), middle-aged (day 7), and old (day 9) males and 0.00 0.25 0.50 0.75 1.00 0 25 50 75 100 125 Age at death (days) Fr ac tio n su rv iv in g Hermaphrodite control Hermaphrodite ubiquitous Male control Male ubiquitous a cb 0.00 0.25 0.50 0.75 1.00 0 10 20 30 40 Age at death (days) Fr ac tio n su rv iv in g Control Intestine**** 0.00 0.25 0.50 0.75 1.00 0 10 20 30 40 Age at death (days) Fr ac tio n su rv iv in g Control Germline**** 0.0 0.1 0.2 0.3 0.4 0.5 1 7 9 Age (days of adulthood) P ro ba bi lit y of ta il in co or di na tio n Control Ubiquitous a cb Figure 1 Figure 2 0 20 40 60 80 1 7 9 Age (days of adulthood) Ti m e on th e vu lv a (s ec on ds ) Control Ubiquitous 0.00 0.25 0.50 0.75 1.00 1 7 9 12 15 18 21 Age (days of adulthood) P ro ba bi lit y of M at in g S uc ce ss Control Ubiquitous**** * *** * ******** **** 28 allowed them to mate with immobilized hermaphrodites then quantified different mating behaviors: response rate (whether or not a male made contact with a hermaphrodite), turning ability, location of vulva (LOV) efficiency (vulva location success “1” or failure “0” divided by the number of passes), and the amount of time on the vulva. We note that the sample size for turning success, LOV, and time on the vulva at day 9 is limited due to many assayed males not making contact with hermaphrodites and therefore not reaching a point at which those behaviors are relevant. DAF-2 degradation in males did not have an effect on either turning ability or LOV efficiency (Supplemental Fig. S.2.3a, b). The amount of time on the vulva, however, was significantly lower at both one and seven days of adulthood when DAF-2 was degraded (Fig. 2.2b). This potentially explains the lower mating output of the ubiquitous DAF-2 AID in the early ages (Fig. 2.2a, day 1). We also noted a novel male aging phenotype that we termed “tail incoordination” (Fig. 2.2c). While young males are able to perform swift sinusoidal movements, older males seem to have a stiff tail that remains immobile while the rest of their body continues in the sinusoidal motion. Males with this phenotype were rarely able to begin the mating sequence. We found that DAF-2 degradation significantly reduces the incidence of tail incoordination in older males at both days 7 (-72%, p = 0.03) and 9 of adulthood (-64%, p = 0.003, Fig. 2.2d). Overall, our results support the hypothesis that the decrease in tail incoordination incidence following DAF-2 degradation likely underlies the sustained reproductive healthspan in males. Discussion Sex differences in aging and the response to pro-longevity interventions have been documented widely (Austad 2011; Austad and Bartke 2016). Yet, the molecular mechanisms that underlie these differences remain to be fully elucidated. Here, we show that tissue-specific and ubiquitous knockdown of the insulin-like signaling pathway confer sexually dimorphic changes in longevity. We targeted the protein DAF-2 for degradation in the whole body of C. elegans males and hermaphrodites and found that the lifespan extension in males significantly exceeded that in hermaphrodites, leading to one of the largest reported lifespan extensions in C. elegans via a single intervention. Three different studies have previously shown that DAF-2 degradation in the intestine and neurons extends median lifespan in hermaphrodites (Venz et al. 2021; Roy et al. 2022; Zhang et al. 2022). Here, we show that DAF-2 degradation in male intestine also prolongs 29 median lifespan dramatically, while neuronal degradation had no effect on lifespan. This difference in the effect of neuronal degradation is likely due to the sexually dimorphic nature of C. elegans neurons. The two sexes have several sex-specific neurons (8 in hermaphrodites and 93 in males), and some of the 294 shared neurons are sexually dimorphic (Kim and Kim 2022). Additionally, it has been shown recently that neuronal aging in C. elegans results in sexually dimorphic transcriptional changes (Weng and Murphy 2024). Future work could explore whether the differences in the neuronal effect of DAF-2 degradation is via sex-specific neurons or sexually dimorphic shared neurons. Zhang et al. (2022) also found that DAF-2 degradation in the hypodermis and germline lead to median lifespan extension in hermaphrodites, while Venz et al. (2021) observed no effects of either of these tissues and Roy et al. (2022) observed no effects of germline degradation on lifespan. Here, we show that hypodermis degradation had no effects on median lifespan in males while degradation in the germline led to a decrease in their median lifespan. Because the AID system produces a strong knockdown but not a fully null mutation, it is possible that the discrepancies between these studies is due to variable levels of DAF-2 knockdown in the hypodermis and germline. Males are known to produce pheromones that are toxic to other males (Shi et al. 2017; Ludewig et al. 2019), therefore, we chose to culture them in groups as well as individually. Although it has been shown that daf-2 and other classical long-lived mutant hermaphrodites are especially susceptible to male-induced demise (Booth et al. 2022), our