SIRT3 Deacetylates Ceramide Synthases

Experimental evidence supports the role of mitochondrial ceramide accumulation as a cause of mitochondrial dysfunction and brain injury after stroke. Herein, we report that SIRT3 regulates mitochondrial ceramide biosynthesis via deacetylation of ceramide synthase (CerS) 1, 2, and 6. Reciprocal immunoprecipitation experiments revealed that CerS1, CerS2, and CerS6, but not CerS4, are associated with SIRT3 in cerebral mitochondria. Furthermore, CerS1, -2, and -6 are hyperacetylated in the mitochondria of SIRT3-null mice, and SIRT3 directly deacetylates the ceramide synthases in a NAD+-dependent manner that increases enzyme activity. Investigation of the SIRT3 role in mitochondrial response to brain ischemia/reperfusion (IR) showed that SIRT3-mediated deacetylation of ceramide synthases increased enzyme activity and ceramide accumulation after IR. Functional studies demonstrated that absence of SIRT3 rescued the IR-induced blockade of the electron transport chain at the level of complex III, attenuated mitochondrial outer membrane permeabilization, and decreased reactive oxygen species generation and protein carbonyls in mitochondria. Importantly, Sirt3 gene ablation reduced the brain injury after IR. These data support the hypothesis that IR triggers SIRT3-dependent deacetylation of ceramide synthases and the elevation of ceramide, which could inhibit complex III, leading to increased reactive oxygen species generation and brain injury. The results of these studies highlight a novel mechanism of SIRT3 involvement in modulating mitochondrial ceramide biosynthesis and suggest an important role of SIRT3 in mitochondrial dysfunction and brain injury after experimental stroke.

Insufficient blood flow to the brain, i.e. cerebral ischemia, initiates a complex cascade of molecular events, including excitotoxicity, dissipation of ion gradients, inflammation, cytosolic Ca 2ϩ overload, and mitochondrial dysfunction leading to eventual cell death within the infarct core (1,2). Peri-infarct penum-bral tissue, a target for treatment strategies, is potentially salvageable because this region still exhibits cellular function and metabolic activity to various degrees (3). Mitochondrial dysfunction appears to be one essential step in penumbral tissue damage after ischemia/reperfusion (IR) 2 brain injury (4).
Although IR-induced mitochondrial injury has been extensively studied (5)(6)(7)(8), the molecular mechanisms of mitochondrial damage remain obscure. Several studies showed sphingolipid ceramide increases in the brain after experimental stroke, and reduction of ceramide generation was neuroprotective leading to smaller infarct sizes (9 -11). Emerging evidence implicates sphingolipid ceramide, which is elevated in mitochondria after IR, as a causal factor of mitochondrial defects (12,13). The restriction on mitochondrial respiratory chain function at the level of complex III has been shown in various rodent models of stroke (14). We and others have reported that ceramide could directly suppress respiratory chain complex III activity (15,16).
Excessive formation of reactive oxygen species (ROS) occurs during cerebral IR (17)(18)(19). Baseline mitochondria generate very low amounts of ROS, but ROS generation is profoundly increased in the presence of complex I or III inhibitors (20). Complex III impairment observed in cerebral IR (14) could account for an increased ROS generation. Of note, exogenous ceramide has been shown to increase the ROS production in isolated mitochondria (21).
In this study, we provide evidence for a novel role of SIRT3 in the regulation of mitochondrial ceramide synthase response to cerebral IR. Importantly, we show that Sirt3 gene ablation decreases ceramide, preserves mitochondrial respiratory chain function, reduces ROS generation and oxidative protein damage, and attenuates brain tissue injury in the experimental stroke mouse model. These studies emphasize a crucial role of SIRT3, a novel regulator of mitochondrial ceramide biosynthesis, in brain response to IR.

Experimental Procedures
Animals and Reagents-Male C57BL6 (8 weeks old) mice (Jackson Laboratory, Bar Harbor, ME) were acclimated for 1 week prior to experimentation. Sirt3 knock-out (KO) mice (C57BL6 genetic background) were originally developed by Dr. David B. Lombard (University of Michigan, Ann Arbor, MI) (30) and transferred to the animal facility at the Veterans Affairs Medical Center (Charleston, SC). Complete protease inhibitor mixture and PhosSTOP phosphatase inhibitor mixture were from Roche Applied Science. Fatty acyl-CoA and 17C-dihydrosphingosine were from Avanti Polar Lipids (Alabaster, AL). All other chemicals were purchased from Sigma.
Middle Cerebral Artery Occlusion (MCAO) Surgery and Induction of Ischemia-Experimental protocols were reviewed and approved by the Institutional Animal Care and Use Committee of Ralph H. Johnson Veterans Affairs Medical Center, Charleston SC, and followed the National Institutes of Health guidelines for experimental animal use. Under temporary anesthesia, mice were subjected to MCAO as described previously (43). Briefly, the left common carotid artery was exposed through a midline incision in the neck. Sham control animals were treated identically, but without MCAO. A microsurgical clip was placed around the origin of the internal carotid artery (ICA). The distal end of the ICA was ligated with 6-0 silk and transected. A 6-0 silk was tied loosely around the ICA stump. The clip was removed, and the fire-polished tip of a 5-0 nylon suture (poly-L-lysine-coated) was gently inserted into the ICA stump. The loop of the 6-0 silk was tightened around the stump and the nylon suture was advanced ϳ11 mm (adjusted for body weight) into and through the ICA after removal of the aneu-rysm clip, until it rested in the anterior cerebral artery, thereby occluding the anterior communicating and middle cerebral arteries. After 1 h of MCAO, the suture was removed; blood flow was restored to normal; and the incision was closed. The wound was sutured followed by application of analgesic. Mice were placed on the heating pad until ambulatory and then returned to the cage.
Infarct Size Determination-Infarct size was measured by histological examination using 2,3,5-triphenyltetrazolium chloride (TTC) staining (12). Brains were dissected out and cut into 2-mm-thick coronal sections, which were stained with 2% TTC for 90 min at 37°C. The TTC-stained sections were fixed with 10% neutral buffered formalin and kept in darkness at 4°C for at least 24 h. The infarct area, identified by lack of TTC staining, was determined with a computer-assisted image analysis system, consisting of a computer equipped with a Quick Capture frame grabber card and a Hitachi CCD camera mounted on an Olympus microscope. ImageJ software (National Institutes of Health) was used for data analysis. A single operator blinded to treatment status performed all measurements. The areas of non-infarcted tissue ipsilateral and contralateral to the occluded side were measured. Infarct area was calculated using an indirect method, in which the noninfarcted region in the ischemic hemisphere was subtracted from the total surface area of the contralateral hemisphere to correct for edema (44). Infarct volume was calculated by summing up the infarct areas over all sections and multiplying by the distance between sections (2 mm). The infarct volume is presented in cubic millimeters (mm 3 ).
