Cited by 154Cholesterol and Lipid MetabolismSirtuins and Resveratrol in MedicineLipoproteins and Cardiovascular Health

The DOI matches its Crossref record; 25 of the 25 references it cites were found in a registry or an index; 22 of the 27 sources its claims cite were checked for support.

The Sirt1 activator SRT3025 provides atheroprotection in Apoe−/− mice by reducing hepatic Pcsk9 secretion and enhancing Ldlr expression

Open access

Abstract

AIMS: The deacetylase sirtuin 1 (Sirt1) exerts beneficial effects on lipid metabolism, but its roles in plasma LDL-cholesterol regulation and atherosclerosis are controversial. Thus, we applied the pharmacological Sirt1 activator SRT3025 in a mouse model of atherosclerosis and in hepatocyte culture. METHODS AND RESULTS: Apolipoprotein E-deficient (Apoe(-/-)) mice were fed a high-cholesterol diet (1.25% w/w) supplemented with SRT3025 (3.18 g kg(-1) diet) for 12 weeks. In vitro, the drug activated wild-type Sirt1 protein, but not the activation-resistant Sirt1 mutant; in vivo, it increased deacetylation of hepatic p65 and skeletal muscle Foxo1. SRT3025 treatment decreased plasma levels of LDL-cholesterol and total cholesterol and reduced atherosclerosis. Drug treatment did not change mRNA expression of hepatic LDL receptor (Ldlr) and proprotein convertase subtilisin/kexin type 9 (Pcsk9), but increased their protein expression indicating post-translational effects. Consistent with hepatocyte Ldlr and Pcsk9 accumulation, we found reduced plasma levels of Pcsk9 after pharmacological Sirt1 activation. In vitro administration of SRT3025 to cultured AML12 hepatocytes attenuated Pcsk9 secretion and its binding to Ldlr, thereby reducing Pcsk9-mediated Ldlr degradation and increasing Ldlr expression and LDL uptake. Co-administration of exogenous Pcsk9 with SRT3025 blunted these effects. Sirt1 activation with SRT3025 in Ldlr(-/-) mice reduced neither plasma Pcsk9, nor LDL-cholesterol levels, nor atherosclerosis. CONCLUSION: We identify reduction in Pcsk9 secretion as a novel effect of Sirt1 activity and uncover Ldlr as a prerequisite for Sirt1-mediated atheroprotection in mice. Pharmacological activation of Sirt1 appears promising to be tested in patients for its effects on plasma Pcsk9, LDL-cholesterol, and atherosclerosis.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

Pharmacological Sirt1 activation with SRT3025 in Apoe−/− mice reduced hepatic Pcsk9 secretion, increased hepatic Ldlr protein, lowered plasma LDL-cholesterol, and reduced atherosclerosis; these effects required Ldlr and were absent in Ldlr−/− mice. The study identifies reduced Pcsk9 secretion as a novel Sirt1 effect and supports testing Sirt1 activators for plasma Pcsk9, LDL-cholesterol, and atherosclerosis in patients.

Key findings

  • In Apoe−/− mice fed a high-cholesterol diet, SRT3025 (3.18 g kg−1 diet for 12 weeks, n = 9 vs placebo n = 9) reduced plaque size in thoraco-abdominal aortae en face and aortic roots, reduced plaque Cd68-positive macrophages and Vcam-1 expression, and significantly lowered plasma total-, LDL-, and VLDL-cholesterol; triglycerides and HDL-cholesterol were unchanged. Plasma Mcp-1 and Il-6 were also reduced.
  • SRT3025 concentration-dependently activated wild-type Sirt1 but not the activation-resistant Sirt1 mutant E230K in vitro, and increased deacetylation of hepatic p65 and skeletal muscle Foxo1 in vivo. It also prevented weight gain and epididymal white adipose tissue increase without affecting food intake.
  • In Apoe−/− liver, SRT3025 did not change Ldlr or Pcsk9 mRNA but increased both proteins, and reduced plasma Pcsk9. In AML12 hepatocytes, 10 μM SRT3025 increased Ldlr and Pcsk9 protein, decreased Pcsk9 secretion, impaired Pcsk9 binding to Ldlr, and increased LDL uptake; exogenous active Pcsk9 (3 ng ml−1) blunted the SRT3025-induced increase in Ldlr protein and LDL uptake. Sirt1 knockdown prevented and Sirt1 overexpression mimicked the Ldlr increase.
  • In Ldlr−/− mice, SRT3025 did not reduce atherosclerosis, plasma Pcsk9, or LDL-cholesterol; total and VLDL-cholesterol increased. Baseline plasma Pcsk9 was about 20-fold higher in Ldlr−/− than Apoe−/− mice, and SRT3025 caused a minimal but significant increase in plasma Pcsk9 in Ldlr−/− mice, while inflammation was still reduced.

