SIRT6 acts as a longevity protein in rodents1,2. However, its biological function in primates remains largely unknown. Here we generate a SIRT6-null cynomolgus monkey (Macaca fascicularis) model using a CRISPR–Cas9-based approach. SIRT6-deficient monkeys die hours after birth and exhibit severe prenatal developmental retardation. SIRT6 loss delays neuronal differentiation by transcriptionally activating the long non-coding RNA H19 (a developmental repressor), and we were able to recapitulate this process in a human neural progenitor cell differentiation system. SIRT6 deficiency results in histone hyperacetylation at the imprinting control region of H19, CTCF recruitment and upregulation of H19. Our results suggest that SIRT6 is involved in regulating development in non-human primates, and may provide mechanistic insight into human perinatal lethality syndrome.
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The authors acknowledge X. Wang, Y. Fu, L. Zhao, J. An and L. Wei for brain tissue analysis, S. Duan for western blotting, L. Sun from the Center for Biological Imaging for electron microscopy, R. Bai and P. Wang for technical assistance, L. Bai for administrative assistance, X. Liu for image processing using Vectra Automated Quantitative Pathology Imaging System, and P. Zhang for fluorescence in situ hybridization analysis. This work was supported by the Strategic Priority Research Program of the Chinese Academy of Sciences (XDA16010100), the National Key Research and Development Program of China (2015CB964800, 2017YFA0103304, 2017YFA0102802, 2014CB910503, 2014CB964600, 2018YFA0107203, 2016YFA0101403), the National Natural Science Foundation of China (91749202, 31471394, 31671429, 91749123, 81625009, 81330008, 81371342, 81471414, 81422017, 81601233, 81671377, 31601109, 31601158, 81771515, 81701388, 31571533, 31621004, 81422014), Program of Beijing Municipal Science and Technology Commission (Z181100001818002, Z151100003915072), Key Research Program of the Chinese Academy of Sciences (ZDRW-ZS-2017-5, KJZDEW-TZ-L05), Beijing Municipal Commission of Health and Family Planning (PXM2018_026283_000002) and Advanced Innovation Center for Human Brain Protection (117212).
Nature thanks H. Cohen, H. Yang and the other anonymous reviewer(s) for their contribution to the peer review of this work.
The authors declare no competing interests.
Publisher’s note: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Extended data figures and tables
a, Schematic showing the optimization of the CRISPR–Cas9-based targeting system for SIRT6 in monkeys. b, T7 endonuclease I assay for determining the indel rates of the six sgRNAs that target the monkey SIRT6 gene. The white arrows indicate the cleavage bands. M, marker. c, Schematic of the mosaic mutations in the SIRT6 loci. The red blocks identify the nucleotide sequences deleted in the SIRT6 gene. E, exon. d, Types of deletions identified by Sanger sequencing of the PCR-amplified SIRT6 cDNA from organs of the three SIRT6−/− monkeys. e, PCR of the SIRT6 gene from the wild-type and SIRT6−/− monkey genomes using primer pairs P1 and P2 or P3 and P4 (Supplementary Table 4). PCRs of the p53 locus were used as a control. f, Whole-genome sequencing data did not reveal mutations in the potential off-target sites predicted on the basis of sequences similar to the sgRNA sequence. The presumed PAM sequences and genomic locations of these sites are shown. g, Scatter plots showing the coverage scores for targeting sites within the SIRT6 gene and predicted potential off-target sites for the two sgRNAs. Three hundred and seventy-four predicted potential off-target sites and two SIRT6 sgRNA-target sequences located in the CDS regions are presented. The methods for calculating the coverage score are described in Methods. h, Venn diagram showing the lack of consistency of mutations in CDS regions detected by whole-genome sequencing among all three SIRT6−/− monkey samples. All the possible off-target sites were identified by whole-genome sequencing regardless of the similarity to sgRNA sequences, as described in Methods.
