Sirtuin 3 deficiency is associated with inhibited mitochondrial function and pulmonary arterial hypertension in rodents and humans
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Suppression of mitochondrial function promoting proliferation and apoptosis suppression has been described in the pulmonary arteries and extrapulmonary tissues in pulmonary arterial hypertension (PAH), but the cause of this metabolic remodeling is unknown. Mice lacking sirtuin 3 (SIRT3), a mitochondrial deacetylase, have increased acetylation and inhibition of many mitochondrial enzymes and complexes, suppressing mitochondrial function. Sirt3KO mice develop spontaneous PAH, exhibiting previously described molecular features of PAH pulmonary artery smooth muscle cells (PASMC). In human PAH PASMC and rats with PAH, SIRT3 is downregulated, and its normalization with adenovirus gene therapy reverses the disease phenotype. A loss-of-function SIRT3 polymorphism, linked to metabolic syndrome, is associated with PAH in an unbiased cohort of 162 patients and controls. If confirmed in large patient cohorts, these findings may facilitate biomarker and therapeutic discovery programs in PAH.
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In diseased smooth muscle, hyperacetylation of mitochondrial proteins drives mitochondrial hyperpolarization, greater proliferation, reduced apoptosis, and eventual arterial wall thickening.
“Increased acetylation of mitochondrial proteins in the affected smooth muscle leads to mitochondrial hyperpolarization, increased proliferation, suppressed apoptosis, and eventually to progressive arterial thickening.”
From The Mitochondrial Acylome Emerges: Proteomics, Regulation by Sirtuins, and Metabolic and Disease Implications (2018) · cites this paper as Paulin et al. 2014
Loss of SIRT3 function is a potential cause of idiopathic pulmonary arterial hypertension.
“Recent work by the Michelakis’s group has identified loss of SIRT3 function as a potential cause of this disease ((Paulin et al. 2014))”
From The Mitochondrial Acylome Emerges: Proteomics, Regulation by Sirtuins, and Metabolic and Disease Implications (2018) · cites this paper as Paulin et al. 2014
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- Authors
- Paulin, R., Dromparis, P., Sutendra, G., Gurtu, V., Zervopoulos, S., Bowers, L., Haromy, A., Webster, L., Provencher, S., Bonnet, S., & Michelakis, E. D.
- Affiliations
- University of Alberta (CA)
- Institut universitaire de cardiologie et de pneumologie de Québec (CA)
- Corresponding author
- Michelakis, Evangelos D.
- ORCID
- Venue
- Cell Metabolism
- Publisher
- Elsevier BV
- Published
- 2014-11
- Volume
- 20
- Issue
- 5
- Pages
- 827-839
- ISSN
- 1550-4131 (ISSN-L)
- OpenAlex
- W2153420197
- Cited by
- 214
- References
- 61
- Citations by year
- 2026: 9 · 2025: 12 · 2024: 19 · 2023: 16 · 2022: 19 · 2021: 12 · 2020: 19 · 2019: 19 · 2018: 25 · 2017: 21 · 2016: 26 · 2015: 13 · 2014: 1
- FWCI
- 16.21
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Cell Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes of Health Research
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Pulmonary Hypertension Research and Treatments
- Health Sciences › Medicine › Geriatrics and Gerontology › Sirtuins and Resveratrol in Medicine
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Mitochondrial Function and Pathology
- Keywords
- SIRT3, pulmonary arterial hypertension, mitochondrial function, mitochondrial deacetylase, pulmonary artery smooth muscle cells, SIRT3 knockout mice, adenoviral gene therapy, metabolic syndrome, biomarkers
- MeSH terms
- Adult, Animals, Cells, Cultured, Female, Humans, Hypertension, Pulmonary, Lung, Middle Aged, Mitochondria, Polymorphism, Genetic, Pulmonary Artery, Genetic Therapy, Down-Regulation, Rats, Sprague-Dawley, Mice, Knockout, Mice, Rats, Sirtuin 3, Familial Primary Pulmonary Hypertension
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