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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Journal of Evolutionary Biochemistry and Physiology</journal-id><journal-title-group><journal-title xml:lang="en">Journal of Evolutionary Biochemistry and Physiology</journal-title><trans-title-group xml:lang="ru"><trans-title>Журнал эволюционной биохимии и физиологии</trans-title></trans-title-group></journal-title-group><issn publication-format="print">0044-4529</issn><issn publication-format="electronic">3034-5529</issn><publisher><publisher-name xml:lang="en">The Russian Academy of Sciences</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">648086</article-id><article-id pub-id-type="doi">10.31857/S0044452924030058</article-id><article-id pub-id-type="edn">YXHEAS</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>EXPERIMENTAL ARTICLES</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>ЭКСПЕРИМЕНТАЛЬНЫЕ СТАТЬИ</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Pathology of doxorubicin-induced organopathies under different intravenous nicotinamide riboside administration modes</article-title><trans-title-group xml:lang="ru"><trans-title>Морфология доксорубицин-индуцированных органопатий при разных режимах внутривенного введения никотинамид рибозида</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Podyacheva</surname><given-names>E. Yu.</given-names></name><name xml:lang="ru"><surname>Подъячева</surname><given-names>Е. Ю.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>ekaterinapodyachevaspb@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Semenova</surname><given-names>N. Yu.</given-names></name><name xml:lang="ru"><surname>Семенова</surname><given-names>Н. Ю.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>ekaterinapodyachevaspb@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Artyukhina</surname><given-names>Z. E.</given-names></name><name xml:lang="ru"><surname>Артюхина</surname><given-names>З. Е.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>ekaterinapodyachevaspb@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Zinserling</surname><given-names>V. A.</given-names></name><name xml:lang="ru"><surname>Цинзерлинг</surname><given-names>В. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>ekaterinapodyachevaspb@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Toropova</surname><given-names>Ya. G.</given-names></name><name xml:lang="ru"><surname>Торопова</surname><given-names>Я. Г.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>ekaterinapodyachevaspb@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Almazov National Medical Research Centre, Ministry of Health of the Russian Federation</institution></aff><aff><institution xml:lang="ru">Национальный медицинский исследовательский центр имени В.А. Алмазова Минздрава России</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2024-05-15" publication-format="electronic"><day>15</day><month>05</month><year>2024</year></pub-date><volume>60</volume><issue>3</issue><fpage>264</fpage><lpage>281</lpage><history><date date-type="received" iso-8601-date="2025-01-28"><day>28</day><month>01</month><year>2025</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2024, Russian Academy of Sciences</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2024, Российская академия наук</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="en">Russian Academy of Sciences</copyright-holder><copyright-holder xml:lang="ru">Российская академия наук</copyright-holder></permissions><self-uri xlink:href="https://transsyst.ru/0044-4529/article/view/648086">https://transsyst.ru/0044-4529/article/view/648086</self-uri><abstract xml:lang="en"><p>Doxorubicin (DOX) is a potent chemotherapeutic drug, but its clinical use is hindered by significant side effects on vital organs like the heart, kidneys, lungs, liver, and intestines. Currently, there is a lack of effective drugs that can provide simultaneous cardioprotection and organ protection during chemotherapy. Nicotinamide riboside (NR) holds promise as a pharmacological agent capable of offering comprehensive protection against the systemic toxicity caused by DOX. This study aimed to