PMID- 35167876 OWN - NLM STAT- MEDLINE DCOM- 20220506 LR - 20220601 IS - 1532-8600 (Electronic) IS - 0026-0495 (Linking) VI - 131 DP - 2022 Jun TI - Deacetylation of Caveolin-1 by Sirt6 induces autophagy and retards high glucose-stimulated LDL transcytosis and atherosclerosis formation. PG - 155162 LID - S0026-0495(22)00040-3 [pii] LID - 10.1016/j.metabol.2022.155162 [doi] AB - BACKGROUND: Atherosclerosis (AS) is the basis of diabetic macrovascular complications. The plasma low-density lipoprotein (LDL) particles transcytosis across endothelial cells (ECs) and deposition under the endothelium is the initiation step of AS. We previously reported that high glucose inhibits the autophagic degradation of Caveolin-1 and promote LDL transcytosis across ECs, which in turn accelerates atherosclerotic progression. Since Sirt6 is a chromatin-associated protein with deacetylation activity, whether it can regulate Caveolin-1 acetylation and regulating the autophagic degradation of Caveolin-1 remains elusive. METHODS: Autophagy and histone acetylation were assessed in the umbilical cords of patients with gestational diabetes mellitus (GDM) by immunohistochemistry. An in vitro model of LDL transcytosis was established, and the role of Sirt6 in LDL transcytosis across endothelial cells was clarified. The effect of Sirt6 on the autophagic degradation of Caveolin-1 under hyperglycemic conditions was explored in a streptozotocin (STZ)-induced diabetic AS model established using the ApoE(-/-) mice. RESULTS: Caveolin-1 and acetylated histone H3 levels were significantly increased, while LC3B and Sirt6 were downregulated in the monolayer of the vascular wall from GDM and type 2 diabetes mellitus (T2DM) patients. Immunoprecipitation assays showed that Sirt6 interacts with Caveolin-1 and specifically mediated its acetylation levels. Immuno-electron microscopy (EM) further indicated that Sirt6 overexpression triggered the autophagic lysosomal degradation of Caveolin-1. ECs-specific overexpression of Sirt6 by adeno-associated viral vector serotype 9 (AAV9) induced autophagy, reduced Caveolin-1 expression, and ameliorated atherosclerotic plaque formation in STZ-induced diabetic ApoE(-/-) mice. CONCLUSION: Sirt6-mediated acetylation of Caveolin-1 activates its autophagic degradation and inhibits high glucose-stimulated LDL transcytosis. Thus, the Sirt6/Caveolin-1 autophagic pathway plays a crucial role in diabetic AS, and the overexpression or activation of Sirt6 is a novel therapeutic strategy. CI - Copyright (c) 2022 The Authors. Published by Elsevier Inc. All rights reserved. FAU - Zhao, Ying AU - Zhao Y AD - Department of Endocrinology, Institute of Geriatric Medicine, Liyuan Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430077, China. FAU - Jia, Xiong AU - Jia X AD - Department of Endocrinology, Institute of Geriatric Medicine, Liyuan Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430077, China. FAU - Yang, Xiaoyan AU - Yang X AD - Department of Pharmacology, the Key Laboratory of Drug Target Researches and Pharmacodynamics Evaluation of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, China. FAU - Bai, Xiangli AU - Bai X AD - Department of Endocrinology, Institute of Geriatric Medicine, Liyuan Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430077, China. FAU - Lu, Yajing AU - Lu Y AD - Department of Endocrinology, Institute of Geriatric Medicine, Liyuan Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430077, China. FAU - Zhu, Lin AU - Zhu L AD - Department of Endocrinology, Institute of Geriatric Medicine, Liyuan Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430077, China. FAU - Cheng, Wenzhuo AU - Cheng W AD - Department of Endocrinology, Institute of Geriatric Medicine, Liyuan Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430077, China. FAU - Shu, Meng AU - Shu M AD - Department of Endocrinology, Institute of Geriatric Medicine, Liyuan Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430077, China. FAU - Zhu, Yan AU - Zhu Y AD - Department of Endocrinology, Institute of Geriatric Medicine, Liyuan Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430077, China. FAU - Du, Xiaolong AU - Du X AD - Department of Thyroid Surgery, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang 310003, China. FAU - Wang, Li AU - Wang L AD - Department of Endocrinology, Institute of Geriatric Medicine, Liyuan Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430077, China. FAU - Shu, Yan AU - Shu Y AD - Department of Endocrinology, Institute of Geriatric Medicine, Liyuan Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430077, China. FAU - Song, Yi AU - Song Y AD - Department of Endocrinology, Institute of Geriatric Medicine, Liyuan Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430077, China. FAU - Jin, Si AU - Jin S AD - Department of Endocrinology, Institute of Geriatric Medicine, Liyuan Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430077, China. Electronic address: Jinsi@hust.edu.cn. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220212 PL - United States TA - Metabolism JT - Metabolism: clinical and experimental JID - 0375267 RN - 0 (Apolipoproteins E) RN - 0 (Caveolin 1) RN - 0 (Lipoproteins, LDL) RN - EC 2.4.2.31 (Sirt6 protein, mouse) RN - EC 3.5.1.- (SIRT6 protein, human) RN - EC 3.5.1.- (Sirtuins) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Animals MH - Apolipoproteins E/metabolism MH - *Atherosclerosis/metabolism MH - Autophagy MH - Caveolin 1 MH - *Diabetes Mellitus, Type 2/metabolism MH - Endothelial Cells/metabolism MH - Glucose/metabolism MH - Humans MH - Lipoproteins, LDL/metabolism/pharmacology MH - Mice MH - *Sirtuins/metabolism/pharmacology MH - Transcytosis OTO - NOTNLM OT - Acetylation OT - Autophagic degradation OT - Caveolin-1 OT - Diabetic atherosclerosis OT - LDL transcytosis OT - Sirt6 EDAT- 2022/02/16 06:00 MHDA- 2022/05/07 06:00 CRDT- 2022/02/15 20:12 PHST- 2021/11/24 00:00 [received] PHST- 2022/01/20 00:00 [revised] PHST- 2022/02/07 00:00 [accepted] PHST- 2022/02/16 06:00 [pubmed] PHST- 2022/05/07 06:00 [medline] PHST- 2022/02/15 20:12 [entrez] AID - S0026-0495(22)00040-3 [pii] AID - 10.1016/j.metabol.2022.155162 [doi] PST - ppublish SO - Metabolism. 2022 Jun;131:155162. doi: 10.1016/j.metabol.2022.155162. Epub 2022 Feb 12.