PMID- 38017499 OWN - NLM STAT- MEDLINE DCOM- 20231130 LR - 20240313 IS - 1475-2840 (Electronic) IS - 1475-2840 (Linking) VI - 22 IP - 1 DP - 2023 Nov 28 TI - SIRT1 mediates the inhibitory effect of Dapagliflozin on EndMT by inhibiting the acetylation of endothelium Notch1. PG - 331 LID - 10.1186/s12933-023-02040-x [doi] LID - 331 AB - BACKGROUND: Endothelial-mesenchymal transition (EndMT) plays a crucial role in promoting myocardial fibrosis and exacerbating cardiac dysfunction. Dapagliflozin (DAPA) is a sodium-glucose-linked transporter 2 (SGLT-2) inhibitor that has been shown to improve cardiac function in non-diabetic patients with heart failure (HF). However, the precise mechanisms by which DAPA exerts its beneficial effects are yet to be fully elucidated. METHODS: Isoproterenol (ISO) was used to generate a HF model in mice. For in vitro experiments, we used TGF-beta1-stimulated human umbilical vein endothelial cells (HUVECs) and mouse aortic endothelial cells (MAECs). RESULTS: Both our in vivo and in vitro results showed that EndMT occurred with decreased SIRT1 (NAD(+)-dependent deacetylase) protein expression, which could be reversed by DAPA therapy. We found that the protective effect of DAPA was significantly impaired upon SIRT1 inhibition. Mechanistically, we observed that SIRT1 phosphorylation, a required modification for its ubiquitination and degradation, was reduced by DAPA treatment, which induces the nucleus translocation of SIRT1 and promotes its binding to the active intracellular domain of Notch1 (NICD). This interaction led to the deacetylation and degradation of NICD, and the subsequent inactivation of the Notch1 signaling pathway which contributes to ameliorating EndMT. CONCLUSIONS: Our study revealed that DAPA can attenuate EndMT induced by ISO in non-diabetic HF mice. This beneficial effect is achieved through SIRT1-mediated deacetylation and degradation of NICD. Our findings provide greater insight into the underlying mechanisms of the therapeutic effects of DAPA in non-diabetic HF. CI - (c) 2023. The Author(s). FAU - Wang, Weijie AU - Wang W AD - Department of Cardiology, The Second Affiliated Hospital of Harbin Medical University, 246 Xuefu Road, Harbin, 150086, China. AD - Key Laboratory of Myocardial Ischemia, Ministry of Education, Harbin Medical University, Harbin, China. FAU - Li, Yilan AU - Li Y AD - Department of Cardiology, The Second Affiliated Hospital of Harbin Medical University, 246 Xuefu Road, Harbin, 150086, China. AD - Key Laboratory of Myocardial Ischemia, Ministry of Education, Harbin Medical University, Harbin, China. FAU - Zhang, Yanxiu AU - Zhang Y AD - Department of Cardiology, The Second Affiliated Hospital of Harbin Medical University, 246 Xuefu Road, Harbin, 150086, China. AD - Key Laboratory of Myocardial Ischemia, Ministry of Education, Harbin Medical University, Harbin, China. FAU - Ye, Tao AU - Ye T AD - Department of Organic Chemistry, College of Pharmacy, Harbin Medical University, Harbin, China. FAU - Wang, Kui AU - Wang K AD - Department of Organic Chemistry, College of Pharmacy, Harbin Medical University, Harbin, China. FAU - Li, Shuijie AU - Li S AD - Department of Biopharmaceutical Sciences, College of Pharmacy, Harbin Medical University, Harbin, 150081, China. shuijie.li@hrbmu.edu.cn. AD - State Key Laboratory of Frigid Zone Cardiovascular Diseases (SKLFZCD), Harbin, China. shuijie.li@hrbmu.edu.cn. FAU - Zhang, Yao AU - Zhang Y AD - Department of Cardiology, The Second Affiliated Hospital of Harbin Medical University, 246 Xuefu Road, Harbin, 150086, China. yaozhang_grace@163.com. AD - Key Laboratory of Myocardial Ischemia, Ministry of Education, Harbin Medical University, Harbin, China. yaozhang_grace@163.com. LA - eng GR - 81770255/the National Natural Science Foundation of China/ GR - KF202103/the Open Project of the Key Laboratory of Myocardial Ischemia/ PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20231128 PL - England TA - Cardiovasc Diabetol JT - Cardiovascular diabetology JID - 101147637 RN - 1ULL0QJ8UC (dapagliflozin) RN - EC 3.5.1.- (Sirtuin 1) RN - EC 3.5.1.- (SIRT1 protein, human) SB - IM MH - Humans MH - Animals MH - Mice MH - *Sirtuin 1/metabolism MH - Acetylation MH - Endothelium MH - Human Umbilical Vein Endothelial Cells/metabolism MH - *Epithelial-Mesenchymal Transition PMC - PMC10685714 OTO - NOTNLM OT - Deacetylation OT - Endothelial-mesenchymal transition OT - Heart failure OT - SGLT-2 inhibitors OT - SIRT1 COIS- The authors have declared that no competing interest exists. EDAT- 2023/11/29 06:42 MHDA- 2023/11/30 06:43 PMCR- 2023/11/28 CRDT- 2023/11/29 00:10 PHST- 2023/07/05 00:00 [received] PHST- 2023/10/20 00:00 [accepted] PHST- 2023/11/30 06:43 [medline] PHST- 2023/11/29 06:42 [pubmed] PHST- 2023/11/29 00:10 [entrez] PHST- 2023/11/28 00:00 [pmc-release] AID - 10.1186/s12933-023-02040-x [pii] AID - 2040 [pii] AID - 10.1186/s12933-023-02040-x [doi] PST - epublish SO - Cardiovasc Diabetol. 2023 Nov 28;22(1):331. doi: 10.1186/s12933-023-02040-x.