results show that DAF-2 AID males are still extraordinarily long-lived. When DAF-2 is ubiquitously degraded, both single and grouped males live significantly longer, with comparable median lifespans of 76 and 71 days, respectively. On the other hand, the DAF-2 AID strain without auxin exposure and DAF-2 degradation suffered from male-induced demise, as evident by the difference of median lifespans of single and grouped males (23 and 15 days, respectively). This alludes to a mechanism in DAF-2 AID males that is protective against this male pheromone-induced demise. Future studies could explore the effects of DAF-2 degradation in the context of male pheromones and whether this degradation is protective of male-induced demise, thus contributing to the dramatic lifespan extension. 30 Incorporating both lifespan and healthspan measures into aging studies is important especially in the context of our aging population; people are living longer but suffering more diseases and disabilities in old age (Olshansky 2018). Here, we provide additional evidence for the uncoupling of lifespan and healthspan. Despite the lifespan extension conferred by intestinal DAF-2 degradation in males, a similar effect on reproductive healthspan was not observed. However, previous work had shown that in the canonical daf-2 mutant, several health metrics such as pharyngeal pumping (Huang et al. 2004), mobility (Mulcahy et al. 2012; Hahm et al. 2015), learning (Weng et al. 2024), and resistance to microbial pathogens (Murphy et al. 2003) are improved compared to wild type animals. The discrepancy is attributed to the complexity of the health metric we used in our study. In order to maintain reproductive success into old age, several systems and tissues need to maintain their function. Therefore, DAF-2 likely needs to be degraded in multiple tissues to produce a meaningful effect on reproductive success, which is what we observed in the ubiquitous DAF-2 AID strain. In Roy et al. (2022) the dauer phenotype of daf-2 mutants could not be recapitulated by degrading DAF-2 in single tissues. Additionally, the phenotype of reduced motility in early life and increased motility in late life was under combinatorial regulation of both neurons and muscles (Roy et al. 2022). Consistent with these results, we show here that male reproductive success in late life could not be promoted by single-tissue degradation but requires DAF-2 to be degraded in multiple tissues, accomplished here only via ubiquitous degradation. Future work could explore the effects of combined degradation in neurons and muscles, tissues known to play a role in motility and mating, on reproductive success in late life. It has been shown previously that older males display deficits in turning behavior that is abolished in daf-2 mutants, accompanied with improvements in the responsiveness to hermaphrodites, LOV efficiency, and turning ability (Chatterjee et al. 2013). We anticipated observing similar changes in the ubiquitous DAF-2 AID. However, we did not see differences in the response rate of LOV efficiency and saw a reduction in the time on the vulva. Instead, we discovered a novel tail immobility phenotype in aging males is the likely cause of sexual dysfunction, one that is ameliorated by DAF-2 degradation in the whole body. Future work could explore the basis of this phenotype and its relation to muscle health and function which had been 31 shown previously to decline with age, leading to motor deficits that are reduced in daf-2 mutants (Glenn et al. 2004; Roy et al. 2022) Our work shows that genetic interventions targeting the insulin-like signaling pathway extend not only the lifespan of the animal, but also the reproductive healthspan. While we focus on reproductive healthspan here, future studies could explore other healthspan metrics such as oxidative stress resistance, motility, pharyngeal pumping, and lipofuscin accumulation (Bansal et al. 2015). Our study expands on a framework for measuring healthspan in males as well as describing a novel tail paralysis phenotype. Taken together, these results suggest that males represent a useful tool for future aging research as they may be more susceptible to certain interventions and provide a complex behavior that can be used to assess the efficacy of interventions on reproductive healthspan. Methods C. elegans strains and maintenance The strains used in this study were provided by the CGC, which is funded by NIH Office of Research Infrastructure Programs (P40 OD010440). The list of strains used in this study is provided in Supplemental Table S.2.7, many of which were sourced from Zhang et al. (2022). Strains were maintained at 20°C on 60 mm plates filled with standard nematode growth medium (NGM) seeded with 10 mm of Escherichia coli OP50, unless specified otherwise. Worms were transferred every Monday and Friday to fresh plates. Plant auxin at a final concentration of 1mM for knockdown experiments was prepared by adding 400 mM auxin stock (0.350g indole-3- acetic acid added to 5mL of 190-proof ethanol) to cooled agar in a 2.5mL to 1 L ratio and poured onto plates once mixed. Plates were then covered with foil/towels and stored in light-proof boxes at 4°C after being seeded with OP50. To decrease the likelihood of spontaneous dauer formation, the ubiquitous DAF-12 AID strain was kept in a separate box from other strains, and only a few worms during maintenance were transferred to prevent overcrowding. To maintain male stocks, 8–10 males and 4–5 hermaphrodites were transferred to new plates 1–2 times a week. Plates older than 1–2 weeks were discarded frequently. 