SIRT6 reduces macrophage foam cell formation by inducing autophagy and cholesterol efflux under ox-LDL condition

Jiangping He1, Guangya Zhang1, Qi Pang2

  • 1Department of Endocrinology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, China.

The FEBS Journal
|March 16, 2017
PubMed

Insights

Sirtuin 6 (SIRT6) reduces foam cell formation in atherosclerosis by enhancing autophagy and cholesterol efflux. This mechanism involves regulating miR-33 levels and is crucial for cardiovascular health in diabetic patients.

Area of Science:

  • Biochemistry
  • Cell Biology
  • Cardiovascular Research

Background:

  • Sirtuin 6 (SIRT6) is a key regulator of lipid metabolism and is linked to cardiovascular diseases, a major concern in diabetic patients.
  • Foam cells, lipid-laden macrophages, are implicated in atherosclerosis development.
  • Reduced expression of SIRT6 and autophagy markers (ATG5, LC3B, LAMP1) is observed in oxidized LDL-induced foam cells.

Purpose of the Study:

  • To investigate the role of SIRT6 in regulating foam cell formation and its underlying mechanisms.
  • To determine if SIRT6 influences autophagy and cholesterol efflux pathways in foam cells.
  • To elucidate the role of microRNA-33 (miR-33) in SIRT6-mediated foam cell reduction.

Main Methods:

  • Overexpression of wild-type (WT) and mutant (H133Y) SIRT6 in ox-LDL-induced foam cells.
  • Oil Red O staining to quantify lipid accumulation.
  • mRFP-GFP-LC3 labeling and transmission electron microscopy to assess autophagy flux.
  • Cholesterol efflux assays measuring ABCA1 and ABCG1 levels.
  • Gene silencing of ATG5 and transfection of miR-33.

Main Results:

  • SIRT6 WT overexpression significantly reduced foam cell formation and induced autophagy flux, unlike SIRT6 H133Y.
  • Silencing ATG5 reversed the protective effects of SIRT6 in ox-LDL-treated cells.
  • SIRT6 promoted cholesterol efflux, increased ABCA1 and ABCG1 levels, and decreased miR-33 levels.
  • miR-33 transfection partially reversed the beneficial effects of SIRT6.

Conclusions:

  • SIRT6 protects against atherosclerosis by inhibiting foam cell formation via an autophagy-dependent pathway.
  • The SIRT6-mediated reduction in foam cell formation involves modulation of cholesterol efflux and miR-33 levels.
  • SIRT6 represents a potential therapeutic target for atherosclerosis, particularly in diabetic patients.