a, Western blots showing the absence of the SIRT6 protein and the alterations in H3K56ac levels in the kidney, lung, liver and skin of SIRT6−/− monkeys. b, Immunohistochemical staining for H3K56ac in tissues from SIRT6−/− and wild-type monkeys. The red dashed lines show the upper boundaries of the cortices. Scale bar, 100 μm. n ≥ 54 glomeruli, kidney; n = 18 images, lung; n = 18 images, liver; n = 18 images, skin; n = 9 images, brain. Data are mean ± s.e.m.; P values were determined by one-way ANOVA followed by Holm–Sidak’s multiple comparisons test. For uncropped gels, see Supplementary Fig. 1. Source Data
Extended Data Fig. 3 SIRT6 deficiency does not cause genomic and epigenomic instabilities in newborn monkeys.
a, b, The relative telomere lengths of chromosomes from the monkey brain and liver were measured by qPCR. n = 3 monkeys. c, Whole-genome sequencing of copy number variations in brain samples from SIRT6+/+ and SIRT6−/− monkeys. Each point represents a 500-kb genomic region of each chromosome. d, The distribution of different types of repetitive sequences in the monkey genome. Each type of repeat is marked in the same colour: LINE type 1 (LINE-1), SINEs, LTRs (including ERV1, ERV2, EVR3 and other types of LTR), rRNAs and other types of repeat (such as satellite, small nuclear RNA and ‘other’, as annotated in Repbase). The distributions of repeat reads were not significantly different in the wild-type and SIRT6−/− monkeys, according to the two sided Wilcoxon signed-rank paired test. e, Whole-genome sequencing of SNVs using cortical samples from SIRT6+/+ and SIRT6−/− monkeys. Sites with a heterozygosity percentage ranging between 0% and 30% were considered as SNV sites, whereas sites with a heterozygosity of >30% were considered single nucleotide polymorphisms. f, Schematic and morphology of primary mesenchymal stem cells isolated from monkey bone marrow. Scale bar, 50 μm. g, Western blots showing the absence of the SIRT6 protein and the alterations in H3K56ac levels in primary mesenchymal stem cells from SIRT6−/− monkeys. h, Karyotyping analysis of primary mesenchymal stem cells. i, Metaphase spread and fluorescence in situ hybridization showing telomeres in primary mesenchymal stem cells from wild-type and SIRT6−/− monkeys (left). Quantification of the numbers of fluorescence in situ hybridization-labelled telomeres in each nucleus (right). n ≥ 21 metaphases per monkey. Scale bar, 25 μm. j, The relative telomere lengths of chromosomes from primary monkey mesenchymal stem cells were measured by qPCR. n = 6 qRT–PCR repeats for each monkey. k, Western blots of heterochromatin-related proteins in the cortex, muscle and liver of the wild-type and SIRT6−/− monkeys. Data are mean ± s.e.m., P values were determined by two-sided Student’s t-test (a, b) or one-way ANOVA followed by Holm–Sidak’s multiple comparisons test (i, j). For uncropped gels, see Supplementary Fig. 1. Source Data
a, Micro-computed tomography of the hand (left), distal femoral trabecular (middle) bones and relative bone density (right) of wild-type and SIRT6−/− newborn, and wild-type 2- and 4-month-old fetal, monkeys. Arrows point to the missing bone connections in the hands of the SIRT6−/− monkeys and wild-type fetuses. Scale bars, 2.5 mm. n = 3 monkeys. b, Haematoxylin and eosin staining of the superficial intestinal epithelia from a wild-type newborn and 4-month-old fetus, and a SIRT6−/− newborn monkey. Arrows point to regions of immature intestine epithelium in the tissues of the fetus and the SIRT6−/− monkey. Scale bar, 75 μm. n = 3 images (Vectra automated quantitative pathology imaging system) per monkey. c, Haematoxylin and eosin staining shows the absence of subcutaneous fat in a newborn SIRT6−/− monkey and wild-type 4-month-old fetus. In the tissue of the wild-type infant, the subcutaneous fat is circled with a dashed black line. Scale bar, 100 μm. n = 3 images (Vectra automated quantitative pathology imaging system) per monkey. d–f, Haematoxylin and eosin staining of the indicated tissues in newborn SIRT6−/− monkeys and 2-month-old fetal, 4-month-old fetal and newborn wild-type monkeys. d, Kidney, n ≥ 80 glomeruli per monkey; e, liver, n ≥ 9 images per monkey; f, lung, n = 9 images per monkey. In the bar graph, the grey dashed lines represent the average value of the wild-type fetuses. Scale bar, 100 μm. Data are mean ± s.e.m.; P values were determined by two-sided Student’s t-test (a), one-way ANOVA followed by Holm–Sidak’s multiple comparisons test (b–f). Source Data