32 Lifespan assay The lifespan protocol used here is based on the previously published CITP lifespan protocol (Lucanic et al. 2017). A day prior to the start of the experiment, L4 males are staged visually using the male tail morphology and picked to 60 mm NGM plates seeded with E. coli OP50 at a concentration of 50 males per plate. Approximately 24 hours later, the adult males are transferred to experimental plates (60 mm NGM plates seeded with E. coli OP50, 40 males per plate, 3 plates per condition). Worms were scored three times a week and transferred to new plates weekly until the worms were all dead. Worms were scored as either alive, dead, or lost (if burrowed, missing, or walled). Mobile worms were scored as alive. Immobile worms were assayed by touching their tail or head with a platinum worm pick. If they do not respond to touch, they are scored as dead. Dead worms are removed from the plate, and live worms are counted. Mating assay For each replicate, a single male was picked at the L4 larval stage and placed on its respective treatment plate: a small 35 mm NGM plate or a 35 mm auxin plate seeded with 10 mm of E. coli OP50. Each trial consisted of 16 replicates per treatment. We tested the effects of DAF-2 degradation on young, middle-age, and old males, looking at days 1, 7, and 9 of adulthood, respectively. Once the males reached their target age, they were moved to a mating plate with two 1-day old adult feminized fog-2 hermaphrodites. These hermaphrodites do not produce sperm, therefore any progeny observed must be a product of mating with a male (Schedl and Kimble 1988). Worms were allowed to mate for 24 hours at 20°C before being assayed. Mating success was scored as 1 for successful mating (progeny present), and 0 for unsuccessful mating (progeny absent). Plates with contamination or missing/dead males were censored. Behavior assay For each strain, 30 males were picked at their L4 stage and put on either a 100 mm NGM plate or a 100 mm auxin plate. They were then aged to their respective days of adulthood (one, seven, and nine). The day prior to the behavior assay, 300, L4 immobilized unc-31 hermaphrodites were picked at their L4 stage and aged to day one of adulthood on a 150 mm NGM plate seeded with 33 E. coli OP50. Behavior assays were based on methods described in Chatterjee et al. (2013). Five unc-31 hermaphrodites were allowed to equilibrate on a 60 mm NGM plate seeded with 10 mm E. coli OP50 for 10 minutes. One aged male was placed on the plate and its behavior recorded for four minutes using the Dinocam software. If the worm did not respond to the hermaphrodites after four minutes, it was excluded from mating measures, if it began mating in the final minute, recording time was extended to six minutes to include the entirety of the behavior. Mating was evaluated using six measurements: contact with vulva rate (the amount of trials where males made and held contact with the vulva over total trials), Number of Passes (the amount of passes a worm made over the vulva with its tail before successfully mating), LOV efficiency (Successful vulva location (1) or unsuccessful (0) divided by the number of passes over the vulva), the amount of time on the vulva (the amount of time the male kept contact with the vulva), turning success (the percentage of worms that can successfully complete turning behaviors), and tail paralysis (the amount of worms that had upper bodies that were mobile but whose tails were immobile, over the total amount of trials). Statistical analysis All the statistical analyses reported here were conducted in RStudio version 4.5.1 (R Core Team, 2024). A mixed effects Cox-Proportional Hazards (CPH) model was used for each strain (single tissue degradation) to analyze survival data, where treatment (control or auxin) was used as the fixed effect and technical (Rep) and biological replicates (StartDate) were used as the random effects. To test for the effect of sex, treatment, and the interaction between the two on survival in the ubiquitous DAF-2 AID strain, a CPH model was fit where, sex, treatment, and their interaction were the fixed effects, and technical (Rep) and biological replicates (StartDate) were the random effects. The coxme package version 2.2-22 (Therneau 2024) was used to fit the CPH model and the survival package version 3.8-3 (Therneau and Grambsch 2000; Therneau 2024) was used to construct the Kaplan-Meier survival curves. To analyze mating success, we fit a generalized linear model with a binomial distribution followed by paired comparisons to test for the effects of age, treatment, and their interaction on mating success within each strain. To analyze the effect of treatment