Isolation of Mouse Brain Mitochondria-All procedures were performed at 4°C as described (12,45,46). Briefly, tissue was placed immediately in ice-cold isolation medium containing 230 mM mannitol, 70 mM sucrose, 10 mM HEPES, and 1 mM EDTA, pH 7.4. Brain tissue (ϳ1 g) was homogenized in 10 ml of isolation medium using a Teflon-glass homogenizer. The homogenate was centrifuged at 900 ϫ g for 10 min. The supernatant was then centrifuged at 12,000 ϫ g for 10 min. The pellet was resuspended in 2 ml of 15% Percoll-Plus (GE Healthcare) and placed atop a discontinuous Percoll gradient consisting of a bottom layer of 4 ml of 40% Percoll and a top layer of 4 ml of 23% Percoll. The gradient was spun at 31,000 ϫ g for 20 min in an SW41 rotor in a Beckman ultracentrifuge. The fraction at the 23-40% interface that contained mitochondria was washed three times with isolation medium by centrifugation at 12,000 ϫ g for 10 min. Protein concentration was measured with a bicinchoninic acid assay (Sigma) using bovine serum albumin (BSA) as a standard. Typically, the contamination of mitochondria with ER was Ͻ1% by activity measurements of the ER-specific marker enzyme, NADPH-cytochrome c reductase (12,45). Western blot analysis showed no contamination of mitochondria with Na ϩ /K ϩ -ATPase (plasma membrane marker), LAMP-2 (lysosomal marker), calnexin (ER marker), and myelin basic protein (myelin marker) (45,46).
Mitochondrial Respiratory Chain Activity-Mitochondrial respiration was measured by recording oxygen consumption at 25°C in a chamber equipped with a Clark-type oxygen electrode (Instech Laboratories, Plymouth Meeting, PA) as described previously (12,45,46). Briefly, mitochondria were incubated in the medium containing 125 mM KCl, 10 mM HEPES, 2 mM KH 2 PO 4 , 5 mM MgCl 2 , and 0.5 mg/ml mitochondrial protein supplemented with either complex I substrate (mixture of 5 mM glutamate and 5 mM malate) or complex II substrate (10 mM succinate) in the presence of 1 M rotenone or complex IV substrate (1 mM ascorbate in the presence of 250 M N,N,NЈ,NЈ-tetramethyl-p-phenylenediamine and 1 M antimycin).Uncoupler-stimulated(state3u)respirationwasmeasured in the presence of 50 M 2,4-dinitrophenol.
Complex III Enzyme Activity-Complex III (ubiquinol:ferricytochrome c oxidoreductase; EC 1.10.2.2) activity was measured using decylubiquinol as a substrate (15,47). Decylubiquinol was prepared by reducing decylubiquinone with borohydrate followed by extraction with organic solvent (15). The assay buffer consisted of 50 mM potassium phosphate, pH 7.4, 5 mM MgCl 2 , 2.5 mg/ml BSA, 60 M cytochrome c, 3 mM sodium azide, 1 g/ml rotenone, 0.6 mM dodecyl ␤-maltoside, 50 g/ml mitochondrial protein, and 100 M decylubiquinol. Activity was determined by measuring the increase in the absorbance of reduced cytochrome c at 550 nm with/without 2 M antimycin A, a complex III activity inhibitor. Specific activity was calculated using an extinction coefficient of 19 mM Ϫ1 cm Ϫ1 for reduced cytochrome c and expressed as antimycin A-sensitive rate.
Mitochondrial Permeability Transition Pore (MPTP) Activity-MPTP opening was assayed by measurements of mitochondrial swelling using probe colorimeter (Brinkmann Instruments), as described previously (48).
Measurement of Mitochondrial Ca 2ϩ Retention Capacity-The Ca 2ϩ -retention capacity of mitochondria was monitored using a Ca 2ϩ -selective electrode (Thermo Scientific/Orion, Rockford, IL) in a medium containing 250 mM sucrose, 10 mM HEPES, and 2 mM H 3 PO 4 , pH 7.4 (adjusted with Tris base). Mitochondria (0.5 mg/ml) were energized by 10 mM succinate with 1 M rotenone and pulsed with 50 M Ca 2ϩ every 1.5 min. The increasing Ca 2ϩ load caused a decline in Ca 2ϩ uptake rates. Maximal Ca 2ϩ -retention capacity was defined as an amount of Ca 2ϩ (per mg of protein) required to decrease the Ca 2ϩ uptake ratebyϾ90%.SimultaneouslywithCa 2ϩ -retentioncapacitymeasurements, mitochondrial swelling was monitored using a probe colorimeter (Brinkmann Instruments) (45).
Immunoprecipitation-Immunoprecipitations were performed as we described previously (45,46,49,50). For immunoprecipitation, mitochondrial lysates (500 g) were precleared in buffer A (0.15 M NaCl, 0.5 mM EDTA, 0.5% Igepal CA-630, protease and phosphatase inhibitor mixture, 0.05 M Tris, pH 7.5, 0.2% BSA) by incubation with appropriate speciesspecific IgG-conjugated magnetic beads (Dynabeads, Invitrogen/Dynal) for 1 h. Antibodies then were added. After incubation at 4°C overnight with gentle mixing, antibody-antigen complexes were captured with Dynabeads and washed two times with buffer A (without BSA), and then washed twice with Tris-buffered saline, pH 7.5. The immunoprecipitates were eluted by boiling in SDS sample buffer. As a control, the same immunoprecipitation procedure was performed except for the primary antibody application.
Analysis of Sphingolipids by Tandem Mass Spectrometry (MS)-Mitochondria and tissue samples were analyzed by reverse-phase high pressure liquid chromatography coupled to electrospray ionization followed by separation by MS as described previously (12,49,50). Sphingolipid analysis was performed in the Lipidomics Analytical Core Facility at Medical University of South Carolina using a Thermo Finnigan TSQ 7000 triple quadrupole mass spectrometer, operating in a multiple reaction monitoring positive-ionization mode. The peaks for the target analytes and internal standards were collected and processed with the Xcalibur software system. The target analyte peak area ratios from the samples were normalized to their respective internal standard and compared with the calibration curves using a linear regression model. Each sample was normalized to its respective total protein levels.
