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. 2022 Dec 1;13(6):1787–1822. doi: 10.14336/AD.2022.0413

Table 1.

The substrates and functions of SIRT6.

SIRT6 function Substrates Molecular mechanism Physiological functions
Deacetylase Histones H3K9 Inhibits NF-kB target gene expression Prevents premature aging [160]
Inhibits 53BP1 binding to telomeres Prevents telomere damage and delays VSMC senescence [78]
Facilitates loading of CHD4 onto DNA damage sites Promotes chromatin relaxation and subsequent DNA repair [108]
Inhibits Nkx3.2 expression and thereby promotes GATA5 expression Prevents hypertension and associated cardiorenal injury [66]
Inhibits HIF1α and associated glycolytic gene expression Improves mitochondrial respiration and inhibits glycolysis against metabolic diseases [111]
Inhibits Notch1 and Notch4 expression Protects podocytes from injury and attenuates proteinuria [245]
Inhibits expression of the proatherogenic gene TNFSF4 Maintains endothelial function and protects against atherosclerosis [246]
Inhibits IGF signaling-related gene expression Restricts the development of cardiac hypertrophy [68]
Inhibits c-Jun-dependent proinflammatory gene expression Attenuates chronic liver inflammation and fibrosis [247]
Inhibits ERK1/2 expression Attenuates cisplatin-induced kidney injury [248]
Facilitates binding of WRN with telomeres Protects against telomere dysfunction and premature ageing disorders [249]
Inhibits NKG2D ligand expression in ECs Stabilizes atherosclerotic plaques and restricts atherosclerosis [179]
Inhibits Txnip expression in β cells Maintains pancreatic β-cell function and viability [124]
H3K56 Inhibits β-catenin-dependent pro-fibrotic gene expression Protects against kidney fibrosis following kidney ischemia-reperfusion injury [250]
Facilitates recruitment of the chromatin remodeler SNF2H to DSBs Promotes DSB repair and genomic stability [236]
Facilitates recruitment of DNA repair proteins Promotes the DDR process [106]
Inhibits catalase expression Promotes neovascular injury by increasing ROS [72]
Promotes assembly of the Nrf2-RNAPII transcription complex at the HO-1 promoter, upregulating HO-1 expression Facilitates ROS clearance to counteract oxidative stress injury [154]
H3K18 Reduces levels of activated RNA Pol II and H3K36me3 Protects against mitotic errors and cellular senescence [21]
Non- histones SMAD2 (K54) Reduces the transcriptional activity of SMAD2 Protects against liver fibrosis [29]
SMAD3 (K333/378) Reduces the transcriptional activity of SMAD3 Protects against liver fibrosis [30]
P53 (K381/382) Inhibits P53 transcriptional activity Ameliorates aging-associated phenotypes and attenuates cellular apoptosis [182, 224]
ERRγ (K195) Promotes ERRγ degradation, thereby reducing Cyp7a1 expression Attenuates cholestatic liver injury and fibrosis [251]
DDB2 (K35/77) Promotes DDB2 ubiquitination and detachment from DNA lesions Promotes the process of NER [102]
Mtf1 Activates Mtf1 for the induction of Mt Reduces oxidative stress and inflammation by inducing ROS [156]
SKP2 (K73/77) Promotes SKP2 nuclear stability, thus increasing Suv39h1 ubiquitination and exclusion from chromatin, enabling H3K9me2 and H3S10p Promotes expression of the NF-κB inhibitor IκBα to restrict the NF-κB pathway [162]
NAMPT (K53) Promotes NAMPT enzymatic activity Increases cellular NADPH levels to confer cell resistance to oxidative stress damage [27]
NPM1 Inhibits NPM1 transcriptional activity and the expression of senescent genes Inhibits cellular senescence [252]
PKM2 (K433) Inhibits PKM2-induced STAT3 phosphorylation and activation Suppresses macrophage polarization towards the proinflammatory M1 phenotype, inhibiting obesity-associated tissue inflammation and metabolic disorders [26, 144]
EZH2 Promotes EZH2 DNA binding to promote FOXC1 expression Ameliorates ischemic stroke-induced inflammation [214]
XBP1s (K257/297) Promotes XBP1s degradation Suppresses ER stress [28]
Caveolin-1 Promotes autophagic degradation of Caveolin-1 Ameliorates hyperglycemia-induced LDL transcytosis across ECs and atherosclerotic progression [171]
NFATc4 Promotes NFATc4 nuclear export to inhibit BNP expression Inhibits cardiac hypertrophy [189]
FoxO1 (K423) Promotes FoxO1 nuclear export to increase expression of the glucose-sensing genes Pdx1 and Glut2 in pancreatic β-cells; inhibits PCK1 and G6PC expression in liver cells Maintains the GSIS ability of β-cells and deceases gluconeogenesis to maintain glucose metabolic homeostasis [42, 120]
GCN5 (K549) Promotes GCN5 activity to acetylate PGC-1α Reduces hepatic gluconeogenesis [117]
Mono-ADP-ribosyltransferase Non- histones SIRT6 May regulate Sirt6 enzymatic activity [31] NR
KAP1 Promotes SIRT6-KAP1-HP1α complex formation and heterochromatin packaging to decrease LINE1 expression Inhibits genomic instability and senescence[33]
PARP1 (K521) Activates PARP1 to recruit DNA repair factors Promotes DNA damage repair [32]
KDM2A (R2020) Promotes the displacement of KDM2A from chromatin Promotes DNA damage repair, ensures replication fidelity [34]
BAF170 (K312) Removes H3K27me3 and promotes chromatin accessibility to enhance HO-1 expression Promotes the clearance of ROS to protect against cellular oxidative stress [35]
Long-chain fatty deacylase Histones H3 (K9/18/27/14/36/56/79) May inhibit gene expression NR
Non-histones TNF-α (K19/20) Promotes TNF-α secretion Promotes inflammation [15]
R-Ras2 (K192/194/196/197) Suppresses R-Ras2 plasma membrane translocation and activation Inhibits cell proliferation [38]
Non- catalytic activity Non- histones SIRT6-TIP60-GATA4 Recruits TIP60 to acetylate GATA4 at K328/330; in turn, GATA4 inhibits the deacetylase activity of SIRT6 to promote TIP60-induced H3K9 acetylation, increasing expression of the anti-apoptotic gene Bcl-2 Attenuates DOX-induced cardiomyocyte apoptosis [197]
SIRT6-Sp1-mTOR Decreases Sp1 transcriptional activity to represses mTOR signaling gene expression Regulates global cellular protein synthesis to combat cardiac hypertrophy [190]

