Review Article

Regulation of Sirtuin-Mediated Protein Deacetylation by Cardioprotective Phytochemicals

Table 1

Cardioprotective effect and mechanism of action of resveratrol in preclinical studies.

Target HDAC or HATMolecular pathwayExperimental modelCardiovascular effectReference

↑ Sirt1↑ PGC-1α
↑ Bcl2
↓ Bax, caspase 3
↑ SOD, SDH, Cyt-c oxidase
TAC induced myocardial infraction
In vivo
Hypoxia induced dysfunction
In vitro
↑ LVEF
↓ fibrosis
↓ apoptosis
[52]
↑ Sirt3↓ TGF-β/Smad3TAC induced heart failure
In vivo
↓ fibrosis
↓ collagen deposition
↓ cardiac hypertrophy
Prevented decrease in cardiac FS
Preserved diastolic function
[53]
↑ Sirt1↑ SODChronic heart failure model
In vivo
Ang II or antimycin A induced oxidative stress
In vitro
↑ FS
↑ LVEF
↑ survival
↓ apoptosis
[54]
↑ Sirt3↑ SODDox-induced mitochondrial dysfunction
In vivo
In vitro
↓ oxidative stress
↑ ATP mitochondrial production
[32]
↑ Sirt1↓ p38MAPK
↓ caspase 3
↓ Bax
↑ Bcl-2
↑ SOD1
Dox-induced heart failure
In vivo
↑ FS
↓ apoptosis
↓ oxidative stress
[55]
↑ Sirt1↑ AMPKDox-induced cardiotoxicity
In vitro
↑ survival[56]
↑ Sirt3↓ p53
↓ Bax, Cyt-c
Dox-induced cardiotoxicity
In vivo
↓ apoptosis
Attenuated loss of diastolic and systolic function.
[57]
↑ Sirt1↓ USP7
↓ p300
↓ Bax, caspase 3
↓ p53
Dox-induced cardiotoxicity in young and aged hearts
In vivo
↑ FS
↑ EF
↓ LVEDS
↓ apoptosis
[58]
↑ Sirt1↑ PI3K-Akt
↓ TNF-α
↓ FAS/FADD/caspase 8
↓ caspase 3
↑ FoxO3
Exercise during aging
In vivo
↑ FS
↓ fibrosis
↓ apoptosis
[41]
↑ Sirt1↓ ac-FoxO1
↓ Bim, Bax
↓ p53
Aging
In vivo
↑ FS
↑ LVEF
↓ fibrosis
↓ apoptosis
[40]
↑ Sirt1↑ SOD
↑ GSH
High glucose-induced mitochondrial oxidative stress.
In vitro
↓ oxidative stress[59]
↑ Sirt1↓ p53
↑ SDF-1
NE-induced hypertrophy
In vitro
Hypertension model
In vivo
↓ hypertrophy
↑ bioavailable NO
↓ apoptosis
[60]
In T1DM:
↑ Sirt1, Sirt2, Sirt3, and Sirt5.
In T2DM:
↑ Sirt1 and Sirt2
↓ Sirt3, which was initially elevated
↓ B-MHC
↓ Akt
T1DM-induced cardiomyopathy
In vivo
T2DM-induced cardiomyopathy
In vivo
In T1DM rats:
↓ cardiac atrophy
In T2DM rats:
↓ cardiac hypertrophy
[61]
↑ Sirt1, Sirt3, Sirt4, and Sirt7↓ caspase 3H2O2-induced apoptosis
In vitro
↓ apoptosis[62]
Most effects abolished when using sirtinol↑ SOD1, SOD3, GPx1, catalase.
↓ NOX2, NOX4
↑ GTP cyclohidrolase 1 and biopterin
In vivo
Apo-lipoprotein E Knockout mice
↓Oxidative stress
Reversed eNOS uncoupling
[63]

AMPK: adenosine monophosphate-activated kinase; Ang II: angiotensin II; B-MHC: myosin heavy chain B; Cyt-c: cytochrome c; Dox: doxorubicin; FS: fractional shortening; Gpx1: glutathione peroxidase 1; GSH: glutathione; LVEF: left ventricular ejection fraction; NE: norepinephrine; NOX: NAD(P)H oxidase; PGC1-α: peroxisome proliferator activator of transcription (PPARy) co-activator 1α; TAC: transverse aortic constriction; T1DM: type 1 diabetes mellitus; T2DM: type 2 diabetes mellitus; SDF-1: stroma cell derived factor 1; SHD: succinate dehydrogenase; SOD: superoxide dismutase. USP7: ubiquitin-specific-processing protease 7.