behavior, we fit a generalized linear model with a binomial distribution followed by planned comparisons to test the effects of age, treatment, and their interaction on turning success, tail incoordination, and LOV efficiency and a gaussian 34 distribution for the time on the vulva. The lme package version 1.1-37 (Bates et al. 2015) was used to fit the linear model and the emmeans package version 1.11.2 (Lenth 2025) was used for planned comparisons. Supplemental Figures Supplemental Fig. S2.1 Neuron- and Hypodermis-specific DAF-2 degradation does not extend male lifespan. (a) Kaplan-Meier curves showing survival of CA1200 TIR1-only C. elegans males. Gray lines denote the negative controls treated with ethanol and purple lines denote 1mM auxin treatment. Each line represents at least two biological replicates with total n = 179–184. (b) Kaplan-Meier curves showing survival of C. elegans males aged on individual plates. Gray lines denote the negative controls treated with ethanol and purple lines denote ubiquitous DAF-degradation with 1mM auxin treatment. Each line represents three biological replicates with total n = 62–70. (c, d) Kaplan-Meier curves showing survival of C. elegans males following DAF-2 degradation in the (b) neurons and (c) hypodermis. Gray lines denote the negative controls treated with ethanol and purple lines denote DAF-degradation with 1mM auxin treatment. Each line represents at least two biological replicates with total n = 180-202. The black dashed lines denote the age at which 50% of the population has died. The asterisks denote p-values from a Cox Proportional Hazards model where ****p<.0001, ***p<.001. For additional information and the output of the CPH model, see Supplemental Tables S2.1 and S2.2 0.00 0.25 0.50 0.75 1.00 0 10 20 30 40 Age at death (days) Fr ac tio n su rv iv in g Control Neuron 0.00 0.25 0.50 0.75 1.00 0 30 60 90 120 Age at death (days) Fr ac tio n su rv iv in g Single male ubiquitous Single male control **** 0.00 0.25 0.50 0.75 1.00 0 10 20 30 40 Age at death (days) Fr ac tio n su rv iv in g TIR1 control TIR1 ubiquitous*** 0.00 0.25 0.50 0.75 1.00 0 10 20 30 Age at death (days) Fr ac tio n su rv iv in g Control Hypodermis 40 a Figure 1 b c d a Figure 3 b 0.00 0.25 0.50 0.75 1.00 1 7 9 Age (days of adulthood) Tu rn in g su cc es s Control Ubiquitous 0.0 0.2 0.4 0.6 1 7 9 Age (days of adulthood) LO V e ffi ci en cy Control Ubiquitous 0.00 0.25 0.50 0.75 1.00 1 7 9 Age (days of adulthood) M at in g su cc es s Control Intestine 0.00 0.25 0.50 0.75 1.00 1 7 9 Age (days of adulthood) M at in g su cc es s Control Germline 0.00 0.25 0.50 0.75 1.00 1 7 9 Age (days of adulthood) M at in g su cc es s Control Neuron 0.00 0.25 0.50 0.75 1.00 1 7 9 Age (days of adulthood) M at in g su cc es s Control Hypodermis a Figure 2 b c d 35 Supplemental Fig. S2.2 Tissue-specific DAF-2 degradation does not preserve late-life male reproductive success. (a) Bar graphs showing mating success for C. elegans males following DAF-2 degradation in the (b) intestine, (c) germline, (d) neurons, and (e) hypodermis. Gray bars denote untreated controls, and purple bars denote DAF-2 degradation with 1 mM auxin. Each bar represents at least two biological replicates, with total n =49–59. Error bars represent SEM. A generalized linear mixed model with a binomial distribution was used to assess the effect of treatment and age (and the interaction) on mating success. For additional information and the output of the linear model, see Supplemental Tables S2.3 and S2.4 0.00 0.25 0.50 0.75 1.00 0 10 20 30 40 Age at death (days) Fr ac tio n su rv iv in g Control Neuron 0.00 0.25 0.50 0.75 1.00 0 30 60 90 120 Age at death (days) Fr ac tio n su rv iv in g Single male ubiquitous Single male control **** 0.00 0.25 0.50 0.75 1.00 0 10 20 30 40 Age at death (days) Fr ac tio n su rv iv in g TIR1 control TIR1 ubiquitous*** 0.00 0.25 0.50 0.75 1.00 0 10 20 30 Age at death (days) Fr ac tio n su rv iv in g Control Hypodermis 40 a Figure 1 b c d a b 0.00 0.25 0.50 0.75 1.00 1 7 9 Age (days of adulthood) Tu rn in g su cc es s Control Ubiquitous 0.0 0.2 0.4 0.6 1 7 9 Age (days of adulthood) LO V e ffi ci en cy Control Ubiquitous 0.00 0.25 0.50 0.75 1.00 1 7 9 Age (days of adulthood) M at in g su cc es s Control Intestine 0.00 0.25 0.50 0.75 1.00 1 7 9 Age (days of adulthood) M at in g su cc es s Control Germline 0.00 0.25 0.50 0.75 1.00 1 7 9 Age (days of adulthood) M at in g su cc es s Control Neuron 0.00 0.25 0.50 0.75 1.00 1 7 9 Age (days of adulthood) M at in g su cc es s Control Hypodermis a b c d 36 Supplemental Fig. S2.3 Turning success and LOV efficiency are not improved upon DAF-2 ubiquitous degradation. Bar graphs showing (a) turning success and (b) LOV efficiency for C. elegans males following ubiquitous DAF-2 degradation. Gray bars denote untreated controls, and purple bars denote DAF-2 degradation with 1 mM auxin. Each bar represents at least two biological replicates, with total n =44–52. Error bars represent SEM. A generalized linear mixed model with a binomial distribution was used to assess the effect of treatment and age (and the interaction) on behavior. For additional information