MS is a chronic inflammatory autoimmune disease of the central nervous system mediated by T cells. Its main pathological feature is inflammatory demyelinating changes of the central nervous system[13]. This disease tends to occur in young and middle-aged people[14], and is mostly seen in women. At present, relevant researchers generally accept that the pathogenesis of MS is an autoimmune response mediated by T cells, which mainly targets the myelin antigens of the central nervous system[15]. Because its etiology and pathogenesis are not very clear, it can not cure its disease fundamentally. Among them, EAE animal model is internationally recognized as the classic animal model of MS, which is widely used in basic research of MS[16]. Therefore, in this study, EAE mice were used as the animal experimental model of MS to explore the effect of NAD + on the thymus autophagy mechanism of EAE mice through SIRT1.
Silence Information Regulator 1 (SIRT1) is a highly conserved NAD + dependent histone deacetylase, which is closely related to the formation of autophagy[17, 18]. The endogenous substrates of SIRT1 are very rich, including p53, p300, NF-κB, c-Jun, etc. Each deacetylation of SIRT1 hydrolyzes one nicotinamide adenine dinucleotide (NAD+). Therefore, SIRT1 is also called NAD + dependent protein deacetylase[19]. It has anti-inflammatory, anti-oxidative and anti-apoptotic effects, and its biological function mainly depends on its deacetylase activity[20]. Zhu et al.[21] confirmed through mouse model and in vitro experiments that SIRT1 can inhibit mTOR phosphorylation, inhibit inflammation and fibrosis, and achieve the effect of improving scleroderma, suggesting that SIRT1 has a certain therapeutic effect on systemic sclerosis. Studies on patients with multiple sclerosis showed that SIRT1 increased in damaged brain tissue and SIRT1 decreased in peripheral blood monocytes when multiple sclerosis recurred, suggesting a certain relationship between SIRT1 and the pathogenesis of multiple sclerosis[22]. Li et al.[23] showed that the serum SIRT1 level was decreased and the level of inflammatory chemokine CCL20 was increased in patients with multiple sclerosis, suggesting that SIRT1 may inhibit the expression of CCL20 through the NF-κB pathway, and the lack of SIRT1 may be involved in the pathogenesis of multiple sclerosis.
SIRT1 deacetylates autophagy-related proteins (such as Beclin-1 and LC3) can promote autophagy. Beclin-1 expression level is related to the acetylation of lysine residues. Its acetylation inhibits the formation of autophagosomes[24]. Deacetylation of Beclin-1 lysine residue by SIRT1 affects the formation of autophagosomes and subsequent biological effects, suggesting that Beclin-1 is a deacetylation target of SIRT1. SIRT1-mediated autophagy plays an important role in nerve cell injury, myocardial cell remodeling and other diseases[25, 26]. However, there are few studies on whether it also plays such a regulatory role in thymus autophagy. Therefore, by stimulating the activation of SIRT1 with NAD + treatment, we found that the expression of autophagy-related proteins (P62, Beclin1, and LC-3B) was significantly increased after NAD + treatment. Cell experiments further confirmed that the expression of autophagy protein in thymus epithelial cells treated with NAD + drugs was consistent with animal experiments. Therefore, we believe that the activation of SIRT1 can also activate the autophagy level of the thymus and play a protective role. So, how does SIRT1 activate autophagy in the thymus? Related studies[11] have shown that the activation of SIRT1 can inhibit the activation of PI3K/ AKT /mTOR signaling pathway, thereby promoting autophagy of nerve cells and finally playing a protective role in nerve cells. Further studies[27] showed that the expression of proteins related to PI3K/ AKT /mTOR signaling pathway in SIRT1 knockout macrophages was significantly increased, thereby inhibiting macrophage autophagy and eventually causing the formation of atherosclerosis. Therefore, based on the studies of the above scholars, this study inferred that SIRT1 could also exert mouse thymus autophagy by inhibiting the activation of PI3K/ AKT /mTOR signaling pathway, and ultimately inhibit the further deterioration of EAE mice. It was found that PI3K/ AKT /mTOR signaling proteins were significantly decreased in animal and cell experiments after the administration of NAD+, the activator of SIRT1, while autophagy proteins (P62, Beclin1, LC-3B) were significantly increased. After the administration of SIRT1 inhibitor, PI3K/ AKT/mTOR signaling proteins were significantly increased in animal and cell experiments, while autophagy proteins (P62, Beclin1, LC-3B) were significantly decreased. Therefore, this study suggests that activated SIRT1 can inhibit the PI3K/ AKT /mTOR signaling pathway, and thus promote the occurrence of autophagy in the thymus. The thymus is the main site of regulating central immunity and the main site of T cell differentiation. Autophagy, as an important process to maintain homeostasis in the body, is essential for positive and negative selection of T cells in the thymus[28, 29]. When the specific selection of T cells is abnormal, it can cause severe colitis and multiple organ inflammation[30]. In this study, HE staining and neurological function score of mice showed that the spinal cord inflammatory injury of EAE mice was significantly alleviated and the neurological function recovery state was significantly improved after treatment with NAD+, the activator of SIRT1, suggesting that NAD+, the activator of SIRT1, could play a protective role in the neurological function of EAE mice by promoting thymic autophagy.
In conclusion, we confirmed the regulation of SIRT1 on autophagy in the EAE mouse model. NAD + promotes autophagy of thymus epithelial cells by stimulating the expression of SIRT1. Then, the autoimmune state of EAE mice was inhibited, so that EAE mice were protected from sustained damage. Considering that SIRT1 plays an important role in the occurrence and progression of EAE mice model, the above results provide a possible target for the future clinical treatment of MS.