<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<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" article-type="research-article" dtd-version="2.3" xml:lang="EN">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Immunol.</journal-id>
<journal-title>Frontiers in Immunology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Immunol.</abbrev-journal-title>
<issn pub-type="epub">1664-3224</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fimmu.2024.1402834</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Immunology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Sirtuin 6 inhibits group 3 innate lymphoid cell function and gut immunity by suppressing IL-22 production</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Su</surname>
<given-names>Xiaohui</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2599239"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
<role content-type="https://credit.niso.org/contributor-roles/investigation/"/>
<role content-type="https://credit.niso.org/contributor-roles/methodology/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhao</surname>
<given-names>Linfeng</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2604434"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
<role content-type="https://credit.niso.org/contributor-roles/investigation/"/>
<role content-type="https://credit.niso.org/contributor-roles/methodology/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhang</surname>
<given-names>Huasheng</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wang</surname>
<given-names>Dongdi</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Sun</surname>
<given-names>Jiping</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/funding-acquisition/"/>
<role content-type="https://credit.niso.org/contributor-roles/supervision/"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Shen</surname>
<given-names>Lei</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/704842"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/funding-acquisition/"/>
<role content-type="https://credit.niso.org/contributor-roles/supervision/"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Center for Immune-Related Diseases at Shanghai Institute of Immunology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine</institution>, <addr-line>Shanghai</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Department of Immunology and Microbiology, Key Laboratory of Cell Differentiation and Apoptosis of Chinese Ministry of Education, Shanghai Jiao Tong University School of Medicine</institution>, <addr-line>Shanghai</addr-line>, <country>China</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Shanghai Key Laboratory of Tumor Microenvironment and Inflammation, Shanghai Jiao Tong University School of Medicine</institution>, <addr-line>Shanghai</addr-line>, <country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Rosangela Salerno-Goncalves, University of Maryland, United States</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Rezwanul Wahid, University of Maryland, United States</p>
<p>Bin Bao, Harvard Medical School, United States</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Lei Shen, <email xlink:href="mailto:lshen@shsmu.edu.cn">lshen@shsmu.edu.cn</email>; Jiping Sun, <email xlink:href="mailto:sunjiping@shsmu.edu.cn">sunjiping@shsmu.edu.cn</email>
</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>26</day>
<month>08</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="collection">
<year>2024</year>
</pub-date>
<volume>15</volume>
<elocation-id>1402834</elocation-id>
<history>
<date date-type="received">
<day>18</day>
<month>03</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>08</day>
<month>08</month>
<year>2024</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2024 Su, Zhao, Zhang, Wang, Sun and Shen</copyright-statement>
<copyright-year>2024</copyright-year>
<copyright-holder>Su, Zhao, Zhang, Wang, Sun and Shen</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<sec>
<title>Introduction</title>
<p>Group 3 innate lymphoid cells (ILC3s) are enriched in the intestinal mucosa and play important roles in host defense against infection and inflammatory diseases. Sirtuin 6 (SIRT6) is a nicotinamide adenine dinucleotide (NAD+)- dependent deacetylase and has been shown to control intestinal epithelial cell differentiation and survival. However, the role of SIRT6 in ILC3s remains unknown.</p>
</sec> <sec>
<title>Methods</title>
<p>To investigate the role of SIRT6 in gut ILC3s, we generated SIRT6 conditional knockout mice by crossing Rorccre and Sirt6flox/flox mice. Cell number and cytokine production was examined using flow cytometry. Citrobacter rodentium infection and dextran sodium sulfate-induced colitis models were used to determine the role of SIRT6 in gut defense. RT-qPCR, flow cytometry and immunohistochemistry were used to assess the intestinal inflammatory responses.</p>
</sec> <sec>
<title>Results</title>
<p>Here we show that SIRT6 inhibits IL-22 expression in intestinal ILC3s in a cell-intrinsic manner. Deletion of SIRT6 in ILC3s does not affect the cell numbers of total ILC3s and subsets, but results in increased IL-22 production. Furthermore, ablation of SIRT6 in ILC3s protects mice against Citrobacter rodentium infection and dextran sodium sulfate-induced colitis. Our results suggest that SIRT6 may play a role in ILC3 function by regulating gut immune responses against bacterial infection and inflammation.</p>
</sec>
<sec>
<title>Discussion</title>
<p>Our finding provided insight into the relation of epigenetic regulators with IL-22 production and supplied a new perspective for a potential strategy against inflammatory bowel disease.</p>
</sec>
</abstract>
<kwd-group>
<kwd>sirtuin 6</kwd>
<kwd>group 3 innate lymphoid cells</kwd>
<kwd>IL-22</kwd>
<kwd>gut immunity</kwd>
<kwd>inflammation</kwd>
</kwd-group>
<counts>
<fig-count count="6"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="41"/>
<page-count count="12"/>
<word-count count="4924"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-in-acceptance</meta-name>
<meta-value>Mucosal Immunity</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<label>1</label>
<title>Introduction</title>
<p>Innate lymphoid cells (ILCs) are lymphoid-derived innate cells that lack recombination activating gene (RAG)-dependent rearranged antigen receptors (<xref ref-type="bibr" rid="B1">1</xref>). Based on the expression of transcription factor and cytokines secretion profile during ILC development, ILCs can be divided into three groups: group 1 ILCs (ILC1s) express T-bet and produce interferon-&#x3b3; (IFN-&#x3b3;), group 2 ILCs (ILC2s) require GATA3 and produce IL-5 and IL-13, and group 3 ILCs (ILC3s) are defined by the expression of RAR-related orphan receptor gamma t (ROR&#x3b3;t) and production of IL-22 and/or IL-17 (<xref ref-type="bibr" rid="B2">2</xref>&#x2013;<xref ref-type="bibr" rid="B5">5</xref>).</p>
<p>ILC3s are abundantly localized in the lamina propria of the intestine, where they play important roles in tissue homeostasis, host defense during bacterial infection, and tissue repair during intestinal inflammation (<xref ref-type="bibr" rid="B6">6</xref>&#x2013;<xref ref-type="bibr" rid="B8">8</xref>). ILC3 can secrete high levels of cytokine IL-22. IL-22 is an important anti-infective medium, which can stimulate intestinal epithelial cells (IEC) to secrete antimicrobial peptides and play a role in clearing intestinal pathogenic microorganisms (<xref ref-type="bibr" rid="B9">9</xref>&#x2013;<xref ref-type="bibr" rid="B11">11</xref>). IL-22 also promotes intestinal epithelial cell fucosylation through the induction of the fucosyltransferase Fut2 to protect from infection (<xref ref-type="bibr" rid="B12">12</xref>, <xref ref-type="bibr" rid="B13">13</xref>). During inflammatory tissue damage, such as inflammatory bowel disease or graft-versus-host disease (GVHD), IL-22 is important for maintaining intestinal epithelial integrity by inducing epithelial cell proliferation and intestinal stem cell differentiation (<xref ref-type="bibr" rid="B14">14</xref>&#x2013;<xref ref-type="bibr" rid="B17">17</xref>). Emerging studies indicate that disruption of the ILC3 compartment has been associated with inflammatory bowel disease and intestinal infection (<xref ref-type="bibr" rid="B18">18</xref>, <xref ref-type="bibr" rid="B19">19</xref>). IL-22-producing ILC3s were decreased in the intestine of Crohn&#x2019;s patients (<xref ref-type="bibr" rid="B20">20</xref>, <xref ref-type="bibr" rid="B21">21</xref>). Deletion of IL-22 in ILCs resulted in increased susceptibility to <italic>Citrobacter rodentium</italic> (<italic>C. rodentium)</italic> infection (<xref ref-type="bibr" rid="B18">18</xref>). Therefore, understanding the molecular mechanisms responsible for ILC3 activation and IL-22 production is critical for modulating intestinal immune responses during bacterial infection and inflammatory disease.</p>
<p>The Sirtuin family members (SIRTs) are evolutionarily conserved NAD<sup>+</sup>-dependent enzymes (<xref ref-type="bibr" rid="B22">22</xref>, <xref ref-type="bibr" rid="B23">23</xref>). SIRT6 is a nuclear and chromatin-bound protein that has been implicated in DNA repair, genome stability, metabolism, and inflammation (<xref ref-type="bibr" rid="B24">24</xref>&#x2013;<xref ref-type="bibr" rid="B26">26</xref>). Studies have shown that SIRT6 plays a protective role in colitis (<xref ref-type="bibr" rid="B27">27</xref>). Deletion of <italic>Sirt6</italic> in IEC resulted in increased susceptibility to dextran sodium sulfate (DSS)-induced colitis in mice. By contrast, overexpressing <italic>Sirt6</italic> improved DSS-induced colitis. A recent study reveals that IEC <italic>Sirt6</italic> deletion can also cause impaired tuft cell development and type 2 immunity in response to helminth infection (<xref ref-type="bibr" rid="B28">28</xref>). Mice with airway epithelial cell-specific deletion of <italic>Sirt6</italic> are protected against allergen-induced airway inflammation (<xref ref-type="bibr" rid="B29">29</xref>). However, the role of SIRT6 in regulating ILC3 function and intestinal homeostasis has not been investigated. Using <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice of both the wild-type and <italic>Rag1<sup>&#x2212;/&#x2212;</sup>
