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Redox Homeostasis in Cardiovascular Disease: The Role of Mitochondrial Sirtuins
Alberto Zullo1,2, Rosa Guida1, Rosaria Sciarrillo1
1Department of Sciences and Technologies, University of Sannio, Benevento, Italy.
Insights
Mitochondrial sirtuins (SIRT3, SIRT4, SIRT5) regulate oxidative stress, a key factor in cardiovascular disease (CVD) pathogenesis. Understanding their role offers potential for novel CVD therapies.
Area of Science:
- Biochemistry
- Molecular Biology
- Cardiovascular Research
Background:
- Cardiovascular disease (CVD) remains the leading global cause of mortality.
- Despite advances, CVD burden is increasing, necessitating deeper understanding of its pathogenesis.
- Oxidative stress is a common feature in CVD and a potential therapeutic target.
Purpose of the Study:
- To review the role of mitochondrial sirtuins (SIRT3, SIRT4, SIRT5) in regulating oxidative stress.
- To explore the connection between these sirtuins, energy metabolism, and CVD.
- To highlight the potential of sirtuins as targets for novel CVD therapies.
Main Methods:
- Literature review focusing on mitochondrial sirtuins and oxidative stress.
- Analysis of sirtuin functions in cellular processes, including antioxidant pathways.
- Examination of sirtuin involvement in energy metabolism and atherosclerosis.
Main Results:
- Mitochondrial sirtuins (SIRT3, SIRT4, SIRT5) are crucial regulators of cellular oxidative balance.
- These sirtuins influence energy production and antioxidant defense mechanisms.
- Dysregulation of mitochondrial sirtuins is implicated in the pathogenesis of CVD.
Conclusions:
- Mitochondrial sirtuins play a significant role in controlling oxidative stress relevant to CVD.
- Targeting mitochondrial sirtuins may offer a promising strategy for developing new CVD treatments.
- Further research into sirtuin activity is essential for advancing cardiovascular medicine.
Abstract:
Cardiovascular disease (CVD) is still the leading cause of death worldwide. Despite successful advances in both pharmacological and lifestyle strategies to fight well-established risk factors, the burden of CVD is still increasing. Therefore, it is necessary to further deepen our knowledge of the pathogenesis of the disease for developing novel therapies to limit even more its related morbidity and mortality. Oxidative stress has been identified as a common trait of several manifestations of CVD and could be a promising target for innovative treatments. Mitochondria are a major source of oxidative stress and sirtuins are a family of enzymes that generate different post-translational protein modifications, thus regulating important cellular processes, including cell cycle, autophagy, gene expression, and others. In particular, three sirtuins, SIRT3, SIRT4, and SIRT5 are located within the mitochondrial matrix where they regulate energy production and antioxidant pathways. Therefore, these sirtuins are strongly involved in the balance between oxidant and antioxidant mechanisms. In this review, we summarize the activities of these sirtuins with a special focus on their role in the control of oxidative stress, in relation to energy metabolism, atherosclerosis, and CVD.
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