Evidence mapPaperPMID 41803875Full record

ArticleJournal of translational medicine2026

SIRT3 deficiency impairs mitochondrial bioenergetics via hyperacetylation of TCA cycle enzymes in chronic heart failure.

Yichen Liao, Xuxin Tan, Guanglin Peng, Yan Ren, Ruixue Liu, Haitang Liao, Zhenchun Luo, Zhezhe Cao, Yaguang Wu, Milad Ashrafizadeh and 4 more

Abstract read
In one paragraph

Article in Journal of translational medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Yichen Liao *Department of Cardiovascular Surgery, Xinqiao Hospital, Army Medical University, No. 83, Xinqiaozheng Street, Shapingba District, Chongqing, 400038, P.R. China.
Xuxin Tan *Department of Critical Care Medicine, The Second Affiliated Hospital of Chongqing Medical University, No. 76, Linjiang Road, Yuzhong District, Chongqing, 400010, P.R. China.
Guanglin Peng *Department of Critical Care Medicine, The Second Affiliated Hospital of Chongqing Medical University, No. 76, Linjiang Road, Yuzhong District, Chongqing, 400010, P.R. China.
Yan Ren *Department of Critical Care Medicine, The Second Affiliated Hospital of Chongqing Medical University, No. 76, Linjiang Road, Yuzhong District, Chongqing, 400010, P.R. China.
Ruixue LiuDepartment of Critical Care Medicine, The Second Affiliated Hospital of Chongqing Medical University, No. 76, Linjiang Road, Yuzhong District, Chongqing, 400010, P.R. China.
Haitang LiaoDepartment of Critical Care Medicine, Chongqing Traditional Chinese Medicine Hospital, Chongqing, 400021, P.R. China.
Zhenchun LuoDepartment of Critical Care Medicine, Chongqing Traditional Chinese Medicine Hospital, Chongqing, 400021, P.R. China.
Zhezhe CaoDepartment of Cardiovascular Surgery, Xinqiao Hospital, Army Medical University, No. 83, Xinqiaozheng Street, Shapingba District, Chongqing, 400038, P.R. China.
Yaguang WuDepartment of Dermatology, Southwest Hospital, Army Medical University, Chongqing, 400038, P.R. China.
Milad AshrafizadehDepartment of Radiation Oncology, Shandong Provincial Key Laboratory of Radiation Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University, Shandong Academy of Medical Sciences, Jinan, 250000, Shandong, China.
João Conde *Department of Critical Care Medicine, The Second Affiliated Hospital of Chongqing Medical University, No. 76, Linjiang Road, Yuzhong District, Chongqing, 400010, P.R. China. joao.conde@nms.unl.pt.ORCID http://orcid.org/0000-0001-8422-6792
Chenyang DuanDepartment of Critical Care Medicine, The Second Affiliated Hospital of Chongqing Medical University, No. 76, Linjiang Road, Yuzhong District, Chongqing, 400010, P.R. China. duanchenyang1991@cqmu.edu.cn.
Jun HuDepartment of Neurology, Southwest Hospital, Army Medical University, No. 30, Gaotanyanzheng Street, Shapingba District, Chongqing, 400038, P.R. China. hujun@tmmu.edu.cn.
Ruiyan MaDepartment of Cardiovascular Surgery, Xinqiao Hospital, Army Medical University, No. 83, Xinqiaozheng Street, Shapingba District, Chongqing, 400038, P.R. China. ruiyanma@tmmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMitochondrial dysfunction is a hallmark of heart failure (HF), but its upstream regulatory pathways remain incompletely understood. Sirtuin 3 (SIRT3), a mitochondrial deacetylase, is crucial for maintaining enzymatic activity through deacetylation. This study investigates whether SIRT3 downregulation leads to mitochondrial metabolic impairment in HF by enhancing acetylation of tricarboxylic acid (TCA) cycle enzymes.

methodsA chronic HF model was established in male C57BL/6J mice via transverse aortic constriction (TAC). Cardiac function and morphology were evaluated by echocardiography, histological staining, and transmission electron microscopy. Mitochondrial function was assessed using ATP quantification, Seahorse XF analysis, and enzymatic activity assays. Protein acetylation and SIRT3 expression were examined through Western blotting and acetyl-proteomics. Angiotensin II-treated cardiomyocytes served as an in vitro model.

resultsTAC-induced HF led to cardiac remodeling and mitochondrial damage. Proteomic analysis revealed increased global protein acetylation, especially in mitochondrial proteins related to the TCA cycle. SIRT3 was significantly downregulated, corresponding with hyperacetylation and suppressed activity of pyruvate dehydrogenase (PDH), succinate dehydrogenase (SDH), and citrate synthase (CS), which was associated with impaired respiration and reduced ATP output. Ang II-treated cells showed similar changes.

conclusionSIRT3 downregulation in HF drives TCA enzyme hyperacetylation and metabolic dysfunction, suggesting a key mechanism linking protein acetylation imbalance to mitochondrial impairment in disease progression.

Indexed as

Citric Acid CycleEnergy MetabolismHeart FailureMitochondriaMitochondria, HeartSirtuin 3AcetylationAngiotensin IIAnimalsChronic DiseaseMaleMice, Inbred C57BLMyocytes, CardiacAngiotensin IISirt3 protein, mouseSirtuin 3Cardiac metabolismChronic heart failureMitochondrial dysfunctionProtein acetylationSIRT3

Identifiers

PMID41803875
PMCPMC13101153

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.