</italic> background, we show that SIRT6 inhibits IL-22 production and ILC3 function in a cell-intrinsic manner. Our study provides new insights into the regulation of ILC3 activation and intestinal immunity.</p>
</sec>
<sec id="s2" sec-type="materials|methods">
<label>2</label>
<title>Materials and methods</title>
<sec id="s2_1">
<label>2.1</label>
<title>Mice</title>
<p>
<italic>Sirt6<sup>fl/fl</sup>
</italic> mice and <italic>Rag1<sup>-/-</sup>
</italic> mice were purchased from the Jackson Laboratory. <italic>Rorc<sup>Cre</sup>
</italic> mice was provided by Ju Qiu from the Shanghai Institute of Nutrition and Health in the Chinese Academy of Sciences which was purchased from the Jackson Laboratory. The mice used in this study were C57BL/6 background. <italic>Sirt6<sup>fl/fl</sup>
</italic> mice possess loxP sites flanking exons 2-3 of the <italic>Sirt6</italic> targeted gene. <italic>Rorc<sup>Cre</sup>
</italic> mice express cre recombinase under the control of the mouse <italic>Rorc</italic> (RAR-related orphan receptor gamma; also called ROR&#x3b3;t) promoter. <italic>Rag1<sup>-/-</sup>
</italic> mice produce no mature T cells or B cells. <italic>Sirt6<sup>fl/fl</sup>
</italic> and <italic>Rorc<sup>Cre</sup>
</italic> mice were crossed to obtain a <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> strain. <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> and <italic>Rag1<sup>-/-</sup>
</italic> mice were crossed to obtain a <italic>Rag1<sup>-/-</sup>Sirt6<sup>&#x394;Rorc</sup>
</italic> strain. All mice were bred and maintained at accredited animal facilities under specific-pathogen-free conditions in individually ventilated cages on a strict 12-hour day&#x2013;night cycle with a regular chow diet. Mice used in this study were 6&#x2013;8 weeks old and sex-matched, unless otherwise indicated in the text. Mice were maintained at Shanghai Jiao Tong University School of Medicine. All animal experiments were performed in compliance with the Guide for the Care and Use of Laboratory Animals, with the protocols approved by the Institutional Animal Care and Use Committee of Shanghai, China [SYXK(SH)2023-0041].</p>
</sec>
<sec id="s2_2">
<label>2.2</label>
<title>Isolation of intestinal lamina propria lymphocytes</title>
<p>LPLs were purified as previously described (<xref ref-type="bibr" rid="B30">30</xref>). Briefly, mouse intestines (with Peyer&#x2019;s patches removed) were opened lengthwise and cut into 2 cm pieces. Intestinal pieces were washed with 1 mM DTT/PBS on a rocking platform for 10 min and then intensely shaken for 2 min. Repeat the last operation with 30mM EDTA/PBS. The remaining intestinal pieces were further chopped into 5 mm pieces and digested with RPMI media containing 100U/ml of Collagenase VIII (Sigma-Aldrich, C-2139) and 150ug/ml of DNase I (Sigma-Aldrich, DN25) at 37&#x2009;&#xb0;C in a 5% CO<sub>2</sub> incubator for 90min. The preparations were filtered with a 70&#xb5;m cell strainer and subjected to density gradient centrifugation using 40% and 80% Percoll solutions (GE Healthcare) at 2500rpm for 20min. Lymphocytes were collected from the interface and washed once.</p>
</sec>
<sec id="s2_3">
<label>2.3</label>
<title>
<italic>C. rodentium</italic> infection</title>
<p>
<italic>C. rodentium</italic> strain DBS100 was cultured overnight in Luria-Bertani (LB) broth shaking at 37&#xb0;C. Adult male <italic>Sirt6<sup>fl/fl</sup>
</italic> and <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> littermates or <italic>Rag1</italic>
<sup>-/-</sup>
<italic>Sirt6<sup>fl/fl</sup>
</italic> and <italic>Rag1</italic>
<sup>-/-</sup>
<italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> littermates (6-8 weeks) were orally gavaged with 10<sup>10</sup> colony-forming units (CFU) of <italic>C. rodentium</italic> in 0.2&#x2009;mL PBS. At five&#x2009;days post-inoculation, Feces were collected, weighed, homogenized, serially diluted and plated to determine the CFU. At six&#x2009;days post-inoculation, mice were sacrificed, and the colons were collected and divided into 3 pieces. One piece was flash-frozen for RNA analysis and the second was processed for flow cytometry analysis, and the third was fixed with 4% paraformaldehyde for histological analysis.</p>
</sec>
<sec id="s2_4">
<label>2.4</label>
<title>DSS-induced colitis</title>
<p>
<italic>Sirt6<sup>fl/fl</sup>
</italic> and <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice at the age of 6-8 weeks were oral administration of 2.5% DSS (MP Biomedical) in the drinking water for 7 days, followed by 3 days of normal drinking water. Body weight, the presence of occult or gross blood per rectum, and stool consistency were determined daily. Changes in body weight were indicated as loss of baseline body weight as a percentage. The scoring system described by Kim et&#xa0;al. was used to determine the disease activity index (DAI) (<xref ref-type="bibr" rid="B31">31</xref>). The DAI is the combined score of weight loss compared to initial weight, stool consistency, and bleeding. Scores are defined as follows: weight loss: 0 (no loss), 1 (1-5%), 2 (5-10%), 3 (10-20%), and 4 (&gt;20%); stool consistency: 0 (normal), 1 (soft), 2(very soft) and 3 (Watery); and bleeding: 0 (no blood), 1 (hemoccult positive), 2 (hemoccult positive and visual pellet bleeding), and 3 (gross bleeding, blood around anus). DAI can be scored daily during the duration of the DSS treatment. Colons were collected and divided into 2 pieces at 10 days after DSS treatment. One piece was processed for flow cytometry analysis, and another one was fixed with 4% paraformaldehyde for histological analysis.</p>
</sec>
<sec id="s2_5">
<label>2.5</label>
<title>Flow cytometry and cell sorting</title>
<p>Cells were resuspended in PBS and stained with fixable viability dye (BD Biosciences) at room temperature for 15 min to exclude dead cells. After washing with PBS, Cells were resuspended in FACS buffer and incubated with Fc Block (Biolegend,1:50) for 5 min at 4&#xb0;C to block Fc receptors. For surface staining, cells were incubated with antibody cocktails for 30 minutes at 4&#xb0;C in the dark. For intracellular cytokine staining, cells were stimulated with 50ng/ml of PMA (Sigma-Aldrich) and 500ng/ml of ionomycin (ENZO) or 10ng/ml of IL-23 for 4 hours and 2&#x2009;&#xb5;g/ml of Brefeldin A (Biolegend) was added for the last 2 hours. After surface staining, cells were fixed and permeabilized using the Foxp3/Transcription Factor Staining Buffer Set (eBioscience), and stained with antibody for 45 minutes at 4&#xb0;C in the dark. For cell sorting, ILC3s were identified as Lin<sup>-</sup>CD90<sup>hi</sup>CD45<sup>int</sup> live lymphocytes using a FACSAriaIII (BD Biosciences) (<xref ref-type="bibr" rid="B32">32</xref>&#x2013;<xref ref-type="bibr" rid="B35">35</xref>). Lineage markers include CD3, Gr-1, B220, CD11b, and CD11c. All reagents used were listed in <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table S1</bold>
</xref> and all antibodies used were listed in <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table S2</bold>
</xref>. Flow cytometry data were acquired using LSRFortessaX20 (BD Biosciences) and analyzed with Flowjo software (version 10).</p>
</sec>
<sec id="s2_6">
<label>2.6</label>
<title>Cell culture</title>
<p>Sorted ILC3s were cultured in 96-well flat-bottom plates in RPMI 1640 complete medium containing 10% fetal bovine serum, 2mM L-glutamine, 50&#x3bc;M &#x3b2;-mercaptoethanol, 1% MEM NEAA, 1% penicillin/streptomycin (all from Gibco or Sigma-Aldrich), in the presence of 10ng/ml IL-7 (Peprotech) (<xref ref-type="bibr" rid="B36">36</xref>).</p>
<p>The parental MNK cell lines are derived from NKR<sup>-</sup>P1B<sup>+</sup> fetal thymocytes. Among them, MNK3 is an IL-7-responsive subline that expresses Ror&#x3b3;t and produces high levels of IL-22 in response to IL-23 and IL-1&#x3b2; stimulation (<xref ref-type="bibr" rid="B37">37</xref>). The MNK3 cell line was previously described as an <italic>in vitro</italic> system to study ILC3 functionality (<xref ref-type="bibr" rid="B37">37</xref>). MNK3 cells were cultured in Dulbecco&#x2019;s modified Eagle&#x2019;s medium-high glucose medium with 10% fetal bovine serum, 2mM GlutaMAX, 1mM sodium pyruvate, 55&#x3bc;M &#x3b2;-mercaptoethanol, 10mM HEPES, 100&#x3bc;g/ml streptomycin, and 1% penicillin/streptomycin (all from Gibco or Sigma-Aldrich). MNK3 cells were cultured in the presence of 10ng/&#x2009;ml mouse IL-7 (Peprotech) and 10ng/ml mouse IL-15 (Peprotech).</p>
<p>Both ILC3s and MNK3 were cultured at 37&#xb0;C in 5% CO2 humidified air.</p>
<p>For inhibitor treatment, sorted ILC3s and MNK3 were treated with OSS-128167 (100&#x3bc;M, Selleck) for 18 hours <italic>in vitro</italic> and then stimulated with IL-23 at 10ng/ml for another 4hours.The percentage of IL-22<sup>+</sup> ILC3s or MNK3 was determined by flow cytometry.</p>
</sec>
<sec id="s2_7">
<label>2.7</label>
<title>Detection of mRNA by qRT-PCR</title>
<p>Total RNA was isolated with Trizol (Invitrogen). RNA concentration was detected by Nanodrop Spectrophotometer (Nanodrop Technologies). cDNA was synthesized using PrimeScript&#x2122; RT reagent Kit (Takara). Quantitative real-time reverse transcription qRT-PCR was performed using SYBR&#x2122; Select Master Mix (Applied Biosystems&#x2122;) on a ViiA7 Real-Time PCR System. Results were normalized as <italic>hprt</italic> through the &#x394;&#x394;Ct method. Primer sequences were shown in the <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table S3</bold>
</xref>.</p>
</sec>
<sec id="s2_8">
<label>2.8</label>
<title>Histology</title>
<p>Flush the colon with 10 mL of ice-cold phosphate-buffered saline (PBS) with a 10 mL syringe equipped with a gavage needle to remove the feces and blood until the eluate is completely clear. Cut it open longitudinally. Place the intestinal segment with the luminal side facing upward. Proceed with Swiss rolling the colon (<xref ref-type="bibr" rid="B38">38</xref>). Then fix the tissue with 4% paraformaldehyde overnight at 4&#xb0;C for paraffin embedding. For staining, cut 4um thick sections using a microtome. The sections were stained with hematoxylin staining solution for 5 min, washed with tap water, differentiated with differentiation solution, and returned to a blue solution. The slices were dehydrated with 85% and 95% gradient alcohol for 5 min respectively, and stained with eosin staining solution for 5 min. Sections were observed and photographed using the OLYMPUS BX53 system.</p>
