<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article article-type="research-article" dtd-version="2.3" xml:lang="EN" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Pharmacol.</journal-id>
<journal-title>Frontiers in Pharmacology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Pharmacol.</abbrev-journal-title>
<issn pub-type="epub">1663-9812</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">1608156</article-id>
<article-id pub-id-type="doi">10.3389/fphar.2025.1608156</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Pharmacology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Inhibition of SIRT3 by a specific inhibitor induces cellular senescence and growth arrest of ovarian granulosa cell tumor via p53 and NF-&#x3ba;B axis</article-title>
<alt-title alt-title-type="left-running-head">Ma et al.</alt-title>
<alt-title alt-title-type="right-running-head">
<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fphar.2025.1608156">10.3389/fphar.2025.1608156</ext-link>
</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Ma</surname>
<given-names>Jingxin</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/3029566/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/data-curation/"/>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/"/>
<role content-type="https://credit.niso.org/contributor-roles/methodology/"/>
<role content-type="https://credit.niso.org/contributor-roles/validation/"/>
<role content-type="https://credit.niso.org/contributor-roles/visualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lin</surname>
<given-names>Sailing</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/software/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zeng</surname>
<given-names>Chuimian</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/3097006/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/software/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wu</surname>
<given-names>Wenhao</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/software/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhang</surname>
<given-names>Qi</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/software/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhu</surname>
<given-names>Guli</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/software/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhang</surname>
<given-names>Qi</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/software/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Fang</surname>
<given-names>Qiongfang</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/software/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Fan</surname>
<given-names>Lijun</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/software/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Takeda</surname>
<given-names>Shunichi</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/software/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Li</surname>
<given-names>Xiaoyu</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1347187/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/resources/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Li</surname>
<given-names>Xiushen</given-names>
</name>
<xref ref-type="aff" rid="aff6">
<sup>6</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1373329/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/project-administration/"/>
<role content-type="https://credit.niso.org/contributor-roles/supervision/"/>
<role content-type="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Zhou</surname>
<given-names>Yu</given-names>
</name>
<xref ref-type="aff" rid="aff7">
<sup>7</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/3030992/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/investigation/"/>
<role content-type="https://credit.niso.org/contributor-roles/supervision/"/>
<role content-type="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Wu</surname>
<given-names>Xueqing</given-names>
</name>
<xref ref-type="aff" rid="aff8">
<sup>8</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<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/project-administration/"/>
<role content-type="https://credit.niso.org/contributor-roles/resources/"/>
<role content-type="https://credit.niso.org/contributor-roles/supervision/"/>
<role content-type="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>School of Biomedical Engineering, Shenzhen University Medical School, <institution>Shenzhen University</institution>, <addr-line>Shenzhen</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>Shenzhen University Medical School, <institution>Shenzhen University</institution>, <addr-line>Shenzhen</addr-line>, <country>China</country>
</aff>
<aff id="aff3">
<sup>3</sup>Zhongshan School of Medicine, <institution>Sun Yat-sen University</institution>, <addr-line>Guangzhou</addr-line>, <country>China</country>
</aff>
<aff id="aff4">
<sup>4</sup>Department of Chemistry and State Key Laboratory of Synthetic Chemistry, <institution>The University of Hong Kong</institution>, <addr-line>Pokfulam</addr-line>, <country>Hong Kong SAR, China</country>
</aff>
<aff id="aff5">
<sup>5</sup>Laboratory for Synthetic Chemistry and Chemical Biology Limited, <institution>Health@InnoHK, Innovation and Technology Commission</institution>, <addr-line>Pokfulam</addr-line>, <country>Hong Kong SAR, China</country>
</aff>
<aff id="aff6">
<sup>6</sup>Department of Traditional Chinese Medicine, <institution>Jiangxi Maternal and Child Health Hospital</institution>, <addr-line>Nanchang</addr-line>, <country>China</country>
</aff>
<aff id="aff7">
<sup>7</sup>School of Basic Medicine and Clinical Pharmacy, <institution>China Pharmaceutical University</institution>, <addr-line>Nanjing</addr-line>, <country>China</country>
</aff>
<aff id="aff8">
<sup>8</sup>Department of Obstetrics and Gynecology, <institution>Shenzhen University General Hospital</institution>, <addr-line>Shenzhen</addr-line>, <country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/533566/overview">Claudia Moscheni</ext-link>, University of Milan, Italy</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1058350/overview">Nabanita Chatterjee</ext-link>, The Ohio State University, United States</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/3078035/overview">Eman M. Ragab</ext-link>, Tanta University, Egypt</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/3079885/overview">Hisanori Matoba</ext-link>, Shinshu University, Japan</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Xueqing Wu, <email>wuxueqing0307@163.com</email>; Yu Zhou, <email>yuzhou@cpu.edu.cn</email>; Xiushen Li, <email>lixiushenzplby@163.com</email>
</corresp>
</author-notes>
<pub-date pub-type="epub">
<day>24</day>
<month>07</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>16</volume>
<elocation-id>1608156</elocation-id>
<history>
<date date-type="received">
<day>08</day>
<month>04</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>15</day>
<month>07</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2025 Ma, Lin, Zeng, Wu, Zhang, Zhu, Zhang, Fang, Fan, Takeda, Li, Li, Zhou and Wu.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Ma, Lin, Zeng, Wu, Zhang, Zhu, Zhang, Fang, Fan, Takeda, Li, Li, Zhou and Wu</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>Objectives</title>
<p>Ovarian granulosa cell tumors (GCTs) are rare ovarian malignancies with limited therapeutic options, particularly in advanced stages. SIRT3, an NAD &#x2b; -dependent deacetylase, is upregulated in GCTs and implicated in tumorigenesis, yet its functional role and underlying mechanisms remain poorly understood. This study aims to investigate the therapeutic efficacy of a novel SIRT3-specific inhibitor, 77-39, in GCTs by targeting SIRT3 and to elucidate the molecular mechanisms underlying its effects.</p>
</sec>
<sec>
<title>Methods</title>
<p>This study investigated the effects of a SIRT3-specific inhibitor, 77-39, on GCT cell growth and explored its underlying mechanisms. Using human GCT cell lines KGN and COV434, we assessed the impact of 77&#x2013;39 on cell viability and proliferation. RNA sequencing and gene set enrichment analyses were performed to elucidate the pathways affected by 77&#x2013;39. Western blot assays were used to confirm the activation of specific signaling pathways. Additionally, SIRT3 was silenced or overexpressed to observe the corresponding effects on GCT cells. <italic>In vivo</italic> studies were conducted using xenograft tumor models to evaluate the efficacy and toxicity of 77&#x2013;39 compared to cisplatin.</p>
</sec>
<sec>
<title>Results</title>
<p>We demonstrated that 77&#x2013;39 significantly suppressed cell viability and proliferation while inducing cellular senescence in human GCT cell lines KGN and COV434. RNA sequencing and gene set enrichment analyses revealed that 77&#x2013;39 led to the activation of the p53 and NF-&#x3ba;B signaling pathways, which were confirmed by Western blot assay. Silencing SIRT3 recapitulated the effects of 77&#x2013;39, while SIRT3 overexpression reversed these effects. Inhibition of p53 or NF-&#x3ba;B rescued GCT cells from 77-39-induced growth arrest and senescence. <italic>In vivo</italic> studies using xenograft tumor models showed that 77-39 effectively inhibited tumor growth without significant toxicity, contrasting with the higher toxicity of cisplatin.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>These findings suggest that 77&#x2013;39 may serve as a novel therapeutic agent for GCTs by targeting SIRT3 and modulating the p53 and NF-&#x3ba;B pathways.</p>
</sec>
</abstract>
<kwd-group>
<kwd>ovarian granulosa cell tumor</kwd>
<kwd>SIRT3 inhibitor</kwd>
<kwd>p53</kwd>
<kwd>NF-&#x3ba;B</kwd>
<kwd>senescence</kwd>
</kwd-group>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Pharmacology of Anti-Cancer Drugs</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1">
<title>1 Introduction</title>
