SIRT3 attenuates sepsis-induced EndMT and cardiac remodeling by facilitating mitophagy process via PINK1/Parkin

Penghao Liu1, Tianhua Xu2, Yujun Luo1

  • 1Department of Anesthesiology, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200233, China.

PubMed
Abstract

Insights

Sirtuin 3 (SIRT3) suppresses sepsis-induced myocardial injury by enhancing mitophagy, thereby reducing cardiac fibrosis and endothelial-mesenchymal transition. This study clarifies SIRT3's role in mitochondrial quality control during sepsis.

Area of Science:

  • Cardiovascular Biology
  • Mitochondrial Biology
  • Sepsis Research

Background:

  • Endothelial-mesenchymal transition (EndMT) drives sepsis-induced myocardial injury (SIMI).
  • Defective mitophagy contributes to oxidative stress and mitochondrial dysfunction, exacerbating EndMT.
  • Sirtuin 3 (SIRT3) is a key mitochondrial deacetylase, but its role in SIMI-induced EndMT is unclear.

Purpose of the Study:

  • To investigate the role of SIRT3 in mediating EndMT and cardiac remodeling during SIMI.
  • To elucidate the mechanism by which SIRT3 influences mitochondrial quality control in the context of sepsis.

Main Methods:

  • Lipopolysaccharide (LPS) induced SIMI in wild-type and SIRT3 knockout mice.
  • In vitro studies used LPS-treated human cardiac microvascular endothelial cells (CMECs).
  • Assessed cardiac function, fibrosis, EndMT markers, mitochondrial function, mitophagy, and SIRT3 interactions with PINK1/Parkin.

Main Results:

  • SIRT3 knockout mice showed exacerbated EndMT, cardiac fibrosis, mitochondrial dysfunction, and impaired mitophagy post-LPS.
  • LPS induced oxidative stress and disrupted mitophagy in CMECs, partially rescued by rapamycin or SIRT3.
  • SIRT3 overexpression promoted mitophagy via deacetylation of the PINK1/Parkin pathway.

Conclusions:

  • SIRT3 mitigates EndMT-mediated cardiac fibrosis in SIMI by enhancing PINK1/Parkin-dependent mitophagy.
  • SIRT3 represents a potential therapeutic target for treating sepsis-induced myocardial injury.