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SIRT1-mediated deacetylation of DRP1 suppresses excessive mitophagy and ameliorates pediatric functional dyspepsia

Shuan Yin1, Dongdong Dai2, Gaoyan Wang1

  • 1Department of Pediatrics, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China.

BMC Immunology
|May 8, 2026
PubMed

Insights

SIRT1 protects against functional dyspepsia (FD) in children by regulating mitophagy and mitochondrial function. This study highlights the SIRT1-DRP1 pathway as a potential therapeutic target for pediatric FD.

Area of Science:

  • Gastroenterology
  • Molecular Biology
  • Cell Biology

Background:

  • Functional dyspepsia (FD) is common in children, with unclear molecular causes.
  • Mitochondrial dysfunction and excessive mitophagy are suspected contributors to pediatric FD.
  • The role of SIRT1 in FD's mitochondrial quality control needs further investigation.

Purpose of the Study:

  • To investigate the role of SIRT1 in mitochondrial quality control in pediatric FD.
  • To explore the therapeutic potential of SIRT1 in pediatric FD.
  • To elucidate the molecular mechanisms linking SIRT1, mitophagy, and inflammation in FD.

Main Methods:

  • Analyzed SIRT1 expression and inflammatory cytokines in pediatric FD patient serum.
  • Induced mitochondrial stress in human gastric smooth muscle cells (HGSMCs) using CCCP.
  • Assessed mitochondrial function, mitophagy, oxidative stress, and protein interactions via qPCR, Western blot, co-immunoprecipitation, and functional assays.

Main Results:

  • SIRT1 was downregulated in pediatric FD patients and CCCP-treated HGSMCs, correlating with increased IL-6, TNF-α, and IL-1β.
  • SIRT1 overexpression improved cell viability, ATP production, and mitochondrial membrane potential, while reducing mitophagy and oxidative stress.
  • SIRT1 deacetylated DRP1 at K283, promoting its degradation and inhibiting excessive mitophagy and oxidative stress, findings confirmed by DRP1 knockdown and overexpression rescue experiments.

Conclusions:

  • SIRT1 plays a protective role in pediatric FD by targeting the SIRT1-DRP1 axis.
  • SIRT1 ameliorates mitochondrial dysfunction and oxidative stress by inhibiting excessive mitophagy via DRP1 deacetylation.
  • The SIRT1-DRP1 pathway represents a promising therapeutic target for pediatric FD.