<p>Ovarian granulosa cell tumor (GCT), a major subtype of ovarian stromal tumors, derives from the sex cord-stromal cells and accounts for 2%&#x2013;5% of all malignant ovarian neoplasms (<xref ref-type="bibr" rid="B14">Koukourakis et al., 2008</xref>; <xref ref-type="bibr" rid="B16">Leung et al., 2019</xref>). Unlike other types of ovarian carcinomas, GCTs can express estrogen, inhibin, and Mullerian inhibitory substance, which are also expressed by normal granulosa cells (GC) (<xref ref-type="bibr" rid="B9">Jamieson and Fuller, 2012</xref>; <xref ref-type="bibr" rid="B16">Leung et al., 2019</xref>). GCTs are commonly featured with slow and indolent disease progression and have a tendency for frequent, long delays to recurrence (<xref ref-type="bibr" rid="B9">Jamieson and Fuller, 2012</xref>; <xref ref-type="bibr" rid="B12">Kim et al., 2014</xref>). Based on the clinical manifestations and histological features, GCTs are classified into two subtypes, including juvenile granulosa cell tumors and adult granulosa cell tumors (<xref ref-type="bibr" rid="B14">Koukourakis et al., 2008</xref>). The C134W mutation of the FOXL2 gene has been identified in approximately 97% of adult-type GCTs. This mutation results in differential posttranslational modifications of FOXL2, contributing to the oncogenic development of GCT (<xref ref-type="bibr" rid="B12">Kim et al., 2014</xref>). Surgery is the main therapeutic strategy for GCT. While the disease progresses to the advanced stage, chemotherapy is the preferred choice of treatment (<xref ref-type="bibr" rid="B14">Koukourakis et al., 2008</xref>).</p>
<p>SIRT3 (sirtuin-3), an NAD<sup>&#x2b;</sup>-dependent deacetylase, is a member of the sirtuin family residing in mitochondria and acting as a key regulator of metabolic reprogramming, DNA damage repair, and cell death in normal and tumor cells (<xref ref-type="bibr" rid="B36">Zhang et al., 2024</xref>). SIRT3 has been reported to play different roles in different cancer types. In epithelial ovarian cancer, SIRT3 prevents mitochondrial superoxide surges to promote cell survival by increasing the activity of the manganese superoxide dismutase (SOD2) in detached cancer cells during the metastatic process (<xref ref-type="bibr" rid="B13">Kim et al., 2020</xref>). Li et al. revealed that SIRT3 protects glioblastoma from ferroptosis by regulating SLC7A11 (a critical antagonist of ferroptosis) transcription through ATF4 (<xref ref-type="bibr" rid="B19">Li et al., 2024</xref>). However, SIRT3 serves as a tumor suppressor in certain types of cancer. In prostate cancer, SIRT3 inhibits epithelial-mesenchymal transition (EMT) and migration through attenuating the Wnt/&#x3b2;-catenin pathway to promote FOXO3A expression (<xref ref-type="bibr" rid="B17">Li et al., 2018</xref>). SIRT3 is underexpressed in hepatocellular carcinoma (HCC) and can delactylate lysine 348 lactylation of CCNE2 to prohibit HCC growth (<xref ref-type="bibr" rid="B10">Jin et al., 2023</xref>). This finding reveals a novel function of SIRT3 as a delactylase.</p>
<p>A previous study indicated that SIRT3 is highly expressed in GCT samples, and the intensity of SIRT3 staining in a GCT tissue microarray is positively correlated with the level of Ki67 (a marker of cell proliferation), which implies SIRT3 may regulate GCT growth (<xref ref-type="bibr" rid="B25">Schmid et al., 2021</xref>). Recently, Zhou et al. screened a selective small molecule inhibitor of SIRT3, 77-39, which displays the highest affinity for SIRT3 among several candidates (<xref ref-type="bibr" rid="B40">Zhou et al., 2018</xref>). The compound 77-39 is part of a bivalent binder system, where two small molecules (77 and 39) cooperatively bind to SIRT3 with a Kd of 2.14&#xa0;&#x3bc;M. Individual components alone showed weak binding, emphasizing the importance of the bivalent system. Computational studies suggested that 77&#x2013;39 binds to the cofactor-binding site of SIRT3, blocking its activity. This selective and cooperative binding mechanism makes 77-39 a potent and specific inhibitor of SIRT3 (<xref ref-type="bibr" rid="B40">Zhou et al., 2018</xref>). At present, researchers have not investigated targeting SIRT3 for GCT treatment. Herein, we aim to evaluate the biological effect of 77&#x2013;39 on GCT cells and provide a novel approach for GCT therapy.</p>
</sec>
<sec sec-type="materials|methods" id="s2">
<title>2 Materials and methods</title>
<sec id="s2-1">
<title>2.1 Cell lines and culture</title>
<p>The human normal ovarian epithelial cell line IOSE-80 and human GCT-derived cell lines KGN and COV434 were used for investigation in this study. The KGN cells are derived from an adult-type GCT. The COV434 cells are derived from a juvenile-type GCT (<xref ref-type="bibr" rid="B9">Jamieson and Fuller, 2012</xref>). All cell lines were purchased from Shanghai iCell Bioscience Inc and cultured in Dulbecco&#x2019;s modified Eagle&#x2019;s medium (DMEM) (Gibco, USA) supplemented with 10% fetal bovine serum (FBS) (Gibco), 1% penicillin (Gibco), and 1% streptomycin (Gibco), at 37&#xb0;C in a 5% CO<sub>2</sub> humidified atmosphere.</p>
</sec>
<sec id="s2-2">
<title>2.2 Inhibitors and antibodies</title>
<p>The SIRT3 selective inhibitor 77-39 was provided by Professor Xiaoyu Li (The University of Hong Kong, China). The p53 inhibitor PFT&#x3b1; (S2929) and NF-&#x3ba;B inhibitor BAY 11-7082 (S2913) were purchased from Selleck (USA). Anti-p-IKK&#x3b1;/&#x3b2; (2697), anti-p65 (8242), anti-p-p65 (3033), anti-I&#x3ba;B&#x3b1; (4812), anti-p-I&#x3ba;B&#x3b1; (2859), anti-p53 (2524), anti-p21 (2947), anti-p18 (2896), anti-p16 (18769), anti-&#x3b2;-actin (4970), anti-mouse secondary antibody (7076) and anti-rabbit secondary antibody (7074) were purchased from Cell Signaling Technology (USA). Anti-IKK&#x3b1;/&#x3b2; (PA5-105292) antibody was purchased from Invitrogen (USA). Anti-ac-p53 (HW137) antibody was purchased from Signalway (China). Anti-SIRT3 (ab217319) antibody was from Abcam (USA).</p>
</sec>
<sec id="s2-3">
<title>2.3 SIRT3 overexpression and knockdown</title>
<p>SiRNA targeting SIRT3 (siSIRT3) and siRNA control (siNC) were synthesized by GenePharma Co., Ltd. (China). The indicated siRNA was transfected into KGN and COV434 cells using the RNAiMAX transfection reagent (Invitrogen). The siSIRT3 sequence was listed as follows: 5&#x2032;-CCA&#x200b;GCA&#x200b;UGA&#x200b;AAU&#x200b;ACA&#x200b;UUU&#x200b;ATT-3&#x2019;. The SIRT3 overexpression plasmid was synthesized by and purchased from GenePharma Co., Ltd. The plasmid was transfected into KGN and COV434 cells using the Lipofectamine 3000 transfection reagent (Invitrogen) according to the manufacturer&#x2019;s instructions.</p>
</sec>
<sec id="s2-4">
<title>2.4 Western blot (WB) analysis</title>
<p>The KGN and COV434 cells were treated with the indicated treatments. Then, cells were lysed using RIPA buffer (Beyotime, China) containing phenylmethylsulfonyl fluoride (PMSF) and phosphatase inhibitor cocktail (Sigma-Aldrich, USA). The protein concentration of samples was quantified using a BCA Protein Assay Kit (Beyotime). Proteins were separated by 8%&#x2013;12% sodium dodecyl sulfate-polyacrylamide (SDS-PAGE) gel electrophoresis and subsequently transferred to polyvinylidene fluoride (PVDF) membrane. After being blocked with 5% Skim milk, the membrane was incubated with primary antibodies at 4&#xb0;C overnight. The membrane was then incubated with horseradish peroxidase (HRP)-conjugated secondary antibody at room temperature for 2&#xa0;h. Finally, we used Clarity Western ECL Substrate (Bio-rad, USA) for imaging. The uncropped blots are available in the <xref ref-type="sec" rid="s12">Supplementary Material</xref>.</p>
</sec>
<sec id="s2-5">
<title>2.5 Senescence-associated (SA) &#x3b2;-gal staining</title>
<p>Cell senescence was assessed by the detection of SA-&#x3b2;-gal activity using a senescence &#x3b2;-galactosidase staining kit (Beyotime). The cells were first fixed with the fixative solution at room temperature for 15&#xa0;min. Then the cells were stained with the staining buffer at 37&#xb0;C overnight. The stained cells were photographed and counted randomly from 4 to 9 fields per well under a microscope.</p>
</sec>
<sec id="s2-6">
<title>2.6 Colony formation assay</title>
<p>A total number of 300 KGN or 500 COV434 cells were seeded into a six-well plate. Indicated concentrations of SIRT3 inhibitor 77-39 were added to the medium. The cells were allowed to grow for 2&#xa0;weeks. When the colonies were visible, cells were fixed with 4% paraformaldehyde, stained with 0.1% crystal violet, and photographed.</p>
</sec>
<sec id="s2-7">
<title>2.7 5-ethynyl-2&#x2032;-deoxyuridine (EdU) assay</title>
<p>DNA synthesis was assessed by EdU assay using an EdU cell proliferation kit (Beyotime) according to the manufacturer&#x2019;s instructions. As previously described (<xref ref-type="bibr" rid="B34">Zeng et al., 2024a</xref>), after treatment with 77&#x2013;39, cells were incubated with the EdU staining buffer for 2.5&#xa0;h and then fixed with 4% paraformaldehyde. Subsequently, the cell nuclei were stained with Hoechst and photographed under a fluorescence microscope.</p>
</sec>
<sec id="s2-8">
<title>2.8 Cell counting Kit-8 (CCK8) assay</title>
<p>Cell viability was evaluated by CCK8 assay. Briefly, cells were seeded at a density of 3000 cells per well in 96-well plates. Then, cells were treated with the indicated concentrations of 77&#x2013;39 for 24&#xa0;h. A volume of 10&#xa0;&#x3bc;L CCK8 solution (Beyotime) was added to 100&#xa0;&#x3bc;L culture medium and incubated with cells at 37&#xb0;C for 1&#xa0;h. The optical density (OD) at 450&#xa0;nm was measured using a microplate reader.</p>
</sec>
<sec id="s2-9">
<title>2.9 Quantitative real-time PCR (qPCR)</title>
<p>TRIzol reagent (Invitrogen) was used to extract total RNA of cells, followed by the synthesis of complementary DNA (cDNA) using a PrimeScript RT reagent Kit (Takara, Japan). qPCR was performed using a TB Green Premix Ex Taq Kit (Takara) on a CFX96 real-time system (Bio-rad, USA). GAPDH was used as a reference control for normalization. The primer sequences were listed as follows: IL6 forward: 5&#x2032;-AGA&#x200b;CAG&#x200b;CCA&#x200b;CTC&#x200b;ACC&#x200b;TCT&#x200b;TCA&#x200b;G-3&#x2032; and reverse: 5&#x2032;-TTC&#x200b;TGC&#x200b;CAG&#x200b;TGC&#x200b;CTC&#x200b;TTT&#x200b;GCT&#x200b;G-3&#x2019;; IL-1B forward: 5&#x2032;-CCA&#x200b;CAG&#x200b;ACC&#x200b;TTC&#x200b;CAG&#x200b;GAG&#x200b;AAT&#x200b;G-3&#x2032; and reverse: 5&#x2032;-GTG&#x200b;CAG&#x200b;TTC&#x200b;AGT&#x200b;GAT&#x200b;CGT&#x200b;ACA&#x200b;GG-3&#x2019;; CXCL2 forward: 5&#x2032;-GGC&#x200b;AGA&#x200b;AAG&#x200b;CTT&#x200b;GTC&#x200b;TCA&#x200b;ACC&#x200b;C-3&#x2032; and reverse: 5&#x2032;-CTC&#x200b;CTT&#x200b;CAG&#x200b;GAA&#x200b;CAG&#x200b;CCA&#x200b;CCA&#x200b;A-3&#x2019;; GAPDH forward: 5&#x2032;-GGG&#x200b;AAA&#x200b;CTG&#x200b;TGG&#x200b;CGT&#x200b;GAT-3&#x2032; and reverse: 5&#x2032;-GAG&#x200b;TGG&#x200b;GTG&#x200b;TCG&#x200b;CTG&#x200b;TTG&#x200b;A-3&#x2019;.</p>
</sec>
<sec id="s2-10">
<title>2.10 Co-immunoprecipitation (co-IP)</title>
<p>KGN and COV434 cells seeded in 10&#xa0;cm culture dishes were lysed using IP lysis buffer (Beyotime, China) with protease inhibitors. Primary antibody was added to and incubated with the cleared lysate at 4&#xb0;C overnight with gentle rotation. Then protein A/G beads (Invitrogen, USA) were added to and incubated with the lysate-antibody mixture at 4&#xb0;C for 2&#xa0;h with gentle rotation, followed by washing 3-4 times. The immunoprecipitate was eluted with the addition of elution buffer. The immunoprecipitated proteins were subsequently subjected to WB analysis.</p>