53BP1: p53-binding protein 1; VSMC: vascular smooth muscle cell; CHD4: chromodomain helicase DNA-binding protein 4; Nkx3.2: NK3 homeobox 2; GATA5: GATA-binding protein 5; TNFSF4: tumour necrosis factor superfamily member 4; IGF: insulin-like growth factor; ERK1/2: extracellular signal-regulated kinase 1/2; WRN: Werner syndrome helicase-nuclease; NKG2D: natural-killer group 2, number D; Txnip: thioredoxin-interacting protein; SNF2H: SWItch/sucrose nonfermentable catalytic subunit SNF2; DSBs: double-strand breaks; DDR: DNA damage response; Nrf2: nuclear factor erythroid-2 related factor 2; HO-1: haem oxygenase-1; SMAD2/3: nuclear translocation of mothers against decapentaplegic homologue 2/3; ERRγ: oestrogen-related receptor γ; Cyp7a1: cholesterol 7 α-hydroxylase; DDB2: DNA damage-binding protein 2; Mtf: metal transcription factor; Mt: metallothionein; SKP2: S phase kinase-associated protein 2; NPM1: nucleophosmin; Suv39h1:suppressor of variegation 3-9 homologue 1; PKM: M2 isoform of pyruvate kinase; STAT3: signal transducer and activator of transcription 3; FOXC1: Forkhead box C1; XBP1s: X-box-binding protein 1 spliced transcription factor; HMGB1: high mobility group box 1; NFATc4: nuclear factor of activated T cell 4; FoxO1: forkhead box protein O1; Pdx1: pancreatic duodenal homeobox 1; Glut2: glucose transporter 2; PCK1: phosphoenolpyruvate carboxykinase; G6PC; glucose-6-phosphatase; GSIS: glucose-stimulated insulin secretion; GCN5: general control nonrepressed protein 5; PGC-1α: peroxisome proliferator-activated receptor-γ coactivator 1-α; KAP1:KRAB-interacting protein 1; PARP1:poly ADP-ribose polymerase 1; LINE1: long interspersed nuclear element 1; KDM2A:lysine-specific demethylase 2; BAF170: BRG/BRM-associated factor (BAF) chromatin remodeler subunit; NRF2: nuclear factor erythroid 2-related factor 2; NR, not reported.