</sec>
<sec id="s2_9">
<label>2.9</label>
<title>Statistical analysis</title>
<p>Statistical analyses were performed using the GraphPad Prism 8.0 program. Unless otherwise noted, the Kolmogorov-Smirnov test was performed for normality tests. Statistical significance was tested using two-tailed unpaired Student&#x2019;s t-test as parametric tests or Mann-Whitney test as nonparametric tests. For two independent variables, the differences were measured by two-way ANOVA. Data from these experiments are presented as the mean values &#xb1; SEM. <italic>P</italic> values are noted in each figure.</p>
</sec>
</sec>
<sec id="s3" sec-type="results">
<label>3</label>
<title>Results</title>
<sec id="s3_1">
<label>3.1</label>
<title>Ablation of SIRT6 in ILC3s enhances IL-22 production in steady state</title>
<p>To investigate the role of SIRT6 in gut ILC3s, we crossed <italic>Sirt6<sup>fl/fl</sup>
</italic> mice with <italic>Rorc<sup>Cre</sup>
</italic> mice to knock out SIRT6 in ILC3s (<italic>Sirt6<sup>&#x394;Rorc</sup>
</italic>) (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S1</bold>
</xref>). Genotyping of mice was performed by PCR (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S1A</bold>
</xref>). The efficiency of SIRT6 deletion in ILC3s exceeded 75% (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S1B</bold>
</xref>). We found that deletion of SIRT6 did not affect body weight and colon length in mice (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figures S1C, D</bold>
</xref>). We then examined the effect of SIRT6 on the ILC3 compartment in the small intestine. The Gating strategy of ILC3 is shown in <xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref> as previously described (<xref ref-type="bibr" rid="B6">6</xref>, <xref ref-type="bibr" rid="B32">32</xref>). Neither the frequency nor the absolute number of ILC3s was affected in <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice compared with <italic>Sirt6<sup>fl/fl</sup>
</italic> control mice (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1B, C</bold>
</xref>). The composition of ILC3 subsets, including NKp46<sup>+</sup>, CCR6<sup>+</sup>, and CCR6<sup>&#x2212;</sup>NKp46<sup>&#x2212;</sup> had no change in <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice as well (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1D-G</bold>
</xref>). Given that ILC3s exert immune function through the production of effector cytokines, we examined the expression of IL-22, IL-17A, GMCSF, and IFN-&#x3b3; by ILC3s. Intestinal ILC3s were treated with activating cytokine IL-23. We observed that SIRT6-deficient ILC3s produced more IL-22, while IL-17A, GMCSF, and IFN-&#x3b3; were unaffected (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2A-H</bold>
</xref>). Together, these data suggest that SIRT6 suppresses IL-22 production by ILC3s in the gut.</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>SIRT6 is not required for ILC3 development. <bold>(A)</bold> Gating strategy of ILC3s (Lin<sup>-</sup> CD45<sup>+</sup>ROR&#x3b3;t<sup>+</sup>) in <italic>Sirt6<sup>fl/fl</sup>
</italic> and <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice. <bold>(B)</bold> Representative flow cytometry plots for ILC3s gated on Lin<sup>-</sup>CD45<sup>+</sup>. <bold>(C)</bold> Percentage and absolute number of total ILC3s (ROR&#x3b3;t<sup>+</sup> among Lin<sup>-</sup>CD45<sup>+</sup>) in <italic>Sirt6<sup>fl/fl</sup>
</italic> and <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice (n=5/group). <bold>(D)</bold> Representative flow cytometry plots for ILC3 subsets gated on Lin<sup>-</sup>CD45<sup>+</sup>ROR&#x3b3;t<sup>+</sup>. <bold>(E-G)</bold> Frequencies and cell counts of NKp46<sup>+</sup> ILC3s <bold>(E)</bold>, CCR6<sup>+</sup> ILC3s <bold>(F)</bold>, NKp46<sup>-</sup>CCR6<sup>-</sup> ILC3s <bold>(G)</bold> in <italic>Sirt6<sup>fl/fl</sup>
</italic> and <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice (n=5/group). Each symbol represents an individual mouse <bold>(C, E-G)</bold>. Data are representative of 2 independent experiments and are presented as mean&#x2009;&#xb1;&#x2009;SEM. For statistical analysis, the following tests were used. C-left, E-G, two-tailed unpaired Student&#x2019;s t-test. C-right, Mann-Whitney test.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-15-1402834-g001.tif"/>
</fig>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>SIRT6 deletion in ILC3s promotes IL-22 production in response to IL-23. <bold>(A-H)</bold> LPLs from <italic>Sirt6<sup>fl/fl</sup>
</italic> and <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice were treated with 10ng/ml of IL-23 for 4h. <bold>(A-D)</bold> Representative flow cytometry plots for IL-22 <bold>(A)</bold>, IL-17A <bold>(B)</bold>, GMCSF <bold>(C)</bold>, and IFN-&#x3b3; <bold>(D)</bold> produced by ILC3s gated on Lin<sup>-</sup>CD45<sup>+</sup>ROR&#x3b3;t<sup>+</sup>. <bold>(E-H)</bold> Frequencies of IL-22<sup>+</sup> ILC3s <bold>(E)</bold>, IL-17A<sup>+</sup> ILC3s <bold>(F)</bold>, GMCSF<sup>+</sup> ILC3s <bold>(G)</bold>, IFN-&#x3b3;<sup>+</sup> ILC3s <bold>(H)</bold>. n=5/group <bold>(E-H)</bold>. Each symbol represents an individual mouse <bold>(E-H)</bold>. Data are representative of 2 independent experiments and are presented as mean&#x2009;&#xb1;&#x2009;SEM. For statistical analysis, the following tests were used. E,F,H, two-tailed unpaired Student&#x2019;s t-test. G, Mann-Whitney test.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-15-1402834-g002.tif"/>
</fig>
</sec>
<sec id="s3_2">
<label>3.2</label>
<title>SIRT6 ablation in ILC3s protects mice from <italic>C. rodentium</italic> infection</title>
<p>We next determined the role of SIRT6 in ILC3s during <italic>C. rodentium</italic> infection. Mice were challenged by oral gavage with 10<sup>10</sup> CFU of <italic>C. rodentium</italic>. Compared to <italic>Sirt6<sup>fl/fl</sup>
</italic> littermate controls, <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice controlled bacterial infection more efficiently, as indicated by longer colon length and reduced bacterial load (CFU counts) in feces (<xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3A, B</bold>
</xref>). Consistently, <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice exhibited reduced tissue inflammation characterized by decreased expression of pro-inflammatory cytokines including <italic>Il-6, Tnf, and Il-1&#x3b2;</italic>, compared to the <italic>Sirt6<sup>fl/fl</sup>
</italic> littermate controls (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3C</bold>
</xref>). As IL-22 has a crucial role in the early phase of host defense against <italic>C. rodentium</italic>, we examined the expression of IL-22 in ILC3s and T cells in the large intestine by flow cytometry (<xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3D-F</bold>
</xref>). As expected, infection with <italic>C. rodentium</italic> induced the expression of IL-22 in ILC3s. On day 6 post-infection, ILC3s from <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice produced more IL-22 than <italic>Sirt6<sup>fl/fl</sup>
</italic> littermate controls (<xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3D,E</bold>
</xref>). Since SIRT6 was deleted in both ILC3s and T cells in <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice, IL-22 production by T cells was assessed during <italic>C. rodentium</italic> infection. We did not observe significant differences in IL-22-expressing T cells between <italic>Sirt6<sup>fl/fl</sup>
</italic> and <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice (<xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3D, F</bold>
</xref>). Since IL-22 protects epithelial function by stimulating the secretion of antimicrobial peptides, we next analyzed the expression of the genes encoding the antimicrobial peptides. The expression of <italic>RegIII&#x3b2;</italic> and <italic>RegIII&#x3b3;</italic> were increased in the <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3G</bold>
</xref>). Consistently, <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice exhibited reduced tissue inflammation, as indicated by less immune cell infiltration in H&amp;E staining (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3H</bold>
</xref>). Thus, SIRT6 plays a critical role in regulating ILC3 function during <italic>C. rodentium</italic> infection.</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>Loss of SIRT6 enhances ILC3 mediated mucosal defense against bacterial infection. <bold>(A-H)</bold> <italic>Sirt6<sup>fl/fl</sup>
</italic> and <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice were orally gavaged with 10<sup>10</sup> CFU of <italic>C. rodentium</italic>. Large intestine tissues were collected 6 days after infection. <bold>(A)</bold> Length of the colon from <italic>Sirt6<sup>fl/fl</sup>
</italic> and <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice (n=5/group). <bold>(B)</bold> The amount of <italic>C. rodentium</italic> in <italic>Sirt6<sup>fl/fl</sup>
</italic> and <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice was measured (n=5/group). Bacterial counts were normalized to CFU per gram of feces. <bold>(C)</bold> mRNA expression of pro-inflammatory cytokines in the large intestine from <italic>Sirt6<sup>fl/fl</sup>
</italic> and <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice (n=5/group). <bold>(D)</bold> Representative flow cytometry plot for IL-22 produced by ILC3s and T cells. Cells were gated on Gr-1<sup>-</sup>B220<sup>-</sup>CD11b<sup>-</sup>CD11c<sup>-</sup>CD45<sup>+</sup>&#x2009;live lymphocytes. <bold>(E, F)</bold> Absolute numbers of IL-22 producing ILC3s <bold>(E)</bold> and T cells <bold>(F)</bold> in large intestine lamina propria of <italic>Sirt6<sup>fl/fl</sup>
</italic> and <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice (n=5/group). <bold>(G)</bold> Expression of <italic>RegIII&#x3b2;, RegIII&#x3b3;</italic> in large intestine from <italic>Sirt6<sup>fl/fl</sup>