Methods

  • Male Apoe−/− or Ldlr−/− mice on a pure C57BL/6J background were fed a high-cholesterol diet (1.25% w/w) supplemented with or without SRT3025 (3.18 g kg−1 diet) for 12 weeks starting at 8 weeks of age; n = 9 per group. Mice were sacrificed after overnight fasting, and EDTA blood and tissues were harvested.
  • AML12 mouse hepatoma cells were cultured and treated with 10 μM SRT3025 in 1% DMSO where indicated. Experiments included Sirt1 knockdown and overexpression, co-immunoprecipitation of Pcsk9 and Ldlr, BODIPY-labelled LDL uptake, Western blots, and mRNA expression analyses.
  • Atherosclerosis was assessed by en face thoraco-abdominal aortae and aortic root cross-sections stained with oil-red O or immunohistochemically for Cd68 or Vcam-1; plasma cholesterol distribution was measured by gel filtration chromatography. Statistics used means ± SD, Kolmogorov–Smirnov test, unpaired two-tailed Student’s t-test or Mann–Whitney test, and Kruskal–Wallis with Dunn’s post-hoc comparison; significance was P < 0.05, with at least three independent experiments in triplicates.

Limitations

  • The paper states that the mechanisms by which Sirt1 affects Pcsk9 secretion remain to be investigated, and that future studies are needed to translate the effects of pharmacological Sirt1 activation to patients. It also notes that specific investigation of Pcsk9-dependent alterations on atherosclerosis may be hampered by reciprocal changes in Ldlr.
  • Evident from the text: findings are limited to male mouse models on a high-cholesterol diet and to AML12 hepatoma cells in vitro, with no human clinical outcomes reported. SRT3025 was provided by Sirtris/GSK, and several authors report conflicts of interest, though this is not framed as a study limitation.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1093/eurheartj/ehu095