comprehensively evaluate the morphological characteristics of vital organs (heart, lungs, liver, kidneys) in Wistar rats with chronic doxorubicin-induced cardiomyopathy using various intravenous administration modes of NR as a protective agent. Sixty male SPF Wistar rats weighing 283 ± 22 g were divided into four groups: intact, control (DOX administered intraperitoneally), combined mode (the simultaneous use of DOX and NR) and preventive mode (the preliminary use of NR to realize the cumulative effect in cells, and its further joint use together with DOX) intravenous NR administration. Animal observation spanned two months after drug administration, followed by the collection of hearts, lungs, liver, and kidneys for morphological analysis. Echocardiographic assessment confirmed DOX cardiotoxicity. The study revealed that the hearts, kidneys and lungs exhibited more pronounced toxic effects of DOX compared to the liver. Both NR administration modes demonstrated protective effects, with the preventive regime showing the greatest efficacy in safeguarding vital organs.</p></abstract><trans-abstract xml:lang="ru"><p>Доксорубицин (ДОКС) является одним из наиболее эффективных химиотерапевтических препаратов антрациклинового ряда, при этом его применение в клинической практике ограничено наличием ярко выраженных побочных эффектов в отношении жизненно важных органов – сердца, почек, легких, печени. На сегодняшний день отсутствуют эффективные препараты, способные снизить системное токсическое действие ДОКС. Никотинамид рибозид (НР) может рассматриваться в качестве перспективного фармакологического агента, способного обеспечивать комплексный защитный эффект от системного влияния токсических эффектов ДОКС. Целью данной работы являлась комплексная морфологическая оценка жизненно важных органов (сердце, легкие, печень, почки) крыс стока Wistar в условиях воздействия ДОКС при внутривенном введении НР в различных режимах в качестве протективного агента. Работа выполнена на 60 самцах крыс весом 283 ± 22 гр. Животные были разделены на 4 группы: интактная, контрольная (внутрибрюшинное введение ДОКС), опытные группы животных (внутрибрюшинное введение ДОКС) с превентивным и сочетанным режимом внутривенного введения НР. По окончании введения фармакологических агентов наблюдение за животными составило 2 месяца. На этапе окончания исследования у наркотизированных животных осуществляли взятие сердца, легких, печени, почек для проведения морфологических исследований. Эхокардиографический анализ осуществлялся с целью подтверждения развития кардиотоксических эффектов ДОКС. В условиях воздействия ДОКС наибольшие морфологические изменения наблюдались в сердце, почках и легких. Используемые схемы введения НР обеспечивали протективный эффект в отношении жизненно важных органов, при этом наиболее выраженное защитное действие НР наблюдалось при использовании превентивного режима.</p></trans-abstract><kwd-group xml:lang="en"><kwd>doxorubicin-induced cardiomyopathy</kwd><kwd>heart</kwd><kwd>kidneys</kwd><kwd>intravenous administration</kwd><kwd>liver</kwd><kwd>morphology</kwd><kwd>nicotinamide riboside</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>доксорубицин</kwd><kwd>сердце</kwd><kwd>почки</kwd><kwd>печень</kwd><kwd>легкие</kwd><kwd>никотинамид рибозид</kwd><kwd>морфология</kwd></kwd-group><funding-group><award-group><funding-source><institution-wrap><institution xml:lang="ru">Министерство здравоохранения Российской Федерации</institution></institution-wrap><institution-wrap><institution xml:lang="en">Ministry of Health of the Russian Federation</institution></institution-wrap></funding-source><award-id>123021000147–5</award-id></award-group></funding-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Hussen NH, Hasan AH, Muhammed GO, Yassin AY (2023) Anthracycline in Medicinal Chemistry: Mechanism of Cardiotoxicity, Preventive and Treatment Strategies. Curr Org Chem 1–15. https://doi.org/10.2174/1385272827666230423144150</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Schirone L, D’ambrosio L, Forte M, Genovese R, Schiavon S, Spinosa G, Iacovone G, Valenti V, Frati G, Sciarretta S (2022) Mitochondria and Doxorubicin-Induced Cardiomyopathy: A