</sec>
<sec id="s2-11">
<title>2.11 RNA sequencing</title>
<p>Transcriptome sequencing and differential expression analysis were performed by Novogene Inc. (Tianjin, China). As previously reported (<xref ref-type="bibr" rid="B35">Zeng et al., 2024b</xref>), the total RNA of 77&#x2013;39 treated and non-treated KGN or Cov434 cells was extracted with TRIzol reagent. Total amounts and integrity of RNA were assessed using the RNA Nano 6000 Assay Kit of the Bioanalyzer 2100 system (Agilent Technologies, USA). When the libraries were constructed and qualified, they were subsequently subjected to RNA sequencing with Illumina NovaSeq 6000.</p>
</sec>
<sec id="s2-12">
<title>2.12 Gene set enrichment analysis (GSEA)</title>
<p>GSEA was performed using GSEA software (<ext-link ext-link-type="uri" xlink:href="https://www.gsea-msigdb.org/gsea/index.jsp">https://www.gsea-msigdb.org/gsea/index.jsp</ext-link>) as previously described (<xref ref-type="bibr" rid="B34">Zeng et al., 2024a</xref>). The RNA sequencing expression profiles of 77&#x2013;39 non-treated group and treated group were imported into the GSEA software. When the false discovery rate (FDR) was &#x3c;0.25 and the nominal p-value was &#x3c;0.05, the enriched gene sets were considered statistically significant.</p>
</sec>
<sec id="s2-13">
<title>2.13 Animal experiments</title>
<p>Four-week-old female BALB/c nude mice (six mice per group) were purchased from Charles River Laboratories and maintained under specific pathogen-free conditions. KGN cells (1 &#xd7; 10<sup>6</sup> cells in the mixture of 0.1&#xa0;mL PBS and 0.1&#xa0;mL Matrigel (Corning, USA) per mouse) were injected subcutaneously into the right dorsal flank (designated as day 1). Fourteen days after injection, mice were randomly assigned to 5 groups (6 mice per group). 77-39 was dissolved in normal saline. One hundred microliters of indicated concentrations of 77&#x2013;39 were administered by gavage every day. Cisplatin (CDDP) was injected intraperitoneally into mice every other day. Tumor volume was measured every other day, and tumor volume was calculated as volume (mm<sup>3</sup>) &#x3d; length &#xd7; width<sup>2</sup>. Mice were euthanized on day 31. Tumors were isolated and harvested from indicated mice and subsequently were fixed, embedded with paraffin, and examined by hematoxylin and eosin (H&#x26;E), SA-&#x3b2;-gal, and immunohistochemical (IHC) staining. All experimental procedures and protocols were reviewed and approved by Shenzhen TopBiotech Co., Ltd. Animal Center (Shenzhen, China). The H-score scoring system was employed to assess the differences in IHC staining, with the scoring formula defined as H-score &#x3d; &#x2211; (percentage of positive cells &#xd7; intensity). The percentage of positive cells was expressed as a fraction of 100 (e.g., 20% &#x3d; 20). The intensity of staining was graded on a scale from 0 to 3, with 0 representing no staining, 1 representing weak staining, 2 representing moderate staining, and 3 representing strong staining.</p>
</sec>
<sec id="s2-14">
<title>2.14 Statistical analysis</title>
<p>Data shown in this study were representative of the statistics [mean value &#xb1;standard deviation (SD)] of the results from at least three independent experiments. The students&#x2019; two-tailed t-test was used for all statistical analyses, with the level of significance set at (&#x2a;&#x2a;&#x2a;) p &#x3c; 0.005, (&#x2a;&#x2a;) p &#x3c; 0.01, and (&#x2a;) p &#x3c; 0.05. All the statistical analyses were conducted by GraphPad Prism 7 software.</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>3 Results</title>
<sec id="s3-1">
<title>3.1 Inhibition of SIRT3 by 77&#x2013;39 suppresses GCT cell growth and induces cellular senescence</title>
<p>The chemical structural formula of 77&#x2013;39 is shown in <xref ref-type="fig" rid="F1">Figure 1A</xref>. To evaluate the effect of 77&#x2013;39 on GCT cells, we first examined the cell viability of normal ovarian epithelial cell line IOSE-80 and two GCT cell lines KGN and CO434 with the treatment of indicated 77-39 concentration. The results showed that 77&#x2013;39 significantly suppressed the viability of KGN and COV434 cells in a concentration-dependent manner, while it did not inhibit the normal cell line IOSE-80 as effectively (<xref ref-type="fig" rid="F1">Figure 1B</xref>). We further performed EdU assay and colony formation assay to assess the impact of 77&#x2013;39 on GCT cell proliferation. As shown in <xref ref-type="fig" rid="F1">Figures 1C,D</xref>, the proportion of EdU-positive cells and the number of colonies were significantly higher in the control group, which were remarkably reduced in a concentration-dependent manner in the presence of 77&#x2013;39, indicating that 77-39 inhibited the proliferative activity of GCT cells. As SIRT3 is a protein related to aging and senescence (<xref ref-type="bibr" rid="B39">Zhou et al., 2022</xref>), we then tested whether 77-39 induces GCT senescence. By SA-&#x3b2;-gal staining assay, we found that 77&#x2013;39 significantly induced cellular senescence compared with the control group (<xref ref-type="fig" rid="F1">Figure 1E</xref>). Cellular senescence results in the secretion of a wide range of cytokines, chemokines, growth factors, and proteases/inhibitors, collectively known as the senescence-associated secretory phenotype (SASP) (<xref ref-type="bibr" rid="B15">Lasry and Ben-Neriah, 2015</xref>). We detected several SASP-associated proteins, such as IL-6, IL-1B, and CXCL2, by qPCR. As expected, treatment with 77-39 significantly elevated the mRNA expression levels of all cytokines (<xref ref-type="fig" rid="F1">Figure 1F</xref>). In summary, the results demonstrate that 77-39 inhibits GCT cell growth by inducing senescence.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>77&#x2013;39 suppresses GCT cell growth and induces cellular senescence. <bold>(A)</bold> Chemical structure of 77&#x2013;39. <bold>(B)</bold> CCK8 assay was used to evaluate the effects of 77&#x2013;39 on the cell viability of IOSE-80, KGN, and COV434. <bold>(C,D)</bold> EdU assay and colony formation assay were used to evaluate the effects of 77&#x2013;39 on the proliferative activity of KGN and COV434. <bold>(E)</bold> SA-&#x3b2;-gal staining was used to evaluate the effects of 77&#x2013;39 on the cellular senescence of KGN and COV434. <bold>(F)</bold> qPCR experiment was performed to examine the changes in mRNA expression levels of IL-6, IL-1B, and CXCL2 after treatment with the indicated concentrations of compound 77-39.</p>
</caption>
<graphic xlink:href="fphar-16-1608156-g001.tif">
<alt-text content-type="machine-generated">Chemical structure and experimental results related to compound 77-39. Panel A shows the chemical structure of 77-39. Panel B includes graphs demonstrating the effect of varying concentrations of 77-39 on the viability of IOSE-80, KGN, and COV434 cells. Panel C displays fluorescence images indicating the effect of 77-39 on cell proliferation, with a related bar chart showing EdU positive cells percentage. Panel D presents images of colonies formed in KGN and COV434 with a bar chart of colony numbers, indicating dose-dependent effects. Panel E contains images showing SA-&#x3B2;-gal positive cells, with a bar chart displaying percentages. Panel F features bar graphs depicting the expression levels of IL-6, IL-1B, and CXCL2 in KGN and COV434 cells.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3-2">
<title>3.2 77&#x2013;39 exerts its function through the p53 and NF-&#x3ba;B signaling pathways</title>
<p>To elucidate the potential mechanisms by which 77-39 inhibits the proliferation of GCT cells, we performed RNA sequencing on KGN and COV434 cells treated with or without 77-39. As summarized in <xref ref-type="fig" rid="F2">Figure 2A</xref>, following treatment of 77&#x2013;39, 2898 genes were significantly upregulated while 3067 genes were significantly downregulated in COV434 cells, 633 genes were significantly upregulated while 640 genes were significantly downregulated in KGN cells. Subsequently, we performed Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analysis using the differentially expressed genes (DEGs), and we noticed that the term &#x201c;p53 signaling pathway&#x201d; was significantly enriched in both COV434 and KGN cells (<xref ref-type="fig" rid="F2">Figure 2B</xref>), indicating that 77&#x2013;39 might regulate p53 pathway in GCT. Indeed, p53 has been reported to be a downstream factor of SIRT3, and deacetylated and suppressed by SIRT3 (<xref ref-type="bibr" rid="B18">Li et al., 2010</xref>; <xref ref-type="bibr" rid="B3">Chen et al., 2017</xref>; <xref ref-type="bibr" rid="B31">Xiong et al., 2018</xref>). We further performed GSEA and found that gene sets including &#x201c;FRIDMAN_SENESCENCE_UP&#x201d; and &#x201c;WANG_NFKB_TARGETS&#x201d; were significantly enriched in the 77-39 treated group, indicating 77&#x2013;39 might activate the NF-&#x3ba;B pathway and induce senescence (<xref ref-type="fig" rid="F3">Figure 3A</xref>). By WB analyses, we found that, following treatment of 73&#x2013;39, the protein expression of cell cycle-related proteins like p16, p18, p21, p53, and acetylated p53 were elevated in a dose-dependent manner. The key proteins in the NF-&#x3ba;B pathway, such as p65, I&#x3ba;B&#x3b1;, and IKK&#x3b1;/&#x3b2;, were also activated (<xref ref-type="fig" rid="F3">Figure 3B</xref>). These results indicate that 77-39 inhibited cell growth and induced senescence through the p53 and NF-&#x3ba;B signaling in GCT cells.</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Transcriptomic sequencing and KEGG enrichment analysis of 77&#x2013;39 treated and non-treated KGN and COV434 cells. <bold>(A)</bold> Volcano plots showing DEGs in KGN and COV434 cells treated with 77&#x2013;39 compared to untreated controls. Genes with a p-value &#x3c;0.05 and a log2&#x7c;fold change&#x7c; &#x3e; 0 are considered DEGs. <bold>(B)</bold> KEGG enrichment analysis using DEGs in KGN and COV434 cells treated with 77&#x2013;39 compared to untreated controls.</p>
</caption>
<graphic xlink:href="fphar-16-1608156-g002.tif">
<alt-text content-type="machine-generated">Two sections labeled A and B present comparative data between KGN and COV434 cell treatments. Section A features volcano plots showing gene expression changes, with colored dots indicating upregulated, downregulated, and unchanged genes. Section B has dot plots representing enriched pathways, with gene ratios on the x-axis and pathway descriptions on the y-axis. Colors indicate significance levels, and sizes correspond to gene counts. The p53 signaling pathway is highlighted in both graphs.</alt-text>