Cites

25 of 25 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Figures

Figure 1 SRT3025 confers atheroprotection, reduces plasma cholesterol and systemic inflammation in Apoe−/− mice. Eight-week-old Apoe−/− mice were fed a high-cholesterol diet (1.25% w/w) supplemented with the Sirt1 activator SRT3025 (n = 9) or placebo (n = 9) for 12 weeks. Representative micrographs (left) and quantifications (right) of thoraco-abdominal aortae en face (A) and of aortic root cross sections (B–D) stained with ORO or immunohistochemically for macrophages (Cd68) or Vcam-1; (E) cholesterol distribution in the different lipoprotein subfractions separated by gel filtration chromatography; (F) Plasma total cholesterol, LDL-, and VLDL-cholesterol concentrations; (G) Plasma levels of Mcp-1 and Il-6. Scale bars in photomicrographs: 1 mm (A) and 500 μm (B–D). HCD, high-cholesterol diet; AU, arbitrary units; LDL, low-density lipoprotein; ORO, oil-red O; VLDL, very low-density lipoprotein; Vcam-1, vascular cell adhesion molecule 1; Mcp-1, monocyte chemoattractant protein 1; Il-6, interleukin 6.
Figure 1 SRT3025 confers atheroprotection, reduces plasma cholesterol and systemic inflammation in Apoe−/− mice. Eight-week-old Apoe−/− mice were fed a high-cholesterol diet (1.25% w/w) supplemented with the Sirt1 activator SRT3025 (n = 9) or placebo (n = 9) for 12 weeks. Representative micrographs (left) and quantifications (right) of thoraco-abdominal aortae en face (A) and of aortic root cross sections (B–D) stained with ORO or immunohistochemically for macrophages (Cd68) or Vcam-1; (E) cholesterol distribution in the different lipoprotein subfractions separated by gel filtration chromatography; (F) Plasma total cholesterol, LDL-, and VLDL-cholesterol concentrations; (G) Plasma levels of Mcp-1 and Il-6. Scale bars in photomicrographs: 1 mm (A) and 500 μm (B–D). HCD, high-cholesterol diet; AU, arbitrary units; LDL, low-density lipoprotein; ORO, oil-red O; VLDL, very low-density lipoprotein; Vcam-1, vascular cell adhesion molecule 1; Mcp-1, monocyte chemoattractant protein 1; Il-6, interleukin 6.CC BY-NC · PubMed Central
Figure 2 SRT3025 mimics Sirt1 activity in vitro and in Apoe−/− mice. (A) Concentration-response curve of SRT3025 on the activity of wild-type Sirt1 and activation-resistant mutant E230K in vitro. (B, C) Western blots for acetylation status of Sirt1 target proteins (B) p65 and (C) Foxo1 immunoprecipitated from nuclear extracts of liver and skeletal muscle, respectively, from Apoe−/− mice fed a high-cholesterol diet (1.25% w/w) supplemented with the Sirt1 activator SRT3025 or placebo for 12 weeks. HCD, high-cholesterol diet; Ac-Ly, anti-acetyl-lysine antibody.
Figure 2 SRT3025 mimics Sirt1 activity in vitro and in Apoe−/− mice. (A) Concentration-response curve of SRT3025 on the activity of wild-type Sirt1 and activation-resistant mutant E230K in vitro. (B, C) Western blots for acetylation status of Sirt1 target proteins (B) p65 and (C) Foxo1 immunoprecipitated from nuclear extracts of liver and skeletal muscle, respectively, from Apoe−/− mice fed a high-cholesterol diet (1.25% w/w) supplemented with the Sirt1 activator SRT3025 or placebo for 12 weeks. HCD, high-cholesterol diet; Ac-Ly, anti-acetyl-lysine antibody.CC BY-NC · PubMed Central
Figure 3 SRT3025 increases hepatic Ldlr protein expression while decreasing plasma Pcsk9 in Apoe−/− mice. Eight week-old Apoe−/− mice were fed a high-cholesterol diet (1.25% w/w) supplemented with the Sirt1 activator SRT3025 (n = 9) or placebo (n = 9) for 12 weeks. (A) Relative mRNA expression levels of hepatic genes involved in cholesterol regulation. (B) Western blots of liver lysates for Ldlr, Pcsk9, and β-actin. (C) Plasma levels of Pcsk9. HCD, high-cholesterol diet; Pcsk9, proprotein convertase subtilisin/kexin type 9.
