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Published on: December 15, 2023
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Succinylation modification: a potential therapeutic target in stroke.
Jie Lian1, Wenwu Liu2, Qin Hu1
1Department of Neurosurgery, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Neural Regeneration Research
|October 16, 2023
Summary
Lysine succinylation impacts cell metabolism after stroke. Enhancing Sirtuin 5 activity may offer neuroprotection by regulating this process, suggesting a potential stroke treatment strategy.
Area of Science:
- Biochemistry
- Neuroscience
- Cell Biology
Background:
- Stroke causes significant global mortality and disability.
- Ischemic cell death, due to reduced oxygen and glucose, is a key stroke pathology.
- Mitochondrial dysfunction and impaired energy metabolism are early events in stroke-induced brain injury.
Purpose of the Study:
- To review the role of lysine succinylation in stroke-related energy metabolism, reactive oxygen species generation, and neuroinflammation.
- To examine Sirtuin 5-mediated desuccinylation in the context of stroke.
- To explore targeting succinylation/desuccinylation as a potential therapeutic strategy for stroke.
Main Methods:
- Literature review focusing on post-translational modifications in stroke.
- Analysis of the regulatory mechanisms of protein succinylation and desuccinylation.
- Examination of Sirtuin 5's role in metabolic enzyme regulation and its implications for stroke.
Main Results:
- Lysine succinylation is a post-translational modification influencing mitochondrial energy metabolism after ischemia.
- Succinylation regulates metabolic pathways by modulating enzyme activity and stability.
- Sirtuin 5, a desuccinylase, plays a critical role in metabolism and is implicated in stroke pathophysiology.
- Imbalance in succinylation/desuccinylation is linked to stroke progression.
- Enhancing Sirtuin 5 activity shows neuroprotective effects in experimental stroke models.
Conclusions:
- Succinylation and desuccinylation dynamics are crucial in stroke-induced metabolic changes.
- Targeting Sirtuin 5 activity presents a promising therapeutic avenue for stroke treatment.
- Further validation is needed to confirm the therapeutic efficacy of Sirtuin 5 activators in human stroke patients.