</graphic>
</fig>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>77-39 exerts its function through the p53 and NF-&#x3ba;B signaling pathways. <bold>(A)</bold> GSEA analysis showing senescence and NF-&#x3ba;B-related gene sets were enriched in the 77-39 treated group compared to the untreated group. <bold>(B)</bold> WB analyses showing that cell cycle-related proteins, p53, and NF-&#x3ba;B signaling were activated in a dose-dependent manner after treatment with 77&#x2013;39.</p>
</caption>
<graphic xlink:href="fphar-16-1608156-g003.tif">
<alt-text content-type="machine-generated">Panel A shows two enrichment plots. The first plot is labeled &#x22;FRIDMAN_SENESCENCE_UP&#x22; with NES of -1.23, p-value of 0.000, and FDR q-value of 0.072. The second plot, &#x22;WANG_NFKB_TARGETS,&#x22; has NES of -1.43, p-value of 0.000, and FDR q-value of 0.054. Panel B displays Western blot results for proteins p16, p18, p21, p53, ac-p53, p50, p-p65, p65, p-IkB&#x3B1;, IkB&#x3B1;, p-IKK&#x3B1;/&#x3B2;, IKK&#x3B1;/&#x3B2;, &#x3B2;-actin, and GAPDH in KGN and COV434 cell lines treated with 0, 5, and 10 &#x3BC;M of 77-39 compound.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3-3">
<title>3.3 Silencing SIRT3 in GCT cells has the same effect as treating with 77&#x2013;39</title>
<p>To verify that 77-39 functioned through targeting SIRT3, we knocked down the expression of SIRT3 in KGN and COV434 cells by siRNA (<xref ref-type="fig" rid="F4">Figure 4A</xref>). By EdU assay and SA-&#x3b2;-gal staining, we found that the silence of SIRT3 significantly inhibited cell proliferation and promoted senescence in GCT cells (<xref ref-type="fig" rid="F4">Figures 4B,C</xref>). The protein expression of cell cycle-related proteins and the phosphorylation levels of key proteins in the NF-&#x3ba;B pathway also underwent significant changes (<xref ref-type="fig" rid="F4">Figure 4D</xref>), which were consistent with the results observed upon treatment with 77&#x2013;39.</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>Silencing SIRT3 in GCT cells has the same effect as treating with 77&#x2013;39. <bold>(A)</bold> WB analyses showing the knockdown efficacy of SIRT3 siRNA in KGN and COV434 cells. <bold>(B)</bold> EdU assay showing the effects of SIRT3 silence on cell proliferation in KGN and COV434 cells. <bold>(C)</bold> SA-&#x3b2;-gal staining was used to evaluate the effects of the silence of SIRT3 on the cellular senescence of KGN and COV434. <bold>(D)</bold> WB analyses showing that cell cycle-related proteins, p53, and NF-&#x3ba;B signaling were activated after silencing SIRT3 in KGN and COV434 cells.</p>
</caption>
<graphic xlink:href="fphar-16-1608156-g004.tif">
<alt-text content-type="machine-generated">Experimental results showing effects of siSIRT3 on KGN and COV434 cells. Panel A: Western blot analysis of SIRT3 and &#x3B2;-actin. Panel B: Fluorescent images of cell proliferation (Hoechst, EdU, and merged) with a bar graph of EdU positive cells, showing a decrease in siSIRT3 treated groups. Panel C: &#x3B2;-Gal staining images with a bar graph indicating an increase in SA-&#x3B2;-Gal positive cells for siSIRT3 treated groups. Panel D: Western blots of various proteins related to cell cycle and senescence regulation, comparing siNC and siSIRT3 treatments in both cell lines.</alt-text>
</graphic>
</fig>
<p>Correspondingly, we overexpressed SIRT3 in KGN and COV434 cells (<xref ref-type="fig" rid="F5">Figure 5A</xref>). The inhibitory effect of 77&#x2013;39 on cell proliferation and senescence in GCT cells was reversed by overexpression of SIRT3 (<xref ref-type="fig" rid="F5">Figures 5B,C</xref>). The expression of proteins related to the p53 and NF-&#x3ba;B pathways was also suppressed by the overexpression of SIRT3 (<xref ref-type="fig" rid="F5">Figure 5D</xref>). Overall, the above results indicated that SIRT3 is the target through which 77-39 exerts its effects.</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>Overexpressing SIRT3 in GCT cells reverses the inhibitory effect of 77&#x2013;39 in GCT cells. <bold>(A)</bold> WB analyses showing the successful overexpression of SIRT3 in KGN and COV434 cells. <bold>(B)</bold> SA-&#x3b2;-gal staining was used to evaluate the effects of overexpression of SIRT3 on the cellular senescence of KGN and COV434. <bold>(C)</bold> EdU assay showing the effects of SIRT3 overexpression on cell proliferation in KGN and COV434 cells. <bold>(D)</bold> WB analyses showing that cell cycle-related proteins, p53, and NF-&#x3ba;B signaling were inactivated after overexpressing SIRT3 in KGN and COV434 cells.</p>
</caption>
<graphic xlink:href="fphar-16-1608156-g005.tif">
<alt-text content-type="machine-generated">Panel A shows Western blot analysis of SIRT3 and &#x3B2;-actin in KGN and COV434 cells, comparing control and SIRT3-treated samples. Panel B displays microscopy images and bar graphs indicating SA-&#x3B2;-gal positive cells percentage for different treatments in KGN and COV434. Panel C presents images stained with Hoechst and EdU, along with merged views, accompanied by bar graphs showing EdU positive cell percentages. Panel D features Western blots of various proteins, including p16, p53, and &#x3B2;-actin, in both cell lines under different treatments. Statistical significance is marked with asterisks.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3-4">
<title>3.4 Inhibition of p53 or NF-&#x3ba;B counteracts the effect of 77&#x2013;39 in GCT cells</title>
<p>To verify that p53 is a downstream effector molecule of SIRT3, we performed co-IP experiments and found that p53 interacted with SIRT3 in both KGN and COV434 cells (<xref ref-type="fig" rid="F6">Figure 6A</xref>). To determine whether p53 mediated the inhibitory effect of 77&#x2013;39 on GCT cells, we inhibited p53 using the inhibitor PFT&#x3b1;. The results showed that inhibiting p53 led to a significant recovery in cell proliferation and a reduced rate of senescence in GCT cells treated with 77&#x2013;39 (<xref ref-type="fig" rid="F6">Figures 6B,C</xref>). The proteins that inhibited the cell cycle process were also downregulated (<xref ref-type="fig" rid="F6">Figure 6D</xref>). Intriguingly, we found that the inhibition of p53 significantly affected the phosphorylated level of NF-&#x3ba;B-related proteins, which indicated that p53 might regulate NF-&#x3ba;B signaling in GCT (<xref ref-type="fig" rid="F6">Figure 6D</xref>).</p>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption>
<p>Inhibition of p53 counteracts the effect of 77&#x2013;39 in GCT cells. <bold>(A)</bold> co-IP and WB analyses showing the interaction between SIRT3 and p53 in KGN and COV434 cells. <bold>(B)</bold> SA-&#x3b2;-gal staining was used to evaluate the effects of inhibition of p53 on the cellular senescence of KGN and COV434. <bold>(C)</bold> EdU assay showing the effects of p53 inhibition on cell proliferation in KGN and COV434 cells. <bold>(D)</bold> WB analyses showing that cell cycle-related proteins, p53, and NF-&#x3ba;B signaling were downregulated after p53 inhibition in KGN and COV434 cells.</p>
</caption>
<graphic xlink:href="fphar-16-1608156-g006.tif">
<alt-text content-type="machine-generated">A series of panels from a scientific experiment. Panel A shows western blots for SIRT3 and p53 proteins in KGN and COV434 cell lines following immunoprecipitation. Panel B displays images and bar graphs for senescence-associated &#x3B2;-galactosidase staining in KGN and COV434 cells under different treatments, indicating the percentage of positive cells. Panel C presents fluorescence images of EdU incorporation in KGN and COV434 cells, with accompanying bar graphs showing the percentage of EdU positive cells. Panel D features western blot analyses for proteins p16, p18, p21, p53, acetyl p53, phosphorylated p65, p65, phosphorylated I&#x3BA;B&#x3B1;, I&#x3BA;B&#x3B1;, phosphorylated IKK&#x3B1;/&#x3B2;, IKK&#x3B1;/&#x3B2;, and &#x3B2;-actin in KGN and COV434 cells under varied conditions.</alt-text>
</graphic>
</fig>
<p>The NF-&#x3ba;B pathway was reported to be activated in senescent cells and implicated in regulating the expression of the inflammatory factors (<xref ref-type="bibr" rid="B2">Chen et al., 2018</xref>; <xref ref-type="bibr" rid="B29">Wang et al., 2022</xref>). Similarly, we also inhibited the activity of NF-&#x3ba;B in GCT cells using the inhibitor BAY 11-7082. The proliferative capacity of GCT cells and the expression of related proteins in GCT cells treated with 77&#x2013;39 were restored upon inhibition of NF-&#x3ba;B. (<xref ref-type="fig" rid="F7">Figures 7A&#x2013;C</xref>). In summary, these results demonstrated that p53 and NF-&#x3ba;B are downstream effectors of SIRT3.</p>
<fig id="F7" position="float">
<label>FIGURE 7</label>
<caption>
<p>Inhibition of NF-&#x3ba;B counteracts the effect of 77&#x2013;39 in GCT cells. <bold>(A)</bold> SA-&#x3b2;-gal staining was used to evaluate the effects of inhibition of NF-&#x3ba;B on the cellular senescence of KGN and COV434. <bold>(B)</bold> EdU assay showing the effects of NF-&#x3ba;B inhibition on cell proliferation in KGN and COV434 cells. <bold>(C)</bold> WB analyses showing that cell cycle-related proteins, p53, and NF-&#x3ba;B signaling were downregulated after NF-&#x3ba;B inhibition in KGN and COV434 cells.</p>
</caption>
<graphic xlink:href="fphar-16-1608156-g007.tif">
<alt-text content-type="machine-generated">Panel A shows microscopic images and bar graphs comparing SA-&#x3B2;-gal positive cells in KGN and COV434 cells across different treatments. Panel B depicts cell proliferation images with corresponding bar graphs for EdU positive cells, also in KGN and COV434 cells. Panel C presents Western blot results for various proteins, including p16, p21, and p53, under different treatment conditions in KGN and COV434 cell lines. Statistical significance is indicated with asterisks.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3-5">
<title>3.5 77&#x2013;39 suppresses GCT tumorigenicity <italic>in vivo</italic>
</title>