Carbonyl Content Measurement-Protein carbonyls were quantified in mitochondria with the protein carbonyl content assay kit (Sigma) according to the manufacturer's instructions.
ROS Generation Measurement-ROS formation was assessed by oxidation of 2Ј,7Ј-dichlorodihydrofluorescein (H 2 -DCF). H 2 -DCF was obtained from H 2 -DCF diacetate (Molecular Probes) by chemical hydrolysis of the diacetate groups in 0.2 M KOH for 1 h before use (51). Mitochondria (0.25 mg/ml) were incubated at 25°C in a basal incubation medium containing 250 mM sucrose, 10 mM HEPES, 2 mM phosphate, 10 M H 2 -DCF, and a mixture of 5 mM glutamate/malate as a respiratory substrates. Fluorescence of oxidized dichlorofluorescein (filter wavelengths of 490 nm excitation and 520 nm emission) was measured using a Fluostar Optima plate reader (BMG Labtechnologies, Inc., Durham, NC) and expressed as arbitrary units/mg of protein/min.
Deacetylation Assay-Recombinant SIRT3 was purchased from Enzo Life Sciences (Farmingdale, NY). SIRT3 activity was validated using a SIRT3 Fluorimetric Drug Discovery kit (Enzo Life Sciences). CerS1, CerS2, and CerS6 were immunoprecipitated from Sirt3 KO brain mitochondria using specific antibodies. As a control, the same immunoprecipitation procedure was performed except for the primary antibody application (IgG). The immunoprecipitates were incubated for 2 h using a Thermomixer at 37°C in a buffer (50 mM Tris-HCl, pH 8.0, 137 mM NaCl, 2.7 mM KCl, 1 mM MgCl 2 ) in the presence or absence of recombinant SIRT3 enzyme, 1 mM NAD ϩ , or 10 mM nicotinamide.
Statistical Analysis-All experiments and assays were performed three or more times. Data were collected, and the mean value of the treatment groups and the standard error were calculated. Data were analyzed for statistically significant differences between groups by one-way analysis of variance or Student's t test where appropriate (SigmaPlot software version 12.0). Statistical significance was ascribed to the data when p Ͻ 0.05.

Results
Ceramide Is Selectively Down-regulated in Cerebral Mitochondria of Sirt3 KO Mice-Brain tissue homogenate and purified non-synaptosomal mitochondria were prepared from wild type (WT) and Sirt3 KO mice. A sphingolipid profile of tissue and mitochondria was analyzed by tandem MS. There were no significant changes in ceramide, sphingosine, and sphingosine 1-phosphate (S1P) in tissue homogenate from SIRT3-deficient mouse brain compared with WT (Fig. 1A). The data are presented as a percentage change of WT mouse brain sphingolipid content shown in Table 1. Ceramide was significantly reduced in mitochondria of Sirt3 KO mice, whereas sphingosine and S1P did not change. The content of ceramide species characterized by long-chain fatty acid, including C 16:0 -and C 18:0 -ceramide, was decreased, whereas C 18:1 -ceramide was not changed (Fig. 1B). The data are presented as a percentage change of WT mouse brain mitochondria content shown in Table 2. Ceramide species containing very long-chain fatty acid such as C 24:0 -and C 24:1 -ceramide were attenuated. In contrast, C 20:0 -and C 22:0ceramide did not change. The data suggest that SIRT3 could control ceramide metabolism in mitochondria.
SIRT3 Regulates Mitochondrial CerS1, -2, and -6 Acetylation-Although the majority of ceramides are synthesized de novo at the cytosolic side of the endoplasmic reticulum (52, 53), some ceramides could be also produced in cerebral mitochondria by CerS1, -2, -4, and -6 (45). Selective attenuation FIGURE 1. Enhanced acetylation of ceramide synthases and reduced ceramide in cerebral mitochondria of Sirt3 KO mice. Sphingolipids were analyzed in brain tissue homogenate and purified mitochondria from WT and SIRT3-deficient mice as described under "Experimental Procedures." Total ceramide (A) and ceramide species (B) were measured in cerebral mitochondria of Sirt3 KO mice. Data are means Ϯ S.E., *, p Ͻ 0.05, n ϭ 16. Each sample was normalized to its respective total protein levels. C, increased acetylation of ceramide synthases in cerebral mitochondria of Sirt3 KO mice. Mitochondria were immunoprecipitated (IP) with anti-acetyl-lysine antibody (Cell Signaling) and probed using anti-CerS1 (Santa Cruz Biotechnology), anti-CerS2 (Novus), anti-CerS4 (Santa Cruz Biotechnology), or anti-CerS6 (Novus) antibodies as described under "Experimental Procedures." Input load, 20 g/lane.
SIRT3 Is a Part of Multiprotein Complex Containing Mitochondrial CerS1, -2, and -6 but Not CerS4 -SIRT3 has been demonstrated to deacetylate some of its substrates such as SOD2 (54) and complex I subunit NDUFA9 (33) via direct interaction, whereas association with the others, cyclophilin D for example (55), has not been reported. Given that SIRT3 appears to regulate mitochondrial CerS acetylation, we examined a possible physical association between the deacetylase and ceramide synthases. Co-immunoprecipitation studies were performed using anti-CerS6 antibodies. Fig. 2A shows that CerS6 is associated with SIRT3 in baseline cerebral mitochondria. Further analysis of the immunoprecipitates revealed that CerS1 and CerS2 are also complexed with CerS6 and SIRT3. However, CerS4 was not detected in the immunoprecipitates. The association of SIRT3 with ceramide synthases was confirmed in reciprocal immunoprecipitation experiments using anti-SIRT3 antibodies (Fig. 2B). CerS1, CerS2, and CerS6 were found in a complex with SIRT3, but CerS4 was not present. Of note, CerS1, -2, and -6 selectively complexed with SIRT3 because there was no association of ceramide synthases with another mitochondrial sirtuin SIRT5 (Fig. 2C). The association of SIRT3 with mitochondrial CerS1, -2, and -6, but not with CerS4, was corroborated in co-immunoprecipitation experiments using anti-CerS2 antibodies (Fig. 2D). The results of the immunoprecipitation studies indicate that CerS1, -2, and -6 are complexed with SIRT3, which could regulate the ceramide synthase deacetylation in cerebral mitochondria. Moreover, the data suggest that mitochondrial CerS1, -2, and -6 could form a complex to coordinate the synthesis of various ceramide species in mitochondria. This is in line with previously reported regulation of CerS activity by heterodimer formation. Thus, CerS2 activity was enhanced by co-expression with a catalytically active form of CerS5 or CerS6 (56).
