A Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine. / Post-translational modification of intracellular proteins through acetylation is recognized as an important regulatory mechanism of cellular energy homeostasis. Specific proteins called sirtuins deacetylate other mitochondrial proteins involved in glucose and lipid metabolism, activating them in metabolic processes. SIRT3 is a sirtuin of particular interest as it is found exclusively in mitochondria and has been shown to affect a variety of cellular metabolic processes. The activity of this enzyme is related to cellular insulin sensitivity. This study attempted to identify the relationship between insulin sensitivity and change in amount of SIRT3 following a bout of exercise in non-diabetic individuals. We find a moderate inverse correlation between insulin sensitivity and increase in SIRT3 abundance following exercise. This suggests that this protein may not be involved directly in cells’ ability to regulate energy homeostasis or that it may act through another mechanism not investigated in this study.

Sirtuins are a family of nicotinamide adenine dinucleotide - dependent enzymes, which have gained recent interest due to their ability to directly or indirectly regulate cell metabolism, oxidative response mechanisms and cellular senescence. A mitochondrial sirtuin SIRT3, although still relatively under-investigated, regulates mitochondrial processes through deacetylation of metabolic enzymes and components of electron transport chain. We hypothesized that SIRT3 is a mitochondrial cytoprotective factor that exerts its function by decreasing reactive oxygen species levels, and protecting cells from oxidative stress. HEK-293 cells over-expressing SIRT3 exhibit reduced mitochondrial membrane potential and reactive oxygen species levels under basal conditions. In addition, cells over-expressing SIRT3 are less sensitive to hydrogen peroxide and glucose deprivation/glucose reperfusion induced-cell death. Since SIRT3 expression in the brain has not yet been investigated, its expression pattern in the rodent brain was characterized. Our results showed that SIRT3 mRNA and protein levels are robustly expressed in different regions of the adult rodent brain and their expression increases with age. Furthermore, SIRT3 is expressed predominantly in astrocytes in cultures derived from rat primary E18 cortical cells. These results suggest that SIRT3 possesses cytoprotective potential, and that its actions in the brain regulate astrocyte physiology.

Sirtuins are a family of nicotinamide adenine dinucleotide - dependent enzymes, which have gained recent interest due to their ability to directly or indirectly regulate cell metabolism, oxidative response mechanisms and cellular senescence. A mitochondrial sirtuin SIRT3, although still relatively under-investigated, regulates mitochondrial processes through deacetylation of metabolic enzymes and components of electron transport chain. We hypothesized that SIRT3 is a mitochondrial cytoprotective factor that exerts its function by decreasing reactive oxygen species levels, and protecting cells from oxidative stress. HEK-293 cells over-expressing SIRT3 exhibit reduced mitochondrial membrane potential and reactive oxygen species levels under basal conditions. In addition, cells over-expressing SIRT3 are less sensitive to hydrogen peroxide and glucose deprivation/glucose reperfusion induced-cell death. Since SIRT3 expression in the brain has not yet been investigated, its expression pattern in the rodent brain was characterized. Our results showed that SIRT3 mRNA and protein levels are robustly expressed in different regions of the adult rodent brain and their expression increases with age. Furthermore, SIRT3 is expressed predominantly in astrocytes in cultures derived from rat primary E18 cortical cells. These results suggest that SIRT3 possesses cytoprotective potential, and that its actions in the brain regulate astrocyte physiology.