<p>To evaluate the efficacy and safety of 77&#x2013;39 in inhibiting the tumorigenicity of GCT <italic>in vivo</italic>, we established a subcutaneous tumor model in nude mice. KGN cells were injected subcutaneously into the right dorsal flank of nude mice. Fourteen days after injection, mice were randomly assigned to 5 groups (6 mice per group). One hundred microliters of indicated concentrations of 77&#x2013;39 were administered by gavage every day. CDDP, a chemotherapeutic agent used clinically for the treatment of GCT, was injected intraperitoneally into mice every other day. The results showed that both CDDP and 77-39 could effectively inhibit the tumor growth of GCT <italic>in vivo</italic> (<xref ref-type="fig" rid="F8">Figures 8A&#x2013;C</xref>). CDDP demonstrated the best tumor-inhibitory capacity (<xref ref-type="fig" rid="F8">Figure 8C</xref>). However, the body weight of mice in the CDDP-treated group significantly decreased (<xref ref-type="fig" rid="F8">Figure 8D</xref>), while the 77-39-treated groups did not show significant changes in body weight, indicating that, compared with CDDP, 77-39 exhibited lower drug toxicity. In addition, xenograft tumors excised from nude mice were further subjected to HE staining, SA-&#x3b2;-gal staining, and IHC staining. Consistent with our <italic>in vitro</italic> experimental results, 77-39 was capable of inducing tumor senescence, inhibiting tumor proliferation, and regulating the expression of cell cycle-related proteins (<xref ref-type="fig" rid="F8">Figure 8E</xref>). At the endpoint of the animal experiment, we collected blood from the nude mice and measured the indicators of liver and kidney function. The results showed that compound 77&#x2013;39 did not exhibit significant toxicity to the liver and kidneys, indicating its safety profile (<xref ref-type="fig" rid="F8">Figure 8F</xref>).</p>
<fig id="F8" position="float">
<label>FIGURE 8</label>
<caption>
<p>77&#x2013;39 suppresses GCT tumorigenicity <italic>in vivo</italic>. <bold>(A)</bold> Image of the subcutaneous KGN xenografts from mice that received indicated treatment. <bold>(B)</bold> Growth curves of KGN xenografts measured by a digital caliper. <bold>(C)</bold> Weight of KGN xenografts. <bold>(D)</bold> Body weight of mice that received indicated treatment. <bold>(E)</bold> KGN xenografts from the control and 77-39 (10&#xa0;mg/kg) treated groups were subjected to HE staining, SA-&#x3b2;-gal staining, and IHC staining for Ki67, p21, p16, and p53. Histogram showing the statistical results and differences of the proportion of SA-&#x3b2;-gal positive cells and H-score. <bold>(F)</bold> Measurement of liver and kidney function markers in different treatment groups.</p>
</caption>
<graphic xlink:href="fphar-16-1608156-g008.tif">
<alt-text content-type="machine-generated">Tumor growth study with multiple panels. A: Tumor samples arranged by treatment groups with ruler for scale. B: Line graph showing tumor volume over time for different treatment groups. C: Bar chart of tumor weights between groups. D: Line graph of body weight changes over time, with inset bar chart showing weight at specific days. E: Histological images of tissue samples treated with control and 77-39 (10 mg/kg) with bar charts for SA-&#x3B2;-gal, Ki67, p21, p16, and p53 markers. F: Bar charts of ALT, AST, CR, and BUN levels across treatment groups.</alt-text>
</graphic>
</fig>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>4 Discussion</title>
<p>GCT is the most common non-epithelial malignancy of the ovary. However, it remains a rare disease, and there is a scarcity of high-level evidence to guide its management, especially in the advanced stage (<xref ref-type="bibr" rid="B24">Salkeni et al., 2024</xref>). Oophorectomy is currently a primary treatment method for primary GCT (<xref ref-type="bibr" rid="B1">Brown et al., 2009</xref>; <xref ref-type="bibr" rid="B38">Zhao et al., 2019</xref>). It is estimated that approximately 20% of adult GCTs will recur, with a median time to recurrence of 5 years from the initial diagnosis (<xref ref-type="bibr" rid="B5">Evans et al., 1980</xref>; <xref ref-type="bibr" rid="B20">Malmstrom et al., 1994</xref>). When GCT progresses to an inoperable or metastatic disease, several palliative treatment options are available, including conventional cytotoxic chemotherapy, endocrine therapy, radiation therapy, and targeted therapies (<xref ref-type="bibr" rid="B24">Salkeni et al., 2024</xref>). Developing novel therapeutic approaches is of paramount importance for patients with advanced GCT.</p>
<p>SIRT3 protein level was found to be upregulated in ovarian cancer tissues (<xref ref-type="bibr" rid="B27">Signorile et al., 2019</xref>). IDO1<sup>high</sup> ovarian cancer cell-derived extracellular vesicles upregulated SIRT3 expression in endothelial cells by increasing acetylation modification. The endothelial SIRT3-mediated mitophagy, in turn, promoted angiogenesis in ovarian cancer (<xref ref-type="bibr" rid="B33">Ying et al., 2024</xref>). However, SIRT3 has also been shown to be a tumor suppressor in ovarian epithelial cancer. A prior investigation revealed that the expression of the SIRT3 protein was markedly reduced in ovarian cancer tissues and in the highly metastatic HO-8910PM cell line (<xref ref-type="bibr" rid="B4">Dong et al., 2016</xref>; <xref ref-type="bibr" rid="B26">Shi et al., 2020</xref>). Activation of SIRT3 in ovarian epithelial cancer induced apoptosis, decreased mitochondrial membrane potential, and promoted the fission process of mitochondria (<xref ref-type="bibr" rid="B8">Hou et al., 2019</xref>). Metformin, an inhibitor of mitochondrial complex 1, could induce energy stress and apoptosis in ovarian epithelial cancer cells. Interestingly, the activation of SIRT3, which is enhanced by Metformin, further aggravates these effects (<xref ref-type="bibr" rid="B30">Wu et al., 2018</xref>).</p>
<p>Despite the controversial role of SIRT3 in ovarian epithelial cancer, its function in polycystic ovary syndrome (PCOS)&#x2014;an ovarian granulosa cell-associated disease&#x2014;is well-defined. SIRT3 could enhance ovarian morphology and serum sex hormone levels in mice with PCOS induced by dihydrotestosterone (DHT). It also inhibited apoptosis both <italic>in vitro</italic> and <italic>in vivo</italic>. Additionally, SIRT3 inhibited mitochondrial reactive oxygen species (ROS) production to ameliorate mitochondrial dysfunction in DHT-induced KGN cells through the FOXO1/PGC-1&#x3b1; signaling pathway (<xref ref-type="bibr" rid="B22">Pang et al., 2023</xref>). Moreover, SIRT3 knockdown in granulosa cells led to mitochondrial dysfunction, increased oxidative stress, and impaired glucose metabolism. These alterations could potentially contribute to the development of compromised oocyte quality in PCOS (<xref ref-type="bibr" rid="B6">Fu et al., 2014</xref>; <xref ref-type="bibr" rid="B37">Zhang et al., 2022</xref>). It is also demonstrated that SIRT3 inactivation or knockdown could elevate ROS production, leading to embryonic development arrest and reduced proliferative activity of Leydig cells (<xref ref-type="bibr" rid="B11">Kawamura et al., 2010</xref>; <xref ref-type="bibr" rid="B21">Matoba et al., 2024</xref>). The above evidence suggested that SIRT3 exerted a protective role in granulosa cells.</p>
<p>In GCT, although a previous study showed that the knockdown of SIRT3 in KGN cells impaired their proliferative ability (<xref ref-type="bibr" rid="B25">Schmid et al., 2021</xref>), the underlying molecular mechanism by which SIRT3 regulates cell growth remains underexplored. In this study, we evaluated the therapeutic effects of 77&#x2013;39, a novel SIRT3-selective inhibitor developed by Zhou et al., on GCT. Through clonogenic assays, EdU incorporation assays, and SA-&#x3b2;-gal staining, we found that compound 77&#x2013;39 significantly inhibited the proliferation of GCT cells and induced cellular senescence, with an increase in the expression of SASP-related proteins (e.g., IL-6, IL-1B, CXCL2). Through RNA sequencing and subsequent KEGG and GSEA enrichment analyses, we found that pathways related to p53, NF-&#x3ba;B, and senescence were activated following treatment with 77&#x2013;39. The results were further confirmed by WB experiments. Previously, Zhu et al. demonstrated that SIRT3 expression showed age-dependent decreases in the ovary, and depletion of SIRT3 in mice by CRISPR/Cas-9 accelerated ovarian aging, as evidenced by reduced offspring sizes, decreased follicle reserves, and lower levels of oocyte markers (Bmp15 and Gdf9), along with increased expression of genes related to aging and inflammation (p16, p21, Il-1&#x3b1;, and Il-1&#x3b2;). This study provided additional evidence to support our results. Our work, for the first time, has elucidated the oncogenic mechanisms of SIRT3 in GCT by using a SIRT3 selective inhibitor.</p>
<p>Next, to further validate that the p53 and NF-&#x3ba;B pathways mediated the inhibitory effects of 77&#x2013;39 on GCT, we inhibited p53 and NF-&#x3ba;B, respectively. As expected, inhibiting p53 and NF-&#x3ba;B could reverse the inhibitory effects of 77&#x2013;39 on GCT cells, demonstrating they were downstream effector of SIRT3. Unexpectedly, we found that p53 and NF-&#x3ba;B signaling pathways might interactively regulate each other in GCT. According to previous studies, p53 could activate NF-&#x3ba;B, and this activation is crucial for p53-mediated apoptosis (<xref ref-type="bibr" rid="B23">Ryan et al., 2000</xref>; <xref ref-type="bibr" rid="B32">Yin and Yu, 2018</xref>; <xref ref-type="bibr" rid="B28">Tan et al., 2022</xref>). Inhibition of NF-&#x3ba;B by BAY 11-7082 reduced the protein expression of p53 (<xref ref-type="bibr" rid="B7">Han et al., 2024</xref>). These findings may broaden our understanding of the crosstalk between p53 and NF-&#x3ba;B. Additionally, the xenograft tumor model was used to evaluate the efficacy of 77&#x2013;39 in inhibiting tumor growth <italic>in vivo</italic>. Compound 77&#x2013;39 demonstrated significant tumor-suppressive activity in in vivo experiments. Regarding the safety of 77&#x2013;39, <italic>in vitro</italic> experiments revealed that compared with GCT cells, 77-39 exhibited weaker inhibitory activity against the normal ovarian epithelial cell line IOSE-80. In in vivo experiments using nude mice, the administration of 77&#x2013;39 did not affect the body weight of the mice. Moreover, compared with the control group, 77&#x2013;39 did not exhibit significant toxicity to the liver and kidneys, thereby emphasizing its safety profile. Although cisplatin remains the most commonly used therapeutic agent for advanced GCT and has demonstrated the strongest inhibitory efficacy in xenograft tumor models, our experiments indicated that 77&#x2013;39 has superior safety compared with cisplatin. Overall, these works suggested that 77-39 could serve as a potential therapeutic agent for GCT.</p>
