Overexpression of sirtuin 1 attenuates calcium oxalate-induced kidney injury by promoting macrophage polarization
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Updated: Jul 30, 2026

Investigation of Macrophage Polarization Using Bone Marrow Derived Macrophages
Published on: June 23, 2013
Bao-Feng Song1, Bo-Jun Li1, Jin-Zhuo Ning1
1Department of Urology, Renmin Hospital of Wuhan University, Wuhan, China.
Abstract:
Sirtuin 1 (SIRT1) protein is involved in macrophage differentiation, while NOTCH signaling affects inflammation and macrophage polarization. Inflammation and macrophage infiltration are typical processes that accompany kidney stone formation. However, the role and mechanism of SIRT1 in renal tubular epithelial cell injury caused by calcium oxalate (CaOx) deposition and the relationship between SIRT1 and the NOTCH signaling pathway in this urological disorder are unclear. This study investigated whether SIRT1 promotes macrophage polarization to inhibit CaOx crystal deposition and reduce renal tubular epithelial cell injury. Public single-cell sequencing data, RT-qPCR, immunostaining approaches, and Western blotting showed decreased SIRT1 expression in macrophages treated with CaOx or exposed to kidney stones. Macrophages overexpressing SIRT1 differentiated towards the anti-inflammatory M2 phenotype, significantly inhibiting apoptosis and alleviating injury in the kidneys of mice with hyperoxaluria. Conversely, decreased SIRT1 expression in CaOx-treated macrophages triggered Notch signaling pathway activation, promoting macrophage polarization towards the pro-inflammatory M1 phenotype. Our results suggest that SIRT1 promotes macrophage polarization towards the M2 phenotype by repressing the NOTCH signaling pathway, which reduces CaOx crystal deposition, apoptosis, and damage in the kidney. Therefore, we propose SIRT1 as a potential target for preventing disease progression in patients with kidney stones.
Insights
Sirtuin 1 (SIRT1) protein helps macrophages fight kidney stones by promoting anti-inflammatory responses. This reduces kidney cell injury and crystal deposition, suggesting SIRT1 as a potential therapeutic target for kidney stones.
Area of Science:
- Nephrology
- Immunology
- Cell Biology
Background:
- Kidney stones involve inflammation and macrophage infiltration.
- The roles of Sirtuin 1 (SIRT1) and NOTCH signaling in kidney stone-related injury are unclear.
- Understanding SIRT1's mechanism in calcium oxalate (CaOx) deposition is crucial.
Purpose of the Study:
- To investigate SIRT1's role in macrophage polarization during CaOx deposition.
- To explore the relationship between SIRT1 and NOTCH signaling in kidney injury.
- To determine if SIRT1 can inhibit CaOx crystal deposition and renal cell damage.
Main Methods:
- Analysis of public single-cell sequencing data.
- Reverse transcription-quantitative polymerase chain reaction (RT-qPCR).
- Immunostaining and Western blotting techniques.
Main Results:
- SIRT1 expression decreased in macrophages exposed to CaOx or kidney stones.
- Overexpression of SIRT1 promoted anti-inflammatory M2 macrophage polarization, reducing kidney injury in hyperoxuria models.
- Reduced SIRT1 activated NOTCH signaling, leading to pro-inflammatory M1 polarization.
Conclusions:
- SIRT1 promotes M2 macrophage polarization by inhibiting NOTCH signaling.
- This mechanism reduces CaOx deposition, apoptosis, and kidney damage.
- SIRT1 is a potential therapeutic target for kidney stone disease progression.
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