Hexavalent Chromium (Cr(VI) induces malignant cell transformation in normal bronchial epithelial (BEAS-2B) cells. Cr(VI)-transformed cells exhibit increased level of antioxidants, are resistant to apoptosis, and are tumorigenic. RNAseq analysis in Cr(VI)-transformed cells showed that expression of transcripts associated with mitochondrial oxidative phosphorylation is reduced, and the expression of transcripts associated with pentose phosphate pathway, glycolysis, and glutaminolysis are increased. Sirtuin-3 (SIRT3) regulates mitochondrial adaptive response to stress, such as metabolic reprogramming and antioxidant defense mechanisms. SIRT3 was upregulated and it positively regulated mitochondrial oxidative phosphorylation in Cr(VI)-transformed cells. Our results suggests that SIRT3 plays an important role in mitophagy deficiency of Cr(VI)-transformed cells. Furthermore, SIRT3 knockdown suppressed cell proliferation and tumorigenesis of Cr(VI)-transformed cells. Nrf2 is a transcription factor that regulates oxidative stress response. This study investigated the role of Nrf2 in regulating metabolic reprogramming in Cr(VI)-transformed cells. We observed that in Cr(VI)-transformed cells p-AMPKthr172 was increased, when compared to normal BEAS-2B cells. Additionally, Nrf2 knockdown reduced p-AMPKthr172. Our results suggest that Nrf2 regulated glycolytic shift via AMPK regulation of PFK1/PFK2 pathway. Furthermore, our results showed that Nrf2 constitutive activation in Cr(VI-transformed cells increased cell proliferation and tumorigenesis. Overall this dissertation demonstrated that Cr(VI)-transformed cells undergo metabolic reprogramming. We demonstrated that Nrf2 constitutive activation plays decisive role on metabolic reprogramming induction, and SIRT3 activation contributing to increased cancer cell proliferation and tumorigenesis.

Age-related increases in arterial stiffness are mediated in part by mitochondrial dysfunction. Sirtuin 3 (SIRT3) is a mitochondrial NAD+-dependent deacetylase that regulates mitochondrial function. SIRT3 deficiency contributes to physiological dysfunction in a variety of pathological conditions. Here, we tested the hypothesis that age-associated arterial stiffness, assessed by aortic pulse wave velocity (PWV), would be accompanied with decreased renal and aortic SIRT3 expression and activity due to decreased NAD+ levels. We further tested whether boosting NAD+ concentration with nicotinamide riboside (NR), a NAD+ precursor, for 6 months would reverse the effects of aging. Old (~26 mo, n = 9) C57BL/6 male mice had higher PWV vs. young (6 mo, n = 10) (448 ± 14 vs 382 ± 13, p < 0.005), which was associated with reduced arterial SIRT3 protein (0.365 ± 0.088 AU’s vs 1.000 ± 0.000); p < 0.05). Furthermore, SIRT3 deficient male mice demonstrated higher PWV compared to age-matched control mice (480 ± 21 n = 6 vs. 391 ±12 n = 7, p < 0.005). Aortic SIRT3 protein was negatively correlated with PWV (r=-0.7798, p < 0.005). Old mice also exhibited reduced kidney SIRT3 protein (0.73 ± 0.10 AU’s) compared to young controls (1.00 ± 0.00; p = 0.0192) and reduced NAD+ (918.6 ± 50.5 pmol/mg vs. young 1302.0 ± 56.6 pmol/mg, p = 0.0036). Old mice supplemented with NR had increased NAD+ concentration in kidney tissue (1303.0 ± 90.2 pmol/mg) however, had no effect on normalizing age-associated arterial stiffness (402 ± 18 old with NR vs 418 ± 15 old; p = 0.78). Here we show for that SIRT3 protein correlates with aortic stiffness and may be required for the maintenance of healthy arteries and for the first time that supplementation with NR, a commercially available supplement, ameliorates age-associated decreases in renal NAD+ demonstrating therapeutic potential in kidney disease.