<p>Our study has several limitations. First, we only used immortalized cell lines for <italic>in vitro</italic> and <italic>in vivo</italic> experiments, which may not fully reflect the clinical therapeutic effects. Due to the scarcity of clinical samples of GCT, we were unable to evaluate the therapeutic efficacy of 77&#x2013;39 by constructing patient-derived organoids and patient-derived xenograft models, both of which could better simulate the clinical therapeutic effects of 77&#x2013;39 on GCT. Additionally, our experimental results indicated that treatment with 77&#x2013;39, knockdown, or overexpression of SIRT3 could affect the p53 and NF-&#x3ba;B signaling pathways. It is known that SIRT3 can deacetylate p53 to regulate its stability. However, the mechanism by which SIRT3 affects the NF-&#x3ba;B signaling pathway remains to be elucidated. Moreover, our results showed that Inhibition of p53 using PFT&#x3b1; affected the NF-&#x3ba;B signaling, while inhibition of NF-&#x3ba;B using BAY 11-7082 affected the p53 signaling, indicating an interacting network between p53 and NF-&#x3ba;B signaling, which our study has not yet adequately explained. In conclusion, our findings propose a novel perspective and therapeutic option for GCT that primarily targets SIRT3. Future research should focus on elucidating the mechanisms underlying the interaction between SIRT3, the p53 signaling pathway, and the NF-&#x3ba;B signaling pathway and exploring the therapeutic potential of 77&#x2013;39 in more clinically relevant models.</p>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="s5">
<title>Data availability statement</title>
<p>The raw data of transcriptomic sequencing has been submitted to the GEO database with accession number GSE293585.</p>
</sec>
<sec sec-type="ethics-statement" id="s6">
<title>Ethics statement</title>
<p>Ethical approval was not required for the studies on humans in accordance with the local legislation and institutional requirements because only commercially available established cell lines were used. The animal study was approved by the Ethics Committee of Shenzhen TopBiotech Co., Ltd. The study was conducted in accordance with the local legislation and institutional requirements.</p>
</sec>
<sec sec-type="author-contributions" id="s7">
<title>Author contributions</title>
<p>JM: Conceptualization, Data curation, Formal Analysis, Methodology, Validation, Visualization, Writing &#x2013; original draft. SL: Software, Writing &#x2013; original draft. CZ: Software, Writing &#x2013; original draft. WW: Software, Writing &#x2013; original draft. QZ (5th author): Software, Writing &#x2013; original draft. GZ: Software, Writing &#x2013; original draft. QZ (7th author): Software, Writing &#x2013; original draft. QF: Software, Writing &#x2013; original draft. LF: Software, Writing &#x2013; original draft. ST: Software, Writing &#x2013; original draft. XaL: Resources, Writing &#x2013; original draft. XuL: Conceptualization, Project administration, Supervision, Writing &#x2013; review and editing. YZ: Investigation, Supervision, Writing &#x2013; review and editing. XW: Conceptualization, Funding acquisition, Project administration, Resources, Supervision, Writing &#x2013; review and editing.</p>
</sec>
<sec sec-type="funding-information" id="s8">
<title>Funding</title>
<p>The author(s) declare that financial support was received for the research and/or publication of this article. This work was supported by the Key Programs of Basic and Applied Basic Research Fund of Guangdong Province (2022B1515120063), Shenzhen Science and Technology Innovation Committee (JCYJ20210324100004013), Shenzhen Medical Research Fund (D2402008), and Shenzhen Pea-cock Program-Project Development Fund (20210407618B).</p>
</sec>
<sec sec-type="COI-statement" id="s9">
<title>Conflict of interest</title>
<p>Author XaL was employed by Laboratory for Synthetic Chemistry and Chemical Biology Limited.</p>
<p>The remaining 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 sec-type="ai-statement" id="s10">
<title>Generative AI statement</title>
<p>The author(s) declare that no Generative AI was used in the creation of this manuscript.</p>
</sec>
<sec sec-type="disclaimer" id="s11">
<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 sec-type="supplementary-material" id="s12">
<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/fphar.2025.1608156/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fphar.2025.1608156/full&#x23;supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="DataSheet1.pdf" id="SM1" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Brown</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Sood</surname>
<given-names>A. K.</given-names>
</name>
<name>
<surname>Deavers</surname>
<given-names>M. T.</given-names>
</name>
<name>
<surname>Milojevic</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Gershenson</surname>
<given-names>D. M.</given-names>
</name>
</person-group> (<year>2009</year>). <article-title>Patterns of metastasis in sex cord-stromal tumors of the ovary: can routine staging lymphadenectomy be omitted?</article-title> <source>Gynecol. Oncol.</source> <volume>113</volume> (<issue>1</issue>), <fpage>86</fpage>&#x2013;<lpage>90</lpage>. <pub-id pub-id-type="doi">10.1016/j.ygyno.2008.12.007</pub-id>
</citation>
</ref>
<ref id="B2">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chen</surname>
<given-names>F.</given-names>
</name>
<name>
<surname>Long</surname>
<given-names>Q.</given-names>
</name>
<name>
<surname>Fu</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Zhu</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Ji</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Han</surname>
<given-names>L.</given-names>
</name>
<etal/>
</person-group> (<year>2018</year>). <article-title>Targeting SPINK1 in the damaged tumour microenvironment alleviates therapeutic resistance</article-title>. <source>Nat. Commun.</source> <volume>9</volume> (<issue>1</issue>), <fpage>4315</fpage>. <pub-id pub-id-type="doi">10.1038/s41467-018-06860-4</pub-id>
</citation>
</ref>
<ref id="B3">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chen</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>Q.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>SirT3 and p53 deacetylation in aging and cancer</article-title>. <source>J. Cell Physiol.</source> <volume>232</volume> (<issue>9</issue>), <fpage>2308</fpage>&#x2013;<lpage>2311</lpage>. <pub-id pub-id-type="doi">10.1002/jcp.25669</pub-id>
</citation>
</ref>
<ref id="B4">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Dong</surname>
<given-names>X. C.</given-names>
</name>
<name>
<surname>Jing</surname>
<given-names>L. M.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>W. X.</given-names>
</name>
<name>
<surname>Gao</surname>
<given-names>Y. X.</given-names>
</name>
</person-group> (<year>2016</year>). <article-title>Down-regulation of SIRT3 promotes ovarian carcinoma metastasis</article-title>. <source>Biochem. Biophys. Res. Commun.</source> <volume>475</volume> (<issue>3</issue>), <fpage>245</fpage>&#x2013;<lpage>250</lpage>. <pub-id pub-id-type="doi">10.1016/j.bbrc.2016.05.098</pub-id>
</citation>
</ref>
<ref id="B5">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Evans</surname>
<given-names>A. T.</given-names>
</name>
<name>
<surname>Gaffey</surname>
<given-names>T. A.</given-names>
</name>
<name>
<surname>Malkasian</surname>
<given-names>G. D.</given-names>
<suffix>Jr.</suffix>
</name>
<name>
<surname>Annegers</surname>
<given-names>J. F.</given-names>
</name>
</person-group> (<year>1980</year>). <article-title>Clinicopathologic review of 118 granulosa and 82 theca cell tumors</article-title>. <source>Obstet. Gynecol.</source> <volume>55</volume> (<issue>2</issue>), <fpage>231</fpage>&#x2013;<lpage>238</lpage>.</citation>
</ref>
<ref id="B6">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Fu</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Wada-Hiraike</surname>
<given-names>O.</given-names>
</name>
<name>
<surname>Hirano</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Kawamura</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Sakurabashi</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Shirane</surname>
<given-names>A.</given-names>
</name>
<etal/>
</person-group> (<year>2014</year>). <article-title>SIRT3 positively regulates the expression of folliculogenesis- and luteinization-related genes and progesterone secretion by manipulating oxidative stress in human luteinized granulosa cells</article-title>. <source>Endocrinology</source> <volume>155</volume> (<issue>8</issue>), <fpage>3079</fpage>&#x2013;<lpage>3087</lpage>. <pub-id pub-id-type="doi">10.1210/en.2014-1025</pub-id>
</citation>
</ref>
<ref id="B7">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Han</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Zhan</surname>
<given-names>L. N.</given-names>
</name>
<name>
<surname>Huang</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Guo</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Zhou</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Kapilevich</surname>
<given-names>L.</given-names>
</name>
<etal/>
</person-group> (<year>2024</year>). <article-title>Moderate mechanical stress suppresses chondrocyte ferroptosis in osteoarthritis by regulating NF-&#x3ba;B p65/GPX4 signaling pathway</article-title>. <source>Sci. Rep.</source> <volume>14</volume> (<issue>1</issue>), <fpage>5078</fpage>. <pub-id pub-id-type="doi">10.1038/s41598-024-55629-x</pub-id>
</citation>
</ref>
<ref id="B8">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hou</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Wei</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Lu</surname>
<given-names>X.</given-names>
</name>
<etal/>
</person-group> (<year>2019</year>). <article-title>ABT737 enhances ovarian cancer cells sensitivity to cisplatin through regulation of mitochondrial fission via Sirt3 activation</article-title>. <source>Life Sci.</source> <volume>232</volume>, <fpage>116561</fpage>. <pub-id pub-id-type="doi">10.1016/j.lfs.2019.116561</pub-id>
</citation>
</ref>
<ref id="B9">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jamieson</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Fuller</surname>
<given-names>P. J.</given-names>
</name>
</person-group> (<year>2012</year>). <article-title>Molecular pathogenesis of granulosa cell tumors of the ovary</article-title>. <source>Endocr. Rev.</source> <volume>33</volume> (<issue>1</issue>), <fpage>109</fpage>&#x2013;<lpage>144</lpage>. <pub-id pub-id-type="doi">10.1210/er.2011-0014</pub-id>
</citation>
</ref>
<ref id="B10">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jin</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Bai</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Ding</surname>
<given-names>W.</given-names>
</name>
<name>
<surname>Cao</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Yan</surname>
<given-names>P.</given-names>
</name>
<etal/>