</italic> and <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice (n=5/group). <bold>(H)</bold> Representative image of H&amp;E staining of colon sections from <italic>C.rodentium</italic> infected mice at day 6. The scale bar is 50&#x3bc;m. Each symbol represents an individual mouse <bold>(A-C, E-G)</bold>. Data are representative of 2 independent experiments and are presented as mean&#x2009;&#xb1;&#x2009;SEM. For statistical analysis, the following tests were used. A,C,E-G, two-tailed unpaired Student&#x2019;s t-test. B, Mann-Whitney test.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-15-1402834-g003.tif"/>
</fig>
</sec>
<sec id="s3_3">
<label>3.3</label>
<title>
<italic>Sirt6</italic> regulates ILC3 function and gut immunity in a cell-intrinsic manner</title>
<p>Since Rorc-driven Cre recombinase is expressed in both T cells and ILC3s, we investigated whether T cells were affected in <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice. <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice did not show any defects in the small intestine T cells. Neither the frequency nor the absolute number of ROR&#x3b3;t<sup>+</sup> T cells (gating on Gr-1<sup>-</sup>B220<sup>-</sup>CD11b<sup>-</sup>CD11c<sup>-</sup>CD45<sup>+</sup>CD3<sup>+</sup>ROR&#x3b3;t<sup>+</sup>) was affected in <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice compared with <italic>Sirt6<sup>fl/fl</sup>
</italic> control mice (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figures S2A, B</bold>
</xref>). Furthermore, the composition of ROR&#x3b3;t<sup>+</sup> T cells subsets, including ROR&#x3b3;t<sup>+</sup> Th17, ROR&#x3b3;t<sup>+</sup> Treg, and ROR&#x3b3;t<sup>+</sup>CD4<sup>-</sup> T cells had no change in <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figures S2A, C</bold>
</xref>). LPLs from the small intestine were stimulated with PMA/ionomycin and followed by intracellular staining for cytokines production. The expression of IFN-&#x3b3;, IL-4, and IL-17A by CD3<sup>+</sup> T cells showed no differences between <italic>Sirt6<sup>fl/fl</sup>
</italic> and <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figures S3A-F</bold>
</xref>). By contrast, IL-22-expressing ILC3s were largely increased despite normal IL-22 production by T cells in <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figures S3G-I</bold>
</xref>). Thus, the T cell compartment in the gut was not affected in <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice.</p>
<p>To completely rule out the impact of SIRT6-deficient T cells on ILC3s, we crossed <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice to <italic>Rag1<sup>&#x2212;/&#x2212;</sup>
</italic> mice lacking the adaptive immune system. Consistent with the findings in <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice, SIRT6-deficient ILC3s had elevated IL-22 production in <italic>Rag1<sup>-/-</sup>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice. Next, mice were infected with <italic>C. rodentium</italic> by gavage for 6 days. As expected, <italic>Rag1<sup>-/-</sup>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice had longer colon length (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4A</bold>
</xref>), reduced bacterial load (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4B</bold>
</xref>), increased IL-22-producing ILC3s (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4C, D</bold>
</xref>), and enhanced expression of <italic>RegIII&#x3b2;, RegIII&#x3b3;</italic> (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4E</bold>
</xref>). Together, these data support the conclusion that SIRT6 regulates ILC3s in a cell-intrinsic manner during <italic>C. rodentium</italic> infection.</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>SIRT6 regulates gut immunity against <italic>C. rodentium</italic> infection in an ILC3-intrinsic manner. <bold>(A-E)</bold> <italic>Rag1<sup>-/-</sup>Sirt6<sup>fl/fl</sup>
</italic> and <italic>Rag1<sup>-/-</sup>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice were infected with <italic>C. rodentium</italic>. Large intestine tissues were collected and analyzed on day 6 post-infection. <bold>(A)</bold> Length of colon and cecum (n=5/group). <bold>(B)</bold> Feces were collected from <italic>Rag1<sup>-/-</sup>Sirt6<sup>fl/fl</sup>
</italic> and <italic>Rag1<sup>-/-</sup>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice and were used for bacterial load detection. Bacterial counts were normalized to CFU per gram of feces(n=5/group). <bold>(C)</bold> Representative flow cytometry plot of IL-22<sup>+</sup> ILC3s in large intestine LPLs. Cells were gated on Gr-1<sup>-</sup>B220<sup>-</sup>CD11b<sup>-</sup>CD11c<sup>-</sup>CD45<sup>+</sup> live lymphocytes. <bold>(D)</bold> Absolute numbers of IL-22 producing ILC3s in large intestine LPLs (n=5/group). <bold>(E)</bold> Analysis of gene expression of <italic>RegIII&#x3b2;, RegIII&#x3b3;</italic> in large intestine (n=5/group). Each symbol represents an individual mouse <bold>(A, B, D, E)</bold>. Data are representative of 2 independent experiments and are presented as mean&#x2009;&#xb1;&#x2009;SEM. For statistical analysis, the following tests were used. A,B,D,E-left, two-tailed unpaired Student&#x2019;s t-test. E-right, Mann-Whitney test.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-15-1402834-g004.tif"/>
</fig>
</sec>
<sec id="s3_4">
<label>3.4</label>
<title>Deletion of SIRT6 in ILC3s protects mice from DSS-induced colitis</title>
<p>To further determine the role of SIRT6 in regulating ILC3 function during gut inflammation, <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice were treated with 2.5% DSS to induce acute colitis (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5A</bold>
</xref>). Compared to their littermate controls, <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice exhibited less body weight loss, lower DAI scores, and longer colon length (<xref ref-type="fig" rid="f5">
<bold>Figures&#xa0;5B-D</bold>
</xref>). Moreover, <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice exhibited decreased inflammation, as indicated by fewer infiltrated immune cells in H&amp;E staining (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5E</bold>
</xref>). These data suggested that the deletion of <italic>Sirt6</italic> in ILC3s protects mice from DSS-induced colitis. At the cellular level, we observed enhanced IL-22<sup>+</sup> ILC3s in <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5F</bold>
</xref>). However, levels of IL-17 were comparable between SIRT6-deficient ILC3s and control ILC3s (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5G</bold>
</xref>). Together, these data indicate that SIRT6 negatively regulates ILC3 function during gut inflammation.</p>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>Ablation of SIRT6 in ILC3s protects mice from DSS-induced colitis. <bold>(A)</bold> Experimental scheme for DSS-induced mouse colitis model. <italic>Sirt6<sup>fl/fl</sup>
</italic> and <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice were given 2.5% DSS in the drinking water for 7 days and then changed to water for another 3 days. The mice were sacrificed on Day 10. <bold>(B)</bold> Weight loss of DSS-treated <italic>Sirt6<sup>fl/fl</sup>
</italic> and <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice (n=6/group). <bold>(C)</bold> DAI score of DSS-treated <italic>Sirt6<sup>fl/fl</sup>
</italic> and <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice (n=6/group). <bold>(D)</bold> Colon length of DSS-treated <italic>Sirt6<sup>fl/fl</sup>
</italic> and <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice (n=6/group). <bold>(E)</bold> Representative image of H&amp;E staining of colon sections from DSS-treated <italic>Sirt6<sup>fl/fl</sup>
</italic> and <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice at day 10. The scale bar is 50&#x3bc;m. <bold>(F, G)</bold> Representative flow cytometry plots and frequencies of IL-22<sup>+</sup> ILC3s <bold>(F)</bold> (n=6/group), IL-17A<sup>+</sup> ILC3s <bold>(G)</bold> (n=6/group) in DSS-treated <italic>Sirt6<sup>fl/fl</sup>
</italic> and <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice at day10. Cells were gated on live Lin<sup>-</sup>ROR&#x3b3;t<sup>+</sup> lymphocytes. Each symbol represents an individual mouse <bold>(D, F, G)</bold>. Data are representative of 2 independent experiments and are presented as mean&#x2009;&#xb1;&#x2009;SEM. For statistical analysis, the following tests were used. B,C, two-way ANOVA. D,F,G, two-tailed unpaired Student&#x2019;s t-test.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-15-1402834-g005.tif"/>
</fig>
</sec>
<sec id="s3_5">
<label>3.5</label>
<title>SIRT6 inhibitor directly enhances ILC3 function <italic>in vitro</italic>
</title>
<p>We also found that the mRNA level of IL-22 was increased in SIRT6-deficient ILC3s, suggesting that SIRT6 regulates IL-22 expression at the transcriptional level (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6A</bold>
</xref>). To further investigate whether SIRT6 could directly suppress ILC3 function <italic>in vitro</italic>, a cell-permeable SIRT6-specific inhibitor, OSS-128167, was used to treat ILC3 culture in the presence of IL-23. After treatment with OSS-128167, ILC3s produced more IL-22 (<xref ref-type="fig" rid="f6">
<bold>Figures&#xa0;6B, C</bold>
</xref>). In addition, we used the ILC3-like MNK3 cell line, which mimics the phenotype and effector function of murine primary intestinal ILC3s. Similar to the findings observed in ILC3s, <italic>in vitro</italic> OSS-128167 treatment enhanced IL-22 production (<xref ref-type="fig" rid="f6">
<bold>Figures&#xa0;6D, E</bold>
</xref>). These data suggest that SIRT6 directly inhibits IL-22 production in ILC3s.</p>
<fig id="f6" position="float">
<label>Figure&#xa0;6</label>
<caption>
<p>SIRT6 inhibitor directly enhances ILC3 function <italic>in vitro</italic>. <bold>(A)</bold> mRNA expression level of <italic>Il-22</italic> in ILC3s derived from <italic>Sirt6<sup>fl/fl</sup>
</italic> and <italic>Sirt6<sup>&#x394;Rorc</sup>
