Loss of sirtuin 1 (SIRT1) disrupts skin barrier integrity and sensitizes mice to epicutaneous allergen challenge  Mei Ming, PhD, Baozhong Zhao, PhD, Christopher.

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Loss of sirtuin 1 (SIRT1) disrupts skin barrier integrity and sensitizes mice to epicutaneous allergen challenge  Mei Ming, PhD, Baozhong Zhao, PhD, Christopher R. Shea, MD, Palak Shah, MB, Lei Qiang, PhD, Steven R. White, MD, Diane M. Sims, BS, Yu-Ying He, PhD  Journal of Allergy and Clinical Immunology  Volume 135, Issue 4, Pages 936-945.e4 (April 2015) DOI: 10.1016/j.jaci.2014.09.035 Copyright © 2014 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 1 Development of AD-like skin lesions in mice with epidermal SIRT1 deletion (cKO). A, Gross phenotype of 51- to 64-week-old SIRT1 cKO mice. B, Percentage of skin lesion–free mice among SIRT1 WT, cHet, and cKO mice (n = 15). C, Mouse serum IgE levels in SIRT1 WT, cHet, and cKO mice at 18 months of age. D, Representative photomicrographs of HE skin sections from 6-month-old SIRT1 WT, cHet, and cKO mice. Scale bar = 50 μm. E, Numbers of eosinophils detected per high-power field (HPF; ×400 magnification). F, Toluidine blue staining of mast cells in skin of SIRT1 WT, cHet, and cKO mice at 6 months of age. Scale bar = 200 μm. G, Scatter chart for numbers of mast cells per low-power field (LPF; ×100 magnification) in SIRT1 WT, cHet, and cKO mouse skin (n = 3). H, TEWL in 18-month-old SIRT1 WT, cHet, and cKO mice. For Fig 1, C, data are shown as means ± SEs (n = 3). *P < .05, t test, compared with the WT group. For Fig 1, E, G, and H, data are shown as means ± SDs (n = 3). *P < .05, t test, compared with the WT group. Journal of Allergy and Clinical Immunology 2015 135, 936-945.e4DOI: (10.1016/j.jaci.2014.09.035) Copyright © 2014 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 2 Reduced FLG expression in keratinocytes and mouse skin with SIRT1 loss. A, FLG mRNA levels in undifferentiated NHEKs transfected with NC or siRNA targeting SIRT1 (siSIRT1). Data are shown as means ± SEs from 3 independent experiments. *P < .05, t test, compared with the NC group. B, FLG protein levels in NHEKs transfected with NC or siSIRT1 as in Fig 2, A. C, FLG mRNA levels in 6-month-old SIRT1 WT and cKO mouse skin. D, proFLG and filaggrin monomer (FLG) protein levels in skin from 6-month-old SIRT1 WT and cKO mouse skin. E, Immunohistochemical staining of FLG, K10, and loricrin in skin of 6-month-old WT and SIRT1 cKO mice. Scale bar = 50 μm. F and G, Electron microscopic analysis of WT (Fig 2, F) and SIRT1 cKO (Fig 2, G) epidermis from 6-week-old mice. Red arrows indicate F-granules (F), and blue arrows indicate L-granules (L). Scale bar = 2 μm. GAPDH, Glyceraldehyde-3-phosphate dehydrogenase. Journal of Allergy and Clinical Immunology 2015 135, 936-945.e4DOI: (10.1016/j.jaci.2014.09.035) Copyright © 2014 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 3 Response to OVA in WT and SIRT1 cKO mice. A, Schematic for OVA treatment. B, Histology of mouse skin after PBS and OVA treatment as in Fig 3, A. Scale bar = 50 μm. C, ELISA of serum IgE levels in SIRT1 WT and cKO mice after PBS and OVA treatment. D, TEWL in SIRT1 WT and cKO mice after PBS and OVA treatment. For all graphs, data are shown as means ± SEs (n = 4). *P < .05, t test, compared with WT group. The mice were 6 to 8 weeks old. Journal of Allergy and Clinical Immunology 2015 135, 936-945.e4DOI: (10.1016/j.jaci.2014.09.035) Copyright © 2014 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 4 Role of SIRT1 deacetylase activity in its regulation of FLG. A, Immunoblot analysis of proFLG, SIRT1, acetylated p53 (Ac-p53), p53, and glyceraldehyde-3-phosphate dehydrogenase (GAPDH) protein levels in NHEKs transfected with SIRT1 vector (Vec), WT, or inactive mutant (Mut) SIRT1 plasmids. B, Immunoblot analysis of proFLG, SIRT1, Ac-p53, p53, and GAPDH protein levels in 293T cells transfected with Vec, WT, or Mut SIRT1 plasmids. C, FLG mRNA levels in 293T cells transfected with Vec, WT, or Mut SIRT1 plasmids. Data are shown as means ± SEs from 3 independent experiments. *P < .05, t test, compared with the vector group. D, Immunoblot analysis of proFLG, SIRT1, p53, p21, and GAPDH in NHEKs transfected with NC or siRNA targeting p53 (sip53). Journal of Allergy and Clinical Immunology 2015 135, 936-945.e4DOI: (10.1016/j.jaci.2014.09.035) Copyright © 2014 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 5 Role of AhR in SIRT1 regulation of FLG. A, Gene array analysis of mRNA levels of CYP1B1 and AhR in NHEKs transfected with NC or siSIRT1. B, Real-time PCR analysis of CYP1B1 mRNA expression in NHEKs transfected with NC or siSIRT1. C, Real-time PCR analysis of CYP1B1 mRNA expression in SIRT1 WT and cKO mouse skin (n = 3). D, Luciferase reporter assay of AhR reporter activity (XRE-luc) in SIRT1 WT and KO MEF cells. E, Immunofluorescence analysis of SIRT1 and CYP1B1 in NHEKs transfected with NC or siSIRT1. 