and the output of the linear model, see Supplemental Tables S2.5 and S2.6 0.00 0.25 0.50 0.75 1.00 0 10 20 30 40 Age at death (days) Fr ac tio n su rv iv in g Control Neuron 0.00 0.25 0.50 0.75 1.00 0 30 60 90 120 Age at death (days) Fr ac tio n su rv iv in g Single male ubiquitous Single male control **** 0.00 0.25 0.50 0.75 1.00 0 10 20 30 40 Age at death (days) Fr ac tio n su rv iv in g TIR1 control TIR1 ubiquitous*** 0.00 0.25 0.50 0.75 1.00 0 10 20 30 Age at death (days) Fr ac tio n su rv iv in g Control Hypodermis 40 a Figure 1 b c d a b 0.00 0.25 0.50 0.75 1.00 1 7 9 Age (days of adulthood) Tu rn in g su cc es s Control Ubiquitous 0.0 0.2 0.4 0.6 1 7 9 Age (days of adulthood) LO V e ffi ci en cy Control Ubiquitous 0.00 0.25 0.50 0.75 1.00 1 7 9 Age (days of adulthood) M at in g su cc es s Control Intestine 0.00 0.25 0.50 0.75 1.00 1 7 9 Age (days of adulthood) M at in g su cc es s Control Germline 0.00 0.25 0.50 0.75 1.00 1 7 9 Age (days of adulthood) M at in g su cc es s Control Neuron 0.00 0.25 0.50 0.75 1.00 1 7 9 Age (days of adulthood) M at in g su cc es s Control Hypodermis a b c d 37 Supplemental Tables Supplemental Table S2.1 Lifespan assay summary statistics Sex (housing) Strain Tissue knockdown Conditi on Numb er dead Number censore d Median Time Mean Std Error Lower 95% Upper 95% 90th perce ntile Male (group) CA1200 NA Ethanol 184 13 13 14.20 0.32 13 13 20 Male (group) CA1200 NA Auxin 179 20 13 12.87 0.31 13 13 15 Male (group) MQD2356 Neuron Ethanol 202 38 15 15.98 0.39 15 15 24 Male (group) MQD2356 Neuron Auxin 192 48 15 16.24 0.36 15 15 24 Male (group) MQD2374 Intestine Ethanol 109 10 12 15.08 0.55 12 15 26 Male (group) MQD2374 Intestine Auxin 80 41 22 24.03 0.91 22 26 NA Male (group) MQD2375 Germline Ethanol 137 103 16 17.26 0.48 14 19 26 Male (group) MQD2375 Germline Auxin 202 38 13 14.47 0.37 13 13 22 Male (group) MQD2378 Hypodermis Ethanol 180 60 13 13.98 0.32 13 15 20 Male (group) MQD2378 Hypodermis Auxin 202 38 13 13.98 0.30 13 15 19 Male (group) MQD2453 Whole body Ethanol 200 36 15 16.97 1.09 15 17 22 Male (group) MQD2453 Whole body Auxin 183 61 71 71.40 1.94 66 78 106 Hermaphrodite (group) MQD2453 Whole body Ethanol 235 41 33 35.29 0.71 32 37 51 Hermaphrodite (group) MQD2453 Whole body Auxin 223 106 46 46.96 1.27 42 51 72 Male (single) MQD2453 Whole body Ethanol 70 25 23 26.23 1.43 21 26 45 Male (single) MQD2453 Whole body Auxin 62 31 76 74.49 2.68 72 82 100 Hermaphrodite (single) MQD2453 Whole body Ethanol 55 20 40 41.62 1.67 37 46 60 Hermaphrodite (single) MQD2453 Whole body Auxin 44 31 39 46.89 3.28 34 60 79 38 Supplemental Table S2.2 Lifespan assay CPH model output Male (group) CA1200 Cox Proportional Hazards Compound Effect Stderr z-value p-value Auxin 0.36 0.11 3.37 0.0008 MQD2356_neurons Cox Proportional Hazards Compound Effect Stderr z-value p-value Auxin -0.09 0.10 -0.87 0.38 MQD2374_intestine Cox Proportional Hazards Compound Effect Stderr z-value p-value Auxin -1.20 0.16 -7.75 8.88E-15 MQD2375_germline Cox Proportional Hazards Compound Effect Stderr z-value p-value Auxin 0.50 0.11 4.39 0.00001 MQD2378_hypodermis Cox Proportional Hazards Compound Effect Stderr z-value p-value Auxin 0.02 0.10 0.18 0.86 MQD2453_wholebody Cox Proportional Hazards Compound Effect Stderr z-value p-value Auxin -4.00 0.29 -0.14 <2E-16 Hermaphrodite (group) MQD2453_wholebody Cox Proportional Hazards Compound Effect Stderr z-value p-value Auxin -0.91 0.11 -8.67 <2E-16 Males and Hermaphrodites (single) interaction model MQD2453_wholebody Cox Proportional Hazards Effect Stderr z-value p-value Auxin -0.58 0.22 -2.63 0.008 Sex 1.02 0.19 5.49 4.07E-08 Interaction -2.30 0.29 -8.03 9.38E-16 39 Supplemental Table S2.3 Mating assay summary statistics Strain Tissue Knockdown Age Compound Mean Mating Success SD Count SEM CA1200 NA 1 No auxin 0.75 0.44 51 0.06 CA1200 NA 1 Auxin 0.71 0.46 52 0.06 MQD2356 neuron 1 No auxin 0.76 0.43 58 0.06 MQD2356 neuron 1 Auxin 0.74 0.44 57 0.06 MQD2374 intestine 1 No auxin 0.89 0.32 54 0.04 MQD2374 intestine 1 Auxin 0.89 0.31 55 0.04 MQD2375 germline 1 No auxin 0.81 0.40 52 0.06 MQD2375 germline 1 Auxin 0.87 0.34 52 0.05 MQD2378 hypodermis 1 No auxin 0.84 0.37 51 0.05 MQD2378 hypodermis 1 Auxin 0.92 0.27 53 0.04 MQD2453 whole body 1 No auxin 0.76 0.43 51 0.06 MQD2453 whole body 1 Auxin 0.58 0.50 59 0.06 CA1200 NA 7 No auxin 0.04 0.19 52 0.03 CA1200 NA 7 Auxin 0.10 0.30 51 0.04 MQD2356 neuron 7 No auxin 0.06 0.24 49 0.03 MQD2356 neuron 7 Auxin 0.10 0.30 51 0.04 MQD2374 intestine 7 No auxin 0.06 0.24 52 0.03 MQD2374 intestine 7 Auxin 0.19 0.40 52 0.06 MQD2375 germline 7 No auxin 0.15 0.36 52 0.05 MQD2375 germline 7 Auxin 0.25 0.43 53 0.06 MQD2378 hypodermis 7 No auxin 0.14 0.35 51 0.05 MQD2378 hypodermis 7 Auxin 0.10 0.30 51 0.04 MQD2453 whole body 7 No auxin 0.29 0.46 52 0.06 MQD2453 whole body 7 Auxin 0.35 0.48 52 0.07 CA1200 NA 9 No auxin 0.04 0.19 56 0.03 CA1200 NA 9 Auxin 0.06 0.24 52 0.03 MQD2356 neuron 9 No auxin 0.06 0.24 52 0.03 MQD2356 neuron 9 Auxin 0.08 0.27 52 0.04 MQD2374 intestine 9 No auxin 0.00 0.00 51 0.00 MQD2374 intestine 9 Auxin 0.06 0.24 51 0.03 MQD2375 germline 9 No auxin 0.12 0.33 51 0.05 MQD2375 germline 9 Auxin 0.06 0.24 51 