SIRT3 Overexpression Ameliorates Asbestos-Induced Pulmonary Fibrosis, mt-DNA Damage, and Lung Fibrogenic Monocyte

Paul Cheresh1,2, Seok-Jo Kim1,2, Renea Jablonski3

  • 1Jesse Brown VA Medical Center, Division of Pulmonary & Critical Care Medicine, Chicago, IL 60612, USA.

Insights

Sirtuin 3 (SIRT3) deficiency worsens pulmonary fibrosis by damaging mitochondrial DNA in alveolar epithelial cells. Overexpressing SIRT3 protects against fibrosis, reduces mitochondrial DNA damage, and lowers fibrotic macrophages.

Area of Science:

  • Mitochondrial biology
  • Pulmonary medicine
  • Cellular aging

Background:

  • Alveolar epithelial cell (AEC) mitochondrial DNA (mtDNA) damage and fibrotic macrophages are key in pulmonary fibrosis.
  • Sirtuin 3 (SIRT3), a mitochondrial protein, is reduced in idiopathic pulmonary fibrosis (IPF) patients' AECs.
  • Sirt3 knockout mice show increased lung fibrosis, AEC mtDNA damage, and apoptosis.

Purpose of the Study:

  • To investigate if whole-body transgenic SIRT3 overexpression protects mice from asbestos-induced pulmonary fibrosis.
  • To determine if SIRT3 overexpression mitigates lung mtDNA damage and fibrotic macrophage recruitment.
  • To explore the therapeutic potential of SIRT3 in pulmonary fibrosis.

Main Methods:

  • Crocidolite asbestos was instilled intratracheally in Wild-Type and Sirt3 transgenic mice.
  • Lung fibrosis was assessed using histology, fibrosis scoring, and Sircol assay at 21 days.
  • Lung fibrotic monocyte-derived alveolar macrophages (Mo-AMs) were quantified via flow cytometry.

Main Results:

  • Sirt3 transgenic mice exhibited protection against asbestos-induced pulmonary fibrosis compared to controls.
  • These mice showed significantly reduced lung mtDNA damage and Mo-AM recruitment.
  • Pharmacologic SIRT3 inducers reduced oxidant-induced AEC mtDNA damage in vitro, with honokiol showing SIRT3-dependent protection.

Conclusions:

  • SIRT3 overexpression protects against pulmonary fibrosis by preserving AEC mitochondrial DNA integrity.
  • Reduced lung mtDNA damage and fibrotic Mo-AMs contribute to SIRT3-mediated protection.
  • SIRT3 activation represents a potential therapeutic strategy for managing pulmonary fibrosis, including IPF.

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