Targeting SIRT1 Rescues Age- and Obesity-Induced Microvascular Dysfunction in Ex Vivo Human Vessels

Alessandro Mengozzi1,2, Sarah Costantino3, Francesco Paneni3,4,5

  • 1Department of Clinical and Experimental Medicine (A.M., E.D., M.N., I.P., L.A., M.F., C.I., N.B., N.R.P., S.T., A.V., S.M.), University of Pisa, Italy.

Circulation Research
|August 15, 2022
PubMed
Abstract

Insights

Silent information regulator 1 (SIRT1) plays a key role in preventing early microvascular damage from aging and obesity. Targeting SIRT1 therapeutically can restore endothelial function and prevent age- and obesity-related vascular issues.

Area of Science:

  • Vascular Biology
  • Aging Research
  • Metabolic Syndrome

Background:

  • Experimental evidence implicates silent information regulator 1 (SIRT1) in age- and metabolic-related vascular dysfunction.
  • The role of SIRT1 in the human microvasculature, particularly in early-stage dysfunction, remains largely unknown.
  • This study investigates SIRT1's role in the earliest microvascular changes associated with aging and obesity in humans.

Purpose of the Study:

  • To investigate the role of silent information regulator 1 (SIRT1) in early human microvascular dysfunction.
  • To determine if SIRT1 modulation can ameliorate age- and obesity-induced endothelial dysfunction.
  • To explore the epigenetic mechanisms underlying SIRT1's influence on microvascular health.

Main Methods:

  • Recruited 95 subjects stratified by age and BMI into four groups: Young Nonobese, Young Obese, Old Nonobese, and Old Obese.
  • Assessed endothelial function using pressurized micromyography, measuring responses to a SIRT1 agonist (SRT1720) and a mitochondria reactive oxygen species (mtROS) scavenger (MitoTEMPO).
  • Quantified vascular mtROS, nitric oxide (NO) availability, and gene expression of SIRT1 and mitochondrial proteins; investigated SIRT1-dependent epigenetic regulation via chromatin immunoprecipitation.

Main Results:

  • Obese and older individuals exhibited lower vascular SIRT1 and antioxidant protein (FOXO3, SOD2) expression, alongside increased pro-oxidant proteins (p66Shc, Arginase II).
  • Endothelial dysfunction in Old Obese, Young Obese, and Old Nonobese groups was significantly improved by SRT1720, comparable to MitoTEMPO treatment.
  • SIRT1-dependent epigenetic changes reduced p66Shc and increased mitochondrial respiratory chain protein expression, explaining the functional improvements.

Conclusions:

  • Silent information regulator 1 (SIRT1) is a critical regulator of early microvascular damage caused by aging and obesity.
  • SIRT1 influences mtROS levels and NO availability through epigenetic control of p66Shc, Arginase II, and mitochondrial proteins.
  • Therapeutic targeting of SIRT1 shows promise for preventing and treating age- and obesity-related microvascular dysfunction.

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