IR Decreases Ceramide Synthase Acetylation Resulting in Augmented Enzyme Activity-To elucidate the impact of SIRT3-mediated deacetylation on mitochondrial ceramide synthase response to cerebral IR, the acetylation status of ceramide synthases was examined in WT cerebral mitochondria after experimental stroke. Mitochondria were purified from contralateral and ipsilateral (IR) brain hemisphere of a mouse exposed to 1 h of MCAO followed by 24 h of reperfusion. Immunoprecipitation studies were conducted using antiacetyl-lysine antibodies. Fig. 4A shows that IR attenuated the acetylation of CerS1, -2, and -6 suggesting increased SIRT3 activity. There was no change in CerS4 acetylation after IR. The lack of change in SIRT3 protein expression levels after IR suggests a post-translational mechanism of its activation. To determine whether IR-induced deacetylation is specific to ceramide synthases, the acetylation state of known targets of SIRT3, such as NDUFA9 (33), SOD2 (54), and IDH2 (57), was determined in brain mitochondria after IR (Fig. 4A). In IR-damaged mitochondria, there were less AcNDUFA9, AcSOD2, and AcIDH2 compared with control. The data indicate that IR triggered deacetylation of multiple SIRT3 target proteins, including CerS1, -2, and -6.
To elucidate how the decreased acetylation of ceramide synthase affected the enzyme activity, CerS1, -2, and -6 specific activities were measured in WT baseline cerebral mitochondria and mitochondria from WT control and ischemic brain. The catalytic activities of ceramide synthases were significantly augmented in WT ischemic mitochondria compared with WT control (Fig. 4B). The data indicate that a decreased acetylation of ceramide synthase enhanced the enzyme activity. To confirm that SIRT3 is required for the increased activity of ceramide synthases, Sirt3 KO mice were employed. Consistent with the decreased ceramide levels in baseline mitochondria of Sirt3 KO mice (Fig. 1A), the activities of CerS1, -2, and -6 were lower in baseline and control mitochondria of Sirt3 KO mice compared with WT. Moreover, SIRT3 knockdown prevented the activation of CerS1, -2, and -6 in cerebral mitochondria after IR (Fig.  4B). The data suggest that IR-induced activation of SIRT3 is responsible for the reduced acetylation of ceramide synthases and increased enzyme activities.
Mitochondrial Ceramide Accumulation Is Reduced in SIRT3deficient Mice after IR-Emerging evidence indicates cerebral IR-induced ceramide accumulation in brain tissue (9,11) and specifically in cerebral mitochondria (12). To ascertain the role of SIRT3 in mitochondrial ceramide accumulation after cerebral IR, the ceramide species profile was determined by tandem MS in WT and Sirt3 KO mice. Consistent with the increased activities of mitochondrial CerS1, -2, and -6, the content of the most of ceramide species and total ceramide was greater in WT mitochondria after cerebral IR (Fig. 5, A and B). Sirt3 gene ablation significantly attenuated the IR-induced mitochondrial ceramide species, including C 16:0 -, C 18:0 -, C 22:0 -, C 24:0 -, and C 24:1 ceramide, and total ceramide accumulation (Fig. 5, A and B). However, SIRT3 deficiency did not affect the accumulation of C 18:1 -and C 20:0 -ceramide in cerebral mitochondria after IR. The data suggest that SIRT3-mediated deacetylation of ceramide synthases results in increased ceramide accumulation within cerebral mitochondria after experimental stroke.
Respiratory Chain Complex I Activity Is Reduced in Baseline SIRT3-deficient Cerebral Mitochondria-Of the three mitochondrial sirtuins (SIRT3-5), only Sirt3 KO mice display robust hyperacetylation of mitochondrial proteins, indicating that SIRT3 is a major mitochondrial deacetylase (30). SIRT3 has been demonstrated to directly deacetylate and activate numerous mitochondrial proteins involved in energy production, including subunits of mitochondrial respiratory chain complex I (33) (complex II and F-ATP synthase (58). To elucidate how the increased acetylation of the respiratory chain subunits modulate the functional activity of the respiratory chain, the oxidative phosphorylation was assessed in baseline cerebral mitochondria of WT and SIRT3 null mice. The respiratory chain enzymes transport electrons from electron donors at complex I or complex II to complex III and then to complex IV where the electrons reach their acceptor oxygen. The oxygen consumption rates supported by substrates of complex I (glutamate), complex II (succinate), and complex IV (ascorbate) were measured in state 2 (ADP-limited) and in the presence of the uncoupler of oxidative phosphorylation, 2,4-dinitrophenol (state 3u). The respiration rate in the presence of uncoupler (state 3u) represents a maximal electron transport chain activity. Similar state 2 respiration rates supported by the substrate of either complex I, complex II, or complex IV were observed in WT and Sirt3 KO mitochondria (Fig. 6A) indicating that lack of SIRT3 did not cause an additional proton leak across the inner mitochondrial membrane. With complex I substrates glutamate plus malate, the maximal respiration rates determined in the presence of uncoupler (state 3u) were about 35% lower in cerebral mitochondria purified from the Sirt3 KO brain compared with WT (Fig. 6A). The maximal respiration rates (state 3u) supported by either substrate of complex II or complex IV were not different between WT and SIRT3-deficient mito- . IR triggers SIRT3-mediated deacetylation of ceramide synthase and increased enzyme activity. Mitochondria were prepared from the WT and Sirt3 KO mouse brain at baseline (BL) or WT and Sirt3 KO mouse brain hemisphere ipsilateral (IR) and contralateral (CON) to the damage following 1 h of MCAO/24 h of reperfusion. A, WT control (CON) and ischemic (IR) brain mitochondria were immunoprecipitated (IP) with anti-acetyl-lysine antibody (Cell Signaling) and probed using anti-CerS1 (Santa Cruz Biotechnology), anti-CerS2 (Novus), anti-CerS4 (Santa Cruz Biotechnology), anti-CerS6 (Novus), anti-NDUFA9 (Abcam), anti-SOD2 (Cell Signaling), or anti-IDH2 (Cell Signaling) antibodies. Input load: 20 g/lane. B, specific CerS1, CerS2, and CerS6 activity was determined using a 17C-dihydro-sphingosine as a substrate. The enzyme activity is expressed as picomoles of 17C-dihydro-C18:0-ceramide/min per mg of protein (CerS1), picomoles of 17C-dihydro-C24:0-ceramide/min/mg of protein (CerS2), and picomoles of 17C-dihydro-C16:0-ceramide/min/mg of protein (CerS6). Data are means Ϯ S.E., *, p Ͻ 0.05, n ϭ 8. JANUARY 22, 2016 • VOLUME 291 • NUMBER 4 FIGURE 5. IR-induced mitochondrial ceramide accumulation is attenuated in SIRT3-deficient mice. Mitochondria were purified from the WT and Sirt3 KO mouse brain hemisphere ipsilateral (IR) and contralateral (Con) to the damage following 1 h of MCAO/24 h of reperfusion. Ceramide species (A) and total ceramide (B) were measured as described under "Experimental Procedures." Data are means Ϯ S.E., *, p Ͻ 0.05, n ϭ 16. Each sample was normalized to its respective total protein levels. chondria indicating that absence of SIRT3 resulted in a decreased activity of complex I. The data suggest that, despite the numerous acetylation sites on mitochondrial respiratory chain enzymes affected by Sirt3 knockdown, only complex I activity was compromised in baseline cerebral mitochondria of Sirt3 KO mice.

