Sirtuin 1 has been shown to deacetylate FOXO3 and FOXO4 and Sirtuin 1 has been involved in deacetylation of histone 3 (H3) and histone 4 (H4). Researchers have shown that epigenetically the binding of forkhead box O (FoxO) 3 to the promoter of PCSK9 recruits Sirt6 to deacetylate histone H3 suppressing PCSK9 expression. Sirtuin 1 is involved in the regulation of FOXO, H3 and H4 and may determine binding to the promoter of PCSK9 with interactions with Sirtuin 6 to determine PCSK9 expression. PCSK9 has been shown to be critical to plasma cholesterol levels and brain amyloidosis. Plasma PCSK9 inhibition in rodents regulates brain amyloidosis. In the plasma researchers now indicate that Sirtuin 1 binds PCSK9 and determine cholesterol and amyloid beta homeostasis. Sirtuin 1 inhibitors may increase plasma PCSK9 levels and determine elevated cholesterol levels and brain amyloidosis.
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