Complex Interplay. Cells 11:1–16. https://doi.org/10.3390/cells11132000</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>Wenningmann N, Knapp M, Ande A, Vaidya TR, Ait-Oudhia S (2019) Insights into doxorubicin-induced cardiotoxicity: Molecular mechanisms, preventive strategies, and early monitoring. Mol Pharmacol 96:219–232. https://doi.org/10.1124/mol.119.115725</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Ma W, Wei S, Zhang B, Li W (2020) Molecular Mechanisms of Cardiomyocyte Death in Drug-Induced Cardiotoxicity. Front Cell Dev Biol 8:1–17. https://doi.org/10.3389/fcell.2020.00434</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>Li N, Jiang W, Wang W, Xiong R, Wu X, Geng Q (2021) Ferroptosis and its emerging roles in cardiovascular diseases. Pharmacol Res 166:105466. https://doi.org/10.1016/j.phrs.2021.105466</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Mukhopadhyay P, Rajesh M, Bátkai S, Kashiwaya Y, Haskó G, Liaudet L, Szabó C, Pacher P (2009) Role of superoxide, nitric oxide, and peroxynitrite in doxorubicin-induced cell death in vivo and in vitro. Am J Physiol – Hear Circ Physiol 296:1466–1483. https://doi.org/10.1152/ajpheart.00795.2008</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>Christidi E, Brunham LR (2021) Regulated cell death pathways in doxorubicin-induced cardiotoxicity. Cell Death Dis 12:. https://doi.org/10.1038/s41419-021-03614-x</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Prasanna PL, Renu K, Valsala Gopalakrishnan A (2020) New molecular and biochemical insights of doxorubicin-induced hepatotoxicity. Life Sci 250:117599. https://doi.org/10.1016/j.lfs.2020.117599</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>Alhowail AH, Bloemer J, Majrashi M, Pinky PD, Bhattacharya S, Yongli Z, Bhattacharya D, Eggert M, Woodie L, Buabeid MA, Johnson N, Broadwater A, Smith B, Dhanasekaran M, Arnold RD, Suppiramaniam V (2019) Doxorubicin-induced neurotoxicity is associated with acute alterations in synaptic plasticity, apoptosis, and lipid peroxidation. Toxicol Mech Methods 29:457–466. https://doi.org/10.1080/15376516.2019.1600086</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Pugazhendhi A, Edison TNJI, Velmurugan BK, Jacob JA, Karuppusamy I (2018) Toxicity of Doxorubicin (Dox) to different experimental organ systems. Life Sci 200:26–30. https://doi.org/10.1016/j.lfs.2018.03.023</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Fujimura T, Yamagishi SI, Ueda S, Fukami K, Shibata R, Matsumoto Y, Kaida Y, Hayashida A, Koike K, Matsui T, Nakamura KI, Okuda S (2009) Administration of pigment epithelium-derived factor (PEDF) reduces proteinuria by suppressing decreased nephrin and increased VEGF expression in the glomeruli of adriamycin-injected rats. Nephrol Dial Transplant 24:1397–1406. https://doi.org/10.1093/ndt/gfn659</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Ramadan R, Faour D, Awad H, Khateeb E, Cohen R, Yahia A, Torgovicky R, Cohen R, Lazari D, Kawachi H, Abassi Z (2012) Early treatment with everolimus exerts nephroprotective effect in rats with adriamycin-induced nephrotic syndrome. Nephrol Dial Transplant 27:2231–2241. https://doi.org/10.1093/ndt/gfr581</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>Aljobaily N, Viereckl MJ, Hydock DS, Aljobaily H, Wu TY, Busekrus R, Jones B, Alberson J, Han Y (2021) Creatine alleviates doxorubicin-induced liver damage by inhibiting liver fibrosis, inflammation, oxidative stress, and cellular senescence. Nutrients 13:1–15. https://doi.org/10.3390/nu13010041</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>Owumi SE, Lewu DO, Arunsi UO, Oyelere AK (2021) Luteolin attenuates doxorubicin-induced derangements of liver and kidney by reducing oxidative and inflammatory stress to suppress apoptosis. Hum Exp Toxicol 40:1656–1672. https://doi.org/10.1177/09603271211006171</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>Owumi SE, Nwozo SO, Arunsi UO, Oyelere AK, Odunola OA (2021) Co-administration of Luteolin mitigated toxicity in rats’ lungs associated with doxorubicin treatment. Toxicol Appl Pharmacol 411:115380. https://doi.org/10.1016/j.taap.2020.115380</mixed-citation></ref><ref id="B16"><label>16.