Figure 3 SRT3025 increases hepatic Ldlr protein expression while decreasing plasma Pcsk9 in Apoe−/− mice. Eight week-old Apoe−/− mice were fed a high-cholesterol diet (1.25% w/w) supplemented with the Sirt1 activator SRT3025 (n = 9) or placebo (n = 9) for 12 weeks. (A) Relative mRNA expression levels of hepatic genes involved in cholesterol regulation. (B) Western blots of liver lysates for Ldlr, Pcsk9, and β-actin. (C) Plasma levels of Pcsk9. HCD, high-cholesterol diet; Pcsk9, proprotein convertase subtilisin/kexin type 9.CC BY-NC · PubMed Central
Figure 4 SRT3025 increases Ldlr expression in AML12 hepatocytes and decreases Pcsk9 in the supernatant. Western blots of Ldlr, Pcsk9, and β-actin in cultured AML12 cells (A) treated with SRT3025 at indicated concentrations for 24 h and (B) incubated with 10 μM SRT3025 for the times indicated. (C) Relative mRNA expression levels of Ldlr and Pcsk9 in AML12 cells after incubation with 10 μM SRT3025 for 24 h. (D) Pcsk9 protein levels in the supernatant of AML12 cells incubated with 10 μM SRT3025 for the times indicated. (E) Pcsk9 immunoprecipiated from AML12 cells incubated with vehicle (Veh, DMSO) or 10 μM SRT3025, and blotted for Ldlr and Pcsk9. Pcsk9, proprotein convertase subtilisin/kexin type 9.
Figure 4 SRT3025 increases Ldlr expression in AML12 hepatocytes and decreases Pcsk9 in the supernatant. Western blots of Ldlr, Pcsk9, and β-actin in cultured AML12 cells (A) treated with SRT3025 at indicated concentrations for 24 h and (B) incubated with 10 μM SRT3025 for the times indicated. (C) Relative mRNA expression levels of Ldlr and Pcsk9 in AML12 cells after incubation with 10 μM SRT3025 for 24 h. (D) Pcsk9 protein levels in the supernatant of AML12 cells incubated with 10 μM SRT3025 for the times indicated. (E) Pcsk9 immunoprecipiated from AML12 cells incubated with vehicle (Veh, DMSO) or 10 μM SRT3025, and blotted for Ldlr and Pcsk9. Pcsk9, proprotein convertase subtilisin/kexin type 9.CC BY-NC · PubMed Central
Figure 5 Exogenous Pcsk9 prevents SRT3025-induced increase in Ldlr expression and activity in AML12 hepatocytes. (A) Western blot and corresponding quantifications of AML12 cells treated with vehicle (Veh, DMSO) or 10 μM SRT3025 and incubated with or without Pcsk9 active protein (3 ng ml−1) for 1 h. (B) BODIPY-labelled LDL uptake in AML12 cells incubated for 24 h with 10 μM SRT3025 or Veh and incubated with or without Pcsk9 active protein (3 ng ml−1) for 1 h. Fluorescence intensity and western blot quantifications are given as percentage of Veh control. BODIPY, 4,4-difluoro-3a,4a-diaza-s-indacene; AU, arbitrary units; Pcsk9, proprotein convertase subtilisin/kexin type 9.
Figure 5 Exogenous Pcsk9 prevents SRT3025-induced increase in Ldlr expression and activity in AML12 hepatocytes. (A) Western blot and corresponding quantifications of AML12 cells treated with vehicle (Veh, DMSO) or 10 μM SRT3025 and incubated with or without Pcsk9 active protein (3 ng ml−1) for 1 h. (B) BODIPY-labelled LDL uptake in AML12 cells incubated for 24 h with 10 μM SRT3025 or Veh and incubated with or without Pcsk9 active protein (3 ng ml−1) for 1 h. Fluorescence intensity and western blot quantifications are given as percentage of Veh control. BODIPY, 4,4-difluoro-3a,4a-diaza-s-indacene; AU, arbitrary units; Pcsk9, proprotein convertase subtilisin/kexin type 9.CC BY-NC · PubMed Central
