Targeting Sirtuin-1 prolongs murine renal allograft survival and function

Current immunosuppressive medications used after transplantation have significant toxicities. Foxp3+ T-regulatory cells can prevent allograft rejection without compromising protective host immunity. Interestingly, inhibiting the class III histone/protein deacetylase Sirtuin-1 can augment Foxp3+ T-re...

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Veröffentlicht in:Kidney international 2016-05, Vol.89 (5), p.1016-1026
Hauptverfasser: Levine, Matthew H., Wang, Zhonglin, Xiao, Haiyan, Jiao, Jing, Wang, Liqing, Bhatti, Tricia R., Hancock, Wayne W., Beier, Ulf H.
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container_end_page 1026
container_issue 5
container_start_page 1016
container_title Kidney international
container_volume 89
creator Levine, Matthew H.
Wang, Zhonglin
Xiao, Haiyan
Jiao, Jing
Wang, Liqing
Bhatti, Tricia R.
Hancock, Wayne W.
Beier, Ulf H.
description Current immunosuppressive medications used after transplantation have significant toxicities. Foxp3+ T-regulatory cells can prevent allograft rejection without compromising protective host immunity. Interestingly, inhibiting the class III histone/protein deacetylase Sirtuin-1 can augment Foxp3+ T-regulatory suppressive function through increasing Foxp3 acetylation. Here we determined whether Sirtuin-1 targeting can stabilize biological allograft function. BALB/c kidney allografts were transplanted into C57BL/6 recipients with a CD4-conditional deletion of Sirtuin-1 (Sirt1fl/flCD4cre) or mice treated with a Sirtuin-1–specific inhibitor (EX-527), and the native kidneys removed. Blood chemistries and hematocrit were followed weekly. Sirt1fl/flCD4cre recipients showed markedly longer survival and improved kidney function. Sirt1fl/flCD4cre recipients exhibited donor-specific tolerance, accepted BALB/c, but rejected third-party C3H cardiac allografts. C57BL/6 recipients of BALB/c renal allografts that were treated with EX-527 showed improved survival and renal function at 1, but not 10 mg/kg/day. Pharmacologic inhibition of Sirtuin-1 also improved renal allograft survival and function with dosing effects having relevance to outcome. Thus, inhibiting Sirtuin-1 can be a useful asset in controlling T-cell–mediated rejection. However, effects on non–T cells that could adversely affect allograft survival and function merit consideration.
doi_str_mv 10.1016/j.kint.2015.12.051
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Foxp3+ T-regulatory cells can prevent allograft rejection without compromising protective host immunity. Interestingly, inhibiting the class III histone/protein deacetylase Sirtuin-1 can augment Foxp3+ T-regulatory suppressive function through increasing Foxp3 acetylation. Here we determined whether Sirtuin-1 targeting can stabilize biological allograft function. BALB/c kidney allografts were transplanted into C57BL/6 recipients with a CD4-conditional deletion of Sirtuin-1 (Sirt1fl/flCD4cre) or mice treated with a Sirtuin-1–specific inhibitor (EX-527), and the native kidneys removed. Blood chemistries and hematocrit were followed weekly. Sirt1fl/flCD4cre recipients showed markedly longer survival and improved kidney function. Sirt1fl/flCD4cre recipients exhibited donor-specific tolerance, accepted BALB/c, but rejected third-party C3H cardiac allografts. C57BL/6 recipients of BALB/c renal allografts that were treated with EX-527 showed improved survival and renal function at 1, but not 10 mg/kg/day. Pharmacologic inhibition of Sirtuin-1 also improved renal allograft survival and function with dosing effects having relevance to outcome. Thus, inhibiting Sirtuin-1 can be a useful asset in controlling T-cell–mediated rejection. However, effects on non–T cells that could adversely affect allograft survival and function merit consideration.</description><identifier>ISSN: 0085-2538</identifier><identifier>EISSN: 1523-1755</identifier><identifier>DOI: 10.1016/j.kint.2015.12.051</identifier><identifier>PMID: 27083279</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>acute rejection ; Allografts ; Animals ; Carbazoles - pharmacology ; chronic allograft nephropathy ; Female ; Graft Rejection - enzymology ; Graft Rejection - immunology ; Graft Rejection - physiopathology ; Graft Rejection - prevention &amp; control ; Graft Survival - drug effects ; Histone Deacetylase Inhibitors - pharmacology ; Immunosuppressive Agents - pharmacology ; Kidney - drug effects ; Kidney - enzymology ; Kidney - immunology ; Kidney - physiopathology ; Kidney Transplantation - adverse effects ; Mice, Inbred BALB C ; Mice, Inbred C3H ; Mice, Inbred C57BL ; Mice, Knockout ; Phenotype ; Sirtuin 1 - antagonists &amp; inhibitors ; Sirtuin 1 - deficiency ; Sirtuin 1 - genetics ; T-Lymphocytes, Regulatory - drug effects ; T-Lymphocytes, Regulatory - enzymology ; T-Lymphocytes, Regulatory - immunology ; Time Factors ; tolerance ; Transplantation Tolerance - drug effects</subject><ispartof>Kidney international, 2016-05, Vol.89 (5), p.1016-1026</ispartof><rights>2016 International Society of Nephrology</rights><rights>Copyright © 2016 International Society of Nephrology. 