Neurological and Histological Consequences Induced by In Vivo Cerebral Oxidative Stress: Evidence for Beneficial Effects of SRT1720, a Sirtuin 1 Activator, and Sirtuin 1-Mediated Neuroprotective Effects of Poly(ADP-ribose) Polymerase Inhibition

Poly(ADP-ribose)polymerase and sirtuin 1 are both NAD+-dependent enzymes. In vitro oxidative stress activates poly(ADP-ribose)polymerase, decreases NAD+ level, sirtuin 1 activity and finally leads to cell death. Poly(ADP-ribose)polymerase hyperactivation contributes to cell death. In addition, poly(ADP-ribose)polymerase inhibition restores NAD+ level and sirtuin 1 activity in vitro. In vitro sirtuin 1 induction protects neurons from cell loss induced by oxidative stress. In this context, the role of sirtuin 1 and its involvement in beneficial effects of poly(ADP-ribose)polymerase inhibition were evaluated in vivo in a model of cerebral oxidative stress induced by intrastriatal infusion of malonate in rat. Malonate promoted a NAD+ decrease that was not prevented by 3-aminobenzamide, a poly(ADP-ribose)polymerase inhibitor, at 4 and 24 hours. However, 3-aminobenzamide increased nuclear SIRT1 activity/expression ratio after oxidative stress. Malonate induced a neurological deficit associated with a striatal lesion. Both were reduced by 3-aminobenzamide and SRT1720, a sirtuin 1 activator, showing beneficial effects of poly(ADP-ribose)polymerase inhibition and sirtuin 1 activation on oxidative stress consequences. EX527, a sirtuin 1 inhibitor, given alone, modified neither the score nor the lesion, suggesting that endogenous sirtuin 1 was not activated during cerebral oxidative stress. However, its association with 3-aminobenzamide suppressed the neurological improvement and the lesion reduction induced by 3-aminobenzamide. The association of 3-aminobenzamide with SRT1720, the sirtuin 1 activator, did not lead to a better protection than 3-aminobenzamide alone. The present data represent the first demonstration that the sirtuin 1 activator SRT1720 is neuroprotective during in vivo cerebral oxidative stress. Furthermore sirtuin 1 activation is involved in the beneficial effects of poly(ADP-ribose)polymerase inhibition after in vivo cerebral oxidative stress.


Introduction
Oxidative stress (OS) is involved in physiopathology of acute cerebrovascular diseases such as stroke and traumatic brain injury [1,2]. It results from an unbalance between prooxidant and antioxidant systems. Brain is particularly vulnerable to OS as it is an important consumer of oxygen and it possesses low levels of antioxidants compared to other organs. Excessive production of reactive oxygen species causes lipid peroxidation, protein and DNA oxidation, leading to cell death [3]. Particularly, one response to DNA damage is poly(ADP-ribose)polymerase (PARP) activation.
PARP is a NAD + -dependent nuclear enzyme that participates to DNA repair. Its excessive activation during OS contributes to energetic depletion and consequently to cell death [2,4,5]. It was widely demonstrated that PARP inhibition is beneficial in both in vitro and in vivo OS situations [6]. Indeed PARP inhibition decreased hydrogen peroxide-induced macrophage cell death [7] and was neuroprotective after in vivo cerebral OS [8]. Furthermore, in vitro data showed that PARP activation limited other NAD + -dependent enzymes activity during OS, in particular sirtuin 1 (SIRT1), probably due to substrate depletion [9]. SIRT1 is a NAD-dependent deacetylase that have numerous targets that confers it a lot of biological functions. SIRT1 plays a significant role in histone post-translational modifications and chromatin-related functions, in the regulation of p53 expression and function, and in DNA damage response [10]. SIRT1 induction prevented in vitro OS-induced cell death [11]. Furthermore, its inhibition during wallerian degeneration exacerbated neuronal death whereas its activation protects neurons from cell loss [12]. These data suggested a beneficial role of SIRT1 activation on cell survival.
In vitro studies showed that OS activates PARP, decreases NAD + level, SIRT1 activity and finally leads to cell death [9,[13][14][15]. In vitro PARP inhibition restored NAD pool and SIRT1 activity in cells after hydrogen peroxide treatment [9,14,15] and prevented hydrogen peroxide-induced astrocyte cell death [16]. Conventionally, beneficial effects of PARP inhibition were explained as a consequence of NAD + preservation, thus it may allow NAD + use for SIRT1 activity. To our knowledge, there was no information dealing with the role of SIRT1 and its involvement in beneficial effects of PARP inhibition in the consequences of an in vivo cerebral OS. In this study, we used a rodent model of cerebral OS induced by malonate administration which causes oxygen and nitrogen reactive species production [8,17,18] and PARP activation [8]. In the first part, we evaluated the role of PARP on NAD + depletion, SIRT1 expression and activity. In the second part, we studied the role of SIRT1 and its implication in beneficial effects of PARP inhibition on neurological and histological OS consequences using treatment with a PARP inhibitor, a SIRT1 activator, a SIRT1 inhibitor, alone or in combination.

