The activation of cardiac dSir2-related pathways mediates physical exercise resistance to heart aging in old Drosophila

Cardiac aging is majorly characterized by increased diastolic dysfunction, lipid accumulation, oxidative stress, and contractility debility. The Sir2/Sirt1 gene overexpression delays cell aging and reduces obesity and oxidative stress. Exercise improves heart function and delays heart aging. However, it remains unclear whether exercise delaying heart aging is related to cardiac Sir2/Sirt1-related pathways. In this study, cardiac dSir2 overexpression or knockdown was regulated using the UAS/hand-Gal4 system in Drosophila. Flies underwent exercise interventions from 4 weeks to 5 weeks old. Results showed that either cardiac dSir2 overexpression or exercise remarkably increased the cardiac period, systolic interval, diastolic interval, fractional shortening, SOD activity, dSIR2 protein, Foxo, dSir2, Nmnat, and bmm expression levels in the aging flies; they also notably reduced the cardiac triacylglycerol level, malonaldehyde level, and the diastolic dysfunction index. Either cardiac dSir2 knockdown or aging had almost opposite effects on the heart as those of cardiac dSir2 overexpression. Therefore, we claim that cardiac dSir2 overexpression or knockdown delayed or promoted heart aging by reducing or increasing age-related oxidative stress, lipid accumulation, diastolic dysfunction, and contractility debility. The activation of cardiac dSir2/Foxo/SOD and dSir2/Foxo/bmm pathways may be two important molecular mechanisms through which exercise works against heart aging in Drosophila.


INTRODUCTION
The aging population is increasing in a lot of countries, and age-related heart disease has become a major cause of cardiovascular mortality and morbidity in modern society [1,2]. Cardiac aging is majorly characterized by increased diastolic dysfunction, accumulation of lipids, and oxidative stress [3][4][5][6]. Since the incidence of heart disease increases dramatically with age, it is important to understand the molecular mechanisms through which the heart becomes either more or less susceptible to stress. Sirtuin (SIRT1) and silent information regulator 2 (Sir2) proteins are classes of proteins that possess nicotinamide adenine dinucleotide (NAD + )-dependent deacetylase activity and ADP-ribosyltransferase activity, respectively, and they are evolutionarily conserved from bacteria to humans [7]. Sirt1 proteins participate in regulating cell aging, diabetes, obesity, and oxidative stress [8]. In mice hearts, SIRT1 overexpression relieves AngII-induced cardiomyocyte hypertrophy and apoptosis [9]. Upregulation and activation of Sirt1 induced by phenylephrine are blocked by the inhibition or downregulation of AMPK, leading to improved cell survival under hypertrophic stress [10]. Besides, some studies examining the effects of resveratrol indicate that Sirt1 may have a beneficial role in failing hearts and that endogenous Sirt1 up-regulation is a protective mechanism in the early stage of heart failure [11,12]. Sirt1 has also been reported to up-regulate Mn-SOD via hypoxia-inducible factor-2α and FoxO4, and several lines of evidence suggest that Sir2 plays a protective role against oxidative stress in cardiomyocytes and the heart. AGING Cardiac-specific overexpression of Sirt1 induces an increase in the protein expression of catalase after exposure to paraquat. During cardiac I/R, overexpression of Sirt1 also upregulates Mn-SOD and Trx1, and attenuates oxidative stress [13][14][15]. Interestingly, lipid accumulation can evoke cardiac oxidative stress, inflammation and, eventually, cardiac dysfunction and heart failure [16]. Adipose FOXO expression protects against HFD-induced cardiac malfunction, and the expression of FOXO in myocardial cells autonomously protects the heart from the adverse effects of a high-fatdiet in Drosophila [17,18]. Sirt1 has been found to deacetylate Foxo1 at K242, K245, and K262 and induce nuclear translocation, which may resist lipid accumulation in heart [19][20][21]. Therefore, the evidence suggests that Sirt1 may be a key gene involved in regulating heart aging. However, it remains unknown whether the cardiac Sir2 gene in flies can affect age-related heart diastolic dysfunction, lipid accumulation, and oxidative stress.
Exercise, as an inducible form of physiologic stress, represents a powerful tool in cardiac aging research. Exercise physiology has provided a wealth of knowledge into how age-related changes in cardiac structure and function translate to decreased exercise capacity, which is a strong determinant of heart failure prognosis [22]. Agerelated lipid accumulation and myocardial fiber loss are important causes of pathologic myocardial hypertrophy, which can also induce lipid toxic injury of cardiomyocytes [3,23]. Exercise training can speed up fat mobilization and promote lipid decomposition, which can effectively prevent the heart from excessive accumulation of lipids [24]. Besides, cardiac aging is characterized by concentric remodeling and decrements in diastolic functions, which are theorized to contribute to the increased risk of heart failure in older adults [6]. Since physical activity has been related to higher cardiac internal dimensions and improved diastolic function, ageassociated cardiac remodeling might be an appropriate target for exercise therapy [25,26]. Moreover, oxidative stress, defined as an excess production of reactive oxygen species (ROS) relative to antioxidant defense, has been shown to play an important role in the pathophysiology of cardiac remodeling and heart failure [27]. Meanwhile, treatment of diabetic rats with exercise significantly decreased the levels of MDA and increased the activity of SOD, GPx, and CAT compared with untreated diabetic rats; this indicated the protective effect of voluntary exercise against oxidative stress in the hearts of high-fat diet-induced type 2 diabetic rats [28,29]. Finally, the expression of the pro-survival p-Akt protein decreased significantly with age and reduced cardiac performance. The IGF1R/PI3K/Akt survival pathway in the heart of young rats can indeed be increased through exercise training, and exercise training enhanced the SIRT longevity pathway instead of IGF1 survival signaling to improve cardiomyocyte survival [30]. In Drosophila, increasing evidence shows that endurance exercise or regular exercise also improves heart function and delay heart age-related phenotypes [31][32][33][34][35][36]. Therefore, the evidence indicates that exercise training can delay cardiac aging, but it remains unclear whether exercise training delaying heart aging is related to cardiac Sirt1-related pathways, and the effect of cardiac Sir2 gene differential expression combined with exercise training on heart aging is still unknown.
To explore the relationship between cardiac Sir2, exercise, and cardiac aging, cardiac Sir2 knockdown or overexpression was induced using the UAS/hand-Gal4 system in Drosophila. The flies underwent exercise training using a TreadWheel. The cardiac Sir2 expression level was tested by qRT-PCR. The heart period, systolic period, diastolic period, diastolic dysfunction index, fractional shortening, diastolic diameter, and systolic diameter were measured by an M-mode trace. Next, the cardiac triacylglycerol (TAG) and brummer (bmm) gene expression were measured by ELISA and qRT-PCR. The cardiac SOD activity level, MDA level, and Foxo gene expression level were detected by ELISA and qRT-PCR. Based on these indicators, we tried to understand the relationship between cardiac Sir2, exercise, and cardiac aging.

