TY - JOUR AU - Dong, Zicai AU - Yang, Chuan AU - Tan, Jiulin AU - Dou, Ce AU - Chen, Yueqi PY - 2023 TI - Modulation of SIRT6 activity acts as an emerging therapeutic implication for pathological disorders in the skeletal system JO - Genes & Diseases SN - 2352-4820 SP - 864 EP - 876 VL - 10 IS - 3 AB - The skeletal system is a dynamically balanced system, which undergoes continuous bone resorption and formation to maintain bone matrix homeostasis. As an important ADP-ribosylase and NAD+-dependent deacylase, SIRT6 (SIR2-like protein 6) is widely expressed on various kinds of bone cells, such as chondrocytes, osteoblasts, osteoclasts. The aberration of SIRT6 impairs gene expression (e.g., NF-κB and Wnt target genes) and cellular functions (e.g., DNA repair, glucose and lipid metabolism, telomeric maintenance), which disturbs the dynamic balance and ultimately leads to several bone-related diseases. In this review, we summarize the critical roles of SIRT6 in the onset and progression of bone-related diseases including osteoporosis, osteoarthritis, rheumatoid arthritis, and intervertebral disc degeneration, as well as the relevant signaling pathways. In addition, we discuss the advances in the development of SIRT6 activators and elucidate their pharmacological profiles, which may provide novel treatment strategies for these skeletal diseases. UR - https://doi.org/10.1016/j.gendis.2021.12.024 DO - 10.1016/j.gendis.2021.12.024