Induction of in vivo Cerebral Oxidative Stress
Rats were anaesthetized with chloral hydrate (350 mg/kg, i.p.) and placed on a stereotaxic frame. During surgery, animals were positioned on a heating blanket (Harvard) to maintain body normothermia (37.560.5uC). A 3 M solution of malonate (M4795, Sigma) was prepared in 0.9% NaCl and pH was adjusted to 7.4. The scalp was incised and a craniotomy was performed at the following coordinates: 3.5 mm lateral to the bregma, 0 mm posterior to the bregma [19] [20]. A cannula (Sofijet 30 G) was placed at a depth of 7 mm below the surface of the skull and left in place for 5 minutes. One microliter of 3 M malonate solution (corresponding to 3 mmoles) was infused in the left striatum during 5 minutes via the cannula using a pump (Infors AG HT type Precidor). The injection cannula was left in place for a further 5 minutes to minimize the risk of retrograde leakage of the injected solution. Sham-operated rats underwent the same surgery and were given an intrastriatal injection of the same volume of 0.9% NaCl. The scalp was sutured and the animal was returned to its cage to recover from anesthesia.

Protocols
Experiment 1: Effects of PARP inhibition on striatal NAD+ depletion, SIRT1 expression and activity after in vivo cerebral oxidative stress. PARP inhibition was induced by intracerebroventricular infusion of 3-aminobenzamide (3AB) as previously described [8]. Briefly, 54 mg of 3AB (A0788, Sigma) was dissolved in 20 mL of 0.9% NaCl (0.2 M). Rats were given 3AB or its vehicle (0.9% NaCl) intracerebroventricularly (i.c.v.) 30 minutes before malonate infusion. This schedule was demonstrated to reduce PAR production and cerebral lesion induced by stroke [21] and OS [8]. Striatum were promptly removed at 4 or 24 hours after malonate for NAD + determination, as this latter was depleted at these times (Data S1) and at 6 hours for SIRT1 expression and activity assessment. Experiment 2: Effects of combination of PARP inhibition with SIRT1 activation or inhibition on neurological deficit and lesion induced by in vivo cerebral oxidative stress. For PARP inhibition, 3AB was administrated as in experiment 1. For SIRT1 activation, 0.3 mg of SRT1720 (S1129, Selleckchem), a potent specific activator, was given i.c.v. [22]. The dose chosen was calculated for a final cerebrospinal concentration (1 mM) which permitted to activate SIRT1 in vitro [22]. For SIRT1 inhibition, 1 mg of EX527 (6 mM; S1541, Selleckchem) was used and administrated i.c.v. as this schedule was demonstrated to inhibit SIRT1 in the brain [23]. All reagents were dissolved in 0.9% NaCl containing 3.4% of dimethylsulfoxide (DMSO). Rats were given 3AB, SRT1720, EX527, combination of 3AB and SRT1720, combination of 3AB and EX527 or vehicle (3.4% DMSO in 0.9% NaCl) i.c.v. in a volume of 20 mL, 30 minutes before malonate infusion. As the EX527 schedule was demonstrated to inhibit SIRT1 at 6 hours [23] and NAD + being decreased between 4 and 24 hours (Data S1), neurological assessments, striatal lesion, SIRT1 expression and activity were performed 6 hours after malonate infusion.

Neurologic Assessment
A neurological assessment was performed in a blind fashion using 3 grading scales: -the first scale evaluated contralateral sensorimotor function with items whose scores were summed and used as a neurological score [24]; the maximum score was 9 for unoperated rats. -the second scale was performed to evaluate motor coordination by beam-walking test as previously described [25]; the maximum score was 4 for unoperated rats. -the third scale measured postural asymmetry of animals using circling test [26]; the maximum score was 2 for unoperated rats.
These 3 scores (sensorimotor, beam-walking and circling) were summed as a global neurological score (GNS) to evaluate the global neurological function. The maximum GNS was 15 for unoperated rats.