a, Representative photographs (left) and quantification (right) showing the sizes of the brains from wild-type newborn, wild-type 2-month-old and 4-month-old fetuses, and SIRT6−/− monkeys. The cerebella are depicted in blue; the temporal and occipital lobes are depicted in red; and the frontal lobes are depicted in green. n = 3 monkeys. Scale bar, 0.5 cm. b, Representative photographs of sagittal sections from the indicated monkey. Scale bar, 0.5 cm. c, Left, images of immunofluorescence staining for H3K56ac and the neuronal nuclear antigen (NeuN) in the cortices of newborn wild-type and SIRT6−/− monkeys. Right, cell density calculation. Numbers on the images represent percentages of H3K56ac-positive cells in the cortices. The white dashed lines identify the boundaries of the cerebral cortex. n = 4 images per monkey. d, Left, images of immunofluorescence staining for SATB2 and BRN2 in the cortices of the newborn SIRT6−/− and wild-type monkeys. Right, the proportion of SATB2+ cells in the cortical layers were quantified in brain sections. The white dashed lines identify the boundaries of the cortical layers. n = 16 images per monkey. e, Images of immunofluorescence staining for HOPX in SIRT6−/− and wild-type cortical tissue sections. f, Images of immunostaining (left) for PCP2, a marker of cerebellar Purkinje neurons, and quantification of the thickness of the molecular layer of the cerebellum (right). PCP2+ cells were not detected in the cerebellum of SIRT6−/− monkeys. The white dashed lines identify the boundaries of the cerebellum. Green lines indicate the thickness of the molecular layer of the cerebellum. Scale bar, 50 μm (c–e). n = 6 images per monkey. Data are mean ± s.e.m.; P values were determined by two-sided Student’s t-test. Source Data
a, Schematic of the brain regions analysed in our study. b, Representative photographs of coronal sections from the indicated monkeys. Scale bar, 0.5 cm. c, Haematoxylin and eosin staining in coronal sections from the brains of the indicated monkeys. Results shown are representative of three independent experiments. Scale bar, 0.25 cm. d, Images of immunostaining for the neuronal nuclear antigen (NeuN) in the cortices of SIRT6−/− and wild-type newborn, and wild-type 2-month-old and 4-month-old fetal, monkeys. Results shown are representative of three independent experiments. Scale bar, 150 μm. e, Left, images of immunostaining for HOPX in SIRT6−/− and wild-type cortical tissue sections. Right, bar graph showing the diameter of the HOPX+ cells. The red arrows identify HOPX+ cells. n = 141. Scale bars, 100 μm. f, Left, images of PAX6 immunostaining in the hippocampi of SIRT6−/− and wild-type newborn monkeys, and wild-type fetuses. Right, bar graph showing the relative percentages of PAX6+ cells in brain sections. n = 3 slices per monkey. Scale bar, 100 μm. g, Left, haematoxylin and eosin staining of the cerebellum from the wild-type and SIRT6−/− newborn, and wild-type 2-month-old and 4-month-old fetal, monkeys. Right, the relative thicknesses of the molecular layers. The bottom panels show higher magnification images of the boxed areas in the corresponding top panels. Green lines indicate the thickness of the molecular layer of the cerebellum. Green arrows identify Purkinje neurons. n ≥ 156 images per genotype. Image was taken at about every 4 Purkinje neurons in wild-type newborn monkeys. Scale bar, 50 μm. h, Images of immunostaining (left) and quantification