0.03 MQD2378 hypodermis 9 No auxin 0.08 0.27 52 0.04 MQD2378 hypodermis 9 Auxin 0.00 0.00 49 0.00 MQD2453 whole body 9 No auxin 0.04 0.21 46 0.03 MQD2453 whole body 9 Auxin 0.30 0.46 56 0.06 40 Strain Tissue Knockdown Age Compound Mean Mating Success SD Count SEM MQD2453 whole body 12 No auxin 0.00 0.00 17 0.00 MQD2453 whole body 12 Auxin 0.35 0.49 20 0.11 MQD2453 whole body 15 No auxin 0.00 0.00 23 0.00 MQD2453 whole body 15 Auxin 0.12 0.33 58 0.04 MQD2453 whole body 18 No auxin 0.00 0.00 4 0.00 MQD2453 whole body 18 Auxin 0.03 0.17 33 0.03 MQD2453 whole body 21 No auxin 0.00 0.00 11 0.00 MQD2453 whole body 21 Auxin 0.00 0.00 34 0.00 Supplemental Table S2.3, continued 41 Supplemental Table S.2.4 Mating assay GLM model output CA1200 Generalized Linear Model Treatment Effect Stderr z-value p-value Intercept 1.07 0.32 3.34 0.0008 Auxin -0.17 0.44 -0.38 0.70 Age 7 -4.29 0.79 -5.44 5.45E-08 Age 9 -4.37 0.79 -5.54 3.02E-08 Auxin: Age 7 1.17 0.97 1.21 0.23 Auxin: Age 9 0.67 1.03 0.65 0.52 Germline Generalized Linear Model Treatment Effect Stderr z-value p-value Intercept 1.44 0.35 4.08 0.00005 Auxin 0.43 0.54 0.79 0.43 Age 7 -3.14 0.52 -6.03 1.69E-09 Age 9 -3.45 0.56 -6.17 6.85E-10 Auxin: Age 7 0.16 0.73 0.21 0.83 Auxin: Age 9 -1.18 0.91 -1.30 0.19 Hypodermis Generalized Linear Model Treatment Effect Stderr z-value p-value Intercept 1.68 0.39 4.37 0.00001 Auxin 0.82 0.65 1.27 0.20 Age 7 -3.52 0.56 -6.28 3.31E-10 Age 9 -4.17 0.65 -6.44 1.22E-10 Auxin: Age 7 -1.20 0.90 -1.34 0.18 Auxin: Age 9 -16.90 931.81 -0.02 0.99 Intestine Generalized Linear Model Treatment Effect Stderr z-value p-value Intercept 2.08 0.43 4.80 0.000001 Auxin 0.02 0.61 0.03 0.97 Age 7 -4.87 0.74 -6.62 3.51E-11 Age 9 -20.65 913.35 -0.02 0.98 Auxin: Age 7 1.34 0.92 1.45 0.15 Auxin: Age 9 15.77 913.35 0.02 0.99 42 Neuron Generalized Linear Model Treatment Effect Stderr z-value p-value Intercept 1.15 0.31 3.73 0.0001 Auxin -0.12 0.43 -0.27 0.79 Age 7 -3.88 0.67 -5.78 7.39E-09 Age 9 -3.94 0.67 -5.89 3.99E-09 Auxin: Age 7 0.63 0.87 0.72 0.47 Auxin: Age 9 0.42 0.90 0.47 0.64 Whole body Generalized Linear Model Treatment Effect Stderr z-value p-value Intercept 1.18 0.33 3.57 0.0004 Auxin -0.87 0.42 -2.063 0.04 Age 7 -2.08 0.45 -4.624 0.000004 Age 9 -4.27 0.79 -5.372 7.78E-08 Age 12 -19.74 1581.97 -0.012 0.99 Age 15 -19.74 1360.06 -0.015 0.99 Age 18 -19.74 3261.32 -0.006 0.99 Age 21 -19.74 1966.65 -0.01 0.99 Auxin: Age 7 1.14 0.60 1.905 0.057 Auxin: Age 9 3.13 0.89 3.534 0.0004 Auxin: Age 12 18.82 1581.97 0.012 0.99 Auxin: Age 15 17.45 1360.06 0.013 0.99 Auxin: Age 18 15.97 3261.32 0.005 1.00 Auxin: Age 21 0.87 2262.53 0 1.00 Supplemental Table S.2.4, continued 43 Supplemental Table S.2.5 Behavior assay summary statistics Variable Strain Tissue Knockdown Age Compound Mean SD Count SEM LOV MQD2453 Whole body 1 No auxin 27.92 16.37 44 2.44 LOV MQD2453 Whole body 1 Auxin 41.33 34.43 47 4.77 LOV MQD2453 Whole body 7 No auxin 39.67 26.79 51 3.72 LOV MQD2453 Whole body 7 Auxin 0.80 0.41 45 0.06 LOV MQD2453 Whole body 9 No auxin 0.68 0.36 52 0.05 LOV MQD2453 Whole body 9 Auxin 0.64 0.41 52 0.06 Tail incoordination MQD2453 Whole body 1 No auxin 0.27 0.39 44 0.06 Tail incoordination MQD2453 Whole body 1 Auxin 0.25 0.40 47 0.06 Tail incoordination MQD2453 Whole body 7 No auxin 0.29 0.38 51 0.05 Tail incoordination MQD2453 Whole body 7 Auxin 0.27 0.39 45 0.05 Tail incoordination MQD2453 Whole body 9 No auxin 0.00 0.00 52 0.00 Tail incoordination MQD2453 Whole body 9 Auxin 0.00 0.00 52 0.00 Time on vulva MQD2453 Whole body 1 No auxin 0.29 0.46 44 0.07 Time on vulva MQD2453 Whole body 1 Auxin 0.29 0.46 47 0.06 Time on vulva MQD2453 Whole body 7 No auxin 0.50 0.50 51 0.07 Time on vulva MQD2453 Whole body 7 Auxin 0.44 0.50 45 0.07 Time on vulva MQD2453 Whole body 9 No auxin 64.61 73.06 52 10.13 Time on vulva MQD2453 Whole body 9 Auxin 59.81 56.06 52 7.77 Turning success MQD2453 Whole body 1 No auxin 0.02 0.15 44 0.02 Turning success MQD2453 Whole body 1 Auxin 60.00 93.10 47 13.44 Turning success MQD2453 Whole body 7 No auxin 34.53 29.68 51 4.33 Turning success MQD2453 Whole body 7 Auxin 35.17 33.62 45 4.66 Turning success MQD2453 Whole body 9 No auxin 73.07 69.88 52 9.79 Turning success MQD2453 Whole body 9 Auxin 17.00 4.47 52 0.62 44 Supplemental Table S.2.6 Behavior assay GLM output Turning difficulty Generalized Linear Model Treatment Effect Stderr z-value p-value Intercept -0.98 0.48 -2.05 0.04 Auxin -0.41 0.74 -0.55 0.58 Age 7 0.11 0.72 0.15 0.88 Age 9 -15.59 1199.77 -0.01 0.99 Auxin: Age 7 1.15 1.05 1.10 0.27 Auxin: Age 9 16.75 1199.77 0.01 0.99 Tail incoordination Generalized Linear Model Treatment Effect Stderr z-value p-value Intercept -3.76 1.01 -3.72 0.0002 Auxin -0.07 1.43 -0.05 0.96 Age 7 2.58 1.06 2.43 0.015 Age 9 3.45 1.05 3.29 0.001 Auxin: Age 7 -1.39 1.58 -0.88 0.38 Auxin: Age 9 -1.33 1.51 -0.88 0.38 LOV Generalized Linear Model Treatment Effect Stderr z-value p-value Intercept -0.66 0.29 -2.29 0.02 Auxin -0.49 0.41 -1.21 0.23 Age 7 0.05 0.44 0.10 0.92 Age 9 -0.54 0.72 -0.75 0.45 Auxin: Age 7 0.63 0.63 1.00 0.32 Auxin: Age 9 1.09 0.93 1.18 0.24 Time on vulva Generalized Linear Model Treatment Effect Stderr z-value p-value Intercept 