RESULTS
Cardiac dSir2 knockdown promotes heart aging in Drosophila Cardiac dSir2 knockdown promotes age-related oxidative stress in aging Drosophila The Gal4/upstream activating sequence (UAS) system is one of the most powerful tools for targeted gene expression. It is based on the properties of the yeast GAL4 transcription factor, which activates transcription of its target genes by binding to UAS cis-regulatory sites. In Drosophila, the two components are carried in separate lines, allowing for numerous combinatorial possibilities [37]. The bipartite system is commonly used in gain-of-function analysis, and by combining with the RNA interference technology, it can also be applied in loss-of-function analysis [38]. In this study, the results showed that at different ages the cardiac dSir2 expression of hand-Gal4>UAS-dSir2-RNAi flies was significantly lower than that of hand-Gal4>w 1118 flies (P<0.01; Figure  1A). In both hand-Gal4>w 1118 and hand-Gal4>UAS-dSir2-RNAi flies, the cardiac dSir2 expression of 7-weekold flies was lower than that of 1-week-old flies (P<0.01; Figure 1B). These results suggested that the dSir2 gene knockdown was successfully induced by hand-Gal4>UAS-dSir2-RNAi in flies' heart. Aging notably reduced heart dSir2 expression in flies.

AGING
Superoxide dismutase (SOD) and malondialdehyde (MDA) are two common indices for evaluating the ability of eliminating oxygen free radicals [39]. A large amount of SOD exist in the body, which eliminates free radicals and has important roles in protecting the body from damage by reactive oxygen species (ROS) [40,41] SOD catalyzes the dismutation of superoxide into oxygen and hydrogen peroxide during physiological and pathological state, including aging [42]. It has been demonstrated that the expression and activity of the SOD system are modified during aging, with reduced cell ability to counteract the oxidant molecules, and consequent weak resistance to ROS accumulation [43]. Similar to protein carbonyl production, lipids can be modified and are indicative of oxidative stress. MDA is commonly used as a marker of lipid peroxidation, and is typically accessed via the thiobarbituric acid reactive substances assay; however, this assay can be somewhat nonspecific as it can react with other aldehydes in addition to MDA. MDA is generated in vivo via peroxidation of polyunsaturated fatty acids [44]. MDA together with excessive oxyradicals attacks the cell membrane, which leads to cell necrosis [45][46][47]. Meanwhile, the activation of Foxo is associated with an increase in the expression of SOD; however, this increase is unrelated to an increase in SOD activity [48]. The dSir2 can modulate the cellular stress response directly by deacetylating some proteins, such as Foxo, and regulating their expression [14].
In this study, we found that in flies of different ages, cardiac dSir2 knockdown significantly reduced the SOD activity level and Foxo expression in the heart (P<0.05 or P<0.01; Figure 1B and 1C). It notably increased cardiac MDA level in 5-week-old and 7-week-old flies (P<0.05 or P<0.01; Figure 1D). Besides, we found that aging significantly increased the cardiac MDA level (P<0.01; Figure 1C), and it notably reduced SOD activity level and Foxo expression in both hand-Gal4>w 1118 and hand-Gal4>UAS-dSir2-RNAi flies (P<0.01; Figure 1B and 1E). These results suggested that cardiac dSir2 knockdown could promote age-related oxidative damage by inhibiting Foxo/SOD pathway activity in aging hearts.

