衰老相关的肝脏对烧伤创伤反应中的Sirtuin表达:来自小鼠模型的转化研究与临床见解

Sirtuin Expression in Age-Associated Hepatic Response to Burn Trauma: Translational and Clinical Insights From a Murine Model.

作者信息

Meza Monge Kenneth, Qualman Andrea C, Pratap Akshay, Kovacs Elizabeth J, Idrovo Juan-Pablo

机构信息

Department of Surgery, Division of Gastrointestinal, Trauma, and Endocrine Surgery, University of Colorado Anschutz Medical Campus, Aurora, USA.

出版信息

Cureus. 2025 Apr 20;17(4):e82663. doi: 10.7759/cureus.82663. eCollection 2025 Apr.

Abstract

Background Burn injuries can lead to substantial liver damage, and this response appears to worsen with age. Although clinical patterns suggest that older individuals are more susceptible to poor outcomes, the biological mechanisms contributing to this increased vulnerability are poorly understood. Sirtuins, a family of nicotinamide adenine dinucleotide (NAD)-dependent enzymes involved in cellular stress regulation, metabolism, and aging, may play a key role in modulating the hepatic response to burn injury. This study explores the potential mechanistic involvement of sirtuins in age-related liver damage following thermal injury. Methods Female C57BL/6 mice (young: four months; aged: 20-22 months) underwent sham or 15% total body surface area scald burn. Liver tissue was collected at 24- and 48-hours post-injury for quantitative polymerase chain reaction (qPCR) analysis of all seven sirtuin family members. Results Burn injury significantly altered hepatic sirtuin expression in an age- and time-dependent manner. Inflammatory regulators, and , showed immediate downregulation in young mice with partial recovery at 48 hours, while aged mice exhibited delayed, more profound, and persistent suppression. In contrast, mitochondrial sirtuins () were downregulated in both age groups, and only young burned mice showed recovery of and expression at 48 hours. The most pronounced age-dependent difference occurred with . At this time point, the expression of was 71% higher in young burned mice compared to aged injured counterparts (p < 0.05). Genome stability regulating and exhibited age-specific responses, with remaining stable in young injured mice, while  was lower in aged mice at 48 hours (p < 0.05). Conclusion This study reveals for the first time that burn injury triggers age-dependent alterations in the pattern of hepatic sirtuin expression, with delayed and/or more severe and persistent suppression across all sirtuin family members. These findings provide new mechanistic insights into the dysregulation of critical cellular homeostatic mechanisms in aged livers following burn injury and identify sirtuins as potential therapeutic targets for mitigating age-associated hepatic damage in elderly burn patients.

摘要

背景

烧伤可导致严重的肝损伤,且这种反应似乎会随着年龄的增长而恶化。尽管临床模式表明,老年人更容易出现不良预后,但导致这种易感性增加的生物学机制仍知之甚少。沉默调节蛋白是一类依赖烟酰胺腺嘌呤二核苷酸(NAD)的酶,参与细胞应激调节、代谢和衰老过程,可能在调节肝脏对烧伤的反应中起关键作用。本研究探讨了沉默调节蛋白在热损伤后与年龄相关的肝损伤中的潜在机制。方法:雌性C57BL/6小鼠(年轻组:4个月;老年组:20 - 22个月)接受假手术或15%体表面积烫伤。在受伤后24小时和48小时收集肝脏组织,对所有七个沉默调节蛋白家族成员进行定量聚合酶链反应(qPCR)分析。结果:烧伤损伤以年龄和时间依赖性方式显著改变肝脏沉默调节蛋白的表达。炎症调节因子SIRT1和SIRT2在年轻小鼠中立即下调,在48小时时有部分恢复,而老年小鼠则表现出延迟、更严重和持续的抑制。相比之下,两个年龄组的线粒体沉默调节蛋白(SIRT3、SIRT4和SIRT5)均下调,只有年轻烧伤小鼠在48小时时显示SIRT3和SIRT5表达恢复。最明显的年龄依赖性差异发生在SIRT6上。在这个时间点,年轻烧伤小鼠中SIRT6的表达比老年受伤小鼠高71%(p < 0.05)。调节基因组稳定性的SIRT5和SIRT7表现出年龄特异性反应,SIRT5在年轻受伤小鼠中保持稳定,而SIRT7在老年小鼠48小时时较低(p < 0.05)。结论:本研究首次揭示,烧伤损伤会引发肝脏沉默调节蛋白表达模式的年龄依赖性改变,所有沉默调节蛋白家族成员均出现延迟和/或更严重、持续的抑制。这些发现为烧伤后老年肝脏关键细胞稳态机制失调提供了新的机制见解,并将沉默调节蛋白确定为减轻老年烧伤患者年龄相关肝损伤的潜在治疗靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e17/12094498/ea6e67ba1e15/cureus-0017-00000082663-i01.jpg

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