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Targeting Sirtuin 1 to Improve Metabolism: All You Need Is NAD+?
Open accessAbstract
Sirtuin 1 (SIRT1) is an evolutionarily conserved NAD(+)-dependent deacetylase that is at the pinnacle of metabolic control, all the way from yeast to humans. SIRT1 senses changes in intracellular NAD(+) levels, which reflect energy level, and uses this information to adapt the cellular energy output such that it matches cellular energy requirements. The changes induced by SIRT1 activation are generally (but not exclusively) transcriptional in nature and are related to an increase in mitochondrial metabolism and antioxidant protection. These attractive features have validated SIRT1 as a therapeutic target in the management of metabolic disease and prompted an intensive search to identify pharmacological SIRT1 activators. In this review, we first give an overview of the SIRT1 biology with a particular focus on its role in metabolic control. We then analyze the pros and cons of the current strategies used to activate SIRT1 and explore the emerging evidence indicating that modulation of NAD(+) levels could provide an effective way to achieve such goals.
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“Hence, increasing NAD+ content leads to higher SIRT1 activity (Canto & Auwerx, 2012).”
From Mitochondrial response to nutrient availability and its role in metabolic disease (2014) · cites this paper as Canto & Auwerx, 2012
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Nicotinamide and PNC1 govern lifespan extension by calorie restriction in Saccharomyces cerevisiae
Anderson, R. M., Bitterman, K. J., Wood, J. G., Medvedik, O., & Sinclair, D. A. (2003) · Nature · doi:10.1038/nature01578 · Cited by 736
Influence of nicotinic acid on serum cholesterol in man
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Resveratrol stimulates AMP kinase activity in neurons
Dasgupta, B., & Milbrandt, J. (2007) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0610068104 · Cited by 723
SIRT1 transgenic mice show phenotypes resembling calorie restriction
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Self-citationSir2 links chromatin silencing, metabolism, and agingPreprint
Guarente, L. (2000) · Genes & Development · doi:10.1101/gad.14.9.1021 · Cited by 718
Sirt1 Regulates Insulin Secretion by Repressing UCP2 in Pancreatic β Cells
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Nutrient Availability Regulates SIRT1 Through a Forkhead-Dependent Pathway
Nemoto, S., Fergusson, M. M., & Finkel, T. (2004) · Science · doi:10.1126/science.1101731 · Cited by 671
SirT2 is a histone deacetylase with preference for histone H4 Lys 16 during mitosisPreprint
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Tumor Suppressor HIC1 Directly Regulates SIRT1 to Modulate p53-Dependent DNA-Damage Responses
Chen, W., Wang, D. H., Yen, R.-W. C., Luo, J., Gu, W. J., & Baylin, S. B. (2005) · Cell · doi:10.1016/j.cell.2005.08.011 · Cited by 663
The CREB Coactivator TORC2 Functions as a Calcium- and cAMP-Sensitive Coincidence Detector
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SIRT1 Deacetylates and Positively Regulates the Nuclear Receptor LXR
Li, X., Zhang, S., Blander, G., Tse, J. G., Krieger, M., & Guarente, L. (2007) · Molecular Cell · doi:10.1016/j.molcel.2007.07.032 · Cited by 649
SirT1 Gain of Function Increases Energy Efficiency and Prevents Diabetes in Mice
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AMP-activated protein kinase-deficient mice are resistant to the metabolic effects of resveratrol
Um, J.-H., Park, S.-J., Kang, H., Yang, S., Foretz, M., McBurney, M. W., Kim, M. K., Viollet, B., & Chung, J. H. (2010) · Diabetes · doi:10.2337/db09-0482 · Cited by 647
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Calorie restriction extends yeast life span by lowering the level of NADH
Lin, S.-J., Ford, E., Haigis, M., Liszt, G., & Guarente, L. (2004) · Genes & Development · doi:10.1101/gad.1164804 · Cited by 632
Absence of effects of Sir2 overexpression on lifespan in C. elegans and Drosophila
Burnett, C., Valentini, S., Cabreiro, F., Goss, M., Somogyvári, M., Piper, M. D., Hoddinott, M., Sutphin, G. L., Leko, V., McElwee, J. J., et al. (2011) · Nature · doi:10.1038/nature10296 · Cited by 624
LXRS AND FXR: The Yin and Yang of Cholesterol and Fat Metabolism
Kalaany, N. Y., & Mangelsdorf, D. J. (2005) · Annual Review of Physiology · doi:10.1146/annurev.physiol.68.033104.152158 · Cited by 623
Regulation of Corepressor Function by Nuclear NADH
Zhang, Q., Piston, D. W., & Goodman, R. H. (2002) · Science · doi:10.1126/science.1069300 · Cited by 620
Hasmann, M., & Schemainda, I. (2003) · PubMed · Cited by 617
Sirt1 improves healthy ageing and protects from metabolic syndrome-associated cancer
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The Mammalian SIR2α Protein Has a Role in Embryogenesis and Gametogenesis
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SIRT3, a human SIR2 homologue, is an NAD- dependent deacetylase localized to mitochondria
Onyango, P. O., Celic, I., McCaffery, J. M., Boeke, J. D., & Feinberg, A. P. (2002) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.222538099 · Cited by 573
The role of FoxO in the regulation of metabolism
Gross, D. N., van den Heuvel, A. P. J., & Birnbaum, M. J. (2008) · Oncogene · doi:10.1038/onc.2008.25 · Cited by 569
Tissue-specific regulation of SIRT1 by calorie restriction
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Fibroblast growth factor 21 regulates energy metabolism by activating the AMPK–SIRT1–PGC-1α pathway
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SIRT1 Deacetylates and Inhibits SREBP-1C Activity in Regulation of Hepatic Lipid Metabolism*