4.26 0.03 151.60 <2.00E-16 Auxin -0.71 0.05 -14.30 <2.00E-16 Age 7 0.04 0.04 0.85 0.39 Age 9 -0.53 0.09 -5.68 1.39E-08 Auxin: Age 7 -0.25 0.08 -3.15 0.002 Auxin: Age 9 0.67 0.12 5.54 3.08E-08 45 Supplemental Table S.2.7 Strains used in this study Strain Name Genotype Tissue knockdown MQD2374 ieSi61 II; daf-2(hq363[daf-2::degron::mNeonGreen]) unc-119(ed3) III. Intestine MQD2378 hqSi9 II; daf-2(hq363[daf-2::degron::mNeonGreen]) unc-119(ed3) III. Hypodermis MQD2356 hqSi8 II; daf-2(hq363[daf-2::degron::mNeonGreen]) unc-119(ed3) III. Neurons MQD2453 ieSi57 II; daf-2(hq363[daf-2::degron::mNeonGreen]) unc-119(ed3) III. Whole body MQD2375 daf-2(hq363[daf-2::degron::mNeonGreen]) unc- 119(ed3) III; ieSi38 IV. Germline JK574 fog-2(q71) V. NA CA1200 ieSi57 II; unc-119(ed3) III. NA CB169 unc-31(e169) IV. NA Bridge to chapter 3 In chapter 2, I explored the sex differences in the response to a genetic pro-longevity intervention, targeted DAF-2 degradation, on lifespan. Additionally, I explored whether the resulting beneficial effects on lifespan in males can be extended to reproductive healthspan or whether the two metrics are decoupled. In chapter 3, I extend this framework to test the effects of a second type of intervention, chemical interventions, and whether such interventions result in a sex-specific benefit on lifespan and healthspan. 46 CHAPTER 3: PRO-LONGEVITY COMPOUNDS EXTEND CAENORHABDITIS ELEGANS MALE LIFESPAN AND REPRODUCTIVE HEALTHSPAN (In review at GeroScience) Rose S. Al-Saadi, Patrick C. Phillips Author contributions RSA and PCP conceptualized the project. RSA conducted the lifespan and mating success assays, conducted the statistical analysis and visualization, and wrote the original manuscript. PCP supervised the project, reviewed and edited the manuscript, and acquired funding. Abstract Sex differences in aging are robust and ubiquitous. Demographic differences in aging generated by sex have long been recognized, but the underlying biological basis for these differences and the potential for sex-specific interventions remain understudied. To explore sex differences in the response to pro-longevity interventions, we utilized the C. elegans aging model and asked whether male lifespan and reproductive healthspan can be extended via compounds known to have pro-longevity effects in hermaphrodites. We tested seven different compounds at two concentrations each and found that lifespan was extended under all tested conditions. However, reproductive healthspan measured by mating success in late life improved under only two tested conditions, sulforaphane and metformin. These results demonstrate that lifespan and healthspan can be decoupled in C. elegans males and offer a new framework for screening pro-longevity compounds and for studying sex differences in aging in a classical aging model. Introduction Sex differences in aging are robust and ubiquitous (Austad and Fischer 2016). These differences are observed in both lifespan (the chronological time between birth and death) and healthspan (the proportion of lifespan that is disease-free). In humans, women live longer but tend to suffer worse health outcomes compared to men (Oksuzyan et al. 2008; Gordon et al. 2017). Several age-associated conditions such as chronic conditions (Bello-Lujan et al. 2022), bone mineral 47 density loss (Daly et al. 2013), inflammation (Milan-Mattos et al. 2019), and frailty (Gordon et al. 2017) exhibit sex differences in incidence and severity (Hägg and Jylhävä 2021). This sexual dimorphism extends to modulators of aging such as pro-longevity interventions, with many tested regimes (genetic, chemical, or environmental) showing sex differences in efficacy (Bartke et al. 2024). However, our knowledge of the molecular basis of these differences is limited due to a historic focus on male health and disease (Holdcroft 2007). Caenorhabditis elegans have a short lifespan (2–3 weeks), have conserved genetic pathways that modulate aging (Zhang et al. 2020), have genetic diversity comparable to that of human populations (Andersen and Rockman 2022; Teterina et al. 2022), and have longevity that is amenable to both genetic and chemical interventions (Zhang et al. 2020), making them a pivotal model system for understanding the biology of aging. C. elegans is also sexually dimorphic, with self-fertile hermaphrodites and rare males (Anderson et al. 2010; Emmons 2014). While a few recent studies have included sex differences in C. elegans aging (McCulloch and Gems 2007; Liggett et al. 2015; Honjoh et al. 2017; Hotzi et al. 2018; Weng and Murphy 2024), the vast majority of aging research using C. elegans focuses solely upon hermaphrodites. This is largely due to the fact that males are rare in the commonly used lab strain N2 (0.1%), as well as being shown to have detrimental effects on hermaphrodite lifespan (Maures et al. 2014; Shi and Murphy 2014; Booth et al. 2022). Overall, our understanding of sex differences in aging processes in C. elegans remains extremely limited. The Caenorhabditis Intervention Testing Program (CITP) is a National Institutes of Aging supported collaborative effort across three laboratories in the USA that leverages the benefits of Caenorhabditis nematodes as an aging model to test the effects of pharmacological interventions on the lifespan and healthspan of different species in the Caenorhabditis genus in a rigorous and robust fashion. The program has tested dozens of compounds and has found that many do indeed extend hermaphrodite lifespan (Driscoll et al. 2025). However, it remains unknown whether these compounds are similarly efficacious in males. This seems especially pertinent because the CITP’s long-running sister program using mice, the ITP, has found that males tend to be more responsive to compound interventions than females (Strong et al. 2008; Harrison et al. 2014; Bartke et al. 2024). 