Abstract

Protein posttranslational modifications play important roles in cardiovascular diseases. The authors’ previous report showed that the abundance of succinylated and glutarylated proteins was significantly lower in the serum of patients with acute myocardial infarction (AMI) than in that of healthy volunteers, suggesting a potential relationship between protein acylation and AMI. Sirtuin 5 (SIRT5) facilitates the removal of malonyl, succinyl, and glutaryl modification; however, its effects on AMI remain unknown. In this study, the levels of SIRT5 in AMI mouse model was compared. Results showed elevated hepatic SIRT5 after myocardial infarction. Hepatocyte-specific SIRT5 overexpressing mice (liver SIRT5 OE) were generated to address the possible involvement of hepatic SIRT5 in AMI. The areas of myocardial infarction, myocardial fibrosis, and cardiac function in a model of experimental myocardial infarction were compared between liver SIRT5 OE mice and wild-type (WT) mice. The liver SIRT5 OE mice showed a significantly smaller area of myocardial infarction and myocardial fibrosis than the WT mice. The fibroblast growth factor 21 (FGF21) in the blood and myocardium of liver SIRT5 OE mice after AMI was markedly elevated compared with that in WT mice. The results of mass spectrometry showed increased levels of proteins regulating tricarboxylic acid cycle, oxidative phosphorylation, and fatty acid β-oxidation pathways in the liver mitochondria of liver SIRT5 OE mice. These findings showed that SIRT5 may exhibit a cardioprotective effect in response to acute ischemia through a liver-cardiac crosstalk mechanism, probably by increasing the secretion of FGF21 and the improvement of energy metabolism.

Highlights

  • Lysine acylation is a large family of protein posttranslational modifications that use metabolic intermediates as group donors (Zhao et al, 2010; Lin et al, 2012)

  • The results showed significantly elevated hepatic Sirtuin 5 (SIRT5) levels after acute myocardial infarction (AMI) compared with sham surgery (Figure 1A)

  • SIRT5 has been reported to exhibit a protective role in the pathological process of AMI, as global knockout of SIRT5 increased the infarct size in a model of cardiac ischemia-reperfusion injury (Boylston et al, 2015) and developed heart failure (Sadhukhan et al, 2016)

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Summary

Introduction

Lysine acylation is a large family of protein posttranslational modifications that use metabolic intermediates as group donors (Zhao et al, 2010; Lin et al, 2012). Several groups have demonstrated the important roles of non-acetyl acylation in metabolism regulation in hepatic steatosis, diabetes, and heart failure (Rardin et al, 2013; Du et al, 2015, 2018; Sadhukhan et al, 2016), suggesting their potential importance in homeostasis and pathogenesis of metabolic disease. By profiling the expression of SIRT5 before and after myocardial infarction in mice, we found AMI resulted in elevated hepatic SIRT5 protein levels. Overexpression of SIRT5 increased the levels of blood and cardiac fibroblast growth factor 21 (FGF21) and elevated the expression of enzymes responsible for fatty acid β-oxidation in AMI mice, suggesting that SIRT5 may exhibit a cardioprotective role through a novel liver-cardiac crosstalk mechanism

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