</italic> mice (n=4/group). <bold>(B, C)</bold> ILC3s (Lin<sup>-</sup>CD90<sup>hi</sup>CD45<sup>int</sup>) sorted from small intestine were cultured for 18h in the presence of OSS-128167 at 100&#x3bc;M. Representative flow cytometry plots <bold>(B)</bold> and percentage <bold>(C)</bold> of IL-22<sup>+</sup> ILC3s by flow cytometry (n=6/group). <bold>(D, E)</bold> MNK3 were cultured for 18h in the presence of OSS-128167 at 100&#x3bc;M. Representative flow cytometry plots <bold>(D)</bold> and percentage <bold>(E)</bold> of IL-22<sup>+</sup> MNK3 by flow cytometry (n=5/group). OSS-128167: SIRT6 inhibitor. Each symbol represents an individual mouse <bold>(A)</bold>. Data are representative of 2 independent experiments and are presented as mean &#xb1; SEM. For statistical analysis, the following tests were used. A, Mann-Whitney test. C,E, two-tailed unpaired Student&#x2019;s t-test.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-15-1402834-g006.tif"/>
</fig>
</sec>
</sec>
<sec id="s4" sec-type="discussion">
<label>4</label>
<title>Discussion</title>
<p>In this study, we have investigated the role of SIRT6 in the regulation of intestinal ILC3 function under steady state and during infection and inflammation. Our data show that SIRT6 is dispensable for the development and differentiation of ILC3, but is required for supporting ILC3 function in a cell-intrinsic manner. We demonstrate that SIRT6 controls ILC3 function by inhibiting IL-22 production, which is critical for maintaining the homeostasis of intestinal immunity. Mice with SIRT6 deficiency in ILC3s are resistant to <italic>C. rodentium</italic> infection and DSS-induced colitis. Thus, SIRT6 acts as a negative regulator of IL-22 production by ILC3s and plays an important role in gut immune defense.</p>
<p>Previous studies have shown that SIRT6 is predominantly expressed in intestinal crypt epithelial cells and plays an important role in regulating intestinal homeostasis (<xref ref-type="bibr" rid="B27">27</xref>, <xref ref-type="bibr" rid="B28">28</xref>). Deletion of SIRT6 in IEC results in increased susceptibility of mice to DSS-induced colitis (<xref ref-type="bibr" rid="B27">27</xref>). The protective effect of SIRT6 in colitis is considered to act by maintaining the R-sponndin-1 level in the colon (<xref ref-type="bibr" rid="B27">27</xref>). Conversely, overexpression of SIRT6 protects mice from DSS-induced colitis due to reduced activation of NF-&#x3ba;B and c-Jun pathways (<xref ref-type="bibr" rid="B39">39</xref>). These results indicate that SIRT6 is required to maintain the intestinal barrier function during inflammation. One recent study also shows that SIRT6 can regulate lung epithelial cell function in allergic airway inflammation (<xref ref-type="bibr" rid="B29">29</xref>). In addition, SIRT6 can promote intestinal tuft cell development through activation of STAT6, which subsequently enhances intestinal type 2 immune responses to protect mice from helminth infection (<xref ref-type="bibr" rid="B28">28</xref>). Therefore, SIRT6 in epithelial cells plays a protective role in gut inflammation and parasite infection. In our study, we found that SIRT6 also regulated gut immunity through modulation of immune cell function. Deletion of SIRT6 in ILC3s resulted in increased IL-22 production and protected mice from <italic>C. rodentium</italic> infection and DSS-induced colitis. However, SIRT6 in ILC3s plays a detrimental role in gut inflammation and pathogenic bacterial infection. These data indicate that SIRT6 plays a differential role in different cell type in the context of gut inflammation. Given that SIRT6 is broadly expressed in multiple cell types in intestinal tissues, it could regulate intestinal homeostasis in a cell-type-specific manner. Thus, targeting SIRT6 need to be considered carefully because it could generate opposite effects in different cell types. It has been shown that SIRT6 expression was decreased in IEC during colitis in both mice and humans (<xref ref-type="bibr" rid="B27">27</xref>). However, the downregulation of SIRT6 in ILC3s could promote IL-22 production, leading to enhanced epithelial repair after tissue damage induced by DSS. The enhanced ILC3 function could be explained as a compensatory mechanism to facilitate the repair of epithelial injury.</p>
<p>As a histone deacetylase in cells, SIRT6 can regulate multiple biological functions, including inflammatory gene expression, DNA repair, and aging (<xref ref-type="bibr" rid="B24">24</xref>&#x2013;<xref ref-type="bibr" rid="B26">26</xref>). Deacetylation has been linked directly to gene transcription. One study shows that SIRT6 induces ROR&#x3b3;t deacetylation in lung epithelial cells, which was subsequently recruited to the IL-17A promoter and increased the transcriptional activity (<xref ref-type="bibr" rid="B29">29</xref>). Given that ROR&#x3b3;t is also an important transcription factor for IL-22 expression, it raises the possibility that SIRT6 might control IL-22 expression through induction of ROR&#x3b3;t deacetylation. However, we did not observe the change of IL-17A expression in SIRT6-deficient ILC3s and SIRT6 inhibited IL-22 expression in ILC3s. These data would rule out the possibility that SIRT6 promotes ROR&#x3b3;t transcriptional activity through deacetylation.</p>
<p>In addition, we found that deletion of SIRT6 in ROR&#x3b3;t<sup>+</sup> cells only affected the production of IL-22 in ILC3s, but not in ROR&#x3b3;t<sup>+</sup> T cells. These data suggest that SIRT6 plays a differential role in regulating IL-22 production in ILC3s compared to T cells. As ILC3s sense the tissue environmental signals and produce effector cytokines rapidly, the differences in ILC3s regulated by SIRT6 might be contributed by the distinct activation signals such as IL-23 and IL-1&#x3b2;. This could also be explained by the different cellular metabolism mediated by SIRT6 in ILC3s. Since SIRT6 has been shown to repress the transcriptional activity of HIF1&#x3b1; by deacetylating histone H3K9 at the promoters of several glycolytic genes (<xref ref-type="bibr" rid="B40">40</xref>), ILC3s exhibit active mitochondrial metabolism and mROS accumulation, which sustain HIF1&#x3b1; activity to promote IL-22 secretion (<xref ref-type="bibr" rid="B35">35</xref>). Given that Th17s have a low rate of mitochondrial oxidative metabolism with little mROS production, the IL-22 expression regulated by HIF1&#x3b1;-mediated metabolic adaption is very unlikely in T cells (<xref ref-type="bibr" rid="B41">41</xref>).</p>
<p>This study has some limitations. First, the molecular mechanisms underlying SIRT6 regulation of IL-22 remain unknown. To address this question, RNA sequencing and Cut&amp;Tag of SIRT6-deficient ILC3s need to be done to identify the epigenetic and transcriptional mechanisms. Second, whether the findings we observed in mice can resemble those in humans remains unknown. The expression of SIRT6 in human ILC3s need to be determined. Suppression or activation of SIRT6 with SIRT6 inhibitors or activators on human ILC3 function needs to be investigated as well.</p>
<p>In conclusion, we revealed that SIRT6 acts as a negative regulator of IL-22 production by ILC3s and plays an important role in gut immune defense. These data provided insight into the relation of epigenetic regulators with IL-22 production and supplied a new perspective for a potential strategy against inflammatory bowel disease.</p>
</sec>
</body>
<back>
<sec id="s5" sec-type="data-availability">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Material</bold>
</xref>. Further inquiries can be directed to the corresponding authors.</p>
</sec>
<sec id="s6" sec-type="ethics-statement">
<title>Ethics statement</title>
<p>The animal study was approved by Shanghai Jiao Tong University School of Medicine Institutional Animal Care and Use Committees (IACUC). The study was conducted in accordance with the local legislation and institutional requirements.</p>
</sec>
<sec id="s7" sec-type="author-contributions">
<title>Author contributions</title>
<p>XS: Writing &#x2013; original draft, Writing &#x2013; review &amp; editing, Investigation, Methodology. LZ: Writing &#x2013; review &amp; editing, Investigation, Methodology. HZ: Writing &#x2013; review &amp; editing. DW: Writing &#x2013; review &amp; editing. JS: Writing &#x2013; original draft, Writing &#x2013; review &amp; editing, Conceptualization, Funding acquisition, Supervision. LS: Writing &#x2013; original draft, Writing &#x2013; review &amp; editing, Conceptualization, Funding acquisition, Supervision.</p>
</sec>
<sec id="s8" sec-type="funding-information">
<title>Funding</title>
<p>The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This study was supported by grant 20204Y0120 (to XS) from Shanghai Municipal Health Commission, grants 32250710147 and 81971487 (to LS) from the National Natural Science Foundation of China, grant 2020YFA0509200 (to LS) from the Ministry of Science and Technology of the People&#x2019;s Republic of China, grant 23ZR1455100 (to LS) from the Science and Technology Commission of Shanghai Municipality, and Shanghai Frontiers Science Center of Cellular Homeostasis and Human Diseases.</p>
</sec>
<ack>
<title>Acknowledgments</title>
<p>We thank all the members of the Shen Laboratory for their help and suggestions. We thank the Flow Cytometry Core at Shanghai Institute of Immunology and Animal Facility at Shanghai Jiao Tong University School of Medicine for service and assistance.</p>
</ack>
<sec id="s9" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s10" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="s11" sec-type="supplementary-material">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fimmu.2024.1402834/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fimmu.2024.1402834/full#supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="DataSheet1.pdf" id="SM1" mimetype="application/pdf"/>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<label>1</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Vivier</surname> <given-names>E</given-names>
</name>
<name>
<surname>Artis</surname> <given-names>D</given-names>
</name>
<name>
<surname>Colonna</surname> <given-names>M</given-names>
</name>
<name>
<surname>Diefenbach</surname> <given-names>A</given-names>
</name>
<name>
<surname>Di Santo</surname> <given-names>JP</given-names>
</name>
<name>
<surname>Eberl</surname> <given-names>G</given-names>
</name>
<etal/>
</person-group>. <article-title>Innate lymphoid cells: 10 years on</article-title>. <source>Cell</source>. (<year>2018</year>) <volume>174</volume>:<page-range>1054&#x2013;66</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.cell.2018.07.017</pub-id>
</citation>
</ref>
<ref id="B2">