Brain Lesion
Brain lesion was assessed by cresyl violet staining of coronal sections (50 mm) [8]. The lesion areas (in mm 2 ) were measured using a computer image analysis system (Image J, version 1.41) and the distance between respective coronal sections (500 mm) was used to calculate the lesion volume. The brain lesion volume (mm 3 ) was calculated by integrating the necrotic areas, corrected for edema [27].

Brain Sample Preparation and Protein Determination for Blotting Analyses
Rats received an overdose of sodium pentobarbital (150 mg/kg, i.p.). Their brains were promptly removed, the left striatum isolated, frozen in liquid nitrogen and stored at 240uC.

Western-blot of SIRT1
Samples were separated in a 6% SDS-polyacrylamide gel, transferred onto polyvinylidene fluoride (PVDF) membrane (0.45 mm, Millipore) and the free sites on membrane were blocked 20 minutes with a blocking solution (3% non-fat dry milk in trisbuffer saline (TBS; 10 mM Tris-HCl pH 7.6; 142 mM NaCl) and 0.1% Tween 20 (TTBS)). Then, membranes were probed with a rabbit anti-SIRT1 primary antibody (1:1 000; 07-131, Millipore) overnight at 4uC in the blocking solution. After three washing in TTBS, membranes were incubated with donkey anti-rabbit IgGfluorescein antibody (1:1 000; N1034, GE Healthcare) in the blocking solution for 1 hour at room temperature in obscurity. Then, membranes were incubated with rabbit anti-fluoresceinalkaline phosphatase antibody (1:2 000; A5719, Sigma) following the same schedule. The SIRT1 specific immunoreactivity was visualized using the ECF Western blotting substrate (RPN5785, GE Healthcare), according to the supplier's instructions. Membranes were scanned using Storm 860 apparatus (GE Healthcare) and Image Quant Software (GE Healthcare) was used for quantification. Results were expressed in arbitrary units (AU).

Dot-blot of Acetylated-histone H3
Acetylated-histone H3, assayed by dot-blot, was used to evaluate the nuclear SIRT1 activity [30,31]. Samples (0.5 mg) were quickly added to a PVDF membrane (0.2 mm, Millipore) prewet with ethanol. Membranes were washed 5 minutes in methanol and twice in TBS. Unoccupied binding sites were blocked 1h30 with blocking solution containing 3% non-fat dry milk in TBS. Then, the membranes were incubated with a primary antibody, rabbit anti-acetylated-histone H3 (1:6 700; 06-599, Upstate), overnight at 4uC in blocking solution. The acetylated-histone H3 specific immunoreactivity was visualized as described for SIRT1 protein western-blot. Results were expressed in arbitrary units (AU).

Assessment of in vitro PARP Activity
Poly(ADP-ribose) (PAR) production was used as a marker of PARP activity [32]. Twenty units of human recombinant PARP (4667-50-EB, Trevigen) was activated by 22 mg of DNA (D4522, Sigma) in a 50 mM tris-HCl buffer pH 8 containing 40 mM MgCl 2 and 1 mM dithiotreitol (DTT). Samples were incubated with 1 mg/mL of histone (H5505, Sigma), used as a PAR acceptor, and 11 mM of NAD (L3014, Sigma) during 10 minutes at 25uC. Addition of NAD initiated PARP reaction activity which was evaluated in presence or absence of SIRT1 inhibitor: 0.01 to 20 mM of EX527 (S1541, Selleckchem), and SIRT1 activator: 0.001 to 100 mM of SRT1720 (S1129, Selleckchem). Reaction was stopped by addition of 125 mM tris-HCl buffer pH 6.8 containing 130 mM DTT and 4% SDS, and samples were heated to 95uC for 10 minutes. Samples (1 mL) were quickly added in triplicate to a PVDF membrane (0.45 mm, Millipore) locally pre-wet with ethanol. The membranes were washed 5 minutes twice in bidistilled water and twice in TTBS. Unoccupied binding sites were blocked 1 hour with a blocking solution containing 5% nonfat dry milk in TTBS. Then, the membranes were incubated with a primary antibody, mouse anti-poly-ADP-ribose antibody (1:3 000, 4335-MC-100, Trevigen), overnight at 4uC in blocking solution. Next day, they were washed three times with TTBS and incubated with anti-mouse IgG-peroxydase secondary antibody (1:50 000; A9309, Sigma) for 1 hour at room temperature in the blocking solution. Membranes were washed three times and PAR production was visualized using chemioluminescence ECL Advance Western blotting detection reagent (RPN2135, GE Healthcare). Membranes were exposed onto Kodak Biomax Light film (Z373508, Sigma) which were then scanned using Gel Doc 2000 (Bio-Rad). The PAR expression was quantified using Quantity One software (Bio-Rad). Results were expressed in relative PAR production of control (without test compound; % of control).