SIRT3 Deacetylates Ceramide Synthases
Sirt3 Gene Ablation Rescues the IR-induced Defect in Respiratory Complex III Activity-To investigate the role of SIRT3 in mitochondrial respiratory chain response to cerebral IR, the respiratory chain activity (state 3u) was determined in WT and SIRT3-deficient cerebral mitochondria after experimental stroke (Fig. 6B). The respiration rates supported by complex IV substrate (ascorbate) were not affected by IR in either WT or Sirt3 KO mouse mitochondria. In line with previous reports (8,12), IR reduced the oxygen consumption rate supported by complex I substrate (glutamate) by 33% in WT mitochondria, which could be attributed to the inhibition of complex I or complex III. However, SIRT3 knockdown did not have any effect on glutamate-supported respiration rate after IR, which is consistent with the reduced complex I activity in baseline SIRT3-deficient mitochondria (Fig. 6A, state 3u). In contrast, IR reduced the respiration supported by succinate by 37% in WT mitochondria, which was rescued in SIRT3-deficient mitochondria (Fig. 6B). This indicates that SIRT3 mediates the IRinduced inhibition of complex III activity.
To investigate further the impact of Sirt3 gene ablation on the respiratory chain complex III, the enzymatic activity of complex III was determined in WT and SIRT3-deficient mitochondria after IR. Fig. 7A shows that IR decreased complex III activity by 41% in WT mitochondria, which was rescued in SIRT3-null mitochondria. The results of these studies suggest that IR triggered SIRT3-mediated deacetylation of ceramide synthases that increased their activity and caused ceramide accumulation in mitochondria. Consistent with a previous report (12), accumulated ceramide inhibited respiratory chain activity at the level of complex III in ischemic mitochondria.

FIGURE 7. Sirt3 gene ablation rescued IR-induced complex III activity defect and diminished ROS formation and protein carbonyls in cerebral mitochondria.
Mitochondria were purified from the WT and Sirt3 KO mouse brain hemispheres ipsilateral (IR) and contralateral (Con) to damage following 1 h of MCAO/24 h of reperfusion. A, respiratory chain complex III enzyme activity was determined by measuring the reduction of cytochrome c (cyt c) as described under "Experimental Procedures." Data are means Ϯ S.E., *, p Ͻ 0.05, n ϭ 6. B, ROS generation was measured in the presence of respiratory chain complex I substrate 5 mM glutamate plus 5 mM malate (glutamate ϩ malate) and complex II substrate 10 mM succinate (succinate). Data are means Ϯ S.E., *, p Ͻ 0.05, n ϭ 8. Bottom panel, protein carbonyls were assessed as described under "Experimental Procedures." Data are means Ϯ S.E., *, p Ͻ 0.05, n ϭ 8.

IR-induced ROS and Protein Carbonyls
Were Attenuated in SIRT3-deficient Cerebral Mitochondria-SIRT3 has been implicated in strengthening the cellular antioxidant defense by activating mitochondrial SOD2 to scavenge ROS. Thus, in response to caloric restriction, SIRT3 reduced cellular ROS levels by deacetylating mitochondrial SOD2, which increased its antioxidative activity in hepatocytes (59). However, in cerebral IR, SIRT3-mediated ceramide accumulation and inhibition of complex III activity could result in an increased ROS generation. It has been reported that exogenous ceramide enhanced ROS generation in isolated mitochondria by interrupting the electron flow at the level of complex III (15,21).
To determine how SIRT3 impacts the mitochondrial ROS generation in response to IR, the ROS production was measured in cerebral mitochondria purified from WT and Sirt3 KO mouse brain. Mitochondrial ROS were quantified using H 2 -DCF, which rapidly reacts with ROS to form the highly fluorescent compound dichlorofluorescein. Fig. 7B shows increased ROS generation in ischemic WT mitochondria respiring either on glutamate or succinate, which is consistent with IR-induced blockade of complex III. Importantly, SIRT3 knockdown prevented the IR-induced ROS generation. The data suggest that SIRT3-mediated activation of ceramide synthases leading to accumulation of ceramide is the primary cause of increased ROS production in mitochondria after cerebral IR. To elucidate whether SIRT3-induced ROS generation leads to augmented protein oxidative modification, protein carbonyl levels were determined in WT and Sirt3 KO mitochondria after cerebral IR. The protein carbonyls were higher in WT mitochondria after IR (Fig. 7, bottom panel). SIRT3 knockdown precluded the IR-triggered increase in protein carbonyl levels. The data indicate that SIRT3 is required for IR-induced generation of ROS leading to enhanced oxidative protein modification.
