Evidence map›Paper›PMID 42674111›Full record

ArticleCellular and molecular gastroenterology and hepatology2026

Sirtuin 2 Contributes to Pancreatic Injury and Inflammation by Modulating Immediate Early Response 3-Mediated Ferroptosis in Acute Pancreatitis.

Shi-Ya Ma, Zhao-Jian Shen, Chong-Zhi Zhu, Cui Shen, Zhong-Hua Lu, Yun Sun, Wei-Li Yu

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Article in Cellular and molecular gastroenterology and hepatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Shi-Ya MaThe First Department of Critical Care Medicine, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.
Zhao-Jian ShenThe First Department of Critical Care Medicine, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.
Chong-Zhi ZhuThe First Department of Critical Care Medicine, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.
Cui ShenAnhui Medical University, University of Science and Technology of China Hospital, Hefei, China.
Zhong-Hua LuThe First Department of Critical Care Medicine, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.
Yun SunThe First Department of Critical Care Medicine, The Second Affiliated Hospital of Anhui Medical University, Hefei, China. Electronic address: sunyunicu@163.com.
Wei-Li YuThe First Department of Critical Care Medicine, The Second Affiliated Hospital of Anhui Medical University, Hefei, China. Electronic address: ywl7026@mail.ustc.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

aimsAcute pancreatitis is a potentially life-threatening inflammatory disorder characterized by trypsin overactivation within acinar cells. Although sirtuin 2 is linked to inflammation, its precise role in acute pancreatitis remains poorly understood.

methodsRats were pretreated with AGK2 a (sirtuin 2 inhibitor), Ferrostatin-1 (ferroptosis inhibitor), 1α,25-dihydroxyvitamin D3 (an immediate early response 3 inhibitor), adeno-associated virus-sirtuin 2, or adeno-associated virus-short hairpin-sirtuin 2 before L-arginine-induced acute pancreatitis. RNA sequencing was performed to identify potential downstream targets of sirtuin 2. In vitro, sirtuin 2 and immediate early response 3 expression was manipulated by small interfering RNA or overexpression plasmids. The effects on ferroptosis and inflammation were assessed using Western blot, quantitative polymerase chain reaction, immunofluorescence, and assays measuring reactive oxygen species, iron (II), mitochondrial membrane potential, and lipid peroxidation. Regulatory mechanisms among sirtuin 2, immediate early response 3, and ferroptosis were further investigated using co-immunoprecipitation and dual-luciferase assays.

resultsAGK2 or ferrostatin-1 alone reduced pancreatic damage, inflammation, and ferroptosis, with combination therapy showing synergy. Sirtuin 2 or immediate early response 3 inhibition was protective, upregulating solute carrier family 7 member 11-glutathione peroxidase 4, reducing reactive oxygen species, iron (II), and lipid peroxides, and restoring mitochondrial function. Conversely, overexpression of sirtuin 2 or immediate early response 3 produced the opposite effects. AGK2 and 1α,25-dihydroxyvitamin D3 reversed damage from sirtuin 2 overexpression. Co-immunoprecipitation confirmed sirtuin 2 deacetylates and upregulates immediate early response 3. Luciferase assays showed immediate early response 3 transcriptionally represses solute carrier family 7 member 11. Clinically, serum sirtuin 2 and immediate early response 3 were elevated in patients with acute pancreatitis and correlated with disease severity and inflammation.

conclusionsSirtuin 2 enhances immediate early response 3 expression via deacetylation, inhibiting the solute carrier family 7 member 11-glutathione peroxidase 4 axis and promoting ferroptosis, thereby exacerbating acute pancreatitis. Serum sirtuin 2 and immediate early response 3 are potential biomarkers for acute pancreatitis severity. This study reveals a novel sirtuin 2-immediate early response 3-mediated mechanism driving ferroptosis in acute pancreatitis.

Indexed as

Acute PancreatitisFerroptosisIER3SIRT2

Identifiers

PMID42674111
PMCPMC13675931

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