Cardiac dSir2 knockdown promotes age-related fat accumulation in aging Drosophila
With age, the heart exhibits a decrease in the number of myocytes with a concomitant increase in the size of each cardiomyocyte and an increased accumulation of lipids and areas of fibrosis [3]. The uptake of fatty acids through the sarcolemma is augmented because of an increase in the amount of transport protein and CD36, but fatty acid oxidation is decreased. Fatty acid oxidation is a major component of the energy production process as it accounts for the generation of approximately 70% of cardiac ATP [23]. Fatty acid utilization in healthy hearts is a complex process that includes several steps: FA uptake, conversion of free FA to FA-CoA, storage of FAs in triglycerides (TG), TG lipolysis, transfer of fatty acids into the mitochondria, β-oxidation, and oxidative phosphorylation for ATP production. The flawless transfer of fatty acids from cellular uptake to mitochondrial oxidation prevents the accumulation of excess lipids [49]. Our previous results suggest that a high-fat diet can accelerate the age-related downregulation of dSir2 gene expression in Drosophila [35], but it remains unclear whether the cardiac dSir2 knockdown can contribute to lipid accumulation in the heart.
In this study, cardiac TAG level and brummer(bmm) gene expression was measured to reflect cardiac lipid accumulation. We found that in flies 1 week, 5 weeks, and 7 weeks old, cardiac dSir2 knockdown significantly increased the level of TAG in the heart (P<0.05 or P<0.01)(1 week old: increased by 7.3%; 5 weeks old: increased by 7.8%; and 7 weeks old: increased by 8.2%). Aging also significantly increased cardiac TAG levels in both hand-Gal4>w 1118 and hand-Gal4>UAS-dSir2-RNAi flies (P<0.01; Figure 1F). The cardiac bmm gene encodes the lipid storage droplet-associated TAG lipase Brummer, a homolog of human adipocyte triglyceride lipase (ATGL). Food deprivation or chronic bmm overexpression depleted organismal fat stores in vivo, whereas loss of bmm activity caused obesity in flies. Therefore, the change in bmm gene function is an important molecular mechanism that leads to TAG metabolic disorder [50]. In this experiment, we found that cardiac dSir2 knockdown significantly decreased the cardiac bmm gene expression in flies of different ages (P<0.01) ( Figure 1E). We also found that aging significantly decreased the cardiac bmm gene expression in both hand-Gal4>w 1118 and hand-Gal4>UAS-dSir2-RNAi flies (P<0.01) ( Figure 1E). These results suggested that cardiac dSir2 knockdown could promote age-related TAG accumulation by reducing bmm expression in the heart.

Cardiac dSir2 knockdown promotes age-related diastolic dysfunction and contractility asthenia in aging Drosophila
Age-related cardiac dysfunction is a major factor in heart failure. Diastolic dysfunction is highly prevalent, and aging is the main contributor due to impairments in active cardiac relaxation [51]. Sir2/Sirt1 is a class III histone deacetylase, and it mediates lifespan extension in model organisms and prevents apoptosis in mammalian cells. Moderate overexpression of Sir2/Sirt1 in hearts can attenuate age-dependent increases in apoptosis/fibrosis and cardiac dysfunction [13]. However, it remains unclear whether cardiac dSir2 knockdown can affect heart period, diastolic dysfunction, and contractility. In AGING this study, the results showed that in both hand-Gal4>w 1118 and hand-Gal4>UAS-dSir2-RNAi flies, aging significantly increased cardiac period, systolic interval, diastolic interval, and the diastolic dysfunction index (P<0.01; Figure 2A-2D); furthermore, aging notably reduced fractional shortening ( Figure 2E). Moreover, cardiac dSir2 knockdown significantly reduced the cardiac period, systolic interval, and diastolic interval (P<0.05 or P<0.01; Figure 2A-2C), and it notably increased the diastolic dysfunction index, fractional shortening, diastolic diameter, and systolic diameter (P<0.05 or P<0.01; Figure 2D-2H). The results showed that the shortened heart period induced by dSir2 RNAi was opposite to the increased heart period induced by aging, and this seemed to contradict the idea that dSir2 RNAi promoted heart aging. However, the effects of dSir2 RNAi and aging on heart contractility and the diastolic dysfunction index were the same. We speculate that from the perspective of the overall changes in the heart, the reduction in cardiac contractility induced by dSir2 RNAi reduced the output per stroke, and to meet the needs of the body for hemolymph, the heart shortened the heart period, increased its heart rate, and finally increased its total output. Therefore, these results suggested that cardiac dSir2 knockdown could increase the risk of cardiac diastolic dysfunction by reducing cardiac relaxation time, which could promote the occurrence of cardiac age-related diastolic dysfunction. Cardiac dSir2 knockdown could promote age-related cardiac contractility debility.

Cardiac dSir2 knockdown induced phenotypes similar to heart aging in young Drosophila
To further confirm whether cardiac dSir2 RNAi could induce age-related changes in the heart, the other cardiac dSir2 RNAi line was built by P{KK109370}VIE-260B The normal line of TAG, the normal line of SOD, and the normal line of MDA. Independent-sample t tests were used to assess differences between the 1-week-old and 7-week-old flies to explore the effects of aging on the heart. Independent-sample t tests were used to assess differences between hand-Gal4>w 11118 and hand-Gal4>UAS-dSir2-RNAi flies to explore the effects of cardiac dSir2 knockdown on the heart. Data are represented as means ± SEM. *P<0.05; **P <0.01. Sample size was 80 hearts for each group, and measurements were taken 3 times.
AGING and hand-Gla4 in 1-week-old flies. The results showed that the cardiac dSir2 expression of hand-Gal4>UAS-dSir2 RNAi flies was significantly lower than that of hand-Gal4>w 1118 flies (P<0.01) (a difference of about 5.6-fold; Figure 3A). This suggested that cardiac dSir2 knockdown was also successfully built by the UAS/hand-Gal4 system. Moreover, the results showed that cardiac dSir2 knockdown significantly reduced the SOD activity level and Foxo expression (P<0.01; Figure 3B and 3C), and notably increased MDA levels in young hearts (P<0.01; Figure 3D). In addition, cardiac dSir2 knockdown significantly increased cardiac TAG level (+19.1%) and reduced cardiac bmm expression (P<0.01; Figure 3E and 3F). Finally, cardiac dSir2 knockdown significantly reduced heart period, diastolic period, systolic period, and fractional shortening (P<0.05 or P<0.01; Figure 3G-3I, and 3K), and notably increased the diastolic dysfunction index and systolic diameter (P<0.01; Figure  3J, 3M and 3N). These results suggested that cardiac dSir2 knockdown could increase the incidence of oxidative damage, fat accumulation, and diastolic dysfunction in young hearts, which is similar to the phenotypes associated with aging hearts.