<label>2</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Spits</surname> <given-names>H</given-names>
</name>
<name>
<surname>Artis</surname> <given-names>D</given-names>
</name>
<name>
<surname>Colonna</surname> <given-names>M</given-names>
</name>
<name>
<surname>Diefenbach</surname> <given-names>A</given-names>
</name>
<name>
<surname>Di Santo</surname> <given-names>JP</given-names>
</name>
<name>
<surname>Eberl</surname> <given-names>G</given-names>
</name>
<etal/>
</person-group>. <article-title>Innate lymphoid cells&#x2013;a proposal for uniform nomenclature</article-title>. <source>Nat Rev Immunol</source>. (<year>2013</year>) <volume>13</volume>:<page-range>145&#x2013;9</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nri3365</pub-id>
</citation>
</ref>
<ref id="B3">
<label>3</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Artis</surname> <given-names>D</given-names>
</name>
<name>
<surname>Spits</surname> <given-names>H</given-names>
</name>
</person-group>. <article-title>The biology of innate lymphoid cells</article-title>. <source>Nature</source>. (<year>2015</year>) <volume>517</volume>:<fpage>293</fpage>&#x2013;<lpage>301</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nature14189</pub-id>
</citation>
</ref>
<ref id="B4">
<label>4</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Colonna</surname> <given-names>M</given-names>
</name>
</person-group>. <article-title>Innate lymphoid cells: diversity, plasticity, and unique functions in immunity</article-title>. <source>Immunity</source>. (<year>2018</year>) <volume>48</volume>:<page-range>1104&#x2013;17</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.immuni.2018.05.013</pub-id>
</citation>
</ref>
<ref id="B5">
<label>5</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Klose</surname> <given-names>CSN</given-names>
</name>
<name>
<surname>Artis</surname> <given-names>D</given-names>
</name>
</person-group>. <article-title>Innate lymphoid cells as regulators of immunity, inflammation and tissue homeostasis</article-title>. <source>Nat Immunol</source>. (<year>2016</year>) <volume>17</volume>:<page-range>765&#x2013;74</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/ni.3489</pub-id>
</citation>
</ref>
<ref id="B6">
<label>6</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Mortha</surname> <given-names>A</given-names>
</name>
<name>
<surname>Chudnovskiy</surname> <given-names>A</given-names>
</name>
<name>
<surname>Hashimoto</surname> <given-names>D</given-names>
</name>
<name>
<surname>Bogunovic</surname> <given-names>M</given-names>
</name>
<name>
<surname>Spencer</surname> <given-names>SP</given-names>
</name>
<name>
<surname>Belkaid</surname> <given-names>Y</given-names>
</name>
<etal/>
</person-group>. <article-title>Microbiota-dependent crosstalk between macrophages and ILC3 promotes intestinal homeostasis</article-title>. <source>Science</source>. (<year>2014</year>) <volume>343</volume>:<elocation-id>1249288</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1126/science.1249288</pub-id>
</citation>
</ref>
<ref id="B7">
<label>7</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Serafini</surname> <given-names>N</given-names>
</name>
<name>
<surname>Jarade</surname> <given-names>A</given-names>
</name>
<name>
<surname>Surace</surname> <given-names>L</given-names>
</name>
<name>
<surname>Goncalves</surname> <given-names>P</given-names>
</name>
<name>
<surname>Sismeiro</surname> <given-names>O</given-names>
</name>
<name>
<surname>Varet</surname> <given-names>H</given-names>
</name>
<etal/>
</person-group>. <article-title>Trained ILC3 responses promote intestinal defense</article-title>. <source>Science</source>. (<year>2022</year>) <volume>375</volume>:<page-range>859&#x2013;63</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1126/science.aaz8777</pub-id>
</citation>
</ref>
<ref id="B8">
<label>8</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jarade</surname> <given-names>A</given-names>
</name>
<name>
<surname>Garcia</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Marie</surname> <given-names>S</given-names>
</name>
<name>
<surname>Demera</surname> <given-names>A</given-names>
</name>
<name>
<surname>Prinz</surname> <given-names>I</given-names>
</name>
<name>
<surname>Bousso</surname> <given-names>P</given-names>
</name>
<etal/>
</person-group>. <article-title>Inflammation triggers ILC3 patrolling of the intestinal barrier</article-title>. <source>Nat Immunol</source>. (<year>2022</year>) <volume>23</volume>:<page-range>1317&#x2013;23</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41590-022-01284-1</pub-id>
</citation>
</ref>
<ref id="B9">
<label>9</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zheng</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Valdez</surname> <given-names>PA</given-names>
</name>
<name>
<surname>Danilenko</surname> <given-names>DM</given-names>
</name>
<name>
<surname>Hu</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Sa</surname> <given-names>SM</given-names>
</name>
<name>
<surname>Gong</surname> <given-names>Q</given-names>
</name>
<etal/>
</person-group>. <article-title>Interleukin-22 mediates early host defense against attaching and effacing bacterial pathogens</article-title>. <source>Nat Med</source>. (<year>2008</year>) <volume>14</volume>:<page-range>282&#x2013;9</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nm1720</pub-id>
</citation>
</ref>
<ref id="B10">
<label>10</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Mart&#xed;nez-L&#xf3;pez</surname> <given-names>M</given-names>
</name>
<name>
<surname>Iborra</surname> <given-names>S</given-names>
</name>
<name>
<surname>Conde-Garrosa</surname> <given-names>R</given-names>
</name>
<name>
<surname>Mastrangelo</surname> <given-names>A</given-names>
</name>
<name>
<surname>Danne</surname> <given-names>C</given-names>
</name>
<name>
<surname>Mann</surname> <given-names>ER</given-names>
</name>
<etal/>
</person-group>. <article-title>Microbiota sensing by mincle-syk axis in dendritic cells regulates interleukin-17 and -22 production and promotes intestinal barrier integrity</article-title>. <source>Immunity</source>. (<year>2019</year>) <volume>50</volume>:<page-range>446&#x2013;61</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.immuni.2018.12.020</pub-id>
</citation>
</ref>
<ref id="B11">
<label>11</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhou</surname> <given-names>J</given-names>
</name>
<name>
<surname>Yue</surname> <given-names>J</given-names>
</name>
<name>
<surname>Yao</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Hou</surname> <given-names>P</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>T</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>Q</given-names>
</name>
<etal/>
</person-group>. <article-title>Dihydromyricetin protects intestinal barrier integrity by promoting IL-22 expression in ILC3s through the AMPK/SIRT3/STAT3 signaling pathway</article-title>. <source>Nutrients</source>. (<year>2023</year>) <volume>15</volume>:<fpage>355</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/nu15020355</pub-id>
</citation>
</ref>
<ref id="B12">
<label>12</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname> <given-names>B</given-names>
</name>
<name>
<surname>Lim</surname> <given-names>J-H</given-names>
</name>
<name>
<surname>Kajikawa</surname> <given-names>T</given-names>
</name>
<name>
<surname>Li</surname> <given-names>X</given-names>
</name>
<name>
<surname>Vallance</surname> <given-names>BA</given-names>
</name>
<name>
<surname>Moutsopoulos</surname> <given-names>NM</given-names>
</name>
<etal/>
</person-group>. <article-title>Macrophage &#x3b2;2-integrins regulate IL-22 by ILC3s and protect from lethal citrobacter rodentium-induced colitis</article-title>. <source>Cell Rep</source>. (<year>2019</year>) <volume>26</volume>:<page-range>1614&#x2013;26</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.celrep.2019.01.054</pub-id>
</citation>
</ref>
<ref id="B13">
<label>13</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Bauch&#xe9;</surname> <given-names>D</given-names>
</name>
<name>
<surname>Joyce-Shaikh</surname> <given-names>B</given-names>
</name>
<name>
<surname>Fong</surname> <given-names>J</given-names>
</name>
<name>
<surname>Villarino</surname> <given-names>AV</given-names>
</name>
<name>
<surname>Ku</surname> <given-names>KS</given-names>
</name>
<name>
<surname>Jain</surname> <given-names>R</given-names>
</name>
<etal/>
</person-group>. <article-title>IL-23 and IL-2 activation of STAT5 is required for optimal IL-22 production in ILC3s during colitis</article-title>. <source>Sci Immunol</source>. (<year>2020</year>) <volume>5</volume>:<page-range>eaav1080</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1126/sciimmunol.aav1080</pub-id>
</citation>
</ref>
<ref id="B14">
<label>14</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Tang</surname> <given-names>Q</given-names>
</name>
<name>
<surname>Ahn</surname> <given-names>Y-O</given-names>
</name>
<name>
<surname>Southern</surname> <given-names>P</given-names>
</name>
<name>
<surname>Blazar</surname> <given-names>BR</given-names>
</name>
<name>
<surname>Miller</surname> <given-names>JS</given-names>
</name>
<name>
<surname>Verneris</surname> <given-names>MR</given-names>
</name>
</person-group>. <article-title>Development of IL-22-producing NK lineage cells from umbilical cord blood hematopoietic stem cells in the absence of secondary lymphoid tissue</article-title>. <source>Blood</source>. (<year>2011</year>) <volume>117</volume>:<page-range>4052&#x2013;5</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1182/blood-2010-09-303081</pub-id>
</citation>
</ref>
<ref id="B15">
<label>15</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Montaldo</surname> <given-names>E</given-names>
</name>
<name>
<surname>Teixeira-Alves</surname> <given-names>LG</given-names>
</name>
<name>
<surname>Glatzer</surname> <given-names>T</given-names>
</name>
<name>
<surname>Durek</surname> <given-names>P</given-names>
</name>
<name>
<surname>Stervbo</surname> <given-names>U</given-names>
</name>
<name>
<surname>Hamann</surname> <given-names>W</given-names>
</name>
<etal/>
