PMID- 38015645 OWN - NLM STAT- MEDLINE DCOM- 20231130 LR - 20231201 IS - 1557-8674 (Electronic) IS - 1096-2964 (Print) IS - 1096-2964 (Linking) VI - 24 IP - 9 DP - 2023 Nov TI - Sirt3 Deletion Increases Inflammation and Mortality in Polymicrobial Sepsis. PG - 788-796 LID - 10.1089/sur.2023.161 [doi] AB - Background: Sirtuin 3 (SIRT3) is a nicotinamide adenine dinucleotide (NAD)-dependent deacetylase that confers resilience to cellular stress by promoting mitochondrial activity. Mitochondrial dysfunction is a major driver of inflammation during sepsis. We hypothesize that Sirt3 expression improves survival in polymicrobial sepsis by mitigating the inflammatory response. Materials and Methods: Sirt3 knockout (S3KO) and wild-type (WT) mice underwent cecal ligation and puncture (CLP) or sham surgery. mRNA expression was quantified using quantitative polymerase chain reaction (qPCR) and protein expression was quantified using enzyme-linked immunosorbent assay (ELISA). Spectrophotometric assays were used to quantify serum markers of organ dysfunction. For in vitro studies, bone marrow-derived macrophages (BMDMs) were harvested from S3KO and WT mice and treated with lipopolysaccharide (LPS). Results: After CLP, hepatic Sirt3 levels decreased from baseline by nine hours and remained depressed at 24 hours. Peak serum interleukin-6 (IL-6) protein levels were higher in S3KO mice. In LPS-treated BMDMs, IL-6 mRNA levels peaked earlier in S3KO cells, although peak levels were comparable to WT. Although S3KO mice had decreased median survival after CLP compared with WT, there was no difference in five-day survival or organ dysfunction. Conclusions: Although S3KO mice initially had increased inflammation and mortality, this difference abated with time, and overall survival was comparable between the groups. This pattern is consistent with the timeline of sepsis-induced Sirt3 downregulation in WT mice, and suggests that Sirt3 downregulation occurring in sepsis is at least partially responsible for the initial hyperinflammatory response and subsequent mortality. Our data support upregulation of Sirt3 as a promising therapeutic strategy for further research in sepsis. FAU - Labiner, Hanna E AU - Labiner HE AD - Division of Trauma, Critical Care, and Burn at The Ohio State University Wexner Medical Center, The Ohio State University, Columbus, Ohio, USA. FAU - Sas, Kelli M AU - Sas KM AD - Division of Trauma, Critical Care, and Burn at The Ohio State University Wexner Medical Center, The Ohio State University, Columbus, Ohio, USA. FAU - Baur, Joseph A AU - Baur JA AD - Institute for Diabetes, Obesity and Metabolism and Department of Physiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA. FAU - Sims, Carrie A AU - Sims CA AD - Division of Trauma, Critical Care, and Burn at The Ohio State University Wexner Medical Center, The Ohio State University, Columbus, Ohio, USA. LA - eng PT - Journal Article PL - United States TA - Surg Infect (Larchmt) JT - Surgical infections JID - 9815642 RN - 0 (Interleukin-6) RN - EC 3.5.1.- (Sirtuin 3) RN - 0 (Lipopolysaccharides) RN - 0 (RNA, Messenger) RN - 0 (Sirt3 protein, mouse) SB - IM MH - Mice MH - Animals MH - Interleukin-6 MH - *Sirtuin 3/genetics/metabolism MH - Lipopolysaccharides MH - Multiple Organ Failure MH - Inflammation MH - *Sepsis/genetics/metabolism MH - Mice, Knockout MH - RNA, Messenger MH - Mice, Inbred C57BL PMC - PMC10659016 OTO - NOTNLM OT - anti-inflammatory OT - dysregulated host response OT - mitochondrial activity OT - sirtuin COIS- The authors have no conflicts of interest to disclose. EDAT- 2023/11/28 18:42 MHDA- 2023/11/30 06:42 PMCR- 2024/11/01 CRDT- 2023/11/28 12:13 PHST- 2024/11/01 00:00 [pmc-release] PHST- 2023/11/30 06:42 [medline] PHST- 2023/11/28 18:42 [pubmed] PHST- 2023/11/28 12:13 [entrez] AID - 10.1089/sur.2023.161 [pii] AID - 10.1089/sur.2023.161 [doi] PST - ppublish SO - Surg Infect (Larchmt). 2023 Nov;24(9):788-796. doi: 10.1089/sur.2023.161.