Cardiac dSir2 overexpression slows down heart aging in Drosophila
To further confirm whether cardiac dSir2 could regulate heart aging, the cardiac dSir2 overexpression line was built by UAS-dSir2 overexpression (w 1118 ; P{EP}Sirt1 EP2300 DnaJ-H EP2300 /CyO) and hand-Gla4 in 7-week-old flies. Although our previous results indicated It can be observed from 1, 2, 3, and 5 that the cardiac dSir2 knockdown could reduce heart period and fractional shortening, and increase diastolic dysfunction. Independent-sample t tests were used to assess differences between the 1-week-old" and 7-week-old flies to explore the effects of aging on the heart. Independent-sample t tests were used to assess differences between the hand-Gal4>w 11118 and hand-Gal4>UAS-dSir2-RNAi flies to explore the effects of cardiac dSir2 knockdown on the heart. Data are represented as means ± SEM. *P<0.05; **P <0.01. Sample size was 30 hearts for each group. It can be observed from 1 and 2 that the cardiac dSir2 knockdown could reduce heart period and fractional shortening, and increase diastolic dysfunction. Independent-sample t tests were used to assess differences between the hand-Gal4>w 11118 and hand-Gal4>UAS-dSir2 RNAi flies to explore the effects of cardiac dSir2 knockdown on the heart. Data are represented as means ± SEM. *P<0.05; **P <0.01. Sample size was the same as in our previous experiments.

AGING
AGING that cardiac dSir2 knockdown promoted heart aging and aging reduced cardiac dSir2 expression, it remains unknown whether cardiac dSir2 overexpression can affect heart aging. The results showed that the cardiac dSir2 expression of hand-Gal4>UAS-dSir2-overexpression flies was significant higher than that of hand-Gal4>w 1118 flies (P<0.01) (a difference of about 5.01-fold) ( Figure 4A), and the cardiac dSir2 expression of hand-Gal4>UAS-dSir2-overexpression flies was also significantly higher than that of UAS-dSir2-overexpression>w 1118 flies (P<0.01) (a difference of about 6.6-fold) ( Figure 4A). This suggested that the cardiac dSir2 overexpression was successfully induced by the UAS/hand-Gal4 system in 7week-old Drosophila. Besides, the results showed that cardiac dSir2 overexpression significantly increased the SOD activity level and Foxo expression (P<0.01; Figure  4B and 4C), and notably decreased MDA levels in aging hearts (P<0.01; Figure 4D). Furthermore, cardiac dSir2 overexpression significantly decreased cardiac TAG level (P<0.01; by 17.6%; Figure 4E), and notably increased cardiac bmm expression (P<0.01; Figure 4F). Finally, cardiac dSir2 overexpression significantly increased heart period, diastolic period, and fractional shortening (P<0.01; Figure 3G, 3I, 3K, and 3N), and notably decreased the diastolic dysfunction index (P<0.01; Figure 3J and 3N). Although a dnaJ-homolog (dnaJ-H) gene partially overlaps with dSir2, increasing evidence indicates that moderately increased expression of dSir2 (2.5-fold, 3fold, and 5-fold) from the native dSir2 locus can result in lifespan extension without an increase in dnaJ-H mRNA expression [52,53]. The results showed that the heart dnaJ-H gene expression was not significantly changed by dSir2 overexpression (P>0.05; Figure 3O). Therefore, our results suggest that cardiac dSir2 overexpression could decrease the risk of oxidative damage, fat accumulation, and diastolic dysfunction in aging hearts, thus resisting the phenotypes associated with heart aging.

Physical exercise's mitigation of heart aging is related to cardiac dSir2-related pathways in Drosophila
To study whether the cardiac dSir2 gene is involved in the delayed age-related decline of heart function after exercise training, cardiac dSir2 differential-expression flies were trained. In both humans and animals, increasing evidence has showed that exercise training can enhance heart function, which is conducive to delaying the aging of the heart and reducing the occurrence of heart failure [26,30]. In this study, the results showed that in cardiac dSir2 differential-expression flies, exercise training significantly prolonged the cardiac period (P<0.05 or P<0.01; Figure 5A); moreover, the systolic period had no significant change after exercise training (P>0.05; Figure 5B) while the diastolic period significantly increased after exercise training (P<0.05 or P<0.01; Figure 4C). Exercise training significantly reduced the diastolic dysfunction index in cardiac dSir2 differential-expression flies (P<0.01; Figure 4D, 4M-4O). In addition, exercise training significantly increased the cardiac SOD level and Foxo expression level (P<0.05 or P<0.01; Figure 4E and 4G) and significantly reduced the cardiac MDA level in cardiac dSir2 differentialexpression flies (P<0.05 or P<0.01; Figure 4F). Furthermore, exercise training significantly decreased the cardiac TAG level, and it up-regulated cardiac bmm gene expression in cardiac dSir2 differential-expression flies (P<0.05 or P<0.01; Figure 4H and 4I). Additionally, exercise training significantly increased the cardiac SIR2 protein level in cardiac dSir2 differential-expression flies (P<0.01; Figure 4K). Finally, the results showed that cardiac Nmnat expression significantly increased after exercise training in cardiac dSir2 differential-expression flies (P<0.01; Figure 4J). Increasing evidence has shown that exercise trained increases muscle and blood NAD + levels [54,55]. Cardiac Nmnat expression was measured by RT-PCR since NMNAT reversibly catalyzes the important step in the biosynthesis of NAD from ATP and NMN, and overexpression of Nmnat has been shown to increase NAD + levels in some tissues [56]. It has been reported that NAD + has an upstream regulation function for dSir2 (Smith et al., 2000). Therefore, exercise training may improve dSir2 protein level by increasing NAD + levels in heart dSir2 differential-expression flies. Therefore, these findings suggested that exercise training could improve cardiac diastolic dysfunction, reduce excessive accumulation of lipids, and decrease oxidative damage. Exercise training combined with cardiac dSir2 overexpression in old flies could better protect the heart from aging compared to exercise training or cardiac dSir2 overexpression alone. The mechanism of exercise to delay the age-related decline of cardiac function was closely related to the up-regulation of cardiac dSir2, Foxo, and bmm genes.

