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SIRT6 Attenuates Angiotensin II-Induced Podocyte Cholesterol Accumulation and Injury via Negative Modulation of
Yingjie Yang1, Jingjing Ma1, Danqi Chang1
1Department of Geriatrics, Renmin Hospital of Wuhan University, Wuhan, China.
Introduction:
Angiotensin (Ang) II can cause podocyte injury and leads to chronic kidney disease (CKD), but the specific mechanism is not clear. In our previous study, we found that Ang II reduced the expression of cholesterol efflux-associated molecule by regulating sirtuin 6 (SIRT6), thereby inducing podocyte cholesterol accumulation and injury. However, the effect of SIRT6 on podocyte cholesterol synthesis is unclear. In this study, we evaluated the role of SIRT6 in the expression of cholesterol synthesis-associated molecular sterol regulatory element-binding protein 2 (SREBP2), cholesterol content, and apoptosis levels in podocytes.
Methods:
Ang II-infused rat model was constructed. Cholesterol quantification was examined using a cholesterol quantitation kit. The expression of SIRT6 and SREBP2 was examined by Western blot and immunofluorescence assay. The podocyte apoptotic level was detected by flow cytometry. Transfection of podocytes with pcDNA3.1 SIRT6 plasmid and the deacetylase-inactive SIRT6 mutant plasmid (pcDNA3.1 SIRT6 H133Y) was performed to investigate whether SIRT6 regulates SREBP2 expression and to further determine if this regulatory effect is dependent on SIRT6's deacetylase activity.
Results:
Ang II promoted lipid droplet and cholesterol accumulation in rat glomeruli, suppressed SIRT6 expression, and enhanced SREBP2 activation, evidenced by increased SREBP2 levels and nuclear translocation. Transfection of pcDNA3.1 SIRT6 into podocytes attenuated SREBP2 activation, reducing Ang II-induced cholesterol accumulation and apoptosis. Experiments using pcDNA3.1 SIRT6 and pcDNA3.1 SIRT6 H133Y plasmids indicate that SIRT6-mediated suppression of SREBP2 requires its histone deacetylase activity.
Conclusion:
We conclude that SIRT6 serves as a key protective regulator of podocytes against RAS activation, at least in part by suppressing SREBP2 expression and thereby alleviating cholesterol accumulation and associated podocyte injury. It provides a new target for clinical treatment of CKD.
Insights
Sirtuin 6 (SIRT6) protects kidney podocytes from injury by suppressing cholesterol synthesis. This finding reveals SIRT6 as a potential therapeutic target for chronic kidney disease (CKD) caused by Angiotensin II.
Area of Science:
- Nephrology
- Molecular Biology
- Biochemistry
Background:
- Angiotensin II (Ang II) contributes to chronic kidney disease (CKD) via podocyte injury, but mechanisms remain unclear.
- Previous studies linked Ang II to reduced cholesterol efflux via Sirtuin 6 (SIRT6), causing podocyte injury.
- The role of SIRT6 in podocyte cholesterol synthesis was previously undetermined.
Purpose of the Study:
- To investigate the role of SIRT6 in regulating sterol regulatory element-binding protein 2 (SREBP2), a key cholesterol synthesis molecule.
- To assess the impact of SIRT6 on cholesterol content and apoptosis in podocytes.
- To elucidate the mechanism by which SIRT6 influences podocyte injury.
Main Methods:
- Constructed an Ang II-infused rat model for studying kidney disease.
- Quantified cholesterol levels and analyzed SIRT6 and SREBP2 expression using western blot and immunofluorescence.
- Assessed podocyte apoptosis via flow cytometry and utilized SIRT6 expression plasmids to investigate its deacetylase activity's role.
Main Results:
- Ang II increased glomerular lipid/cholesterol, decreased SIRT6, and activated SREBP2 in rats.
- SIRT6 activation in podocytes counteracted SREBP2, reducing cholesterol accumulation and apoptosis.
- SIRT6's suppression of SREBP2 and subsequent protective effects were dependent on its histone deacetylase activity.
Conclusions:
- SIRT6 protects podocytes against Angiotensin II-induced injury by inhibiting cholesterol synthesis via SREBP2.
- SIRT6 acts as a crucial regulator against Renin-Angiotensin System (RAS) activation in podocytes.
- SIRT6 represents a novel therapeutic target for managing cholesterol-related podocyte injury in CKD.
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