Le NAD+ apparaît comme un régulateur majeur du fonctionnement mitochondrial. En effet, ce cofacteur régule non seulement l’activité de nombreuses enzymes impliqués dans le métabolisme énergétique (enzymes de la β-oxydation des acides gras, du cycle de Krebs) mais joue également un rôle dans la production d’espèces réactives de l’oxygène (ROS). Le NAD+ est aussi le cofacteur des sirtuines, des enzymes déacétylases régulatrices notamment du métabolisme mitochondrial. De plus, la mitochondrie est l’organite au sein duquel la concentration en NAD+ est la plus élevée (jusqu’à 70% du NAD cellulaire). Le complexe I, qui possède une activité NADH déshydrogénase, pourrait être l’un des régulateurs majeurs du rapport NADH/NAD+ mitochondrial. L’objectif de ce travail de thèse a été d’étudier le rôle du rapport NADH/NAD+ mitochondrial dans le métabolisme énergétique et l’implication du complexe I dans les pathologies mitochondriales. Nous avons mis en évidence qu’une modulation du rapport NADH/NAD+ mitochondrial (augmentation par un activateur pharmacologique ou diminution consécutive à une mutation touchant une sous-unité du complexe I, modifie de manière drastique le métabolisme énergétique notamment en activant ou inhibant la protéine SIRT3, isoforme mitochondriale des sirtuines. Le complexe I semble jouer un rôle majeur dans cette modulation. Le resveratrol, ciblant le complexe I, ainsi que le NMN, un précurseur du NAD+, permettent de restaurer ce rapport et d’améliorer ainsi le métabolisme mitochondrial. Nos résultats suggèrent donc que le rapport NADH/NAD+ pourrait être une cible thérapeutique particulièrement intéressante dans les déficits du complexe I. / NAD+ appears as a main regulator of the mitochondrial function. Indeed, this compound not only regulates the enzymatic activity of enzymes involved in energetic metabolism (fatty acid oxidation, tricarboxylic acid cycle) but is also involved in ROS production. NAD+ is also the cofactor of sirtuins, deacetylase enzymes, in particular regulating the mitochondrial function. Moreover, mitochondria sequester most of the cellular NAD+ (up to 70 %). The complex I, which possesses an NADH dehydrogenase activity, is thought to be the most important regualtor of the mitochondrial NADH/NAD+ ratio. The work presented here aimed at studying the role of the mitochondrial NADH/NAD+ ratio in mitochondrial metabolism and to test the involvement of the complex I in mitochondrial disorders. We show that a modulation of the mitochondrial NADH/NAD+ ratio (increase by a pharmacological agent or decrease in complex-I mutated fibroplasts) severely affects the mitochondrial energetic function especially by interacting with SIRT3 a mitochondrial sirtuin isoform. The NADH/NAD+ ratio is highly regulated by complex I activity. Resveratrol, which targets the complex I, as well as NMN, a NAD+ precursor, improves the mitochondrial NADH/NAD+ ratio and consequently increases the mitochondrial metabolism. Our results strongly suggest that the mitochondrial NADH/NAD+ ratio could be an interesting therapeutic target especially in complex I- deficient patients.

SIRT3, membre de la família d’histona desacetilases anomenades sirtuïnes, es troba principalment al mitocondri de teixits amb alta capacitat oxidativa com el fetge, el múscul, el cor o teixit adipós marró i s’ha suggerit que podria jugar un paper en el metabolisme energètic. Per tal d’aclarir el seu rol en la termogènesi, es van analitzar les alteracions en ratolins SIRT3 -/- en dues condicions de termogènesi augmentada: la transició fetal-neonatal i l’exposició crònica al fred en ratolins adults, així com es va estudiar l’efecte del dejuni en adults SIRT3 -/- , una situació en la qual la termogènesi es troba inhibida. Es van avaluar els possibles trastorns metabòlics i es va procedir a un anàlisi transcriptòmic de l’expressió de gens marcadors de diverses vies metabòliques en el teixit adipós marró i altres teixits dels ratolins SIRT3 -/-. Els resultats obtinguts indiquen alteracions significatives en el període perinatal com a conseqüència de la manca de SIRT3, però no en l’etapa adulta. Concretament s’observa una expressió alterada de gens