Lack of SIRT3 Did Not Affect MPTP Activity and Mitochondrial CRC-It is widely accepted that MPTP, a high conductance channel, plays a major role in determining the extent of the IR-induced brain injury, which is reflected in the size of the necrotic area or infarct core. In vitro, MPTP opening due to Ca 2ϩ overload and increased ROS causes dissipation of transmembrane potential, ATP hydrolysis, Ca 2ϩ release, pyridine nucleotide depletion, and matrix swelling that results in the outer membrane rupture and the release of pro-apoptotic proteins such as cytochrome c, apoptosis-inducing factor, and endonuclease G (60). CypD is an important modulator that sensitizes MPTP to Ca 2ϩ and confers sensitivity to cyclosporin A, but it is not an essential pore component (61,62). Recent studies indicate that MPTP forms from the F-ATP synthase, and CypD binding to the oligomycin sensitivity-conferring protein subunit of F-ATP synthase regulates the enzyme's catalytic activity (63). SIRT3 has been shown to deacetylate CypD at lysine 145 diminishing its peptidyl-prolyl cis-trans isomerase activity. Ethanol seems to sensitize the MPTP to opening, in part by inhibiting the SIRT3 activity leading to increased acetylation of CypD in tumor cells (64). In aging, SIRT3-mediated deacetylation of CypD at lysine 166 suppresses the MPTP opening in cardiac mitochondria from 13 months but not from 3-to 6-month-old mice (65).
To investigate the potential role of SIRT3 in regulating MPTP activity, Ca 2ϩ -induced MPTP opening was measured in WT and SIRT3-deficient cerebral mitochondria after IR (Fig. 8,  A and B). In WT control mitochondria energized by the complex II substrate succinate, while complex I was inhibited by rotenone, an addition of 300 M Ca 2ϩ resulted in increased mitochondrial swelling indicative of MPTP opening. The addition of pore-forming peptide alamethicin permitted quantification of the maximal mitochondrial swelling response. Fig. 8A shows that IR did not affect the MPTP activity in WT mitochondria. SIRT3 knockdown did not alter the MPTP activity either in control or ischemic mitochondria (Fig. 8B).
To confirm the findings, CRC was measured in WT and SIRT3-null cerebral mitochondria (Fig. 8, C and D). Mitochondria energized by succinate in the presence of rotenone were subjected to sequential pulses of 50 M Ca 2ϩ that resulted in a gradual decrease in Ca 2ϩ uptake rates until the Ca 2ϩ uptake was almost completely inhibited (Fig. 8C). Consistent with lack of cerebral IR effect on MPTP activity, quantification of CRC revealed no changes in the ability of WT cerebral mitochondria to retain Ca 2ϩ due to IR (Fig. 8D). The CRC of SIRT3-deficient mitochondria was similar to the WT mitochondria. The data suggest that cerebral IR-induced SIRT3-mediated elevation of ceramide is not involved in modulation of Ca 2ϩ -dependent MPTP activity and mitochondrial Ca 2ϩ homeostasis.
The MPTP appears to serve as a switch between apoptosis and necrosis. Cell death proceeds through necrosis when the MPTP opens causing dissipation of the trans-membrane potential and an inhibition of ATP production. If the MPTP does not open, cellular ATP can be maintained to support the energy demand of apoptosis (61). Of note, the mitochondria used for the experiments were purified from brain peri-infarct tissue where the IR-damaged cells are undergoing apoptotic cell death (66). The results of these studies support the notion that cerebral IR-triggered mechanisms of mitochondrial injury in the peri-infarct tissue do not involve MPTP opening and disturbance of mitochondrial Ca 2ϩ homeostasis.
SIRT3 Enhanced Active Bax Association with Mitochondria after IR-Although MPTP opening plays an important role in necrotic cell death, the mitochondrial outer membrane (MOM) permeabilization has been implicated as a key mechanism of apoptotic cell death. In response to apoptotic stimuli, two members of the Bcl-2 family, proapoptotic proteins Bak and Bax, could form large MOM pores permitting translocation of proapoptotic factors such as cytochrome c from inter-mitochondrial membrane space to the cytoplasm. In non-apoptotic cells, Bax continually binds to mitochondria and retrotranslocates back to the cytoplasm through interaction with Bcl-x L (67). An inhibition of retro-translocation to the cytosol following apoptotic insults causes Bax to accumulate in MOM. Both identified (Bid, Bim, and Puma) and unidentified MOM resident proteins have been proposed to activate Bax and Bak facilitating MOM permeabilization (68). In contrast to Bax, Bak is constitutively inserted in the MOM.
To elucidate a possible role of SIRT3 in regulating the MOM permeabilization, the levels of proapoptotic (Bax and Bak) and anti-apoptotic Bcl-x L were analyzed in cerebral mitochondria of WT and SIRT3-deficient mice after IR. The expression levels of active Bax, Bak and Bcl-x L in baseline cerebral mitochondria were similar in WT and SIRT3-deficient mice (Fig. 9A). Western blot analysis revealed IR-induced accumulation of active Bax in WT mitochondria, which was rescued by SIRT3 knockdown (Fig. 9B). There were no significant changes in Bak after IR. Although Bcl-x L was slightly attenuated after IR, the lack of SIRT3 did not have any effect. In line with the increased MOM permeabilization, cytochrome c level was reduced in WT mitochondria after IR, although there was no change in cytochrome c expression in SIRT3-deficient mitochondria (Fig. 9B). The data suggest that SIRT3-dependent ceramide accumulation contributes to Bax-mediated MOM permeabilization and proapoptotic protein release from cerebral mitochondria after IR.
SIRT3 Deficiency Attenuated Brain Damage after IR-To assess the role of SIRT3 in promoting brain injury after stroke, the infarct volume was measured in WT and Sirt3 KO mice after cerebral IR. Brain injury after IR was significantly attenuated in SIRT3-deficient mice, indicating the important role of the mitochondrial SIRT3 in promoting brain injury (Fig. 10, A  and B). The data suggest a critical role for SIRT3-mediated ceramide accumulation in promoting mitochondrial dysfunction and brain injury after stroke.