Effect of physical exercise and cardiac dSir2 differential expression on mobility and lifespan in Drosophila
To explore whether the cardiac Sir2 gene could affect the flies' climbing ability and longevity, the climbing index and lifespan of the experimental flies were measured. As we all know, the heart is a very important organ to exercise in vertebrate animals since the brain and skeletal muscles get oxygen and nutrients by pumping blood through the heart. Especially during exercise or activity, if the brain and skeletal muscles do not get enough oxygen and nutrients, it will lead to reduced athletic ability and proneness to fatigue [57,58]. Although the skeletal muscles and brain of flies get their oxygen without having to pump hemolymph through the heart, they need to get nutrition and energy from hemolymph [59,60]. In this respect, there may be a AGING relationship between heart function and climbing ability in fruit flies. Besides, exercise training has been shown to improve heart function and prevent some heart diseases [25,36,61]. Numerous studies have reported that age-related heart disease is the leading cause of death in the elderly [62][63][64]. These findings suggest that cardiac function is important for mobility and survival in older individuals. However, it remains unclear whether cardiac dSir2 different expression can affect the fruit fly's motor ability and longevity. (L) Heart SIR2 protein level. "1" indicates hand-Gal4>w1118, "2" indicates hand-Gal4>w1118+Exercise, "3" indicates hand-Gal4>UAS-dSir2-RNAi, "4" indicates hand-Gal4>UAS-dSir2-RNAi+E, "5" indicates hand-Gal4>UAS-dSir2-overexpression, and "6" indicates hand-Gal4>UAS-dSir2-overexpression+E. Independent-sample t tests were used to assess differences between the "Control group" and "Exercise group" in cardiac dSir2 differential-expression flies to explore the effects of exercise training on the heart. Data are represented as means ± SEM. *P<0.05; **P <0.01. Sample size and repetitions were the same as before. (M) Hand-Gal4>w1118 group. (N) hand-Gal4>UAS-dSir2-RNAi, and (O) hand-Gal4>UAS-dSir2-overexpression. In m, n, and o, 1: ultrastructure image of myocardium in the non-exercise group; 2: ultrastructure image of myocardium in the exercise group; 3: microscopic image of cardiac function in the non-exercise group; and 4: microscopic image of cardiac function in the exercise group. It can be observed from m1, n1, and o1 that the cardiac dSir2 knockdown could reduce the number of mitochondria and make the arrangement of myofibrils irregular, but cardiac dSir2 overexpression can increase the number of mitochondria and make the myofibrils more orderly. It can be observed from m3, n3, and o3 that the cardiac dSir2 knockdown can reduce heart period and increase diastolic dysfunction, and cardiac dSir2 overexpression can extend heart period and decrease diastolic dysfunction. Moreover, it can be observed from m, n, and o that exercise training can increase the number of heart mitochondria, make the myofibrils more orderly, extend heart period, and reduce diastolic dysfunction in cardiac dSir2 differential-expression flies.

AGING
In this study, results showed that aging significantly reduced the climbing index in cardiac dSir2 differentialexpression flies (P<0.01; Figure 6A and 6C). Cardiac dSir2 knockdown significantly reduced the climbing index in 5-week-old and 7-week-old flies (P<0.05), and also notably decreased the average lifespan of flies (P<0.05; Figure 6B, 6E, and 6F). On the contrary, cardiac dSir2 overexpression significantly increased the climbing index in 5-week-old flies (P<0.05) and notably increased the average lifespan of flies (P<0.05; Figure 6D, 6G, and 6H). For 1-week-old and 3-week-old flies, cardiac dSir2 knockdown and overexpression did not remarkably affect the climbing index (P>0.05; Figure 6A and 6C). The results also showed that in 1-week-old and 3-week-old and cardiac dSir2 differential-expression flies, the climbing index had no significant difference between the exercise group and no exercise group (P>0.05; Figure  7A). This suggested that before exercise training, the climbing index of the exercise group was almost the same as that of the no exercise group. After 2 weeks of exercise training, the climbing index was notably increased in cardiac dSir2 differential-expression and 5week-old flies (P<0.05, P<0.01). Exercise training also notably increased the climbing index in cardiac dSir2 over-or normal-expression and 7-week-old flies (P<0.05), but this effect was not found in cardiac dSir2 knockdown and 7-week-old flies (P>0.05; Figure 7A). Moreover, exercise remarkably prolonged the average lifespan of cardiac dSir2 differential-expression flies (P<0.05, P<0.01; Figure 7B and 7C). Therefore, these results suggested that cardiac Sir2 overexpression and exercise in old flies could improve their mobility and longevity to a certain extent. Cardiac Sir2 knockdown reduced the mobility and survivability of flies, but these changes could be reversed by exercise training to a certain extent.