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Mouse Sir2 Homolog SIRT6 Is a Nuclear ADP-ribosyltransferase
Liszt, G., Ford, E., Kurtev, M., & Guarente, L. (2005) · Journal of Biological Chemistry · doi:10.1074/jbc.m413296200 · Cited by 548
SIRT1 Is Essential for Normal Cognitive Function and Synaptic Plasticity
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Kynurenine 3-Monooxygenase Inhibition in Blood Ameliorates Neurodegeneration
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DBC1 is a negative regulator of SIRT1
Kim, J., Chen, J., & Lou, Z. (2008) · Nature · doi:10.1038/nature06500 · Cited by 513
Guarente, L. (2011) · New England Journal of Medicine · doi:10.1056/nejmra1100831 · Cited by 510
SIRT2 Regulates Adipocyte Differentiation through FoxO1 Acetylation/Deacetylation
Jing, E., Gesta, S., & Kahn, C. R. (2007) · Cell Metabolism · doi:10.1016/j.cmet.2007.07.003 · Cited by 500
A fasting inducible switch modulates gluconeogenesis via activator/coactivator exchange
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Sirtuin Functions in Health and Disease
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“For extensive discussion of the actions of other sirtuin members, we refer the reader to reviews elsewhere (Dali-Youcef et al., 2007; Michan and Sinclair, 2007; Yamamoto et al., 2007; Schwer and Verdin, 2008; Finkel et al., 2009; Guarente, 2011).”
Self-citationNegative regulation of the deacetylase SIRT1 by DBC1
Zhao, W., Kruse, J.-P., Tang, Y., Jung, S. Y., Qin, J., & Gu, W. J. (2008) · Nature · doi:10.1038/nature06515 · Cited by 475
MiR-34, SIRT1, and p53: The feedback loop
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Fasting-dependent glucose and lipid metabolic response through hepatic sirtuin 1
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Kamanna, V. S., & Kashyap, M. L. (2008) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2008.02.029 · Cited by 453
SirT1 Regulates Energy Metabolism and Response to Caloric Restriction in Mice
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SIRT1 inhibits inflammatory pathways in macrophages and modulates insulin sensitivity
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Conserved Metabolic Regulatory Functions of Sirtuins
Schwer, B., & Verdin, E. M. (2008) · Cell Metabolism · doi:10.1016/j.cmet.2007.11.006 · Cited by 422
AMP-activated protein kinase and its downstream transcriptional pathways
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Self-citationA Role for SIR-2.1 Regulation of ER Stress Response Genes in Determining C. elegans Life Span
Viswanathan, M., Kim, S. K., Berdichevsky, A., & Guarente, L. (2005) · Developmental Cell · doi:10.1016/j.devcel.2005.09.017 · Cited by 420
A complex barcode underlies the heterogeneous response of p53 to stress
Murray-Zmijewski, F., Slee, E. A., & Lu, X. (2008) · Nature Reviews Molecular Cell Biology · doi:10.1038/nrm2451 · Cited by 420
SIRT1 Exerts Anti-Inflammatory Effects and Improves Insulin Sensitivity in Adipocytes
Yoshizaki, T., Milne, J. C., Imamura, T., Schenk, S., Sonoda, N., Babendure, J. L., Lu, J.-C., Smith, J. J., Jirousek, M. R., & Olefsky, J. M. (2008) · Molecular and Cellular Biology · doi:10.1128/mcb.00705-08 · Cited by 420
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C. elegans SIR-2.1 Interacts with 14-3-3 Proteins to Activate DAF-16 and Extend Life Span
Berdichevsky, A., Viswanathan, M., Horvitz, H. R., & Guarente, L. (2006) · Cell · doi:10.1016/j.cell.2006.04.036 · Cited by 402
Sirtuins: The ‘ magnificent seven ’, function, metabolism and longevity
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Active Regulator of SIRT1 Cooperates with SIRT1 and Facilitates Suppression of p53 Activity
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Caloric restriction, SIRT1 and longevity
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Self-citationLifespan extension induced by AMPK and calcineurin is mediated by CRTC-1 and CREB
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GPR109A (PUMA-G/HM74A) mediates nicotinic acid–induced flushing
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Poly(ADP-ribose) polymerase 1 participates in the phase entrainment of circadian clocks to feeding
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SIRT1 sumoylation regulates its deacetylase activity and cellular response to genotoxic stress
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Extension of Human Cell Lifespan by Nicotinamide Phosphoribosyltransferase
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NAD+ and Vitamin B3: From Metabolism to Therapies
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Poly(ADP-ribose) Polymerase Null Mouse Cells Synthesize ADP-ribose Polymers
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Skeletal muscle NAMPT is induced by exercise in humans
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Cloning and Characterization of Four SIR Genes of Saccharomyces cerevisiae
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Phosphorylation Regulates SIRT1 Function
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JNK1 Phosphorylates SIRT1 and Promotes Its Enzymatic Activity
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SIRT1: recent lessons from mouse models
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PARP-2 Regulates SIRT1 Expression and Whole-Body Energy Expenditure
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MicroRNA 132 Regulates Nutritional Stress-Induced Chemokine Production through Repression of SirT1
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“In addition, there is evidence that enhanced SIRT1 activity could be protective in conditions such as neurodegeneration, Alzheimer’s disease, and amyotrophic lateral sclerosis (Araki et al., 2004; Chen et al., 2005a; Kim et al., 2007a; Donmez et al., 2010).”
