Aggresome formation is impaired in IBMPFD mutant-expressing cells and tissue. A, representative live cell images of cells co-expressing polyQ80-CFP (blue) with DsRed tagged p97/VCP-WT (WT) or IBMPFD mutants R155H (RH), A232E (AE), and R95G (RG). Note that although p97/VCP co-localizes with polyQ80-CFP, there is impaired inclusion formation in IBMPFD mutant-expressing cells. B, control U20S or U20S cells stably expressing tetracycline-inducible p97/VCP-WT, ATPase inactive p97/VCP-E578Q (EQ) or IBMPFD mutant p97/VCP R155H, A232E, and L198W (LW) were transfected with polyQ80-CFP for 48 h. The cells were fixed with 3% paraformaldyhyde and processed for fluorescence microscopic analysis of inclusion bodies. The cells were scored for the presence of ≤ 3 inclusions or >3 inclusions. *, p < 0.05 versus U20S control containing less than three aggregated proteins. C, representative low power fields from U20S cells stably expressing tetracycline-inducible p97/VCP-WT or IBMPFD mutant p97/VCP R155H and A232E transfected with polyQ80-CFP for 48 h. The filled arrows denote cells with ≤3 inclusions, and the open arrows denote cells with >3 inclusions. D, confocal micrograph of p97/VCP-dsRed and CD3δ-YFP co-expression. Note that overexpressed CD3δ-YFP forms a perinuclear inclusion in p97/VCP-WT-expressing cells and generates multiple smaller inclusions in IBMPFD mutant cells (R155H and A232E). E, control or U20S cells expressing p97/VCP-WT or IBMPFD mutant p97/VCP R155H or A232E along with polyQ80-CFP. Ubiquitinated proteins were identified via immunohistochemical analysis with FK2 antibody. Note that polyQ80-CFP inclusions are ubiquitin-positive. F, non-transgenic control, p97/VCP-WT or p97/VCP-R155H-expressing transgenic animals electroporated with a polyQ80-CFP expression construct into the TA muscle 7 days prior to analysis. Images are CFP autofluorescence from the TA muscles. Control and p97/VCP-WT skeletal muscle typically have a few large inclusion bodies/myofiber, although IBMPFD mutant R155H transgenic muscle has multiple small inclusion bodies occasionally surrounding a larger inclusion body. The brackets denote groups of inclusions within single myofibers.