Vascular smooth muscle sirtuin-1 protects against diet-induced aortic stiffness

JL Fry, L Al Sayah, RM Weisbrod, I Van Roy… - …, 2016 - Am Heart Assoc
JL Fry, L Al Sayah, RM Weisbrod, I Van Roy, X Weng, RA Cohen, MM Bachschmid, F Seta
Hypertension, 2016Am Heart Assoc
Arterial stiffness, a major cardiovascular risk factor, develops within 2 months in mice fed a
high-fat, high-sucrose (HFHS) diet, serving as a model of human metabolic syndrome, and it
is associated with activation of proinflammatory and oxidant pathways in vascular smooth
muscle (VSM) cells. Sirtuin-1 (SirT1) is an NAD+-dependent deacetylase regulated by the
cellular metabolic status. Our goal was to study the effects of VSM SirT1 on arterial stiffness
in the context of diet-induced metabolic syndrome. Overnight fasting acutely decreased …
Arterial stiffness, a major cardiovascular risk factor, develops within 2 months in mice fed a high-fat, high-sucrose (HFHS) diet, serving as a model of human metabolic syndrome, and it is associated with activation of proinflammatory and oxidant pathways in vascular smooth muscle (VSM) cells. Sirtuin-1 (SirT1) is an NAD+-dependent deacetylase regulated by the cellular metabolic status. Our goal was to study the effects of VSM SirT1 on arterial stiffness in the context of diet-induced metabolic syndrome. Overnight fasting acutely decreased arterial stiffness, measured in vivo by pulse wave velocity, in mice fed HFHS for 2 or 8 months, but not in mice lacking SirT1 in VSM (SMKO). Similarly, VSM-specific genetic SirT1 overexpression (SMTG) prevented pulse wave velocity increases induced by HFHS feeding, during 8 months. Administration of resveratrol or S17834, 2 polyphenolic compounds known to activate SirT1, prevented HFHS-induced arterial stiffness and were mimicked by global SirT1 overexpression (SirT1 bacterial artificial chromosome overexpressor), without evident metabolic improvements. In addition, HFHS-induced pulse wave velocity increases were reversed by 1-week treatment with a specific, small molecule SirT1 activator (SRT1720). These beneficial effects of pharmacological or genetic SirT1 activation, against HFHS-induced arterial stiffness, were associated with a decrease in nuclear factor kappa light chain enhancer of activated B cells (NFκB) activation and vascular cell adhesion molecule (VCAM-1) and p47phox protein expressions, in aorta and VSM cells. In conclusion, VSM SirT1 activation decreases arterial stiffness in the setting of obesity by stimulating anti-inflammatory and antioxidant pathways in the aorta. SirT1 activators may represent a novel therapeutic approach to prevent arterial stiffness and associated cardiovascular complications in overweight/obese individuals with metabolic syndrome.
Am Heart Assoc