</person-group> (<year>2023</year>). <article-title>SIRT3-dependent delactylation of cyclin E2 prevents hepatocellular carcinoma growth</article-title>. <source>EMBO Rep.</source> <volume>24</volume> (<issue>5</issue>), <fpage>e56052</fpage>. <pub-id pub-id-type="doi">10.15252/embr.202256052</pub-id>
</citation>
</ref>
<ref id="B11">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kawamura</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Uchijima</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Horike</surname>
<given-names>N.</given-names>
</name>
<name>
<surname>Tonami</surname>
<given-names>K.</given-names>
</name>
<name>
<surname>Nishiyama</surname>
<given-names>K.</given-names>
</name>
<name>
<surname>Amano</surname>
<given-names>T.</given-names>
</name>
<etal/>
</person-group> (<year>2010</year>). <article-title>Sirt3 protects in vitro-fertilized mouse preimplantation embryos against oxidative stress-induced p53-mediated developmental arrest</article-title>. <source>J. Clin. Invest</source> <volume>120</volume> (<issue>8</issue>), <fpage>2817</fpage>&#x2013;<lpage>2828</lpage>. <pub-id pub-id-type="doi">10.1172/JCI42020</pub-id>
</citation>
</ref>
<ref id="B12">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kim</surname>
<given-names>J. H.</given-names>
</name>
<name>
<surname>Kim</surname>
<given-names>Y. H.</given-names>
</name>
<name>
<surname>Kim</surname>
<given-names>H. M.</given-names>
</name>
<name>
<surname>Park</surname>
<given-names>H. O.</given-names>
</name>
<name>
<surname>Ha</surname>
<given-names>N. C.</given-names>
</name>
<name>
<surname>Kim</surname>
<given-names>T. H.</given-names>
</name>
<etal/>
</person-group> (<year>2014</year>). <article-title>FOXL2 posttranslational modifications mediated by GSK3&#x3b2; determine the growth of granulosa cell tumours</article-title>. <source>Nat. Commun.</source> <volume>5</volume>, <fpage>2936</fpage>. <pub-id pub-id-type="doi">10.1038/ncomms3936</pub-id>
</citation>
</ref>
<ref id="B13">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kim</surname>
<given-names>Y. S.</given-names>
</name>
<name>
<surname>Gupta Vallur</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Jones</surname>
<given-names>V. M.</given-names>
</name>
<name>
<surname>Worley</surname>
<given-names>B. L.</given-names>
</name>
<name>
<surname>Shimko</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Shin</surname>
<given-names>D. H.</given-names>
</name>
<etal/>
</person-group> (<year>2020</year>). <article-title>Context-dependent activation of SIRT3 is necessary for anchorage-independent survival and metastasis of ovarian cancer cells</article-title>. <source>Oncogene</source> <volume>39</volume> (<issue>8</issue>), <fpage>1619</fpage>&#x2013;<lpage>1633</lpage>. <pub-id pub-id-type="doi">10.1038/s41388-019-1097-7</pub-id>
</citation>
</ref>
<ref id="B14">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Koukourakis</surname>
<given-names>G. V.</given-names>
</name>
<name>
<surname>Kouloulias</surname>
<given-names>V. E.</given-names>
</name>
<name>
<surname>Koukourakis</surname>
<given-names>M. J.</given-names>
</name>
<name>
<surname>Zacharias</surname>
<given-names>G. A.</given-names>
</name>
<name>
<surname>Papadimitriou</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Mystakidou</surname>
<given-names>K.</given-names>
</name>
<etal/>
</person-group> (<year>2008</year>). <article-title>Granulosa cell tumor of the ovary: tumor review</article-title>. <source>Integr. Cancer Ther.</source> <volume>7</volume> (<issue>3</issue>), <fpage>204</fpage>&#x2013;<lpage>215</lpage>. <pub-id pub-id-type="doi">10.1177/1534735408322845</pub-id>
</citation>
</ref>
<ref id="B15">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lasry</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Ben-Neriah</surname>
<given-names>Y.</given-names>
</name>
</person-group> (<year>2015</year>). <article-title>Senescence-associated inflammatory responses: aging and cancer perspectives</article-title>. <source>Trends Immunol.</source> <volume>36</volume> (<issue>4</issue>), <fpage>217</fpage>&#x2013;<lpage>228</lpage>. <pub-id pub-id-type="doi">10.1016/j.it.2015.02.009</pub-id>
</citation>
</ref>
<ref id="B16">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Leung</surname>
<given-names>D. T. H.</given-names>
</name>
<name>
<surname>Nguyen</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Oliver</surname>
<given-names>E. M.</given-names>
</name>
<name>
<surname>Matti</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Alexiadis</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Silke</surname>
<given-names>J.</given-names>
</name>
<etal/>
</person-group> (<year>2019</year>). <article-title>Combined PPAR&#x3b3; activation and XIAP inhibition as a potential therapeutic strategy for ovarian granulosa cell tumors</article-title>. <source>Mol. Cancer Ther.</source> <volume>18</volume> (<issue>2</issue>), <fpage>364</fpage>&#x2013;<lpage>375</lpage>. <pub-id pub-id-type="doi">10.1158/1535-7163.MCT-18-0078</pub-id>
</citation>
</ref>
<ref id="B17">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Li</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Quan</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Xia</surname>
<given-names>W.</given-names>
</name>
</person-group> (<year>2018</year>). <article-title>SIRT3 inhibits prostate cancer metastasis through regulation of FOXO3A by suppressing Wnt/&#x3b2;-catenin pathway</article-title>. <source>Exp. Cell Res.</source> <volume>364</volume> (<issue>2</issue>), <fpage>143</fpage>&#x2013;<lpage>151</lpage>. <pub-id pub-id-type="doi">10.1016/j.yexcr.2018.01.036</pub-id>
</citation>
</ref>
<ref id="B18">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Li</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Banck</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Mujtaba</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Zhou</surname>
<given-names>M. M.</given-names>
</name>
<name>
<surname>Sugrue</surname>
<given-names>M. M.</given-names>
</name>
<name>
<surname>Walsh</surname>
<given-names>M. J.</given-names>
</name>
</person-group> (<year>2010</year>). <article-title>p53-induced growth arrest is regulated by the mitochondrial SirT3 deacetylase</article-title>. <source>PLoS One</source> <volume>5</volume> (<issue>5</issue>), <fpage>e10486</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pone.0010486</pub-id>
</citation>
</ref>
<ref id="B19">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Li</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>W.</given-names>
</name>
<name>
<surname>Xing</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Hu</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>G.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>T.</given-names>
</name>
<etal/>
</person-group> (<year>2024</year>). <article-title>Targeting SIRT3 sensitizes glioblastoma to ferroptosis by promoting mitophagy and inhibiting SLC7A11</article-title>. <source>Cell Death Dis.</source> <volume>15</volume> (<issue>2</issue>), <fpage>168</fpage>. <pub-id pub-id-type="doi">10.1038/s41419-024-06558-0</pub-id>
</citation>
</ref>
<ref id="B20">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Malmstrom</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Hogberg</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Risberg</surname>
<given-names>B.</given-names>
</name>
<name>
<surname>Simonsen</surname>
<given-names>E.</given-names>
</name>
</person-group> (<year>1994</year>). <article-title>Granulosa cell tumors of the ovary: prognostic factors and outcome</article-title>. <source>Gynecol. Oncol.</source> <volume>52</volume> (<issue>1</issue>), <fpage>50</fpage>&#x2013;<lpage>55</lpage>. <pub-id pub-id-type="doi">10.1006/gyno.1994.1010</pub-id>
</citation>
</ref>
<ref id="B21">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Matoba</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Fujii</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Maruyama</surname>
<given-names>K.</given-names>
</name>
<name>
<surname>Kawakubo</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Momose</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Sano</surname>
<given-names>K.</given-names>
</name>
<etal/>
</person-group> (<year>2024</year>). <article-title>Sirt3 regulates proliferation and progesterone production in leydig cells via suppression of reactive oxygen species</article-title>. <source>Endocrinology</source> <volume>165</volume> (<issue>4</issue>), <fpage>bqae017</fpage>. <pub-id pub-id-type="doi">10.1210/endocr/bqae017</pub-id>
</citation>
</ref>
<ref id="B22">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pang</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Cheng</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Wu</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Sun</surname>
<given-names>L.</given-names>
</name>
</person-group> (<year>2023</year>). <article-title>SIRT3 ameliorates polycystic ovary syndrome through FOXO1/PGC-1&#x3b1; signaling pathway</article-title>. <source>Endocrine</source> <volume>80</volume> (<issue>1</issue>), <fpage>201</fpage>&#x2013;<lpage>211</lpage>. <pub-id pub-id-type="doi">10.1007/s12020-022-03262-x</pub-id>
</citation>
</ref>
<ref id="B23">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ryan</surname>
<given-names>K. M.</given-names>
</name>
<name>
<surname>Ernst</surname>
<given-names>M. K.</given-names>
</name>
<name>
<surname>Rice</surname>
<given-names>N. R.</given-names>
</name>
<name>
<surname>Vousden</surname>
<given-names>K. H.</given-names>
</name>
</person-group> (<year>2000</year>). <article-title>Role of NF-kappaB in p53-mediated programmed cell death</article-title>. <source>Nature</source> <volume>404</volume> (<issue>6780</issue>), <fpage>892</fpage>&#x2013;<lpage>897</lpage>. <pub-id pub-id-type="doi">10.1038/35009130</pub-id>
</citation>
</ref>
<ref id="B24">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Salkeni</surname>
<given-names>M. A.</given-names>
</name>
<name>
<surname>Shin</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Takebe</surname>
<given-names>N.</given-names>
</name>
<name>
<surname>Stevens</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>A.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>Advanced granulosa cell tumors of the ovary: a review with a focus on current and novel therapeutic approaches</article-title>. <source>J. Immunother. Precis. Oncol.</source> <volume>7</volume> (<issue>4</issue>), <fpage>263</fpage>&#x2013;<lpage>271</lpage>. <pub-id pub-id-type="doi">10.36401/JIPO-23-40</pub-id>
</citation>
</ref>
<ref id="B25">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Schmid</surname>
<given-names>N.</given-names>
</name>
<name>