</label><mixed-citation>Podyacheva E, Toropova Y (2022) SIRT1 activation and its effect on intercalated disc proteins as a way to reduce doxorubicin cardiotoxicity. Front Pharmacol 13:1–23. https://doi.org/10.3389/fphar.2022.1035387</mixed-citation></ref><ref id="B17"><label>17.</label><mixed-citation>Guven C, Sevgiler Y, Taskin E (2018) Mitochondrial Dysfunction Associated with Doxorubicin. Mitochondrial Dis. https://doi.org/10.5772/intechopen.80284</mixed-citation></ref><ref id="B18"><label>18.</label><mixed-citation>Santos-Alves E, Rizo-Roca D, Marques-Aleixo I, Coxito P, Martins S, Guimarães JT, Oliveira PJ, Torrella JR, Magalhães J, Ascensão A (2019) Physical exercise positively modulates DOX-induced hepatic oxidative stress, mitochondrial dysfunction and quality control signaling. Mitochondrion 47:103–113. https://doi.org/10.1016/j.mito.2019.05.008</mixed-citation></ref><ref id="B19"><label>19.</label><mixed-citation>Podyacheva E, Toropova Y (2021) Nicotinamide Riboside for the Prevention and Treatment of Doxorubicin Cardiomyopathy. Opportunities and Prospects. Nutrients 13:3435. https://doi.org/10.3390/nu13103435</mixed-citation></ref><ref id="B20"><label>20.</label><mixed-citation>Zheng D, Zhang Y, Zheng M, Cao T, Wang G, Zhang L, Brockman J, Zhong H, Fan G, Peng T, Sciences M, Health L, Centre S, Physiology S (2019) Nicotinamide riboside promotes autolysosome clearance in preventing doxorubicin-induced cardiotoxicity. Clin Sci (Lond) 133:1505–1521. https://doi.org/10.1042/CS20181022.Nicotinamide</mixed-citation></ref><ref id="B21"><label>21.</label><mixed-citation>Mazumder S, Barman M, Bandyopadhyay U, Bindu S (2020) Sirtuins as endogenous regulators of lung fibrosis: A current perspective. Life Sci 258:118201. https://doi.org/10.1016/j.lfs.2020.118201</mixed-citation></ref><ref id="B22"><label>22.</label><mixed-citation>Liu ZH, Zhang Y, Wang X, Fan XF, Zhang Y, Li X, Gong Y sheng, Han LP (2019) SIRT1 activation attenuates cardiac fibrosis by endothelial-to-mesenchymal transition. Biomed Pharmacother 118:. https://doi.org/10.1016/j.biopha.2019.109227</mixed-citation></ref><ref id="B23"><label>23.</label><mixed-citation>Masri S, Rigor P, Cervantes M, Ceglia N, Sebastian C, Xiao C, Roqueta-Rivera M, Deng C, Osborne TF, Mostoslavsky R, Baldi P, Sassone-Corsi P (2014) Partitioning circadian transcription by SIRT6 leads to segregated control of cellular metabolism. Cell 158:659–672. https://doi.org/10.1016/j.cell.2014.06.050</mixed-citation></ref><ref id="B24"><label>24.</label><mixed-citation>Cai J, Liu Z, Huang X, Shu S, Hu X, Zheng M, Tang C, Liu Y, Chen G, Sun L, Liu H, Liu F, Cheng J, Dong Z (2020) The deacetylase sirtuin 6 protects against kidney fibrosis by epigenetically blocking β-catenin target gene expression. Kidney Int 97:106–118. https://doi.org/10.1016/j.kint.2019.08.028</mixed-citation></ref><ref id="B25"><label>25.</label><mixed-citation>Ma W, Mao Q, Xia W, Dong G, Yu C, Jiang F (2019) Gut microbiota shapes the efficiency of cancer therapy. Front Microbiol 10:1–9. https://doi.org/10.3389/fmicb.2019.01050</mixed-citation></ref><ref id="B26"><label>26.</label><mixed-citation>Podyacheva E, Semenova N, Zinserling V, Mukhametdinova D, Goncharova I, Zelinskaya I, Sviridov E, Martynov M, Osipova S, Toropova Y (2022) Intravenous Nicotinamide Riboside Administration Has a Cardioprotective Effect in Chronic Doxorubicin-Induced Cardiomyopathy. Int J Mol Sci 23:1–19. https://doi.org/10.3390/ijms232113096</mixed-citation></ref><ref id="B27"><label>27.</label><mixed-citation>Toropova YG, Pechnikova NA, Zelinskaya IA, Zhuravsky SG, Kornyushin O V., Gonchar AI, Ivkin DY, Leonova Y V., Karev VE, Karabak IA (2018) Nicotinamide riboside has protective effects in a rat model of mesenteric ischaemia-reperfusion. Int J Exp Pathol 99:304–311. https://doi.org/10.1111/iep.12302</mixed-citation></ref><ref id="B28"><label>28.</label><mixed-citation>Podyacheva EY, Kushnareva EA, Karpov AA, Toropova YG (2021) Analysis of Models of Doxorubicin-Induced Cardiomyopathy in Rats and Mice. A Modern View From the Perspective of the Pathophysiologist and the Clinician. Front Pharmacol 12:1–12. https://doi.org/10.3389/fphar.2021.670479</mixed-citation></ref><ref id="B29"><label>29.