Sirtuin 4 Knockout Aggravates Sepsis-Induced Acute Liver Injury by Enhancing Mitochondrial Fission and Mitophagy in

Na Li1, Dan Ma1, Suxin Luo1

  • 1Department of Cardiovascular Medicine, Cardiovascular Research Center, The First Affiliated Hospital of Chongqing Medical University, No.1 Youyi Road, Yuzhong District, Chongqing, 400016, China, cqmu.edu.cn.

Mediators of Inflammation
|January 12, 2026
PubMed
Abstract

Insights

Sepsis exacerbates liver injury in Sirtuin 4 knockout mice by increasing mitochondrial fission and mitophagy. This finding highlights Sirt4

Area of Science:

  • Mitochondrial biology
  • Organ injury
  • Sepsis research

Background:

  • Sepsis commonly causes multiorgan damage, particularly affecting the liver.
  • Sirtuin 4 (Sirt4) influences mitochondrial function and metabolism, but its role in sepsis-induced liver injury is not well understood.

Purpose of the Study:

  • To investigate the role of Sirtuin 4 (Sirt4) in sepsis-induced liver injury.
  • To elucidate the underlying mechanisms involving mitochondrial dynamics and mitophagy.

Main Methods:

  • Established a mouse model of sepsis-induced liver injury using cecal ligation and puncture (CLP).
  • Compared liver injury severity in wild-type (WT) and Sirt4 knockout (Sirt4-KO) mice.
  • Analyzed serum liver enzymes (AST, ALT), histological damage, and mitochondrial indicators (mitophagy, dynamics).

Main Results:

  • Sepsis induced more severe liver injury in Sirt4-KO mice compared to WT mice.
  • Sirt4 deficiency led to increased mitophagy and imbalanced mitochondrial dynamics (fission).
  • These changes mechanistically contribute to cellular damage in sepsis-induced liver injury.

Conclusions:

  • Sirtuin 4 knockout exacerbates sepsis-induced liver injury by promoting mitochondrial fission and mitophagy.
  • Targeting Sirt4-mediated pathways presents a potential therapeutic strategy for sepsis-related liver damage.