Deficiency of Sirtuin 3 Sensitizes Angiotensin II-Induced Cardiac Pericyte-Fibroblast Transition and Diastolic Dysfunction via Iron Overloading

Hypertension is the key factor for the development of cardiac fibrosis and diastolic dysfunction. Our previous study showed that knockout of SIRT3 resulted in diastolic dysfunction in mice. In present study, we aim to explore the role of SIRT3 in pericyte recruitment and cardiac fibrosis in response to hypertension. NG2 + tracing reporter NG2DsREDBAC mouse was crossed with SIRT3KO mice. Mice were infused with Ang-II (1000ng/kg/min) for 28 days, blood pressure, coronary flow reserve (CFR) and diastolic function (IVRT and MPI) were measured pre- and post- Ang-II treatment. Cardiac fibrosis and iron content were measured by Masson and Prussian staining. Pericytes and fibroblasts were measured by co-immunostaining. The expression of heme oxygenase-1 (HO-1), ferroportin (FPN), p47 phox , and transforming growth factor-β1(TFG-β1) was analyzed by western blots. Infusion of Ang-II resulted in a significant increase in blood pressure compared to basal levels in WT mice (MAP 94± 2 mHg vs 130±1.7 mHg, n=7, p<0.05); whereas knockout of SIRT3 exacerbated Ang-II-induced increase in blood pressure (MAP WT 130±1.7 mHg vs SIRT3KO 145 ± 2.1 mHg, n=7, p<0.05). Furthermore, knockout of SIRT3 sensitized Ang-II-induced reduction of CFR and elevation of IVRT and MPI in mice. Using NG2 pericyte tracing reporter mice, we found that mice infusion with Ang-II resulted in a significant increase in NG2 + pericyte recruitment in the heart. Knockout of SIRT3 enhanced Ang-II-induced NG2 + pericyte recruitment. Knockout of SIRT3 further enhanced Ang-II-induced cardiac fibrosis as well as fibrotic markers FSP1 and a-SMA staining. To examine whether pericytes differentiate into fibroblast, NG2 + pericytes were co-stained with FSP-1 + . Ang-II infusion led to a significant increase in NG2 + /FSP-1 + ; while knockout of SIRT3 further increased numbers of NG2 + /FSP-1 + in the heart. Mechanistically, knockout of SIRT3 increased iron staining in the heart. This was accompanied by a significant increase in the expression of HO-1, FPN, p47 phox , ROS, and TGF-β as compared to Ang-II treatment. Our study suggests that deficiency of SIRT3 may promote Ang-II-induced cardiac fibrosis via pericyte-fibroblast transition and by Fe2 + -ROS-TGF-β pathway.