específics de la termogènesi (uncoupling protein-1, 5’-deiodinasa, PRDM16) al teixit adipós marró en l’etapa perinatal així com de gens implicats en l’oxidació d’àcids grassos (enoil-CoA, hidratasa/3-hidroxiacil CoA deshidrogenasa, acil-CoA oxidasa) al fetge durant l’etapa perinatal. Aquests resultats posen de manifest el potencial paper de SIRT3 en aquestes vies metabòliques i evidencien l’existència de mecanismes homeostàtics durant el desenvolupament post-natal capaços de compensar l’absència de SIRT3 en l’animal adult. D’altra banda, mitjançant l’ús d’adipòcits SIRT3 -/-, vam determinat que SIRT3 és necessària per una resposta apropiada de les cèl•lules a l’activació noradrenèrgica mediada per AMPc de l’expressió de gens termogènics del teixit adipós marró. El co-activador transcripcional PGC1α (peroxisome proliferator-activated receptor-γ coactivator-1α) indueix l’expressió de SIRT3 en adipòcits blancs i fibroblasts embrionaris com a part de la inducció global del patró d’expressió gènica específic del teixit adipós marró. A les cèl•lules sense SIRT3, PGC1α no pot induir completament l’expressió de gens termogènics específics de l’adipòcit marró. PGC1α activa la transcripció del gen SIRT3 a través de la coactivació del receptor nuclear orfe ERRα (estrogen-related receptor-α) el qual s’uneix a la regió proximal del promotor del gen SIRT3. Assajos de pèrdua de funció d’ERRα, indiquen que aquest és necessari per a la completa inducció de la l’expressió del gen SIRT3 en resposta a PGC1α. Aquests resultats indiquen que PGC1α controla l’expressió de SIRT3 i que aquesta acció és un component essencial del mecanisme global a través del qual PGC1α indueix la completa adquisició del fenotip d’adipòcit marró diferenciat. / SIRT3 is a member of the sirtuin family of deacetylases present mainly in mitochondria from tissues such as brown adipose tissue, liver, muscle and heart. To gain insight in the role of SIRT3 in thermogenesis, we determined the alterations in mice with targeted invalidation of the SIRT3 gene (SIRT3-/- mice) in two conditions of enhanced thermogenesis: the fetal-to-neonatal transition and chronic exposure of adult mice to cold, an in fasting of adult mice, a condition of depressed thermogenesis. Assessment of overall metabolic disturbances and a transcritomic analysis of the expression of marker genes of distinct metabolic pathways were performed in brown fat and other tissues from SIRT3-/- mice in these conditions. Results indicated significant alterations in the perinatal period but not in adulthood. Impaired expression of specific genes of thermogenesis in perinatal brown fat, and of genes encoding components of the fatty acid oxidation machinery in perinatal liver were observed in SIRT3-/- mice. Results highlight the potential role of SIRT3 in these pathways and evidence the appearance of homeostatic mechanisms during post-natal development capable to compensate for the absence of SIRT3 in the adulthood. Sirt3 is expressed in association with brown adipocyte differentiation. Using Sirt3-null brown adipocytes, we determined that Sirt3 is required for an appropriate responsiveness of cells to noradrenergic, cAMP-mediated activation of the expression of brown adipose tissue thermogenic genes. The transcriptional coactivator Pgc-1α (peroxisome proliferator-activated receptor-γ coactivator-1 α) induced Sirt3 gene expression in white adipocytes and embryonic fibroblasts as part of its overall induction of a brown adipose tissue-specific pattern of gene expression. In cells lacking Sirt3, Pgc-1α failed to fully induce the expression of brown fat-specific thermogenic genes. Pgc-1α activates Sirt3 gene transcription through coactivation of the orphan nuclear receptor Err (estrogen-related receptor)- α, which bound the proximal Sirt3 gene promoter region. Errα knockdown assays indicated that Errα is required for full induction of Sirt3 gene expression in response to Pgc-1 α. The present study indicates that Pgc-1α controls Sirt3 gene expression and this action is an essential component of the overall mechanisms by which Pgc-1α induces the full acquisition of a brown adipocyte differentiated phenotype.