Myriocin Treatment Decreased Mitochondrial Ceramide and Brain Injury after IR-In response to cerebral IR, ceramide increase could be due to activation of SM hydrolysis by acid sphingomyelinase and/or stimulation of de novo ceramide biosynthesis. Thus, there was less injury in the brain of acid sphingomyelinase-deficient mice, which was accompanied by decreased accumulation of ceramide in brain tissue; however, mitochondrial ceramide levels were not investigated (9). Of note, IR-induced activation of de novo ceramide biosynthesis in the brain tissue that was associated with stimulation of ceramide synthase activity, accumulation of ceramide, and respi-   JANUARY 22, 2016 • VOLUME 291 • NUMBER 4 ratory chain damage in cerebral mitochondria was decreased in the JNK3-deficient mice. The infarct size was significantly lower in the JNK3-deficient mice suggesting that JNK3 is an upstream regulator of the mitochondrial ceramide biosynthesis, which could play an important role in IR brain response (12). An inhibitor of serine palmitoyltransferase, a key enzyme of de novo ceramide biosynthesis, myriocin (MR) has been shown to reduce ceramide tissue levels in various disease models (69 -71). To shed more light on mitochondrial ceramide involvement in promoting brain injury after IR, WT mice were treated with MR dissolved in DMSO and diluted with 50% Tween 20 in PBS. Mice received 0.2 ml of MR (2 mg/kg) through a gavage after 1 h of MCAO followed 3 h of reperfusion. Control group received the vehicle control. Importantly, MR did not affect physiological parameters in mice, including a mean arterial blood pressure, heart rate, arterial pH levels, Pa CO2 and Pa O2 . Brains were subjected to analysis at 24 h post-MCAO. Importantly, there was reduced brain injury in mice treated with MR (Fig. 10, C and D). Ceramide species were significantly attenuated in mitochondria from MR-treated mice after IR (Fig. 11). The data provide further support for the essential role of mitochondrial ceramide in brain injury after IR.

Discussion
The present studies provide evidence for a novel SIRT3-dependent mechanism furthering mitochondrial dysfunction and brain injury after experimental stroke. Our data suggest that cerebral IR triggers SIRT3-mediated deacetylation of CerS1, -2, and -6, which results in the accumulation of ceramide, mitochondrial dysfunction, and generation of ROS promoting brain injury (Fig. 12). This is the first demonstration of the essential role of SIRT3 in cerebral mitochondrial dysfunction after stroke. Given the significance of mitochondria in regulation of neural cell function and survival, the characterization of SIRT3mediated mitochondrial impairment triggered by cerebral IR is a valuable contribution to our understanding of the pathophysiological mechanisms of brain damage after stroke.
Our studies identify a novel mechanistic link between SIRT3 and mitochondrial sphingolipid metabolism that is important for mitochondrial response to cerebral IR. Here, we show that ceramide is selectively down-regulated, whereas sphingosine and S1P are not changed in cerebral mitochondria of SIRT3deficient mice (Fig. 1, A and B). Furthermore, our studies indicate that mitochondrial ceramide synthases CerS1, CerS2, and CerS6, but not CerS4, are the substrates and binding partners of SIRT3 (Figs. 1C and 2). Importantly, SIRT3-mediated deacety- lation increased the catalytic activity of the enzymes (Fig. 4), which resulted in accumulation of ceramide in mitochondrial after cerebral IR (Fig. 5). Importantly, SIRT3 deacetylated and activated mitochondrial CerS1, -2, and -6 in vitro (Fig. 3). Based on rapid changes of CerS activity to various stimuli, post-translational mechanisms of CerS regulation have been postulated, but the experimental evidence is scarce (56,72). Thus, CerS1, CerS2, and CerS5 were predicted to be phosphorylated by a large scale phosphorylation analysis (73). Our studies are the first demonstration of post-translational regulation of CerS activity by acetylation/deacetylation.
These studies provide further insight into spatial organization of ceramide synthesis showing that three mitochondrial ceramide synthases CerS1, -2, and -6 are forming a tripartite complex associated with SIRT3. It has been previously reported that CerS2, -5, and -6 might exist as heterodimers in HeLa cells (74). Furthermore, the activity of CerS seems to be modulated by the formation of both homo-and heterodimers in the overexpression system (56). The results of these studies draw attention to the mitochondrial multi-CerS complex, in which activity is modulated by the primary mitochondrial deacetylase, SIRT3. Given a dual intracellular localization of CerS (12) in the ER and in mitochondria, SIRT3-mediated deacetylation of mitochondrial ceramide synthases suggests a possible involvement of another SIRT family member in the regulation of CerS acetylation in the ER. Thus, it has been shown that SIRT1 deacetylates AceCS1 and HMGCS1 in the cytoplasm, whereas SIRT3 deacetylates the homologous AceCS2 and HMGCS2 in the mitochondria (75).
Our studies point to a critical role of SIRT3 as a facilitator of ceramide generation in mitochondria leading to reduced respiratory complex III activity after cerebral IR. One major function of SIRT3 is regulation of mitochondrial electron transport chain activity to maintain energy homeostasis. SIRT3 interacts with complex I component NDUFA9 and both subunits of complex II that in the context of SIRT3 knockdown correlates with the decreased respiratory chain complex activity (33,58). In contrast to previous reports showing the reduced complex II activity in liver and brown adipose tissue mitochondria from Sirt3 KO mice (35,58), there was no reduction of complex II activity in cerebral mitochondria of Sirt3 KO mice (Fig. 6A). However, consistent with previous findings in liver mitochondria (33), complex I activity was significantly reduced in cerebral mitochondria purified from Sirt3 KO mice (Fig. 6A). The results of our studies further support the concept that SIRT3mediated deacetylation regulates its target activity in a tissueand stimulus-specific manner (58). Overall, these studies reveal SIRT3 as a novel determinant of mitochondrial dysfunction in cerebral IR.
In response to cerebral IR, Sirt3 gene ablation rescued the IR-induced defect at the level of complex III (Figs. 6B and 7A). The data suggest that SIRT3-mediated activation of CerS and FIGURE 11. Myriocin treatment reduced mitochondrial ceramide after IR. WT mice were given MR via gavage (2 mg/kg) following 1 h of MCAO/3 h of reperfusion. WT mice control group received a vehicle control. Mitochondria were isolated from the ipsilateral (IR) and contralateral (Con) hemispheres after 1 h of MCAO/24 h of reperfusion, and ceramide species were determined by tandem MS. Data are means Ϯ S.E., *, p Ͻ 0.05, n ϭ 12.
FIGURE 12. Proposed model of SIRT3 involvement in promoting mitochondrial dysfunction and brain injury after experimental stroke. Cerebral IR leads by an as yet unidentified mechanism to SIRT3 activation resulting in enhanced deacetylation of mitochondrial ceramide synthases 1, 2, and 6 that increases their activity leading to accumulation of ceramide and mitochondrial dysfunction. Accumulated ceramide inhibits respiratory chain activity at the level of complex III that is accompanied by increased ROS and augmented expression of activated Bax that contributes to MOM permeabilization and brain injury. accumulation of ceramide are responsible for cerebral IR-induced impairment of complex III. This is in line with our previous studies showing that IR triggered JNK3-dependent accumulation of mitochondrial ceramide that selectively inhibited respiration at the level of complex III (12). Furthermore, it suggests that JNK3 could be a potential upstream regulator of SIRT3 function in response to cerebral IR.