Figure 6 Sirt1 knockdown reduces and Sirt1 overexpression enhances SRT3025-induced increase in Ldlr expression in AML12 hepatocytes. (A) Western blots of Ldlr, Sirt1, and β-actin with corresponding quantifications of AML12 cell lysates following transfection with Sirt1 siRNA or scrambled siRNA for 24 h and incubated with 10 μM SRT3025 or vehicle (Veh, DMSO) for additional 24 h. (B) Western blots of Ldlr, Sirt1, and β-actin with corresponding quantifications of AML12 cell lysates following Sirt1 overexpression plasmid or scramble control for 24 h and incubated with 10 μM SRT3025 or Veh for additional 24 h. Western blot quantifications are given as a percentage of Veh control. Scr, scramble plasmid; Sirt1 OE, Sirt1 overexpression plasmid.
Figure 6 Sirt1 knockdown reduces and Sirt1 overexpression enhances SRT3025-induced increase in Ldlr expression in AML12 hepatocytes. (A) Western blots of Ldlr, Sirt1, and β-actin with corresponding quantifications of AML12 cell lysates following transfection with Sirt1 siRNA or scrambled siRNA for 24 h and incubated with 10 μM SRT3025 or vehicle (Veh, DMSO) for additional 24 h. (B) Western blots of Ldlr, Sirt1, and β-actin with corresponding quantifications of AML12 cell lysates following Sirt1 overexpression plasmid or scramble control for 24 h and incubated with 10 μM SRT3025 or Veh for additional 24 h. Western blot quantifications are given as a percentage of Veh control. Scr, scramble plasmid; Sirt1 OE, Sirt1 overexpression plasmid.CC BY-NC · PubMed Central
Figure 7 Genetic deletion of Ldlr abolishes anti-atherosclerotic effects of SRT3025 in vivo. Eight-week-old Ldlr−/− mice were fed a high-cholesterol diet (1.25% w/w) supplemented with the Sirt1 activator SRT3025 (n = 9) or placebo (n = 9) for 12 weeks and fasted for 12 h before blood was drawn and aortae were explanted. Representative micrographs (left) and quantifications (right) of thoraco-abdominal aortae en face (A) and of aortic root cross sections (B–D) stained with oil-red O (ORO) or immunohistochemically for macrophages (CD68) or Vcam-1; (E) cholesterol distribution in the different lipoprotein subfractions separated by gel filtration chromatography; (F) plasma total cholesterol, LDL-, and VLDL-cholesterol concentrations; (G) plasma levels of Mcp-1, Il-6, and Pcsk9. Scale bars in photomicrographs = 1 mm (A) and 500 μm (B–D). HCD, high-cholesterol diet; AU, arbitrary units; LDL, low-density lipoprotein; ORO, oil-red O; VLDL, very low-density lipoprotein; Vcam-1, vascular cell adhesion molecule 1; Mcp-1, monocyte chemoattractant protein 1; Il-6, interleukin 6; Pcsk9, proprotein convertase subtilisin/kexin type 9.
Figure 7 Genetic deletion of Ldlr abolishes anti-atherosclerotic effects of SRT3025 in vivo. Eight-week-old Ldlr−/− mice were fed a high-cholesterol diet (1.25% w/w) supplemented with the Sirt1 activator SRT3025 (n = 9) or placebo (n = 9) for 12 weeks and fasted for 12 h before blood was drawn and aortae were explanted. Representative micrographs (left) and quantifications (right) of thoraco-abdominal aortae en face (A) and of aortic root cross sections (B–D) stained with oil-red O (ORO) or immunohistochemically for macrophages (CD68) or Vcam-1; (E) cholesterol distribution in the different lipoprotein subfractions separated by gel filtration chromatography; (F) plasma total cholesterol, LDL-, and VLDL-cholesterol concentrations; (G) plasma levels of Mcp-1, Il-6, and Pcsk9. Scale bars in photomicrographs = 1 mm (A) and 500 μm (B–D). HCD, high-cholesterol diet; AU, arbitrary units; LDL, low-density lipoprotein; ORO, oil-red O; VLDL, very low-density lipoprotein; Vcam-1, vascular cell adhesion molecule 1; Mcp-1, monocyte chemoattractant protein 1; Il-6, interleukin 6; Pcsk9, proprotein convertase subtilisin/kexin type 9.CC BY-NC · PubMed Central

