PMID- 32642006 OWN - NLM STAT- MEDLINE DCOM- 20210503 LR - 20210503 IS - 1838-7640 (Electronic) IS - 1838-7640 (Linking) VI - 10 IP - 16 DP - 2020 TI - Sirt6 deficiency aggravates angiotensin II-induced cholesterol accumulation and injury in podocytes. PG - 7465-7479 LID - 10.7150/thno.45003 [doi] AB - Disturbed renal lipid metabolism, especially cholesterol dysregulation plays a crucial role in the pathogenesis of chronic kidney disease (CKD). We recently reported that angiotensin (Ang) II could induce cholesterol accumulation and injury in podocytes. However, the underlying mechanisms for these alterations remain unknown. Methods: Bioinformatics analysis of renal biopsy specimens from patients with hypertensive nephropathy (HN) suggests the involvement of Sirtuin 6 (Sirt6) in Ang II-induced dysregulation of glomerular cholesterol. Using a podocyte-specific Sirt6 knockout mouse model, the effects of Sirt6 on Ang II-induced cholesterol accumulation in podocytes and the therapeutic efficacies of cholesterol-lowering agents were evaluated. Results: Cholesterol accumulation was detected in the podocytes of Ang II-infused mice, whereas selective deletion of Sirt6 in podocytes not only increased cholesterol accumulation in these cells but also exacerbated Ang II-induced kidney injury. Deletion of Sirt6 also attenuated the protective effect of cyclodextrin (CD) on Ang II-induced urinary albumin excretion, glomerulosclerosis and podocyte injury. In addition, we demonstrated that Sirt6 affected cholesterol efflux in podocytes by regulating the expression of ATP-binding cassette transporter G1 (ABCG1). Conclusions: These findings provide evidence that Sirt6 is a potential target for renin-angiotensin system (RAS)-associated podocyte injury and provide a rationale for the application of cholesterol-lowering agents in patients with CKD. CI - (c) The author(s). FAU - Yang, Qian AU - Yang Q AD - Division of Nephrology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China. AD - Nephrology and Urology Research Institute of Wuhan University, Wuhan, Hubei, China. FAU - Hu, Jijia AU - Hu J AD - Division of Nephrology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China. AD - Nephrology and Urology Research Institute of Wuhan University, Wuhan, Hubei, China. FAU - Yang, Yingjie AU - Yang Y AD - Nephrology and Urology Research Institute of Wuhan University, Wuhan, Hubei, China. FAU - Chen, Zhaowei AU - Chen Z AD - Division of Nephrology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China. AD - Nephrology and Urology Research Institute of Wuhan University, Wuhan, Hubei, China. FAU - Feng, Jun AU - Feng J AD - Division of Nephrology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China. AD - Nephrology and Urology Research Institute of Wuhan University, Wuhan, Hubei, China. FAU - Zhu, Zijing AU - Zhu Z AD - Division of Nephrology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China. AD - Nephrology and Urology Research Institute of Wuhan University, Wuhan, Hubei, China. FAU - Wang, Huiming AU - Wang H AD - Division of Nephrology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China. AD - Nephrology and Urology Research Institute of Wuhan University, Wuhan, Hubei, China. FAU - Yang, Dingping AU - Yang D AD - Division of Nephrology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China. AD - Nephrology and Urology Research Institute of Wuhan University, Wuhan, Hubei, China. FAU - Liang, Wei AU - Liang W AD - Division of Nephrology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China. AD - Nephrology and Urology Research Institute of Wuhan University, Wuhan, Hubei, China. FAU - Ding, Guohua AU - Ding G AD - Division of Nephrology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China. AD - Nephrology and Urology Research Institute of Wuhan University, Wuhan, Hubei, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200612 PL - Australia TA - Theranostics JT - Theranostics JID - 101552395 RN - 0 (Anticholesteremic Agents) RN - 11128-99-7 (Angiotensin II) RN - 97C5T2UQ7J (Cholesterol) RN - EC 2.4.2.31 (Sirt6 protein, mouse) RN - EC 3.5.1.- (SIRT6 protein, human) RN - EC 3.5.1.- (Sirtuins) SB - IM MH - Adult MH - Angiotensin II/administration & dosage/toxicity MH - Animals MH - Anticholesteremic Agents/pharmacology/therapeutic use MH - Biopsy MH - Case-Control Studies MH - Cell Line MH - Cholesterol/blood/*metabolism MH - Datasets as Topic MH - Disease Models, Animal MH - Female MH - Gene Expression Profiling MH - Humans MH - Lipid Metabolism/drug effects MH - Male MH - Mice MH - Mice, Knockout MH - Middle Aged MH - Oligonucleotide Array Sequence Analysis MH - Podocytes/drug effects/*pathology MH - Renal Insufficiency, Chronic/blood/chemically induced/drug therapy/*pathology MH - Sirtuins/*deficiency/genetics/*metabolism PMC - PMC7330847 OTO - NOTNLM OT - Sirt6 OT - angiotensin II OT - cholesterol accumulation OT - methyl-beta-cyclodextrin OT - podocyte injury COIS- Competing Interests: The authors have declared that no competing interest exists. EDAT- 2020/07/10 06:00 MHDA- 2021/05/04 06:00 PMCR- 2020/01/01 CRDT- 2020/07/10 06:00 PHST- 2020/02/17 00:00 [received] PHST- 2020/05/28 00:00 [accepted] PHST- 2020/07/10 06:00 [entrez] PHST- 2020/07/10 06:00 [pubmed] PHST- 2021/05/04 06:00 [medline] PHST- 2020/01/01 00:00 [pmc-release] AID - thnov10p7465 [pii] AID - 10.7150/thno.45003 [doi] PST - epublish SO - Theranostics. 2020 Jun 12;10(16):7465-7479. doi: 10.7150/thno.45003. eCollection 2020.