Our studies extend the experimental evidence of an important role of ROS in mitochondrial damage after experimental stroke. Here, we show that IR stimulated ROS generation during the oxidation of the substrates by respiratory chain in cerebral mitochondria (Fig. 7B). Direct interaction of proteins with ROS can lead to formation of protein derivatives or peptide fragments possessing carbonyl groups; therefore, the level of carbonyl groups in proteins has been widely used as a marker of oxidative protein damage. As expected, cerebral IR augmented the protein carbonyl levels in mitochondria (Fig. 7, bottom  panel). Remarkably, SIRT3 knockdown reduced the ROS generation and protein carbonyls in mitochondria after stroke. This is consistent with the hypothesis that cerebral IR triggers SIRT3-dependent ceramide-mediated inhibition of complex III leading to increased generation of ROS and protein carbonylation.
The results of our studies demonstrating a critical role of SIRT3 in mitochondrial ROS generation after cerebral IR do not contradict the evidence of SIRT3 involvement in cellular antioxidant defense system (76). SIRT3 interacts and directly deacetylates hepatic SOD2, a primary mitochondrial antioxidant enzyme, enhancing its ability to scavenge ROS in response to caloric restriction (59). In addition, SIRT3 deacetylates an isocitrate dehydrogenase 2 (IDH2), a tricarboxylic acid cycle enzyme producing NADPH, due to caloric restriction. Enhanced activity of IDH2 by SIRT3-mediated deacetylation produced increased levels of NADPH that resulted in increased activity of glutathione reductase and augmented generation of glutathione, a major cellular antioxidant (57).
The results of our studies suggest that IR-induced SIRT3mediated deacetylation activates both the antioxidant defense pathways (SOD2 and IDH2) and the CerS-dependent ROSgenerating pathway. The data are consistent with the notion that IR-induced ROS production exceeds the availability of endogenous antioxidants and provides a mechanistic insight into the pivotal role of ROS in cerebral IR. This is in line with results of studies showing robust neuroprotection in animals modified to bolster endogenous mitochondrial antioxidants (77,78). Altogether, these studies provide further support for the concept that the SIRT3-mediated outcome is produced by a dynamic interplay of multiple physiological cascades, emphasizing the importance of defining the stimulus-and tissue-specific context.
Our studies showed that SIRT3-dependent excessive accumulation of mitochondrial ceramide did not have any impact on MPTP activity and mitochondrial Ca 2ϩ handling after cerebral IR. The results of these studies are consistent with the previously demonstrated role of MPTP opening as a cause of the neural cell demise by necrosis in the infarct core after stroke, although it remains closed during apoptotic cell death in the penumbra (61). The potential role of Ca 2ϩ -dependent MPTP opening in IR-induced mitochondrial injury has been recently challenged. In mice lacking mitochondrial calcium uniporter, where Ca 2ϩ overload does not occur during reperfusion, the extent of necrosis was the same as that observed in the hearts from WT littermates (79). These findings raise many questions such as what the mechanism of IR-induced necrotic cell death is and what the mechanism of MPTP opening in the hearts of mitochondrial calcium uniporter-null mice is. Certainly, investigation into the mechanisms of MPTP opening after cerebral IR in mitochondrial calcium uniporter-deficient mice is warranted.
Having demonstrated the lack of MPTP response to cerebral IR, we investigated a potential SIRT3 role in modulating the permeability of the MOM. Most apoptotic signaling pathways converge on mitochondria to initiate MOM permeabilization that results in the release of pro-apoptotic proteins such as cytochrome c from the inter-membrane space. Bcl-2 family proteins, Bax, Bak, and Bcl-x L , function through a complex set of heterodimeric interactions regulating MOM permeabilization and apoptotic cell death (68). Bax/Bak oligomerization within the MOM is thought to be a major mechanism of formation of the pores permitting the release of pro-apoptotic proteins. Recently, the ability of monomeric Bax to initiate the formation of large pores in the MOM was demonstrated (80). Our studies point to an important role of SIRT3 in modulation of Bax-mediated permeabilization of MOM. Cerebral IR resulted in elevated active monomeric Bax association with mitochondria, which was attenuated in SIRT3-deficient mitochondria (Fig. 9B). The results from this study implicate SIRT3 as an upstream regulator of Bax-dependent MOM permeabilization in response to cerebral IR.
Our studies also provide experimental evidence for critical involvement of sphingolipids in the regulation of MOM permeabilization and apoptosis (81). Recently, sphingolipid S1P and its breakdown product, hexadecenal, have been identified as cofactors that can promote Bak and Bax-mediated MOM permeabilization, respectively (82). The results of our studies support the notion that another sphingolipid ceramide is an essential determinant of Bax-dependent MOM permeabilization (83) after cerebral IR. These studies suggest that SIRT3-dependent accumulation of mitochondrial ceramide could facilitate Bax-dependent pore formation. This is concordant with a previous report showing that inhibiting CerS activity with fumonisin B1 prevented radiation-induced elevation of ceramide, accumulation of Bax, and MOM permeabilization in HeLa cells (84).
Our studies are the first demonstration of the pathophysiological role of SIRT3 in promoting mitochondrial dysfunction (Fig. 6B) and brain damage after experimental stroke (Fig. 10, A  and B). In light of the oxidative stress-ameliorative effects assigned to SIRT3 function in caloric restriction studies and the protective effect of overexpressed SIRT3 in neural cells (41,42), stimulation of SIRT3 activity has been proposed to reduce mitochondrial deficits associated with cerebral oxidative stress and neurodegeneration (76). However, our studies showing that Sirt3 gene ablation protected mitochondria against cerebral IR-induced damage suggest that small molecule inhibitors of SIRT3 activity could be beneficial in the stroke treatment.
Overall, our studies support the notion that SIRT3-dependent deacetylation of mitochondrial proteins functions in a target substrate-and tissue-specific manner to fine-tune multiple metabolic programs.
In summary, this study provides experimental evidence that cerebral IR triggers SIRT3-mediated deacetylation and activation of ceramide synthases 1, 2, and 6 leading to accumulation of mitochondrial ceramide. The accumulated ceramide blocks respiratory complex III function, which results in the elevation of ROS and protein carbonyls promoting MOM permeabilization and brain damage. The data shed more light on the role and regulation of the mitochondrial ceramide synthases and accentuate the function of sphingolipid-metabolizing enzymes in the pathobiology of stroke.