DISCUSSION
In both mammals and fruit flies, the Sir2/Sirt1 gene is closely related to oxidative stress and lipid metabolism. In mammalian cells, the Sir2 homolog SIRT1 appears to control the cellular response to stress by regulating the FOXO family of Forkhead transcription factors, a family of proteins that function as sensors of the insulin signaling pathway and as regulators of organismal longevity. SIRT1 increased FOXO3's ability to induce cell cycle arrest and resistance to oxidative stress but inhibited FOXO3's ability to induce cell death [65]. In addition, hepatic SIRT1 plays an important role in AGING hepatic fatty acid metabolism, and it has been shown that adenoviral knockdown of SIRT1 reduces expression of fatty acid β-oxidation genes in the liver of fasted mice [66]. SIRT1 can also regulate the brown remodeling of white adipose tissue in response to cold exposure by deacetylation of PPARγ, and SIRT1-dependent deacetylation of PPARγ is required to recruit the brown adipose tissue program coactivator Prdm16 to PPARγ, leading to selective induction of brown adipose tissue genes and repression of white adipose tissue genes [67]. However, it remains unclear whether the cardiac Sirt1 gene can regulate heart aging.
In Drosophila, overexpression of Sir2 enhances the survival of a number of model organisms undergoing calorie restriction, during which insulin receptor signaling is reduced, a condition that can enhance survivorship during starvation. Besides, defects in peripheral insulin sensitivity, but not in insulin secretion, can account for the reduced insulin signaling in sir2 mutants, and GAL4driven expression of Sir2 in the fat body of wild-type flies is sufficient to reduce TAG levels, which is consistent with previous reports of SIRT1 overexpression in mice [68]. Moreover, overexpression of Sir2 in the adult fat body is sufficient to extend the lifespan of male and female Drosophila [53]. Importantly, increased Sir2 expression and reduced insulin receptor signaling results in an increase in the activity of the transcription factor FOXO [69]. In fly neuronal cells, increased Dyrk1a activates Sir2 to regulate the deacetylation of FOXO, which potentiates FOXO-induced sNPF/NPY expression and in turn promotes food intake. Recent studies report that modest Foxo overexpression is cardioprotective, ameliorating nonpathological functional decline with age in flies [70]. The expression of Foxo in myocardial cells autonomously protects the heart from the adverse effects of a high-fat diet [16]. Therefore, Sir2 is involved in the regulation of oxidative stress and lipid metabolism, AGING possibly through the regulation of Foxo. However, it remains unclear whether Sir2 can upstream regulate Foxo in the heart of fruit flies.
In this study, we found that cardiac Sir2 overexpression increased cardiac Foxo expression in aging flies. The activation of FOXO transcription factors leads to the induction of a variety of genes encoding antioxidant proteins, including MnSOD [14]. Therefore, cardiac Sir2 overexpression increased heart SOD activity level and decreased MDA level via activating the Sir2/Foxo/SOD pathway in fly's hearts; this may improve the antioxidant capacity of myocardial cells and reduce oxidative damage to myocardial cells. On the contrary, cardiac Sir2 knockdown or aging reduced heart SOD activity and increased heart MDA level via inhibiting the cardiac Sir2/Foxo/SOD pathway in Drosophila, which may weaken the antioxidant capacity of myocardial cells and increase oxidative damage to myocardial cells. We also found that cardiac Sir2 overexpression effectively reduced the level of cardiac TAG and increased cardiac bmm expression. Because it has been reported that there is no significant increase in heart-specific TAG accumulation in hearts of flies with high-fat diets when overexpressing either Foxo or bmm [16], cardiac Sir2 overexpression may decrease cardiac lipid accumulation via activating the cardiac Sir2/Foxo/bmm pathway in aging flies. Oppositely, cardiac Sir2 knockdown or aging caused excessive fat accumulation in the heart by suppressing the cardiac Sir2/Foxo/bmm pathway in flies. Furthermore, we found that cardiac Sir2 overexpression could reduce diastolic dysfunction. Since oxidative stress and excessive lipid accumulation are the main causes of cardiac diastolic dysfunction [71,72], cardiac Sir2 overexpression may reduce the risk of diastolic dysfunction by activating the cardiac Sir2/Foxo/SOD pathway and Sir2/Foxo/bmm pathway. Inversely, cardiac Sir2 knockdown or aging increased the incidence of diastolic dysfunction by inhibiting the cardiac Sir2/Foxo/SOD pathway and Sir2/Foxo/bmm pathway in aging flies. Finally, we found that cardiac Sir2 overexpression could increase heart period and fractional shortening in aging flies, and this indicated that cardiac Sir2 overexpression enhanced heart contractility. Meanwhile, cardiac Sir2 knockdown reduced heart period and fractional shortening in aging flies. Therefore, for heart period, cardiac Sir2 knockdown seemed to resist aging, but this is not actually the case. In order to maintain normal metabolism and cardiac output, the heart may compensate for the reduced fractional shortening by reducing the cardiac period in cardiac Sir2 knockdown flies. The cardiac fractional shortening may be decreased by lipid accumulation and oxidative damage [71][72][73][74]. This suggests that cardiac Sir2 knockdown attenuated heart contractility. In aging flies, since their metabolic rate drops, the cardiac output may be maintained by decreasing the cardiac fractional shortening or increasing the cardiac period. Of course, aging may also reduce cardiac fractional shortening via increasing lipid accumulation and oxidative damage [3,5,6]. Therefore, we cardiac aging is majorly characterized by increased diastolic dysfunction, accumulation of lipid, oxidative stress, and reduced contractility in Drosophila. Cardiac Sir2 overexpression effectively delayed heart aging via activating the Sir2/Foxo/bmm pathway and Sir2/Foxo/SOD pathway, but cardiac Sir2 knockdown contributed to the aging process of the heart via inhibiting the Sir2/Foxo/bmm pathway and Sir2/ Foxo/SOD pathway.