</person-group>. <article-title>Human ROR&#x3b3;t(+)CD34(+) cells are lineage-specified progenitors of group 3 ROR&#x3b3;t(+) innate lymphoid cells</article-title>. <source>Immunity</source>. (<year>2014</year>) <volume>41</volume>:<page-range>988&#x2013;1000</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.immuni.2014.11.010</pub-id>
</citation>
</ref>
<ref id="B16">
<label>16</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ahn</surname> <given-names>Y-O</given-names>
</name>
<name>
<surname>Blazar</surname> <given-names>BR</given-names>
</name>
<name>
<surname>Miller</surname> <given-names>JS</given-names>
</name>
<name>
<surname>Verneris</surname> <given-names>MR</given-names>
</name>
</person-group>. <article-title>Lineage relationships of human interleukin-22-producing CD56+ ROR&#x3b3;t+ innate lymphoid cells and conventional natural killer cells</article-title>. <source>Blood</source>. (<year>2013</year>) <volume>121</volume>:<page-range>2234&#x2013;43</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1182/blood-2012-07-440099</pub-id>
</citation>
</ref>
<ref id="B17">
<label>17</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hern&#xe1;ndez</surname> <given-names>DC</given-names>
</name>
<name>
<surname>Juelke</surname> <given-names>K</given-names>
</name>
<name>
<surname>M&#xfc;ller</surname> <given-names>NC</given-names>
</name>
<name>
<surname>Durek</surname> <given-names>P</given-names>
</name>
<name>
<surname>Ugursu</surname> <given-names>B</given-names>
</name>
<name>
<surname>Mashreghi</surname> <given-names>M-F</given-names>
</name>
<etal/>
</person-group>. <article-title>An in <italic>vitro</italic> platform supports generation of human innate lymphoid cells from CD34+ hematopoietic progenitors that recapitulate ex vivo identity</article-title>. <source>Immunity</source>. (<year>2021</year>) <volume>54</volume>:<page-range>2417&#x2013;32</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.immuni.2021.07.019</pub-id>
</citation>
</ref>
<ref id="B18">
<label>18</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gunasekera</surname> <given-names>DC</given-names>
</name>
<name>
<surname>Ma</surname> <given-names>J</given-names>
</name>
<name>
<surname>Vacharathit</surname> <given-names>V</given-names>
</name>
<name>
<surname>Shah</surname> <given-names>P</given-names>
</name>
<name>
<surname>Ramakrishnan</surname> <given-names>A</given-names>
</name>
<name>
<surname>Uprety</surname> <given-names>P</given-names>
</name>
<etal/>
</person-group>. <article-title>The development of colitis in Il10-/- mice is dependent on IL-22</article-title>. <source>Mucosal Immunol</source>. (<year>2020</year>) <volume>13</volume>:<fpage>493</fpage>&#x2013;<lpage>506</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41385-019-0252-3</pub-id>
</citation>
</ref>
<ref id="B19">
<label>19</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yan</surname> <given-names>J</given-names>
</name>
<name>
<surname>Yu</surname> <given-names>J</given-names>
</name>
<name>
<surname>Yuan</surname> <given-names>S</given-names>
</name>
<name>
<surname>Tang</surname> <given-names>W</given-names>
</name>
<name>
<surname>Ma</surname> <given-names>W</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>X</given-names>
</name>
<etal/>
</person-group>. <article-title>Musculin is highly enriched in Th17 and IL-22-producing ILC3s and restrains pro-inflammatory cytokines in murine colitis</article-title>. <source>Eur J Immunol</source>. (<year>2021</year>) <volume>51</volume>:<page-range>995&#x2013;8</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1002/eji.202048573</pub-id>
</citation>
</ref>
<ref id="B20">
<label>20</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Li</surname> <given-names>J</given-names>
</name>
<name>
<surname>Doty</surname> <given-names>AL</given-names>
</name>
<name>
<surname>Tang</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Berrie</surname> <given-names>D</given-names>
</name>
<name>
<surname>Iqbal</surname> <given-names>A</given-names>
</name>
<name>
<surname>Tan</surname> <given-names>SA</given-names>
</name>
<etal/>
</person-group>. <article-title>Enrichment of IL-17A+ IFN-&#x3b3;+ and IL-22+ IFN-&#x3b3;+ T cell subsets is associated with reduction of NKp44+ ILC3s in the terminal ileum of Crohn&#x2019;s disease patients</article-title>. <source>Clin Exp Immunol</source>. (<year>2017</year>) <volume>190</volume>:<page-range>143&#x2013;53</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/cei.12996</pub-id>
</citation>
</ref>
<ref id="B21">
<label>21</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Castleman</surname> <given-names>MJ</given-names>
</name>
<name>
<surname>Dillon</surname> <given-names>SM</given-names>
</name>
<name>
<surname>Purba</surname> <given-names>CM</given-names>
</name>
<name>
<surname>Cogswell</surname> <given-names>AC</given-names>
</name>
<name>
<surname>Kibbie</surname> <given-names>JJ</given-names>
</name>
<name>
<surname>Mccarter</surname> <given-names>MD</given-names>
</name>
<etal/>
</person-group>. <article-title>Commensal and Pathogenic Bacteria Indirectly Induce IL-22 but Not IFN&#x3b3; Production From Human Colonic ILC3s via Multiple Mechanisms</article-title>. <source>Front Immunol</source>. (<year>2019</year>) <volume>10</volume>:<elocation-id>649</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fimmu.2019.00649</pub-id>
</citation>
</ref>
<ref id="B22">
<label>22</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lee</surname> <given-names>S-H</given-names>
</name>
<name>
<surname>Lee</surname> <given-names>J-H</given-names>
</name>
<name>
<surname>Lee</surname> <given-names>H-Y</given-names>
</name>
<name>
<surname>Min</surname> <given-names>K-J</given-names>
</name>
</person-group>. <article-title>Sirtuin signaling in cellular senescence and aging</article-title>. <source>BMB Rep</source>. (<year>2019</year>) <volume>52</volume>:<fpage>24</fpage>&#x2013;<lpage>34</lpage>. doi: <pub-id pub-id-type="doi">10.5483/BMBRep.2019.52.1.290</pub-id>
</citation>
</ref>
<ref id="B23">
<label>23</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Choudhary</surname> <given-names>C</given-names>
</name>
<name>
<surname>Kumar</surname> <given-names>C</given-names>
</name>
<name>
<surname>Gnad</surname> <given-names>F</given-names>
</name>
<name>
<surname>Nielsen</surname> <given-names>ML</given-names>
</name>
<name>
<surname>Rehman</surname> <given-names>M</given-names>
</name>
<name>
<surname>Walther</surname> <given-names>TC</given-names>
</name>
<etal/>
</person-group>. <article-title>Lysine acetylation targets protein complexes and co-regulates major cellular functions</article-title>. <source>Science</source>. (<year>2009</year>) <volume>325</volume>:<page-range>834&#x2013;40</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1126/science.1175371</pub-id>
</citation>
</ref>
<ref id="B24">
<label>24</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Michishita</surname> <given-names>E</given-names>
</name>
<name>
<surname>Park</surname> <given-names>JY</given-names>
</name>
<name>
<surname>Burneskis</surname> <given-names>JM</given-names>
</name>
<name>
<surname>Barrett</surname> <given-names>JC</given-names>
</name>
<name>
<surname>Horikawa</surname> <given-names>I</given-names>
</name>
</person-group>. <article-title>Evolutionarily conserved and nonconserved cellular localizations and functions of human SIRT proteins</article-title>. <source>Mol Biol Cell</source>. (<year>2005</year>) <volume>16</volume>:<page-range>4623&#x2013;35</page-range>. doi: <pub-id pub-id-type="doi">10.1091/mbc.e05-01-0033</pub-id>
</citation>
</ref>
<ref id="B25">
<label>25</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gerner</surname> <given-names>RR</given-names>
</name>
<name>
<surname>Klepsch</surname> <given-names>V</given-names>
</name>
<name>
<surname>Macheiner</surname> <given-names>S</given-names>
</name>
<name>
<surname>Arnhard</surname> <given-names>K</given-names>
</name>
<name>
<surname>Adolph</surname> <given-names>TE</given-names>
</name>
<name>
<surname>Grander</surname> <given-names>C</given-names>
</name>
<etal/>
</person-group>. <article-title>NAD metabolism fuels human and mouse intestinal inflammation</article-title>. <source>Gut</source>. (<year>2018</year>) <volume>67</volume>:<page-range>1813&#x2013;23</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1136/gutjnl-2017-314241</pub-id>
</citation>
</ref>
<ref id="B26">
<label>26</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Li</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Jin</surname> <given-names>J</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>Y</given-names>
</name>
</person-group>. <article-title>SIRT6 widely regulates Aging, Immunity, and Cancer</article-title>. <source>Front Oncol</source>. (<year>2022</year>) <volume>12</volume>:<elocation-id>861334</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fonc.2022.861334</pub-id>
</citation>
</ref>
<ref id="B27">
<label>27</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Liu</surname> <given-names>F</given-names>
</name>
<name>
<surname>Bu</surname> <given-names>H-F</given-names>
</name>
<name>
<surname>Geng</surname> <given-names>H</given-names>
</name>
<name>
<surname>De Plaen</surname> <given-names>IG</given-names>
</name>
<name>
<surname>Gao</surname> <given-names>C</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>P</given-names>
</name>
<etal/>
</person-group>. <article-title>Sirtuin-6 preserves R-spondin-1 expression and increases resistance of intestinal epithelium to injury in mice</article-title>. <source>Mol Med</source>. (<year>2017</year>) <volume>23</volume>:<page-range>272&#x2013;84</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.2119/molmed.2017.00085</pub-id>
</citation>
</ref>
<ref id="B28">
<label>28</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Xiong</surname> <given-names>X</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>C</given-names>
</name>
<name>
<surname>He</surname> <given-names>WQ</given-names>
</name>
<name>
<surname>Yu</surname> <given-names>J</given-names>
</name>
<name>
<surname>Xin</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>X</given-names>
</name>
<etal/>
</person-group>. <article-title>Sirtuin 6 maintains epithelial STAT6 activity to support intestinal tuft cell development and type 2 immunity</article-title>. <source>Nat Commun</source>. (<year>2022</year>) <volume>13</volume>:<fpage>5192</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41467-022-32846-4</pub-id>
