Sirtuins are a family of highly evolutionarily conserved
nicotinamide adenine nucleotide-dependent
histone deacetylases. Sirtuin-3 (
SIRT3) is a member of the
sirtuin family that is localized primarily to the mitochondria and protects against oxidative stress-related diseases, including
myocardial ischemia/reperfusion (MI/R) injury.
Melatonin has a favorable effect in ameliorating MI/R injury. We hypothesized that
melatonin protects against MI/R injury by activating the
SIRT3 signaling pathway. In this study, mice were pretreated with or without a selective
SIRT3 inhibitor and then subjected to MI/R operation.
Melatonin was administered intraperitoneally (20 mg/kg) 10 minutes before reperfusion.
Melatonin treatment improved postischemic cardiac contractile function, decreased
infarct size, diminished
lactate dehydrogenase release, reduced the apoptotic index, and ameliorated oxidative damage. Notably, MI/R induced a significant decrease in myocardial
SIRT3 expression and activity, whereas the
melatonin treatment upregulated
SIRT3 expression and activity, and thus decreased the acetylation of
superoxide dismutase 2 (SOD2). In addition,
melatonin increased Bcl-2 expression and decreased Bax,
Caspase-3, and cleaved
Caspase-3 levels in response to MI/R. However, the cardioprotective effects of
melatonin were largely abolished by the selective
SIRT3 inhibitor 3-(1H-1,2,3-triazol-4-yl)pyridine (3-TYP), suggesting that
SIRT3 plays an essential role in mediating the cardioprotective effects of
melatonin. In vitro studies confirmed that
melatonin also protected H9c2 cells against simulated
ischemia/reperfusion injury (SIR) by attenuating oxidative stress and apoptosis, while SIRT3-targeted
siRNA diminished these effects. Taken together, our results demonstrate for the first time that
melatonin treatment ameliorates MI/R injury by reducing oxidative stress and apoptosis via activating the
SIRT3 signaling pathway.