Exercise training can prevent lipid accumulation in both aging mammals and fruit flies. Endogenous TAG represents an important source of fuel for endurance exercise. TAG oxidation increases progressively during exercise, and the specific rate is determined by energy requirements of working muscles, fatty acid delivery to muscle mitochondria, and the oxidation of other substrates. The catecholamine response to exercise increases lipolysis of adipose tissue TAGs, and, presumably, intramuscular TAGs. Moreover, increases in adipose tissue and muscle blood flow decreases fatty acid re-esterification and facilitates the delivery of released fatty acids to skeletal muscle [75]. Therefore, exercise training can accelerate the decomposition of free fatty acids to provide energy. Moreover, it can promote the decomposition of adipose tissue to provide energy, which can effectively prevent excessive accumulation of lipids in tissues and organs such as the liver and heart. In Drosophila, it has been reported that endurance exercise can effectively prevent excessive accumulation of lipids in the body and heart induced by a high-fat diet or aging, and this may be related to the benign regulation of Sir2 expression through exercise [35]. However, it remains unclear whether exercise training resistance to heart lipid accumulation is related to cardiac Sir2 gene activation. Besides, exercise training can improve cardiac function in both aging mammals and fruit flies. For example, swimming exercise upregulates antioxidant defense capacity and improves structural abnormalities of the senescent female rat heart, and it improves the contractile function of aged myocardium by mitigating the detrimental effects of oxidative stress [61]. Exercise training enhances the SIRT longevity pathway instead of IGF1 survival signaling to improve cardiomyocyte survival [30]. In Drosophila, exercise training can reduce age-related decline in mobility and cardiac performance [32]. Fatiguing exercise initiated later in life reduces the incidence of cardiac fibrillation in Drosophila [36]. Normal expression or overexpression of CG9940 had a positive influence on the adaptation of cardiac functions, mobility, and lifespan to exercise in aging Drosophila [34]. Therefore, since both the cardiac Sir2/Sirt1 gene and exercise training take part in regulating heart aging, it is important to understand the relationship between them.
In this study, for the first time, we found that in cardiac dSir2 overexpression, normal expression, knockdown, and 5-week-old flies, exercise training improved cardiac dSir2 expression and SIR2 protein levels. We also found that in the cardiac Sir2 differential-expression flies, exercise training increased cardiac SOD activity level and decreased MDA levels via activating the cardiac dSir2/Foxo/SOD pathway; these changes indicated that exercise training improved the antioxidant capacity of myocardial cells. In addition, exercise decreased cardiac lipid accumulation via activating cardiac the dSir2/Foxo/bmm pathway in cardiac Sir2 differentialexpression and 5-week-old flies. Moreover, the risk of diastolic dysfunction was reduced by exercise training in cardiac Sir2 differential-expression and 5-week-old flies. Finally, we found that exercise training increased heart period and fractional shortening in cardiac Sir2 differential-expression and 5-week-old flies, and these changes indicated that exercise training enhanced heart contractility. These results suggested that the activation of the cardiac dSir2/Foxo/SOD pathway and cardiac dSir2/Foxo/bmm pathway may be two important molecular mechanisms through which exercise fights against heart aging.
Although it has been reported that exercise training can enhance the SIRT longevity pathway instead of IGF1 survival signaling to improve cardiomyocyte survival [30], the mechanism by which dSir2 expression is upregulated in exercise training remains unclear. Increasing evidence has shown that exercise training increases muscle and blood NAD + levels [54,55], and the NAD + has an upstream regulation function for Sir2/Sirt1 [7]. Therefore, we speculate that the dSir2 expression upregulated by exercise training in the heart may be achieved by improving the cardiac NAD + level. To test this hypothesis, we examined the expression of the Nmnat gene in the heart. Nicotinamide mononucleotide adenylyltransferease (NMNAT), a rate-limiting enzyme present in all organisms, reversibly catalyzes the important step in the biosynthesis of NAD from ATP and NMN, and overexpression of Nmnat has been shown to increase NAD + levels in some tissues [56]. We found that both dSir2 overexpression and exercise training could improve Nmnat expression in the heart. This may be the result of the positive adaptive changes in the synthesis of related genes caused by the long-term high demand for NAD + in the heart. However, this speculation needs to be confirmed by further experiments.
Age-related decline in heart function and heart disease are important causes of reduced physical activity and death in the elderly [22]. Previous findings showed that the cardiac dSir2 gene can affect heart aging in flies, but it remains unclear whether the cardiac dSir2 gene can affect their mobility and lifespan. Our results showed that cardiac dSir2 overexpression and exercise in old flies could improve their mobility and survivability to a certain extent. However, cardiac dSir2 knockdown reduced mobility and survivability in old flies. In young flies, cardiac dSir2 gene had no significant effect on climbing ability, and the reason for this may be that changes in heart function induced by cardiac Sir2 differential expression were not enough to cause hypoxia in tissues such as the brain [57,58]. Cardiac Sir2 knockdown may contribute to age-related heart disease and lead to death in the elderly [62][63][64]. In addition, we found that exercise training improved the mobility in cardiac dSir2 differential-expression and old flies. Moreover, exercise training prolonged the average lifespan in cardiac dSir2 differential-expression flies. These findings suggest that exercise training could reverse the decline of mobility and survivability induced by cardiac dSir2 knockdown to a certain extent in old flies. This may be related to the reconstruction of the NAD/dSir2 pathway in the heart by exercise training. Besides, exercise training could improve the functioning of other organs and systems, and could prevent other agerelated diseases, such as obesity, diabetes, and Parkinson's disease, which could thus extend lifespan in old flies [76,77]. Therefore, this may be the reason why cardiac dSir2 overexpression combined with exercise training had the best benefit to lifespan and mobility.
In conclusion, we claim that cardiac Sir2 overexpression or knockdown can delay or promote heart aging by reducing or increasing age-related oxidative stress, lipid accumulation, diastolic dysfunction, and contractility debility. Activation of the cardiac Sir2/Foxo/SOD pathway and cardiac Sir2/Foxo/bmm pathway may be two important molecular mechanisms through which exercise fights against heart aging in Drosophila.
To induce different expression of the dSir2 gene in the fly heart, male hand-Gal4 flies were crossed with female w 1118 flies, UAS-dSir2-overexpression flies, and UAS-dSir2-RNAi flies [14]. All UAS and GAL4 insertions were backcrossed into the w 1118 line at least 10 times to avoid excess phenotypes affecting the experimental results. Normal food contained 10% yeast, 10% sucrose, and 2% agar [16]. During the experimental time course, flies were housed in a 25°C incubator with 50% humidity and a 12-h light/dark cycle. Fresh food was provided every other day for the duration of the experiment. All flies were raised to the fourth weekend, and were then trained in their fifth week of life since we found that flies were more sensitive to exercise during this stage of life.