<surname>Dietrich</surname>
<given-names>K. G.</given-names>
</name>
<name>
<surname>Forne</surname>
<given-names>I.</given-names>
</name>
<name>
<surname>Burges</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Szymanska</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Meidan</surname>
<given-names>R.</given-names>
</name>
<etal/>
</person-group> (<year>2021</year>). <article-title>Sirtuin 1 and sirtuin 3 in granulosa cell tumors</article-title>. <source>Int. J. Mol. Sci.</source> <volume>22</volume> (<issue>4</issue>), <fpage>2047</fpage>. <pub-id pub-id-type="doi">10.3390/ijms22042047</pub-id>
</citation>
</ref>
<ref id="B26">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Shi</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>He</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Yang</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>He</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Zhan</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Wei</surname>
<given-names>B.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Potential relationship between Sirt3 and autophagy in ovarian cancer</article-title>. <source>Oncol. Lett.</source> <volume>20</volume> (<issue>5</issue>), <fpage>162</fpage>. <pub-id pub-id-type="doi">10.3892/ol.2020.12023</pub-id>
</citation>
</ref>
<ref id="B27">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Signorile</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>De Rasmo</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Cormio</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Musicco</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Rossi</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Fortarezza</surname>
<given-names>F.</given-names>
</name>
<etal/>
</person-group> (<year>2019</year>). <article-title>Human ovarian cancer tissue exhibits increase of mitochondrial biogenesis and cristae remodeling</article-title>. <source>Cancers (Basel)</source> <volume>11</volume> (<issue>9</issue>), <fpage>1350</fpage>. <pub-id pub-id-type="doi">10.3390/cancers11091350</pub-id>
</citation>
</ref>
<ref id="B28">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Tan</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Sun</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Yin</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Zhou</surname>
<given-names>Q.</given-names>
</name>
<name>
<surname>Zhao</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>Q.</given-names>
</name>
<etal/>
</person-group> (<year>2022</year>). <article-title>Hsa_circ_0005050 interacts with ILF3 and affects cell apoptosis and proliferation by disrupting the balance between p53 and p65</article-title>. <source>Chem. Biol. Interact.</source> <volume>368</volume>, <fpage>110208</fpage>. <pub-id pub-id-type="doi">10.1016/j.cbi.2022.110208</pub-id>
</citation>
</ref>
<ref id="B29">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Long</surname>
<given-names>Q.</given-names>
</name>
<name>
<surname>Fu</surname>
<given-names>Q.</given-names>
</name>
<name>
<surname>Xu</surname>
<given-names>Q.</given-names>
</name>
<name>
<surname>Fu</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>Y.</given-names>
</name>
<etal/>
</person-group> (<year>2022</year>). <article-title>Targeting epiregulin in the treatment-damaged tumor microenvironment restrains therapeutic resistance</article-title>. <source>Oncogene</source> <volume>41</volume> (<issue>45</issue>), <fpage>4941</fpage>&#x2013;<lpage>4959</lpage>. <pub-id pub-id-type="doi">10.1038/s41388-022-02476-7</pub-id>
</citation>
</ref>
<ref id="B30">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wu</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Gao</surname>
<given-names>W. N.</given-names>
</name>
<name>
<surname>Xue</surname>
<given-names>Y. N.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>L. C.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>J. J.</given-names>
</name>
<name>
<surname>Lu</surname>
<given-names>S. Y.</given-names>
</name>
<etal/>
</person-group> (<year>2018</year>). <article-title>SIRT3 aggravates metformin-induced energy stress and apoptosis in ovarian cancer cells</article-title>. <source>Exp. Cell Res.</source> <volume>367</volume> (<issue>2</issue>), <fpage>137</fpage>&#x2013;<lpage>149</lpage>. <pub-id pub-id-type="doi">10.1016/j.yexcr.2018.03.030</pub-id>
</citation>
</ref>
<ref id="B31">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Xiong</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Zhao</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>Z.</given-names>
</name>
<etal/>
</person-group> (<year>2018</year>). <article-title>SIRT3 deacetylates and promotes degradation of P53 in PTEN-Defective non-small cell lung cancer</article-title>. <source>J. Cancer Res. Clin. Oncol.</source> <volume>144</volume> (<issue>2</issue>), <fpage>189</fpage>&#x2013;<lpage>198</lpage>. <pub-id pub-id-type="doi">10.1007/s00432-017-2537-9</pub-id>
</citation>
</ref>
<ref id="B32">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yin</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Yu</surname>
<given-names>X.</given-names>
</name>
</person-group> (<year>2018</year>). <article-title>Arsenic-induced apoptosis in the p53-proficient and p53-deficient cells through differential modulation of NFkB pathway</article-title>. <source>Food Chem. Toxicol.</source> <volume>118</volume>, <fpage>849</fpage>&#x2013;<lpage>860</lpage>. <pub-id pub-id-type="doi">10.1016/j.fct.2018.06.053</pub-id>
</citation>
</ref>
<ref id="B33">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ying</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Zheng</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Yin</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>X.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>Kynurenine in IDO1(high) cancer cell-derived extracellular vesicles promotes angiogenesis by inducing endothelial mitophagy in ovarian cancer</article-title>. <source>J. Transl. Med.</source> <volume>22</volume> (<issue>1</issue>), <fpage>267</fpage>. <pub-id pub-id-type="doi">10.1186/s12967-024-05054-5</pub-id>
</citation>
</ref>
<ref id="B34">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zeng</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Liang</surname>
<given-names>W.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>H.</given-names>
</name>
<etal/>
</person-group> (<year>2024a</year>). <article-title>Loss of STARD13 contributes to aggressive phenotype transformation and poor prognosis in papillary thyroid carcinoma</article-title>. <source>Endocrine</source> <volume>83</volume> (<issue>1</issue>), <fpage>127</fpage>&#x2013;<lpage>141</lpage>. <pub-id pub-id-type="doi">10.1007/s12020-023-03468-7</pub-id>
</citation>
</ref>
<ref id="B35">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zeng</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Lin</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Liang</surname>
<given-names>W.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>Y.</given-names>
</name>
<etal/>
</person-group> (<year>2024b</year>). <article-title>TFCP2L1, a potential differentiation regulator, predicts favorable prognosis and dampens thyroid cancer progression</article-title>. <source>J. Endocrinol. Invest</source> <volume>47</volume>, <fpage>2953</fpage>&#x2013;<lpage>2968</lpage>. <pub-id pub-id-type="doi">10.1007/s40618-024-02392-5</pub-id>
</citation>
</ref>
<ref id="B36">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhang</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Ye</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Zhu</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Han</surname>
<given-names>B.</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>B.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>Context-dependent role of SIRT3 in cancer</article-title>. <source>Trends Pharmacol. Sci.</source> <volume>45</volume> (<issue>2</issue>), <fpage>173</fpage>&#x2013;<lpage>190</lpage>. <pub-id pub-id-type="doi">10.1016/j.tips.2023.12.005</pub-id>
</citation>
</ref>
<ref id="B37">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhang</surname>
<given-names>Q.</given-names>
</name>
<name>
<surname>Ren</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>F.</given-names>
</name>
<name>
<surname>Pan</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Cui</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>M.</given-names>
</name>
<etal/>
</person-group> (<year>2022</year>). <article-title>Mitochondrial and glucose metabolic dysfunctions in granulosa cells induce impaired oocytes of polycystic ovary syndrome through sirtuin 3</article-title>. <source>Free Radic. Biol. Med.</source> <volume>187</volume>, <fpage>1</fpage>&#x2013;<lpage>16</lpage>. <pub-id pub-id-type="doi">10.1016/j.freeradbiomed.2022.05.010</pub-id>
</citation>
</ref>
<ref id="B38">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhao</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Song</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>B.</given-names>
</name>
</person-group> (<year>2019</year>). <article-title>Outcomes of fertility-sparing surgery in ovarian juvenile granulosa cell tumor</article-title>. <source>Int. J. Gynecol. Cancer</source> <volume>29</volume> (<issue>4</issue>), <fpage>787</fpage>&#x2013;<lpage>791</lpage>. <pub-id pub-id-type="doi">10.1136/ijgc-2018-000083</pub-id>
</citation>
</ref>
<ref id="B39">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhou</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Pinho</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Gu</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Radak</surname>
<given-names>Z.</given-names>
</name>
</person-group> (<year>2022</year>). <article-title>The role of SIRT3 in exercise and aging</article-title>. <source>Cells</source> <volume>11</volume> (<issue>16</issue>), <fpage>2596</fpage>. <pub-id pub-id-type="doi">10.3390/cells11162596</pub-id>
</citation>
</ref>
<ref id="B40">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhou</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Peng</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Xie</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Meng</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>Q.</given-names>
</name>
<etal/>
</person-group> (<year>2018</year>). <article-title>DNA-encoded dynamic chemical library and its applications in ligand discovery</article-title>. <source>J. Am. Chem. Soc.</source> <volume>140</volume> (<issue>46</issue>), <fpage>15859</fpage>&#x2013;<lpage>15867</lpage>. <pub-id pub-id-type="doi">10.1021/jacs.8b09277</pub-id>
</citation>
</ref>
</ref-list>
</back>
</article>