Sirtuin 3 deficiency promotes acute kidney injury induced by sepsis via mitochondrial dysfunction and apoptosis

Heng Fan1, Jian-Wei Le1, Min Sun1

  • 1Department of Intensive Care Unit, Ningbo First Hospital, Ningbo, Zhejiang Province, P.R China.

Abstract

Insights

Sirtuin 3 (SIRT3) deficiency worsens sepsis-induced acute kidney injury (AKI) by increasing oxidative stress, mitochondrial dysfunction, and apoptosis in kidney cells. Restoring SIRT3 may protect against AKI.

Area of Science:

  • Nephrology
  • Molecular Biology
  • Biochemistry

Background:

  • Sepsis-induced acute kidney injury (AKI) is a critical condition with significant mortality.
  • Mitochondrial dysfunction and apoptosis play key roles in the pathogenesis of AKI.
  • Sirtuin 3 (SIRT3) is a mitochondrial deacetylase implicated in cellular stress responses.

Purpose of the Study:

  • To investigate the regulatory role of Sirtuin 3 (SIRT3) in mitochondrial function and apoptosis during sepsis-induced AKI.
  • To elucidate the mechanism by which SIRT3 influences kidney injury in a mouse model of sepsis.

Main Methods:

  • Established a sepsis-induced AKI model in wild-type and SIRT3 knockout (KO) mice.
  • Assessed kidney injury markers (serum creatinine, plasma kidney injury molecule 1) using ELISA.
  • Evaluated mitochondrial damage via electron microscopy and apoptosis using TUNEL assay.
  • Quantified mRNA levels of key apoptosis-related genes (Bax, Caspase-3, Bcl-2) and SIRT3 using RT-qPCR.

Main Results:

  • SIRT3 deficiency in septic mice led to elevated serum creatinine and plasma kidney injury molecule 1.
  • SIRT3 knockout mice exhibited increased oxidative stress, impaired mitochondrial enzyme activity, and exacerbated kidney histopathology.
  • SIRT3 deficiency significantly increased kidney tubular epithelial cell apoptosis, with altered expression of Bax, Caspase-3, and Bcl-2.

Conclusions:

  • SIRT3 deficiency exacerbates sepsis-induced AKI by promoting oxidative stress and mitochondrial dysfunction.
  • SIRT3 plays a protective role against kidney injury during sepsis by inhibiting apoptosis.
  • Targeting SIRT3 may offer a therapeutic strategy for managing sepsis-induced AKI.

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