PPARγ in human and mouse physiology
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Self-citationFoxO1 Mediates an Autofeedback Loop Regulating SIRT1 Expression
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SIRT1 is regulated by a PPARγ–SIRT1 negative feedback loop associated with senescence
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Characterization of two genes required for the position‐effect control of yeast mating‐type genes.
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Coactivator-Dependent Acetylation Stabilizes Members of the SREBP Family of Transcription Factors
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Resveratrol, sirtuins, and the promise of a DR mimetic
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Inhibition of Nicotinamide Phosphoribosyltransferase
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Sirtuins as regulators of metabolism and healthspan
Houtkooper, R. H., Pirinen, E., & Auwerx, J. (2012) · Nature Reviews Molecular Cell Biology · doi:10.1038/nrm3293 · Cited by 2,008
Self-citationCantó, C., Menzies, K. J., & Auwerx, J. (2015) · Cell Metabolism · doi:10.1016/j.cmet.2015.05.023 · Cited by 1,648
Self-citationCantó, C., Houtkooper, R. H., Pirinen, E., Youn, D. Y., Oosterveer, M. H., Cen, Y., Fernandez-Marcos, P. J., Yamamoto, H., Andreux, P. A., Cettour-Rose, P., et al. (2012) · Cell Metabolism · doi:10.1016/j.cmet.2012.04.022 · Cited by 1,238
Self-citationMouchiroud, L., Houtkooper, R. H., Moullan, N., Katsyuba, E., Ryu, D., Cantó, C., Mottis, A., Jo, Y.-S., Viswanathan, M., Schoonjans, K., et al. (2013) · Cell · doi:10.1016/j.cell.2013.06.016 · Cited by 1,210
Self-citationThe NAD metabolome — a key determinant of cancer cell biology
Chiarugi, A., Dölle, C., Felici, R., & Ziegler, M. (2012) · Nature reviews. Cancer · doi:10.1038/nrc3340 · Cited by 660
Metadata
- Authors
- Cantó, C., & Auwerx, J.
- Affiliations
- École Polytechnique Fédérale de Lausanne (CH)
- Venue
- Pharmacological Reviews
- Publisher
- Elsevier BV
- Published
- 2012-01
- Volume
- 64
- Issue
- 1
- Pages
- 166-187
- ISSN
- 0031-6997 (ISSN-L)
- PMC
- PMC3616312
- OpenAlex
- W2104035332
- Cited by
- 433
- References
- 240
- Citations by year
- 2026: 45 · 2025: 34 · 2024: 21 · 2023: 16 · 2022: 20 · 2021: 32 · 2020: 31 · 2019: 24 · 2018: 28 · 2017: 30 · 2016: 30 · 2015: 37 · 2014: 31 · 2013: 26 · 2012: 26
- FWCI
- 2.22
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Pharmacological Reviews (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Infoscience (Ecole Polytechnique Fédérale de Lausanne) (submittedVersion)
- Infoscience (Ecole Polytechnique Fédérale de Lausanne) (submittedVersion, cc-by-nc-nd)
- Topics
- Health Sciences › Medicine › Geriatrics and Gerontology › Sirtuins and Resveratrol in Medicine
- Health Sciences › Medicine › Physiology (medical) › Adipose Tissue and Metabolism
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Biochemical and Molecular Research
- Keywords
- SIRT1, sirtuins, NAD+, NAD+ metabolism, metabolic control, energy homeostasis, mitochondrial metabolism, antioxidant defense, SIRT1 activators, metabolic disorders, deacetylase
- MeSH terms
- Animals, Energy Metabolism, Humans, Metabolic Diseases, NAD, Protein Conformation, Substrate Specificity, Drug Discovery, Sirtuin 1
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.
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