Statistical Analysis
Results were expressed as mean 6 S.E.M. Figures and analyses were performed using GraphPad Prism 5.0 (GraphPad Software, San Diego, USA). Neurological scores were compared using a Kruskal-Wallis analysis followed by a Mann-Whitney test. Whenever suitable, other results were analysed using one-way ANOVA followed by a Dunnett post-hoc test or two-way ANOVA followed by a Student's t-test. Differences were considered statistically significant when P,0.05.

Results
Effect of 3AB on NAD + Depletion after in vivo Cerebral OS Non-operated rat had a striatal NAD + level of 119610 pmol/ mg of tissue that was not different from that of sham-operated animals receiving 3AB vehicle (10567 pmol/mg of tissue) (Fig. 1). The NAD + level of sham-operated rats receiving 3AB (10869 pmol/mg of tissue) did not differ from that of shamoperated rats receiving vehicle. Malonate led to a 50% decrease of NAD + level at 4 h (6667 pmol/mg, P,0.001) that persisted at 24 h (3864 pmol/mg, P,0.001), demonstrating a NAD + depletion. Treatment with 3AB did not modify NAD + level at 4 (6264 pmol/mg of tissue) and 24 h (5166 pmol/mg of tissue) after malonate.
Effect of 3AB on Nuclear SIRT1 Expression and Activity after in vivo Cerebral OS Non-operated rats had a nuclear SIRT1 expression of 60612 AU that was not different from that of sham-operated animals receiving 3AB vehicle (5963 AU) ( Fig. 2A). The nuclear SIRT1 expression of sham-operated rats receiving 3AB (6066 AU) did not differ from that of sham-operated animals receiving its vehicle. Malonate induced a reduction of SIRT1 expression (4363 AU, P,0.001) which was exacerbated by 3AB treatment (2863 AU, P,0.001), showing a worsen SIRT1 decrease when PARP was inhibited during OS.
Non-operated rats had a striatal acetylated-H3 level 2763 AU (Fig. 2B). There was no difference between sham-operated rats receiving 3AB (3064 AU) or its vehicle (3263 AU) and malonate rats receiving 3AB (2562 AU) or its vehicle (3063 AU), showing no effect on nuclear SIRT1 activity when PARP was inhibited during OS.
Non-operated rats had a nuclear SIRT1 activity/expression ratio of 0.560.1 that was not different from that of sham-operated animals receiving 3AB (0.560.1) or its vehicle (0.560.1) (Fig. 2C). Malonate did not modify nuclear SIRT1 activity/expression ratio (0.760.1), showing no effect of OS on SIRT1 activity. Treatment with 3AB increased nuclear SIRT1 activity/expression ratio (0.960.1, P,0.05), showing an increase of nuclear SIRT1 activity relative to its expression when PARP was inhibited during OS.
Effects of 3AB, SRT1720, EX527, 3AB+SRT1720 and 3AB+ EX527 Association on Neurological Deficit after in vivo Cerebral OS Non-operated rat had a GNS of 14.460.2 (Fig. 3). Malonate decreased the GNS (5.860.6, P,0.001), demonstrating a neurological deficit. This deficit was reduced with both 3AB (9.460.6, P,0.01) and SRT1720 (11.061.0, P,0.01), showing a neurological protection when PARP was inhibited or SIRT1 activated. Treatment with EX527 had no statistically significant effect on the GNS (7.061.0), demonstrating that SIRT1 inhibition did not exacerbate the neurological consequence of cerebral OS.
The association of 3AB with SRT1720, the SIRT1 activator, did not modify the neurological recovery (8.661.0) induced with 3AB alone (9.460.6). The association of 3AB with EX527, the SIRT1 inhibitor, suppressed the neurological improvement (5.660.5, P,0.001) induced with 3AB alone, showing a loss of neurological recovery when PARP and SIRT1 were both inhibited.
Effects of 3AB, SRT1720, EX527, 3AB+SRT1720 and 3AB+ EX527 Association on Striatal Lesion after in vivo Cerebral OS Malonate induced a striatal lesion volume of 4661 mm 3 (Fig. 4). This lesion was reduced with both 3AB (3065 mm 3 , P,0.01) and SRT1720 (3264 mm 3 , P,0.05), showing histological protection when PARP was inhibited or SIRT1 activated. Treatment with EX527 had no effect on the striatal lesion volume (4066 mm 3 ), demonstrating that SIRT1 inhibition did not exacerbate the histological consequence of in vivo cerebral OS.
Therefore, both doses of SRT1720 (0.3 mg corresponding to a calculated cerebrospinal concentration of 1 mM) and EX527 (1 mg corresponding to a calculated cerebrospinal concentration of 6 mM) tested in vivo had no effect on PARP activity in vitro.