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Foxp3+ T-regulatory cells can prevent allograft rejection without compromising protective host immunity. Interestingly, inhibiting the class III histone/protein deacetylase Sirtuin-1 can augment Foxp3+ T-regulatory suppressive function through increasing Foxp3 acetylation. Here we determined whether Sirtuin-1 targeting can stabilize biological allograft function. BALB/c kidney allografts were transplanted into C57BL/6 recipients with a CD4-conditional deletion of Sirtuin-1 (Sirt1fl/flCD4cre) or mice treated with a Sirtuin-1–specific inhibitor (EX-527), and the native kidneys removed. Blood chemistries and hematocrit were followed weekly. Sirt1fl/flCD4cre recipients showed markedly longer survival and improved kidney function. Sirt1fl/flCD4cre recipients exhibited donor-specific tolerance, accepted BALB/c, but rejected third-party C3H cardiac allografts. C57BL/6 recipients of BALB/c renal allografts that were treated with EX-527 showed improved survival and renal function at 1, but not 10 mg/kg/day. Pharmacologic inhibition of Sirtuin-1 also improved renal allograft survival and function with dosing effects having relevance to outcome. Thus, inhibiting Sirtuin-1 can be a useful asset in controlling T-cell–mediated rejection. However, effects on non–T cells that could adversely affect allograft survival and function merit consideration.</description><subject>acute rejection</subject><subject>Allografts</subject><subject>Animals</subject><subject>Carbazoles - pharmacology</subject><subject>chronic allograft nephropathy</subject><subject>Female</subject><subject>Graft Rejection - enzymology</subject><subject>Graft Rejection - immunology</subject><subject>Graft Rejection - physiopathology</subject><subject>Graft Rejection - prevention &amp; control</subject><subject>Graft Survival - drug effects</subject><subject>Histone Deacetylase Inhibitors - pharmacology</subject><subject>Immunosuppressive Agents - pharmacology</subject><subject>Kidney - drug effects</subject><subject>Kidney - enzymology</subject><subject>Kidney - immunology</subject><subject>Kidney - physiopathology</subject><subject>Kidney Transplantation - adverse effects</subject><subject>Mice, Inbred BALB C</subject><subject>Mice, Inbred C3H</subject><subject>Mice, Inbred C57BL</subject><subject>Mice, Knockout</subject><subject>Phenotype</subject><subject>Sirtuin 1 - antagonists &amp; inhibitors</subject><subject>Sirtuin 1 - deficiency</subject><subject>Sirtuin 1 - genetics</subject><subject>T-Lymphocytes, Regulatory - drug effects</subject><subject>T-Lymphocytes, Regulatory - enzymology</subject><subject>T-Lymphocytes, Regulatory - immunology</subject><subject>Time Factors</subject><subject>tolerance</subject><subject>Transplantation Tolerance - drug effects</subject><issn>0085-2538</issn><issn>1523-1755</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UU1rGzEQFSWhdj7-QA5lj7nsVp-2FkqhhLYJBHJoehZj7WgjZy25ktaQf981Tkx7yWmYmffeDO8RcsVowyhbfF43zz6UhlOmGsYbqtgHMmeKi5otlTohc0q1qrkSekbOcl7TqW8F_UhmfEm14Mt2Tu4eIfVYfOirXz6V0YeaVdsUhxj6XG3G5ANWCQMMFQxD7BO4UuUx7fxuPwpd5cZgi4_hgpw6GDJevtZz8vvH98eb2_r-4efdzbf72kqlSi1RWC5XgAsOKwvcLZxkrZTScat1C1Yv3Moht6g7bQFAK2GBSdWqFsFScU6-HnS342qDncVQEgxmm_wG0ouJ4M3_m-CfTB93RmohmRSTwPWrQIp_RszFbHy2OAwQMI7ZsKVmSvK21ROUH6A2xZwTuuMZRs0-A7M2-wzMPgPDuJkymEif_n3wSHkzfQJ8OQBwsmnnMZlsPQaLnU9oi-mif0__L844m1E</recordid><startdate>20160501</startdate><enddate>20160501</enddate><creator>Levine, Matthew H.</creator><creator>Wang, Zhonglin</creator><creator>Xiao, Haiyan</creator><creator>Jiao, Jing</creator><creator>Wang, Liqing</creator><creator>Bhatti, Tricia R.</creator><creator>Hancock, Wayne W.</creator><creator>Beier, Ulf H.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20160501</creationdate><title>Targeting Sirtuin-1 prolongs murine renal allograft survival and function</title><author>Levine, Matthew H. ; 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C57BL/6 recipients of BALB/c renal allografts that were treated with EX-527 showed improved survival and renal function at 1, but not 10 mg/kg/day. Pharmacologic inhibition of Sirtuin-1 also improved renal allograft survival and function with dosing effects having relevance to outcome. Thus, inhibiting Sirtuin-1 can be a useful asset in controlling T-cell–mediated rejection. However, effects on non–T cells that could adversely affect allograft survival and function merit consideration.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27083279</pmid><doi>10.1016/j.kint.2015.12.051</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
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subjects acute rejection
Allografts
Animals
Carbazoles - pharmacology
chronic allograft nephropathy
Female
Graft Rejection - enzymology
Graft Rejection - immunology
Graft Rejection - physiopathology
Graft Rejection - prevention & control
Graft Survival - drug effects
Histone Deacetylase Inhibitors - pharmacology
Immunosuppressive Agents - pharmacology
Kidney - drug effects
Kidney - enzymology
Kidney - immunology
Kidney - physiopathology
Kidney Transplantation - adverse effects
Mice, Inbred BALB C
Mice, Inbred C3H
Mice, Inbred C57BL
Mice, Knockout
Phenotype
Sirtuin 1 - antagonists & inhibitors
Sirtuin 1 - deficiency
Sirtuin 1 - genetics
T-Lymphocytes, Regulatory - drug effects
T-Lymphocytes, Regulatory - enzymology
T-Lymphocytes, Regulatory - immunology
Time Factors
tolerance
Transplantation Tolerance - drug effects
title Targeting Sirtuin-1 prolongs murine renal allograft survival and function
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