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. 2021 Jan 13;78(7):3105–3125. doi: 10.1007/s00018-020-03729-y

Table 2.

Downstream targets of SIRT1 that are regulated during DOX-induced cardiotoxicity

Substrate Animal or cell model DOX dose Treatment period Functions of SIRT1 Mechanism Reference
PGC-1α C57BL/6 mice and H9c2 cells 20 mg/kg (cumulative dose) and 1 μM 6 days and 24 h Antioxidation and regulate mitochondrial function Deacetylate PGC-1α [97]
Human cardiomyocyte AC16 cells 125 nM 24 h Regulate mitochondrial function and biogenesis Deacetylate PGC-1α [95]
AMPK 129S1/SvlmJ mice and H9c2 cells 20 mg/kg (cumulative dose) and 5 μg/ml 4 weeks and 22 h Anti-inflammation, antioxidation and anti-apoptosis Deacetylate LKB1 and activate AMPK [105]
p53 Balb/c mice 24 mg/kg (cumulative dose) 3 weeks Anti-apoptosis Deacetylate p53 [110]
H9c2 cells 1 μM 24 h Anti-apoptosis Deacetylate p53 [111]
p66Shc Sprague–Dawley rats 16 mg/kg or 32 mg/kg (cumulative dose) 4 or 8 weeks Anti-apoptosis Suppress p66Shc expression [116]
Sprague–Dawley rats 20 mg/kg (cumulative dose) 9 days Regulate mitochondrial function, antioxidation and anti-apoptosis Suppress p66Shc expression [117]
NF-κB C57BL/6 mice 15 mg/kg (single dose) or 15 mg/kg (cumulative dose) 8 days or 6 weeks Anti-inflammation Suppress nuclear translocation of  NF-κB [86]

p38

MAPK

C57BL/6 mice 20 mg/kg (single dose) 5 days Antioxidation and anti-apoptosis Suppress p38 MAPK expression [129]
FOXOs H9c2 cells 5 μM 24 h Anti-apoptosis Suppress FOXO1 expression [136]
TGF-β Fischer 344 rats 15 mg/kg (cumulative dose) 2 weeks Anti-fibrosis Suppress TGF-β/SMAD3 pathway [88]
NLRP3 Sprague–Dawley rats and H9c2 cells 15 mg/kg (cumulative dose) and 5 μM 6 weeks and 24 h Anti-inflammation Suppress the NLRP3 inflammasome [23]
Kunming mice and H9c2 cells 15 mg/kg (single dose) and 5 μM 7 days and 24 h Anti-inflammation Suppress the NLRP3 inflammasome [151]

SIRT1 Sirtuin 1, DOX doxorubicin, PGC-1α peroxisome proliferator-activated receptor gamma coactivator-1 alpha, LKB1 liver kinase B1, AMPK AMP-activated protein kinase, p53 tumor protein p53, NF-κB nuclear factor kappa B, MAPK mitogen-activated protein kinase, FOXO forkhead box O, TGF-β transforming growth factor-beta, NLRP3 NOD-like receptor family pyrin domain-containing protein 3, H9c2 cells rat cardiomyocyte cell line, SMAD3 mothers against decapentaplegic homolog 3