Discussion
PARP activation is a major cause of neuronal death in acute cerebrovascular diseases like stroke and trauma, where OS is important [6]. Firstly, energetic failure was suggested to explain, at least in part, the deleterious effects of PARP activation [33,34]. The present study showed that in vivo cerebral OS induced a NAD + decrease in vivo and that 3AB, the PARP inhibitor, did not prevent it. However, 3AB increased SIRT1 activity after in vivo cerebral OS. SIRT1 activator, SRT1720, promoted neurological recovery and striatal lesion reduction, whereas SIRT1 inhibitor, EX527, did not worsen neurological and histological consequences of OS suggesting (1) the absence of endogenous SIRT1 activation during cerebral OS, (2) nuclear SIRT1 activation when PARP is inhibited by 3AB during cerebral OS, and (3) beneficial effect of exogenous SIRT1 activation by SRT1720 during cerebral OS. Moreover, the SIRT1 inhibitor, EX527, suppressed the beneficial  inhibition. Effects of 3AB, SRT1720, EX527, 3AB+SRT1720 and 3AB+EX527 association on neurological deficit 6 hours after in vivo cerebral oxidative effects of PARP inhibition on neurological deficit and lesion consecutive to OS. These data suggested that SIRT1 activation was implicated in beneficial effects of PARP inhibition in cerebral in vivo OS (Fig. 6).
In vivo cerebral OS induced a 40% decrease at 4 hours and a 65% decrease at 24 hours in striatal level of NAD + . These results were in accordance with studies showing NAD + loss of 30% 2 hours after traumatic brain injury [35] and 30 to 80% in the first 24 hours following experimental stroke [36,37]. In vitro data showed that PARP inhibition restored NAD + level and decreased cell death induced with hydrogen peroxide [9,[13][14][15]. Same results were obtained with peroxynitrite production or DNA breaks in cortical neurons culture [34]. In vivo, 3AB, the PARP inhibitor, was shown to reduce NAD + loss and infarction consecutive to cerebral ischemia [21]. Although 3AB inhibited PARP activation and reduced striatal lesion in the cerebral OS  . Dose-effect of SRT1720 and EX527 on PARP activity in vitro. Dose-effect of (A) SRT1720, a SIRT1 activator and (B) EX527, a SIRT1 inhibitor, on relative PAR production. Data are expressed in % of control as mean 6 S.E.M. Differences were evaluated by one way-ANOVA followed model [8], this dose failed to restore NAD + level observed at 4 and 24 hours following in vivo cerebral OS. Surprisingly, our data suggested that NAD + depletion is not due to PARP activation and may originate from other NAD + -dependent enzymes such as SIRT1. However, it has been shown that SIRT1 activity was decreased following in vitro OS [9,14,15] and PARP inhibition allowed to restore its activity [9,15]. In vivo, both SIRT1 expression and activity were reduced 6 hours following experimental cerebral ischemia [37] and its expression was decreased 7 and 14 days after traumatic brain injury [38]. In human, a postmortem study showed a SIRT1 expression decrease in brain of Alzheimer disease patients, a chronic neurodegenerative pathology where OS is also present [39]. Interestingly, SIRT1 expression and activity were decreased during experimental heart failure, and PARP inhibition with 3AB induced restoration of SIRT1 expression [13]. To date, there was still no information about the effects of PARP inhibition on SIRT1 in experimental models of stroke and TBI. Our present study demonstrated that 3AB increased nuclear SIRT1 activity/expression ratio demonstrating that inhibition of PARP could promote endogenous SIRT1 activation after in vivo cerebral OS. The benefit of PARP inhibition, with 3AB using the same protocol, was already showed on striatal lesion during cerebral OS by our group [8], and was associated with a reduced neurological deficit consecutive to cerebral OS. As 3AB did not directly activate SIRT1 [11], its neuroprotective effects may then originate from SIRT1 activity increase induced by PARP inhibition following in vivo cerebral OS. Then, we assessed the implication of SIRT1 activity in the beneficial effects of 3AB on neurological deficit and striatal lesion induced by in vivo OS using SRT1720, a SIRT1 activator [22], and EX527, a SIRT1 inhibitor [23]. As there was no data in the literature, we first studied in vitro dose-response of SRT1720 and EX527 on PARP activity