</label><mixed-citation>Podyacheva E, Shmakova T, Kushnareva E, Onopchenko A, Martynov M, Andreeva D, Toropov R, Cheburkin Y, Levchuk K, Goldaeva A, Toropova Y (2022) Modeling Doxorubicin-Induced Cardiomyopathy With Fibrotic Myocardial Damage in Wistar Rats. Cardiol Res 13:339–356. https://doi.org/10.14740/cr1416</mixed-citation></ref><ref id="B30"><label>30.</label><mixed-citation>Ahmad F, Tomar D, Aryal A C S, Elmoselhi AB, Thomas M, Elrod JW, Tilley DG, Force T (2020) Nicotinamide riboside kinase-2 alleviates ischemia-induced heart failure through P38 signaling. Biochim Biophys Acta – Mol Basis Dis 1866:165609. https://doi.org/10.1016/j.bbadis.2019.165609</mixed-citation></ref><ref id="B31"><label>31.</label><mixed-citation>Shahzadi SK, Marzook H, Qaisar R, Ahmad F (2022) Nicotinamide riboside kinase-2 inhibits JNK pathway and limits dilated cardiomyopathy in mice with chronic pressure overload. Clin Sci (Lond) 136:181–196. https://doi.org/10.1042/CS20210964</mixed-citation></ref><ref id="B32"><label>32.</label><mixed-citation>Jiang R, Zhou Y, Wang S, Pang N, Huang Y, Ye M, Wan T, Qiu Y, Pei L, Jiang X, Huang Y, Yang H, Ling W, Li X, Zhang Z, Yang L (2019) Nicotinamide riboside protects against liver fibrosis induced by CCl4 via regulating the acetylation of Smads signaling pathway. Life Sci 225:20–28. https://doi.org/10.1016/j.lfs.2019.03.064</mixed-citation></ref><ref id="B33"><label>33.</label><mixed-citation>Pham TX, Bae M, Kim MB, Lee Y, Hu S, Kang H, Park YK, Lee JY (2019) Nicotinamide riboside, an NAD+ precursor, attenuates the development of liver fibrosis in a diet-induced mouse model of liver fibrosis. Biochim Biophys Acta – Mol Basis Dis 1865:2451–2463. https://doi.org/10.1016/j.bbadis.2019.06.009</mixed-citation></ref><ref id="B34"><label>34.</label><mixed-citation>Ikewuchi CC, Ikewuchi JC, Ifeanacho MO (2021) Aqueous leafextracts of Chromolaena odorata and Tridax procumbens attenuated doxorubicin-induced pulmonary toxicity in Wistar rats. Biotechnologia 102:387–398. https://doi.org/10.5114/BTA.2021.111096</mixed-citation></ref><ref id="B35"><label>35.</label><mixed-citation>Grant MKO, Seelig DM, Sharkey LC, Choi WSV, Abdelgawad IY, Zordoky BN (2019) Sexual dimorphism of acute doxorubicin-induced nephrotoxicity in C57Bl/6 mice. PLoS One 14:1–19. https://doi.org/10.1371/journal.pone.0212486</mixed-citation></ref><ref id="B36"><label>36.</label><mixed-citation>Xiang C, Yan Y, Zhang D (2021) Alleviation of the doxorubicin-induced nephrotoxicity by fasudil in vivo and in vitro. J Pharmacol Sci 145:6–15. https://doi.org/10.1016/j.jphs.2020.10.002</mixed-citation></ref><ref id="B37"><label>37.</label><mixed-citation>Demir F, Demir M, Aygun H (2020) Evaluation of the protective effect of edaravone on doxorubicin nephrotoxicity by [99mTc]DMSA renal scintigraphy and biochemical methods. Naunyn Schmiedebergs Arch Pharmacol 393:1383–1390. https://doi.org/10.1007/s00210-020-01832-2</mixed-citation></ref><ref id="B38"><label>38.</label><mixed-citation>Soltani Hekmat A, Chenari A, Alipanah H, Javanmardi K (2021) Protective effect of alamandine on doxorubicin-induced nephrotoxicity in rats. BMC Pharmacol Toxicol 22:1–11. https://doi.org/10.1186/s40360-021-00494-x</mixed-citation></ref><ref id="B39"><label>39.</label><mixed-citation>Zhang J, Li Y, Liu Q, Huang Y, Li R, Wu T, Zhang Z, Zhou J, Huang H, Tang Q, Huang C, Zhao Y, Zhang G, Jiang W, Mo L, Zhang J, Xie W, He J (2021) Sirt6 Alleviated Liver Fibrosis by Deacetylating Conserved Lysine 54 on Smad2 in Hepatic Stellate Cells. Hepatology 73:1140–1157. https://doi.org/10.1002/hep.31418</mixed-citation></ref><ref id="B40"><label>40.</label><mixed-citation>Hong YA, Kim JE, Jo M, Ko GJ (2020) The role of sirtuins in kidney diseases. Int J Mol Sci 21:1–21. https://doi.org/10.3390/ijms21186686</mixed-citation></ref><ref id="B41"><label>41.</label><mixed-citation>Cetrullo S, D’Adamo S, Tantini B, Borzì RM, Flamigni F (2015) MTOR, AMPK, and sirt1: Key players in metabolic stress management. Crit Rev Eukaryot Gene Expr 25:59–75. https://doi.org/10.1615/CritRevEukaryotGene Expr.2015012975</mixed-citation></ref></ref-list></back></article>
