Evidence map›Paper›PMID 34793336›Full record

ArticleThe Journal of clinical investigation2022

SIRT6 protects vascular smooth muscle cells from osteogenic transdifferentiation via Runx2 in chronic kidney disease.

Wenxin Li, Weijing Feng, Xiaoyan Su, Dongling Luo, Zhibing Li, Yongqiao Zhou, Yongjun Zhu, Mengbi Zhang, Jie Chen, Baohua Liu and 1 more

Abstract read
In one paragraph

Article in The Journal of clinical investigation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers.

0numbers the graph read from it
0cells of the map it votes in
83citing 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

83 citing papers in PubMed.

  1. Review
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  7. Review
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  10. Review
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  15. Vascular Calcification and CKD: Challenges, Emerging Targets, and Future Perspectives.Clinical journal of the American Society of Nephrology : CJASN · 2025
    Article
  16. Review
  17. Cellular senescence in kidney diseases.Chinese medical journal · 2025
    Review
  18. Article
  19. Article
  20. Article

23 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Wenxin LiDepartment of Cardiology, The Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.
Weijing FengDepartment of Cardiology, State Key Laboratory of Organ Failure Research, Guangdong Provincial Key Lab of Shock and Microcirculation, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Xiaoyan SuNephropathy Department, Tungwah Hospital of Sun Yat-sen University, Dongguan, China.
Dongling LuoDepartment of Cardiology, The Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.
Zhibing LiDepartment of Cardiology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Yongqiao ZhouDepartment of Cardiology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Yongjun ZhuDepartment of Cardiology, The Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.
Mengbi ZhangNephropathy Department, Tungwah Hospital of Sun Yat-sen University, Dongguan, China.
Jie ChenDepartment of Radiation Oncology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Baohua LiuShenzhen Key Laboratory for Systemic Aging and Intervention, National Engineering Research Center for Biotechnology-Shenzhen, Shenzhen University Health Science Center, Shenzhen, China.
Hui HuangDepartment of Cardiology, The Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vascular calcification (VC) is regarded as an important pathological change lacking effective treatment and associated with high mortality. Sirtuin 6 (SIRT6) is a member of the Sirtuin family, a class III histone deacetylase and a key epigenetic regulator. SIRT6 has a protective role in patients with chronic kidney disease (CKD). However, the exact role and molecular mechanism of SIRT6 in VC in patients with CKD remain unclear. Here, we demonstrated that SIRT6 was markedly downregulated in peripheral blood mononuclear cells (PBMCs) and in the radial artery tissue of patients with CKD with VC. SIRT6-transgenic (SIRT6-Tg) mice showed alleviated VC, while vascular smooth muscle cell-specific (VSMC-specific) SIRT6 knocked-down mice showed severe VC in CKD. SIRT6 suppressed the osteogenic transdifferentiation of VSMCs via regulation of runt-related transcription factor 2 (Runx2). Coimmunoprecipitation (co-IP) and immunoprecipitation (IP) assays confirmed that SIRT6 bound to Runx2. Moreover, Runx2 was deacetylated by SIRT6 and further promoted nuclear export via exportin 1 (XPO1), which in turn caused degradation of Runx2 through the ubiquitin-proteasome system. These results demonstrated that SIRT6 prevented VC by suppressing the osteogenic transdifferentiation of VSMCs, and as such targeting SIRT6 may be an appealing therapeutic target for VC in CKD.

Indexed as

Cell TransdifferentiationOsteogenesisAnimalsCore Binding Factor Alpha 1 SubunitGene Knockdown TechniquesHumansMaleMiceMice, TransgenicMyocytes, Smooth MuscleRenal Insufficiency, ChronicSirtuinsVascular CalcificationCore Binding Factor Alpha 1 SubunitRUNX2 protein, humanRunx2 protein, mouseSIRT6 protein, humanSirt6 protein, mouseSirtuinsCardiovascular diseaseCell BiologyChronic kidney diseaseUbiquitin-proteosome systemVascular Biology

Identifiers

PMID34793336
PMCPMC8718147

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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 OpenQuestion graph.