in order to ensure the absence of interaction with the enzyme activity that could potentially explain in vivo effects. In our experimental in vitro conditions, PARP was brought to optimal activity conditions [32] with, or not, SIRT1 activator or inhibitor. The production of PAR by PARP was blocked with both PARP inhibitors, 3AB and PJ34 (unpublished data). SRT1720 had no effect on PARP activity at the lower doses  but the high dose, 100 mM, decreased PARP activity of 25%, whereas EX527 was devoid of any effect. This study is the first one showing the ability of SRT1720 to inhibit, partially, PARP activity. Therefore, both doses of SRT1720 (0.3 mg corresponding to a calculated cerebrospinal concentration of 1 mM) and EX527 (1 mg corresponding to a calculated cerebrospinal concentration of 6 mM) tested in vivo had no effect on PARP activity in vitro.
The benefit of SIRT1 activation with SRT1720 was described in vivo in metabolic diseases [22,[40][41][42][43][44], leading to clinical trials of similar molecules [45]. However, there was no data on its effects in cerebral in vivo OS and cerebrovascular diseases. As there was no information on the passage of SRT1720 across the blood-brain barrier, it was directly administrated into the cerebrospinal fluid at a dose calculated from in vitro data showing 4 time SIRT1 activation [22]. For the first time, SRT1720 was demonstrated to reduce both neurological deficit and striatal lesion consecutive to OS, suggesting that SIRT1 activation is beneficial on neurological and histological consequences of an in vivo cerebral OS. Previous study had shown that resveratrol, a SIRT activator [46], protects neurons from cell death following cardiac arrest in a SIRTdependent way [47]. Neuroprotective effects of resveratrol are known [48][49][50] but are often attributed to its antioxidant and antiinflammatory properties [51]. SIRT1 activation alone could repress PARP activity. Indeed Kolthur-Seetharam and colleagues [52] had showed that SIRT1 deletion increased PARP activity in vitro under OS conditions. Moreover, SIRT1-mediated deacetylation of PARP inhibits its enzymatic activity [53]. 3AB+ SRT1720 association had no more beneficial effects on the consequences of in vivo cerebral OS than each strategy given alone. Our result suggested activation of SIRT1, with SRT1720, may repress PARP activity thus explaining the absence of additional effect of the 3AB+SRT1720 association.
EX527, a potent SIRT1 inhibitor [54] that has been demonstrated to inhibit SIRT1 6 hours after its i.c.v. administration [23], modified neither functional nor histological consequences of OS, supporting that SIRT1 was not activated while PARP was activated in cerebral OS. In addition, we showed that 3AB+ EX527 association suppressed both the neurological improvement and the reduction of striatal lesion induced by 3AB alone. To our knowledge, these data demonstrated, for the first time, that SIRT1 activation plays a key role in the neuroprotective effects of PARP inhibition during an in vivo cerebral OS (Fig. 6).
Beneficial effects of PARP inhibition are explained, partly, by the major role of PARP in promoting inflammation [2,55]. Indeed PARP regulates inflammation as it acts also as a direct co-activator of the transcription factor nuclear factor-kappa B (NF-kB) resulting in the synthesis of pro-inflammatory mediators [56]. At the same time, very recent studies have demonstrated that SIRT1 exhibited also anti-inflammatory properties [57] through promotion of deacetylation of p65 subunit of NF-kB [58,59]. SRT1720 has been shown to suppress inflammatory cell infiltration and cytokine production in a mouse model of asthma [60]. Thus PARP inhibition may promote directly a decrease of PARP interaction with NF-kB and/or indirectly an increase of SIRT1 activity inducing a deacetylation of p65 subunit of NF-kB, leading to the well-described anti-inflammatory effects of PARP inhibitors. The wide range of future studies evaluating the involvement of SIRT1 in the various effects of PARP inhibition promises close relationship between PARP and SIRT1.

Supporting Information
Data S1 Time course of NAD + level after in vivo cerebral oxidative stress (n = 7/group). Data are expressed as mean 6 S.E.M. Differences were evaluated by one way-ANOVA followed by Dunnett test. **P,0.01 and ***P,0.001. (TIFF)