48 Male C. elegans represent an exciting tool to test pharmacological interventions for two main reasons. First, males provide a complex health measure that integrates the health of multiple tissues and structures into one output: reproductive success. Male motivation for mating remains high throughout life and failure to sire progeny is caused by physical deterioration rather than a decrease in motivation per se (Guo et al. 2012; Chatterjee et al. 2013). This is in contrast to hermaphrodites, which appear to change reproductive patterns due a variety of environmental inputs, including the presence of males (Aprison and Ruvinsky 2016). Males need to locate a hermaphrodite via chemotaxis, scan their mate’s body to locate the vulva via mechanosensory neurons, insert the spicule, and ejaculate, thereby transferring sperm to the hermaphrodite uterus (Barr and Garcia 2006). If any of these processes exhibit age-associated defects, reproductive success will decrease. The second reason males are an excellent tool for screening pharmacological compounds is that males do not produce self-progeny, eliminating the need to abrogate offspring production, for instance using the chemotherapy agent 5-Fluoro-2'- deoxyuridine (FUdR), which blocks cell division by inhibiting DNA synthesis (Mitchell et al. 1979; Gandhi et al. 1980). In hermaphrodite lifespan experiments, FUdR is commonly used to sterilize hermaphrodites and thereby eliminate the need for daily transfers during the first 5–6 days of adulthood (which is very labor and resource intensive). However, FUdR is known to affect hermaphrodites directly, as well as affecting the bacteria upon which they feed (Wang et al. 2019; McIntyre et al. 2021). Male lifespan experiments therefore offer the same ease as FUdR-supplemented hermaphrodites but without confounding effects of FUdR per se. Here, we tested the potential pro-longevity effects of several CITP-validated compounds on male lifespan and healthspan, finding that all tested compounds increase male lifespan, even at lower concentrations than hermaphrodites. However, only two compounds reliably improved male healthspan, as measured via mating success in late life. The work here describes a new framework for pharmacological intervention screening using male C. elegans in addition to hermaphrodites to expand our understanding of sex differences in aging and to enable us to create interventions that are effective for both sexes. 49 Materials and methods C. elegans strains and maintenance All the strains used in this study were provided by the Caenorhabditis Genetics Center (CGC), which is funded by NIH Office of Research Infrastructure Programs (P40 OD010440). The strains used were CB1489 (him-8(e1489) IV) and JK574 (fog-2(q71) V). The strains were maintained on 60 mm plates of standard NGM media seeded with E. coli OP50-1. Worms were transferred to fresh plates 2–3 times weekly. Unless otherwise specified, all the stocks and assays were maintained at 20ºC. Compound treatment We used the following equation to determine the working stock concentration (X), where the treatment volume is 450 µL for water-soluble compounds and 25 µL for DMSO-soluble compounds and the plate volume is 10 mL for both types: 𝑇𝑟𝑒𝑎𝑡𝑚𝑒𝑛𝑡 𝑣𝑜𝑙𝑢𝑚𝑒  ∗  𝑋  =  𝑓𝑖𝑛𝑎𝑙 𝑐𝑜𝑛𝑐𝑒𝑛𝑡𝑟𝑎𝑡𝑖𝑜𝑛  ∗  𝑝𝑙𝑎𝑡𝑒 𝑣𝑜𝑙𝑢𝑚𝑒 For water-soluble compounds (gold sodium thiomalate, metformin, thioflavin T), 450 µL of the working stock was added to 60 mM NGM plates seeded with OP50-1 and allowed to dry at room temperature for approximately 3 days. The working stock concentrations for metformin were 0.78 M and 1.56 M for final concentrations of 35 mM and 70 mM, respectively. The working stock concentrations for gold sodium thiomalate were 1.11 mM and 2.22 mM for final concentrations of 50 µM and 100 µM, respectively. The working stock concentrations for thioflavin T were 0.56 mM and 1.11 mM for final concentrations of 25 µM and 50 µM, respectively. For DMSO-soluble compounds (all trans retinoic acid, propyl gallate, resveratrol, sulforaphane), 25 µL of the working stock mixed with 425 µL of water was added to 60 mM NGM plates seeded with OP50-1 and allowed to dry at room temperature for approximately 3 days. The working stock concentrations for all trans retinoic acid for were 30 mM and 60 mM for final concentrations of 75 µM and 150 µM, respectively. The working stock concentrations for propyl gallate were 40 mM and 80 mM for final concentrations of 100 µM and