Sirt1 inhibition promotes in vivo arterial thrombosis and tissue factor expression in stimulated cells

Cardiovasc Res. 2011 Feb 1;89(2):464-72. doi: 10.1093/cvr/cvq339. Epub 2010 Oct 26.


Aims: The mammalian silent information regulator-two 1 (Sirt1) blunts the noxious effects of cardiovascular risk factors such as type 2 diabetes mellitus and obesity. Nevertheless, the role of Sirt1 in regulating the expression of tissue factor (TF), the key trigger of coagulation, and arterial thrombus formation remains unknown.

Methods and results: Human as well as mouse cell lines were used for in vitro experiments, and C57Bl/6 mice for in vivo procedures. Sirt1 inhibition by splitomicin or sirtinol enhanced cytokine-induced endothelial TF protein expression as well as surface activity, while TF pathway inhibitor protein expression did not change. Sirt1 inhibition further enhanced TF mRNA expression, TF promoter activity, and nuclear translocation as well as DNA binding of the p65 subunit of nuclear factor-kappa B (NFκB/p65). Sirt1 siRNA enhanced TF protein and mRNA expression, and this effect was reduced in NFκB/p65(-/-) mouse embryonic fibroblasts reconstituted with non-acetylatable Lys(310)-mutant NFκB/p65. Activation of the mitogen-activated protein kinases p38, c-Jun NH(2)-terminal kinase, and p44/42 (ERK) remained unaffected. In vivo, mice treated with the Sirt1 inhibitor splitomicin exhibited enhanced TF activity in the arterial vessel wall and accelerated carotid artery thrombus formation in a photochemical injury model.

Conclusion: We provide pharmacological and genetic evidence that Sirt1 inhibition enhances TF expression and activity by increasing NFκB/p65 activation in human endothelial cells. Furthermore, Sirt1 inhibition induces arterial thrombus formation in vivo. Hence, modulation of Sirt1 may offer novel therapeutic options for targeting thrombosis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Benzamides / pharmacology
  • Binding Sites
  • Cells, Cultured
  • Disease Models, Animal
  • Dose-Response Relationship, Drug
  • Endothelial Cells / drug effects*
  • Endothelial Cells / enzymology
  • Enzyme Activators
  • Genes, Reporter
  • Histone Deacetylase Inhibitors / pharmacology*
  • Humans
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Mitogen-Activated Protein Kinases / metabolism
  • Naphthalenes / pharmacology
  • Naphthols / pharmacology
  • Promoter Regions, Genetic
  • Pyrones / pharmacology
  • RNA Interference
  • RNA, Messenger / metabolism
  • Resveratrol
  • Sirtuin 1 / antagonists & inhibitors*
  • Sirtuin 1 / deficiency
  • Sirtuin 1 / genetics
  • Sirtuin 1 / metabolism*
  • Stilbenes / pharmacology
  • Thromboplastin / genetics
  • Thromboplastin / metabolism*
  • Thrombosis / blood
  • Thrombosis / enzymology
  • Thrombosis / etiology*
  • Thrombosis / genetics
  • Transcription Factor RelA / deficiency
  • Transcription Factor RelA / genetics
  • Transcription Factor RelA / metabolism
  • Transfection


  • Benzamides
  • Enzyme Activators
  • Histone Deacetylase Inhibitors
  • Naphthalenes
  • Naphthols
  • Pyrones
  • RELA protein, human
  • RNA, Messenger
  • Rela protein, mouse
  • Stilbenes
  • Transcription Factor RelA
  • sirtinol
  • splitomicin
  • Thromboplastin
  • Mitogen-Activated Protein Kinases
  • SIRT1 protein, human
  • Sirt1 protein, mouse
  • Sirtuin 1
  • Resveratrol