of the size (right) of PCP2+ cerebellar Purkinje neurons. PCP2+ cells were very scarce (only 14 were found) in the tissue(s) from the SIRT6−/− monkeys, n = 114 PCP2+ cells in wild-type monkeys. Arrows identify PCP2+ neurons. Scale bar, 50 μm. Red dashed lines identify the boundaries of the cerebral cortex. Grey dashed lines represent the average values for the 2-month-old and 4-month-old fetuses. White box indicates enlarged area. a.u., arbitrary units. Horizontal lines show the average values for each group (e, g, h). Data are mean ± s.e.m. (f); P values were determined by two-sided Student’s t-test or one-way ANOVA followed by Holm–Sidak’s multiple comparisons test. Source Data
a, Representative images of haematoxylin and eosin staining in the gastrocnemius and soleus muscles from the indicated monkeys, and quantification of the fibre diameter (n ≥ 60 fibres). Scale bar, 10 μm. b, Images (left) and quantification (right) of myosin ATPase staining at pH 4.4 and 10.6 in cross-sections of the gastrocnemius and soleus muscle tissue. n = 6 slices per monkey. Scale bar, 20 μm. c, Left, images of immunofluorescence staining for the slow-twitch marker myosin-slow and sarcolemma-bound protein dystrophin in the gastrocnemius and soleus muscle. Scale bar, 50 μm. Right, distributions of the types of muscle fibres were calculated as a percentage of myosin-slow+ fibres. n = 3 slices per monkey. d, Electron microscopy images of mitochondrial morphology showing dense mitochondrial cristae predominantly in infant wild-type monkeys. Each yellow dashed circle identifies a single mitochondrion. Grey dashed lines represent the average values for the 2-month-old and 4-month-old fetuses. Scale bar, 100 nm. n = 3 slices per monkey, ≥ 30 mitochondria per slices. Data are mean ± s.e.m.; P values were determined by one-way ANOVA followed by Holm–Sidak’s multiple comparisons test. Source Data
a, Principal component analyses of brain and muscle tissues from SIRT6+/+ newborn and fetal monkeys and SIRT6−/− monkeys, based on development-related genes as described in Methods. n = 2 independent experiments per tissue per monkey. b, Hierarchical clustering analysis based upon global DNA methylation of brain tissues from SIRT6+/+ newborn and fetal monkeys and SIRT6−/− monkeys, as described in Methods. c, An unsupervised t-SNE cluster analysis of the SIRT6−/− (red) and wild-type (grey) samples. n = 2 independent experiments per tissue per monkey. d, The Gene Ontology terms for genes in SIRT6−/− newborn monkeys and wild-type fetuses that were differentially expressed in the same manner as in the wild-type infants. e, Venn diagrams showing the overlap among differentially upregulated and downregulated genes (fold change (SIRT6−/−/SIRT6+/+) > 2 or < 0.5, false-discovery-rate-adjusted P < 0.05) in brains and muscles of the SIRT6−/− and wild-type infants, and the 2-month-old and 4-month-old wild-type fetuses and the wild-type infants. n = 2 independent experiments per tissue per monkey. f, Levels of H19 in muscle and brain tissues from the wild-type newborn (no. 2 and no. 3) and fetal monkeys and SIRT6−/− monkeys, as measured by qRT–PCR. For d, e, the average transcript levels in the tissues from SIRT6+/+ monkeys no. 2 and no. 3 were normalized to 1, and the relative expression level of each gene was coloured as shown in the bottom panel. Source Data
a, Schematic showing the method used to generate SIRT6+/+ and SIRT6−/− NPCs, which were differentiated into post-mitotic neurons. b, Images of immunofluorescence staining of SIRT6+/+ and SIRT6−/− NPCs. Scale bar, 20 μm. c, Karyotyping analysis of NPCs. d, Measurements of the percentages of early passage NPCs at each cell cycle stage, n = 3 wells per condition. e, Western blots of the indicated proteins in the SIRT6+/+ and SIRT6−/− NPCs and in their neuronal differentiation products (neuronal dif.). f, Immunofluorescence staining for H3K56ac levels in SIRT6+/+ and SIRT6−/− neuronal differentiation products. Scale bar, 