Abstract Peroxisome proliferator-activated receptor gamma coactivator 1-alpha (PGC-1α) and AMP-activated protein kinase (AMPK) are major factors regulating energy homeostasis. In this study, we aimed to investigate how energy flux affects several hepatic functions mediated by these factors. We define a novel role of PGC-1α and AMPK as modulators of the immune system in the liver. We show that PGC-1α is involved in the regulation of a cluster of genes related to the immune system, most importantly Interleukin 1 receptor antagonist (IL1Rn). Since PGC-1α is responsive to energetic stress associated with fasting or physical exercise, the same stimuli promote IL1Rn in hepatocytes. We identify AMPK as an independent inducer of IL1Rn and hypothesise that it could account for the anti-inflammatory effect of the antidiabetic drug metformin. We also demonstrate that metformin reduces expression of Sirtuin 3 (SIRT3) in hepatocytes and promotes acetylation of mitochondrial protein. We suggest that this mechanism, in spite of increased mitochondrial biogenesis, contributes to reduced ATP synthesis in metformin-treated samples. In addition, we demonstrate that Pregnane X receptor (PXR) is induced in the liver during fasting and by PGC-1α in hepatocytes. Furthermore, we describe a negative regulatory mechanism involving SIRT1, activated by pyruvate and interfering with PXR signaling. We show that SIRT1 attenuates PGC-1α-mediated co-activation of PXR and its target genes, i.e. Cyp3a11, with possible implications for drug and xenobiotic metabolism. In conclusion, we demonstrate how energetic stress affects various hepatic functions mediated by PGC-1α and AMPK. Moreover, we describe SIRT1 and metformin as factors capable of modulating this response. / Tiivistelmä Peroksisomiproliferaattori-aktivoituvan reseptori gamman koaktivaattori 1α (PGC-1α) ja AMP:n aktivoima proteiinikinaasi (AMPK) ovat keskeisiä energiametabolian säätelijöitä. Tässä tutkimuksessa oli tavoitteena selvittää kuinka energiataso vaikuttaa useisiin, näiden tekijöiden säätelemiin maksan toimintoihin. Osoitamme että PGC-1α ja AMPK tekijöillä on ennestään tuntematon merkitys immuunijärjestelmän säätelyssä maksassa. Näytämme myös, että PGC-1α säätelee joukkoa geenejä, joiden tehtävä liittyy immuunijärjestelmään, tärkeimpänä Interleukiini 1 reseptori antagonistia (IL1Rn). Paastoon ja fyysiseen aktiivisuuteen liittyvä energiastressi aktivoi PGC-1α:aa ja näiden samojen stimuluksien havaittiin lisäävän myös IL1Rn tasoa hepatosyyteissä. Havaitsimme AMPK:n olevan itsenäinen IL1Rn indusori ja hypoteesimme mukaan tämä voi välittää diabeteslääkkeenä käytettävän metformiinin anti-inflammatorisia vaikutuksia. Osoitamme myös, että metformiini alentaa Sirtuiini (SIRT) 3:n ekspressiota maksasoluissa ja lisää mitokondriaalisten proteiinien asetylaatiota. Uskomme tämän mekanismin, huolimatta lisääntyneestä mitokondrioiden biogeneesistä, myötävaikuttavan vähentyneeseen ATP synteesiin metformiinikäsitellyissä näytteissä. Lisäksi osoitamme, että paasto ja PGC-1α indusoivat Pregnaani X reseptorin (PXR) ilmentymistä maksasoluissa. Kuvaamme myös PXR signalointiin vaikuttavan ja pyruvaatin aktivoiman, SIRT1:n välitteisen, negatiivisen säätelymekanismin. SIRT1 estää PGC-1α välitteistä PXR koaktivaatiota ja kohdegeenien, kuten Cyp3a11, aktivaatiota, millä voidaan olettaa olevan merkitystä lääkeaineiden ja vierasaineiden metaboliaan. Yhteenvetona osoitamme, että energiastressi PGC-1α:n ja AMPK:n välittämänä vaikuttaa useisiin maksan toimintoihin. Lisäksi näytämme, että SIRT1 ja metformiini voivat moduloida näitä vaikutuksia.