</citation>
</ref>
<ref id="B29">
<label>29</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Quan</surname> <given-names>J</given-names>
</name>
<name>
<surname>Wen</surname> <given-names>X</given-names>
</name>
<name>
<surname>Su</surname> <given-names>G</given-names>
</name>
<name>
<surname>Zhong</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>T</given-names>
</name>
<name>
<surname>Xiong</surname> <given-names>Z</given-names>
</name>
<etal/>
</person-group>. <article-title>Epithelial SIRT6 governs IL-17A pathogenicity and drives allergic airway inflammation and remodeling</article-title>. <source>Nat Commun</source>. (<year>2023</year>) <volume>14</volume>:<fpage>8525</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41467-023-44179-x</pub-id>
</citation>
</ref>
<ref id="B30">
<label>30</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Weigmann</surname> <given-names>B</given-names>
</name>
<name>
<surname>Tubbe</surname> <given-names>I</given-names>
</name>
<name>
<surname>Seidel</surname> <given-names>D</given-names>
</name>
<name>
<surname>Nicolaev</surname> <given-names>A</given-names>
</name>
<name>
<surname>Becker</surname> <given-names>C</given-names>
</name>
<name>
<surname>Neurath</surname> <given-names>MF</given-names>
</name>
</person-group>. <article-title>Isolation and subsequent analysis of murine lamina propria mononuclear cells from colonic tissue</article-title>. <source>Nat Protoc</source>. (<year>2007</year>) <volume>2</volume>:<page-range>2307&#x2013;11</page-range>. doi: <pub-id pub-id-type="doi">10.1038/nprot.2007.315</pub-id>
</citation>
</ref>
<ref id="B31">
<label>31</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kim</surname> <given-names>JJ</given-names>
</name>
<name>
<surname>Shajib</surname> <given-names>MS</given-names>
</name>
<name>
<surname>Manocha</surname> <given-names>MM</given-names>
</name>
<name>
<surname>Khan</surname> <given-names>WI</given-names>
</name>
</person-group>. <article-title>Investigating intestinal inflammation in DSS-induced model of IBD</article-title>. <source>J Vis Exp</source>. (<year>2012</year>) <volume>60</volume>:<fpage>3678</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.3791/3678</pub-id>
</citation>
</ref>
<ref id="B32">
<label>32</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Bando</surname> <given-names>JK</given-names>
</name>
<name>
<surname>Gilfillan</surname> <given-names>S</given-names>
</name>
<name>
<surname>Song</surname> <given-names>C</given-names>
</name>
<name>
<surname>McDonald</surname> <given-names>KG</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>SC</given-names>
</name>
<name>
<surname>Newberry</surname> <given-names>RD</given-names>
</name>
<etal/>
</person-group>. <article-title>The tumor necrosis factor superfamily member RANKL suppresses effector cytokine production in group 3 innate lymphoid cells</article-title>. <source>Immunity</source>. (<year>2018</year>) <volume>48</volume>:<fpage>1208</fpage>&#x2013;<lpage>1219.e4</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.immuni.2018.04.012</pub-id>
</citation>
</ref>
<ref id="B33">
<label>33</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Guo</surname> <given-names>X</given-names>
</name>
<name>
<surname>Qiu</surname> <given-names>J</given-names>
</name>
<name>
<surname>Tu</surname> <given-names>T</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>X</given-names>
</name>
<name>
<surname>Deng</surname> <given-names>L</given-names>
</name>
<name>
<surname>Anders</surname> <given-names>RA</given-names>
</name>
<etal/>
</person-group>. <article-title>Induction of innate lymphoid cell-derived interleukin-22 by the transcription factor STAT3 mediates protection against intestinal infection</article-title>. <source>Immunity</source>. (<year>2014</year>) <volume>40</volume>:<fpage>25</fpage>&#x2013;<lpage>39</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.immuni.2013.10.021</pub-id>
</citation>
</ref>
<ref id="B34">
<label>34</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Xu</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>H</given-names>
</name>
<name>
<surname>Wu</surname> <given-names>S</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>J</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>H</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>D</given-names>
</name>
<etal/>
</person-group>. <article-title>PLZF restricts intestinal ILC3 function in gut defense</article-title>. <source>Cell Mol Immunol</source>. (<year>2023</year>) <volume>20</volume>:<page-range>379&#x2013;88</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41423-023-00975-5</pub-id>
</citation>
</ref>
<ref id="B35">
<label>35</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Di Luccia</surname> <given-names>B</given-names>
</name>
<name>
<surname>Gilfillan</surname> <given-names>S</given-names>
</name>
<name>
<surname>Cella</surname> <given-names>M</given-names>
</name>
<name>
<surname>Colonna</surname> <given-names>M</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>SC</given-names>
</name>
</person-group>. <article-title>ILC3s integrate glycolysis and mitochondrial production of reactive oxygen species to fulfill activation demands</article-title>. <source>J Exp Med</source>. (<year>2019</year>) <volume>216</volume>:<page-range>2231&#x2013;41</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1084/jem.20180549</pub-id>
</citation>
</ref>
<ref id="B36">
<label>36</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Duffin</surname> <given-names>R</given-names>
</name>
<name>
<surname>O&#x2019;Connor</surname> <given-names>RA</given-names>
</name>
<name>
<surname>Crittenden</surname> <given-names>S</given-names>
</name>
<name>
<surname>Forster</surname> <given-names>T</given-names>
</name>
<name>
<surname>Yu</surname> <given-names>C</given-names>
</name>
<name>
<surname>Zheng</surname> <given-names>X</given-names>
</name>
<etal/>
</person-group>. <article-title>Prostaglandin E<sub>2</sub> constrains systemic inflammation through an innate lymphoid cell-IL-22 axis</article-title>. <source>Science</source>. (<year>2016</year>) <volume>351</volume>:<page-range>1333&#x2013;8</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1126/science.aad9903</pub-id>
</citation>
</ref>
<ref id="B37">
<label>37</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Allan</surname> <given-names>DSJ</given-names>
</name>
<name>
<surname>Kirkham</surname> <given-names>CL</given-names>
</name>
<name>
<surname>Aguilar</surname> <given-names>OA</given-names>
</name>
<name>
<surname>Qu</surname> <given-names>LC</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>P</given-names>
</name>
<name>
<surname>Fine</surname> <given-names>JH</given-names>
</name>
<etal/>
</person-group>. <article-title>An in <italic>vitro</italic> model of innate lymphoid cell function and differentiation</article-title>. <source>Mucosal Immunol</source>. (<year>2015</year>) <volume>8</volume>:<page-range>340&#x2013;51</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/mi.2014.71</pub-id>
</citation>
</ref>
<ref id="B38">
<label>38</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Le Naour</surname> <given-names>J</given-names>
</name>
<name>
<surname>Mont&#xe9;gut</surname> <given-names>L</given-names>
</name>
<name>
<surname>Joseph</surname> <given-names>A</given-names>
</name>
<name>
<surname>Garbin</surname> <given-names>K</given-names>
</name>
<name>
<surname>Vacchelli</surname> <given-names>E</given-names>
</name>
<name>
<surname>Kroemer</surname> <given-names>G</given-names>
</name>
<etal/>
</person-group>. <article-title>Improved Swiss-rolling method for histological analyses of colon tissue</article-title>. <source>MethodsX</source>. (<year>2022</year>) <volume>9)9</volume>:<elocation-id>101630</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.mex.2022.101630</pub-id>
</citation>
</ref>
<ref id="B39">
<label>39</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Xu</surname> <given-names>K</given-names>
</name>
<name>
<surname>Guo</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Ping</surname> <given-names>L</given-names>
</name>
<name>
<surname>Qiu</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>Q</given-names>
</name>
<name>
<surname>Li</surname> <given-names>Z</given-names>
</name>
<etal/>
</person-group>. <article-title>Protective effects of SIRT6 overexpression against DSS-induced colitis in mice</article-title>. <source>Cells</source>. (<year>2020</year>) <volume>9</volume>:<elocation-id>1513</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/cells9061513</pub-id>
</citation>
</ref>
<ref id="B40">
<label>40</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhong</surname> <given-names>L</given-names>
</name>
<name>
<surname>D&#x2019;Urso</surname> <given-names>A</given-names>
</name>
<name>
<surname>Toiber</surname> <given-names>D</given-names>
</name>
<name>
<surname>Sebastian</surname> <given-names>C</given-names>
</name>
<name>
<surname>Henry</surname> <given-names>RE</given-names>
</name>
<name>
<surname>Vadysirisack</surname> <given-names>DD</given-names>
</name>
<etal/>
</person-group>. <article-title>The histone deacetylase Sirt6 regulates glucose homeostasis via Hif1alpha</article-title>. <source>Cell</source>. (<year>2010</year>) <volume>140</volume>:<page-range>280&#x2013;93</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.cell.2009.12.041</pub-id>
</citation>
</ref>
<ref id="B41">
<label>41</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gerriets</surname> <given-names>VA</given-names>
</name>
<name>
<surname>Kishton</surname> <given-names>RJ</given-names>
</name>
<name>
<surname>Nichols</surname> <given-names>AG</given-names>
</name>
<name>
<surname>Macintyre</surname> <given-names>AN</given-names>
</name>
<name>
<surname>Inoue</surname> <given-names>M</given-names>
</name>
<name>
<surname>Ilkayeva</surname> <given-names>O</given-names>
</name>
<etal/>
</person-group>. <article-title>Metabolic programming and PDHK1 control CD4+ T cell subsets and inflammation</article-title>. <source>J Clin Invest</source>. (<year>2015</year>) <volume>125</volume>:<fpage>194</fpage>&#x2013;<lpage>207</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1172/JCI76012</pub-id>
</citation>
</ref>
</ref-list>
</back>
</article>