Verification

Claims the paper makes

33 Own result · 16 Own interpretation · 7 Partly supported · 5 Supported · 3 Supported so far · 1 Not supported · 1 No full text of the sources · accuracy not yet measured

Show all 50 claims

  • It may state two separate claims as one. 12
  • Probably not a substantial claim. 4
  • The quote only partly states this claim. 1
16 of 16
  • The paper relies on this without support.

    Plasma Pcsk9 levels reflect hepatic Pcsk9 secretion in mice.

    “In agreement with this, we found reduced plasma Pcsk9 protein levels following pharmacological Sirt1 activation in Apoe−/− mice compared with placebo-treated controls (Figure 3C).”
  • The paper relies on this without support.

    AML12 hepatocytes are a valid model of murine hepatocyte Pcsk9 and Ldlr regulation.

    “To delineate the mechanisms by which SRT3025 affects Ldlr protein expression, we performed in vitro experiments administering SRT3025 to mouse hepatoma AML12 cells.”
2 of 2

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

1 of 1

Citations

Cites

Show all 25 references

Cited by

Sorted by citations

See all 154

Metadata

Authors
Miranda, M. X., van Tits, L. J., Lohmann, C., Arsiwala, T., Winnik, S., Tailleux, A., Stein, S., Gomes, A. P., Suri, V., Ellis, J. L., Lutz, T. A., Hottiger, M. O., Sinclair, D. A., Auwerx, J., Schoonjans, K., Staels, B., Lüscher, T. F., & Matter, C. M.
Affiliations
  • University of Zurich (CH)
  • Inserm (FR)
  • Harvard University (US)
  • École Polytechnique Fédérale de Lausanne (CH)
Corresponding author
Matter, Christian M.
Venue
European Heart Journal
Published
2014-03-06
Volume
36
Issue
1
Pages
51-59
ISSN
  • 0195-668X (ISSN-L)
  • 1522-9645
OpenAlex
W2158618709
Cited by
153
References
25
Citations by year
2026: 7 · 2025: 10 · 2024: 11 · 2023: 12 · 2022: 14 · 2021: 20 · 2020: 16 · 2019: 7 · 2018: 15 · 2017: 10 · 2016: 10 · 2015: 17 · 2014: 4
FWCI
5.82
Type
journal article
Language
en
Open access
Licence
cc-by-nc
Locations
  • European Heart Journal (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • Zurich Open Repository and Archive (University of Zurich) (acceptedVersion, other-oa)
  • reroDoc Digital Library (submittedVersion)
  • Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
  • Infoscience (Ecole Polytechnique Fédérale de Lausanne) (submittedVersion)
  • Infoscience (Ecole Polytechnique Fédérale de Lausanne) (submittedVersion, cc-by-nc-nd)
  • Zurich Open Repository and Archive (University of Zurich) (submittedVersion, other-oa)
  • Zurich Open Repository and Archive (University of Zurich)
Funders
National Institute on Aging (R37AG028730)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Cholesterol and Lipid Metabolism
  • Health Sciences › Medicine › Geriatrics and Gerontology › Sirtuins and Resveratrol in Medicine
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Lipoproteins and Cardiovascular Health
Keywords
SIRT1, atherosclerosis, PCSK9, LDL receptor, LDL cholesterol, ApoE-deficient mice, high-cholesterol diet, hepatic lipid metabolism, FOXO1, LDL uptake, atheroprotection
MeSH terms
Proprotein Convertase 9, Anilides, Animals, Anticholesteremic Agents, Apolipoproteins E, Arteriosclerosis, Cells, Cultured, Enzyme Inhibitors, Cholesterol, LDL, Male, Mice, Inbred C57BL, Receptors, LDL, RNA, Messenger, Serine Endopeptidases, Thiazoles, Hepatocytes, Proprotein Convertases, Sirtuin 1, In Vitro Techniques

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

A language model drew the claims from the paper on 2026-11-08, under version 3 of the claim definition (model deepseek-v4.1-flash, prompt extract-v3).

A second model labelled each claim on 2026-11-08 (model jev-1.13-20260917, definition revision gold-guideline-v0.2).

Cited sources are checked with a language model’s help (gpt-6-sol).

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review