50 μm. g, Western blots showing H3K56ac levels in protein extracts from the cortices and muscle from the infant and 2-month-old and 4-month-old fetal SIRT6+/+ monkeys, and from SIRT6−/− newborn monkeys. h, ChIP–qPCR showing the enrichment of CTCF at the imprinting control region of H19 in the genomes of differentiated neuronal cells. n = 5 wells per condition. i, qPCR assessment of the H19 levels in neuronal derivatives transduced with the indicated lentiviral vector. n = 4 wells per condition. j, Images of immunofluorescence staining (left) and statistical analyses (right, bar graph) of the neuronal cells that overexpress H3(K56Q). n = 3 wells per condition. Scale bar, 50 μm. k, Western blots of levels of H3K56ac in protein extracts from SIRT6−/− NPCs that overexpress luciferase (control), inactive SIRT6 (SIRT6-HY) and wild-type SIRT6. l, Images of immunostaining for MAP2 and TuJ1 in the neuronal derivatives of wild-type NPCs that overexpress H19 (see Fig. 4e). Scale bar, 50 μm. m, Images of immunofluorescence staining (left) and statistical analyses (right, bar graph) of the neuronal cells with H19 shRNA vector (n = 4 wells per condition). Scale bar, 50 μm. Data are mean ± s.e.m., P values were determined by two-sided Student’s t-test (i, j and m) or one unpaired t-test followed by multiple comparisons using the Holm–Sidak method (d, i). For uncropped gels, see Supplementary Fig. 1. Source Data
Extended Data Fig. 10 A model of the mechanism by which SIRT6 regulates prenatal development in monkeys.
Top, SIRT6-null monkeys die soon after birth and exhibit retarded development that resembles that of 2- to 4-month-old fetuses. Notably, SIRT6 deficiency delays neuronal development, which was recapitulated in an in vitro study examining the differentiation of wild-type and SIRT6−/− human NPCs. Bottom, during neuronal differentiation SIRT6 is recruited to the imprinting control region of H19, where it deacetylates H3K56ac and thereby prevents CTCF-mediated transcription of the developmental repressor long non-coding RNA H19. SIRT6 depletion promotes the expression of H19 and arrests neuronal differentiation.
This file contains the uncropped gels for the western blots, including Source data for Fig. 4c. Pulldown of endogenous SIRT6 using an anti-SIRT6 antibody (CST). The SIRT6 band (red) resides at a MW between 50 and 37 KDa.
This file contains: Sheet 1 Summary of monkey cohorts used in the present study; Sheet 2 The results of Sanger sequencing for the targeted SIRT6 sites from cells that were individually transfected with one of the different sgRNAs. The PAM sites are shown in red uppercase letters and the insertions are shown in red lowercase letters. The numbers of inserted (+) and deleted nucleotides (Δ) are presented to the right of each read. The fraction on the far right of each read indicates the number of mutant sequenced reads (numerator) divided by the total number of sequenced reads (denominator) for each allele; Sheet 3 The results of Sanger sequencing for monkey embryos injected with Cas9 and SIRT6-targeting sgRNAs; Sheet 4 Genotyping analysis of monkey embryos injected with Cas9 and SIRT6-targeting sgRNAs. Upper panel, pre-implantation development of embryos injected with Cas9 and SIRT6 sgRNAs; lower panel, mutation rate and gender ratio in SIRT6 mutant monkey embryos; Sheet 5 Types of deletions in the SIRT6 gene identified by Sanger sequencing after PCR amplification of cDNAs from the organs of the three SIRT6–/– monkeys; Sheet 6 Organ mass (units: grams) in monkeys. P values were determined by two-sided Student’s t-test.
Evaluating potential off-target sites.
A list of differentially expressed genes.
A list of primer sequences.
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Zhang, W., Wan, H., Feng, G. et al. SIRT6 deficiency results in developmental retardation in cynomolgus monkeys. Nature 560, 661–665 (2018). https://doi.org/10.1038/s41586-018-0437-z
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