PMID- 30605226 OWN - NLM STAT- MEDLINE DCOM- 20200511 LR - 20200911 IS - 1938-3673 (Electronic) IS - 0741-5400 (Print) IS - 0741-5400 (Linking) VI - 106 IP - 2 DP - 2019 Aug TI - Sirtuin-1 in immunotherapy: A Janus-headed target. PG - 337-343 LID - 10.1002/JLB.2RU1118-422R [doi] AB - Sirtuin-1 (Sirt1), a member of the NAD-dependent sirtuin family of histone/protein deacetylases (HDAC), is an important target for immunotherapy due to its role in deacetylating the transcription factors Foxp3 and thymic retinoid acid receptor related orphan receptor gamma (RORgammat). Sirt1 inhibition can increase Foxp3 acetylation and promote the production and functions of Foxp3(+) T-regulatory (Treg) cells, whereas the acetylation of RORgammat decreases its transcriptional activity DNA binding and decreases the differentiation of proinflammatory Th17 cells. Pharmacologic inhibitors of Sirt1 increase allograft survival and decrease autoimmune colitis and experimental allergic encephalomyelitis. However, in contrast to its role in T cells, Sirt1 has anti-inflammatory effects in myeloid cells, and, context dependent, in Th17 cells. Here, inhibition of Sirt1 can have proinflammatory effects. In addition to effects arising from the central role of Sirt1 in cellular metabolism and NAD-dependent reactions, such proinflammatory effects further complicate the potential of Sirt1 for therapeutic immunosuppression. This review aims to reconcile the opposing literature on pro- and anti-inflammatory effects of Sirt1, provides an overview of the role of Sir1 in the immune system, and discusses the pros and cons associated with inhibiting Sirt1 for control of inflammation and immune responses. CI - (c)2019 Society for Leukocyte Biology. FAU - Chadha, Sakshum AU - Chadha S AD - Division of Nephrology, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA. FAU - Wang, Liqing AU - Wang L AD - Division of Transplant Immunology, Department of Pathology and Laboratory Medicine, and Biesecker Center for Pediatric Liver Disease, Children's Hospital of Philadelphia and University of Pennsylvania, Philadelphia, Pennsylvania, USA. FAU - Hancock, Wayne W AU - Hancock WW AD - Division of Transplant Immunology, Department of Pathology and Laboratory Medicine, and Biesecker Center for Pediatric Liver Disease, Children's Hospital of Philadelphia and University of Pennsylvania, Philadelphia, Pennsylvania, USA. FAU - Beier, Ulf H AU - Beier UH AD - Division of Nephrology, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA. LA - eng GR - K08 AI095353/AI/NIAID NIH HHS/United States GR - P01 AI073489/AI/NIAID NIH HHS/United States GR - R56 AI095276/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20190103 PL - England TA - J Leukoc Biol JT - Journal of leukocyte biology JID - 8405628 RN - 0 (Immunologic Factors) RN - 0 (Immunosuppressive Agents) RN - 0U46U6E8UK (NAD) RN - EC 3.5.1.- (Sirtuin 1) SB - IM MH - Animals MH - Disease Susceptibility MH - Energy Metabolism MH - Gene Expression Regulation MH - Humans MH - Immune System/immunology/metabolism MH - Immunologic Factors/pharmacology/*therapeutic use MH - Immunosuppressive Agents/pharmacology/therapeutic use MH - *Immunotherapy/methods MH - Myeloid Cells/immunology/metabolism MH - NAD/metabolism MH - Sirtuin 1/*genetics/*metabolism MH - T-Lymphocyte Subsets/immunology/metabolism PMC - PMC7477756 MID - NIHMS1620792 OTO - NOTNLM OT - Foxp3 OT - T cells OT - Treg OT - immunosuppression OT - p65 COIS- Conflict of Interest Disclosure The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2019/01/04 06:00 MHDA- 2020/05/12 06:00 PMCR- 2020/09/08 CRDT- 2019/01/04 06:00 PHST- 2018/11/05 00:00 [received] PHST- 2018/12/13 00:00 [revised] PHST- 2018/12/16 00:00 [accepted] PHST- 2019/01/04 06:00 [pubmed] PHST- 2020/05/12 06:00 [medline] PHST- 2019/01/04 06:00 [entrez] PHST- 2020/09/08 00:00 [pmc-release] AID - 10.1002/JLB.2RU1118-422R [doi] PST - ppublish SO - J Leukoc Biol. 2019 Aug;106(2):337-343. doi: 10.1002/JLB.2RU1118-422R. Epub 2019 Jan 3.