Department of Neurosurgery, Hunan Provincial People' s Hospital (The First-Affiliated Hospital of Hunan Normal University), Changsha 410005, Hunan Province, People's Republic of China.
Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University, Changsha 410011, Hunan Province, People's Republic of China.
Int J Biol Sci. 2023 Aug 21;19(13):4327-4339. doi: 10.7150/ijbs.86614. eCollection 2023.
Sirtuin-3 (Sirt3) deacetylates several mitochondrial proteins implicated into cerebral ischemia/reperfusion (I/R) injury. The mitochondrial unfolded protein response (UPR) favors mitochondrial proteostasis during various stressors. Here, we used Sirt3 transgenic mice and a transient middle cerebral artery occlusion model to evaluate the molecular basis of Sirt3 on the UPR during brain post-ischemic dysfunction. The present study illustrated that Sirt3 abundance was suppressed in the brain after brain ischemic abnormalities. Overexpression of Sirt3 suppressed the infarction size and attenuated neuroinflammation after brain I/R injury. Sirt3 overexpression restored neural viability by reducing mitochondrial ROS synthesis, maintaining the mitochondrial potential and improving mitochondrial adenosine triphosphate synthesis. Sirt3 overexpression protected neuronal mitochondria against brain post-ischemic malfunction via eliciting the UPR by the forkhead box O3 (Foxo3)/sphingosine kinase 1 (Sphk1) pathway. Inhibiting either the UPR or the Foxo3/Sphk1 pathway relieved the favorable influence of Sirt3 on neural function and mitochondrial behavior. In contrast, Sphk1 overexpression was sufficient to reduce the infarction size, attenuate neuroinflammation, sustain neuronal viability and prevent mitochondrial abnormalities during brain post-ischemia dysfunction. Thus, the UPR protects neural viability and mitochondrial homeostasis, and the Sirt3/Foxo3/Sphk1 pathway is a promosing therapeutic candidate for ischemic stroke.
Sirtuin-3(Sirt3)去乙酰化几种与脑缺血/再灌注(I/R)损伤有关的线粒体蛋白。线粒体未折叠蛋白反应(UPR)有利于各种应激下的线粒体蛋白稳态。在这里,我们使用 Sirt3 转基因小鼠和短暂性大脑中动脉闭塞模型来评估 Sirt3 在脑缺血后功能障碍期间对 UPR 的分子基础。本研究表明,脑缺血异常后 Sirt3 在脑中的丰度受到抑制。Sirt3 的过表达抑制了脑 I/R 损伤后的梗死面积并减轻了神经炎症。Sirt3 的过表达通过 Foxo3/鞘氨醇激酶 1(Sphk1)途径诱导 UPR,减少线粒体 ROS 合成,维持线粒体膜电位并改善线粒体三磷酸腺苷合成,从而恢复神经元活力。Sirt3 的过表达通过 Foxo3/Sphk1 途径保护神经元线粒体免受脑缺血后功能障碍,通过 Foxo3/Sphk1 途径保护神经元线粒体免受脑缺血后功能障碍。相反,Sphk1 的过表达足以减少梗死面积、减轻神经炎症、维持神经元活力并防止脑缺血后功能障碍期间的线粒体异常。因此,UPR 保护神经活力和线粒体稳态,Sirt3/Foxo3/Sphk1 途径是缺血性中风有前途的治疗候选物。
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