4′-6-Diamidino-2-phenylindole dihydrochloride (DAPI) staining (blue) was used as a nuclear counterstain. Scale bar = 50 μm. F, Immunoblot analysis of FLG, SIRT1, and glyceraldehyde-3-phosphate dehydrogenase (GAPDH) protein levels in NHEKs transfected with NC or siSIRT1 and then treated with BaP (10 μmol/L) for 48 hours. G, Real-time PCR analysis of FLG mRNA levels in NHEKs transfected with NC or siSIRT1 and treated with BaP (10 μmol/L) for 48 hours. H, Real-time PCR analysis of CYP1B1 mRNA levels in NHEKs transfected with NC or siSIRT1 and treated with BaP (10 μmol/L) for 48 hours. I, Immunoblot analysis of filaggrin monomer (FLG) and GAPDH protein levels in SIRT1 cKO mice treated with OVA for 6 weeks, followed by treatment with BaP for 3 or 7 days. J, Representative pictures of hematoxylin and eosin staining for SIRT1 cKO mice treated with OVA for 6 weeks, followed by treatment with BaP for 3 or 7 days. K, Serum IgE levels in SIRT1 cKO mice treated with OVA for 6 weeks, followed by treatment with BaP for 7 days. Scale bar = 50 μm. For all graphs, data are shown as means ± SEs from 3 independent experiments. *P < .05, t test, compared with the control (NC or WT) group for Fig 5, A-D, or the vehicle (Veh) group in Fig 5, G-H. Journal of Allergy and Clinical Immunology 2015 135, 936-945.e4DOI: (10.1016/j.jaci.2014.09.035) Copyright © 2014 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 6 Role of AKT in AhR regulation of FLG. A, Immunoblot analysis of FLG, CYP1B1, phosphorylated AKT (p-AKT), AKT, and glyceraldehyde-3-phosphate dehydrogenase (GAPDH) in NHEKs treated with BaP (10 μmol/L) for 48 hours. B, Immunoblot analysis of FLG, p-AKT, AKT, CYP1B1, and GAPDH in NHEKs transfected with siRNA targeting AKT1 (siAKT1) or NC and then treated with vehicle or BaP (10 μmol/L). C, Schematic for the role of SIRT1 in regulating skin barrier function. Journal of Allergy and Clinical Immunology 2015 135, 936-945.e4DOI: (10.1016/j.jaci.2014.09.035) Copyright © 2014 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 7 SIRT1 protein levels in human normal, AD, and non-AD skin. A, Alkaline phosphatase–anti-alkaline phosphatase red staining for SIRT1 protein levels in human normal, AD, and non-AD skin. Scale bar = 100 μm. B, Percentage (in stacked column format) for each score of SIRT1 expression. Journal of Allergy and Clinical Immunology 2015 135, 936-945.e4DOI: (10.1016/j.jaci.2014.09.035) Copyright © 2014 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig E1 SIRT1 protein level and activity in skin from SIRT1 WT, cHet, and cKO mice. A and B, Immunoblot analysis of SIRT1 and glyceraldehyde-3-phosphate dehydrogenase (GAPDH) in skin (Fig E1, A) and liver (Fig E1, B) from WT, cHet, and cKO mice at 4 to 6 weeks of age. The upper band in the SIRT1 blot in Fig E1, A, shows the WT SIRT1 protein (SIRT1), whereas the lower band shows the nonfunctional truncated protein results from the excision of the conserved Sir2 motif of the SIRT1 catalytic domain (ΔSIRT1). C, Fluorometric assay of SIRT1 activity in skin from WT, cHet, and cKO mice (n = 3) at 4 to 6 weeks of age. From Ming et al.23 Journal of Allergy and Clinical Immunology 2015 135, 936-945.e4DOI: (10.1016/j.jaci.2014.09.035) Copyright © 2014 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig E2 Effect of SIRT1 knockdown on mRNA levels of the epidermal differentiation genes FLG, involucrin, keratin 14, keratin 5, desmoglein 1, desmoglein 2, desmoglein 3, KLK5, KLK7, KLK8, KLK10, KLK11, KLK12, KLK13, matriptase, and SPINK5. Journal of Allergy and Clinical Immunology 2015 135, 936-945.e4DOI: (10.1016/j.jaci.2014.09.035) Copyright © 2014 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig E3 Role of AKT in AhR regulation of FLG. A, Immunoblot analysis of FLG, CYP1B1, phosphorylated AKT (p-AKT), AKT, and glyceraldehyde-3-phosphate dehydrogenase (GAPDH) in HaCaT cells treated with BaP (10 μmol/L) for 48 hours. B, Immunoblot analysis of FLG, p-AKT, AKT, CYP1B1, and GAPDH in HaCaT cells treated with vehicle, BaP (10 μmol/L), LY294002 (LY; 10 μmol/L), or the combination of BaP and LY294002. C, Immunoblot analysis of FLG, p-AKT, AKT, CYP1B1, and GAPDH in HaCaT cells transfected with siRNA targeting AKT1 (siAKT1) or NC. Journal of Allergy and Clinical Immunology 2015 135, 936-945.e4DOI: (10.1016/j.jaci.2014.09.035) Copyright © 2014 American Academy of Allergy, Asthma & Immunology Terms and Conditions