Exercise training device and protocols
When constructing the exercise device, the flies' natural negative geotaxis behavior was taken to induce upward walking [78]. All exercise group flies started exercise from when they were 22 days old, and underwent a 2week-long exercise program. Vials with the diet and housing 25 flies each were loaded horizontally into a steel tube that was rotated about its horizontal axis by an electric motor, with a gear regulating its shaft speed. Thus, with the accompanying rotating steel tube, each vial was rotated along its long axis, which made the flies climb (TreadWheel) [31,33]. Most flies continued to respond by climbing throughout the exercise period. The few that failed to climb were actively walking at the inner wall of the vial [34,36]. Flies were exercised in vials with a 2.8 cm inner diameter, rotated at 0.16 rev/s. Flies were exercised for 1.5 hours per day.

Semi-intact Drosophila preparation and image analysis
Flies were anesthetized with FlyNap for 2-3 min. The head, ventral thorax, and ventral abdominal cuticle were removed by special glass needles to expose the heart and abdomen. Dissections were done under oxygenated artificial hemolymph. These semi-intact preparations were allowed to equilibrate with oxygenation for 15-20 min before filming. Image analysis of heart contractions was performed using high-speed videos of the preparations. Videos were taken at 120-130 frames per second using a Hamamatsu (McBain Instruments, Chats worth, CA) EM-CCD digital camera on a Leica (McBain Instruments, Chatsworth, CA) DM LFSA microscope with a 10x immersion lens. To get a random sampling of heart function, a single 30-s recording was made for each fly. All images were acquired and contrast enhanced using Simple PCI imaging software (Compix, Sewickley, PA). The heart physiology of the flies was assessed using a semi-automated optical heartbeat analysis program that quantifies the heart period, systolic period, diastolic period, diastolic dysfunction index (diastolic intervals standard deviation/diastolic intervals median), fractional shortening, diastolic diameter, and systolic diameter [79]. The sample size was 30 flies for every group. Since the arrhythmia index calculates the heart period standard deviation normalized to the median heart period, we calculated the diastolic arrhythmicity index as the heart diastolic period standard deviation normalized to the median heart diastolic period.

ELISA assay
The SOD activity level, MDA level, and TAG level were measured by ELISA assay (Insect SOD activity, MDA, and TAG ELISA Kits, MLBIO). Fly hearts were homogenized in PBS (pH 7.2-7.4). Samples were rapidly frozen with liquid nitrogen and then maintained at 2°C-8°C after melting. Homogenize the samples with grinders, and centrifugation was conducted for 20 min at 2000-3000 rpm. Then we removed the supernatant. The specific steps are as follows: (1) Add standard: set standard wells, and test sample wells. Add standard 50 μl to the standard well. (2) Add sample: add 40μl of sample dilution to the testing sample well, then add 10 μl of the sample (the sample's final dilution is 5-fold). Avoid touching the well wall as much as possible, and gently mix. (3) Add enzyme: add 100 μl of HRP-conjugate reagent to each well except for the blank well. Don't add sample and HRP-Conjugate reagent to blank comparison wells, and other each step operation is same. (4) Incubate: after closing the plate with the closure plate membrane, incubate for 60 min at 37°C. (5) Washing: uncover the closure plate membrane, discard liquid, dry by swing, add washing buffer to every well, still for 30 s and then drain; repeat 5 times, and pat dry. (6) Color: add 50 μl of Chromogen Solution A and Chromogen Solution B to each well, evade the light preservation, and let sit for 15 min at 37°C. (7) Stop the reaction: add 50 μl of Stop Solution to each well to stop the reactions (the blue color will change to yellow). (8) Assay: take the blank well as zero, and read absorbance at 450 nm within 15 min of adding Stop Solution.

Western blots
Samples of 80 hearts were collected under the indicated conditions at 35 days of age, and homogenized in 100 μL of RIPA buffer containing 1X protease inhibitors (Roche cOmplete Mini EDTA-free protease inhibitor tablets). For dSir2 Western blots, the buffer also contained Calyculin A and okadaic acid. Equivalent amounts of protein were resolved by SDS-PAGE (10% acrylamide), transferred to PVDF membrane overnight at 4°C, and blocked with 5% BSA prior to immunoblotting. Western blots were probed with antibodies for dSir2 (1:50, Developmental Studies Hybridoma Bank #p4A10) and βactin (1:1000, Cell Signaling #9441). The data shown in the figure5-k are representative of at least three biological replicates. Quantification was performed by measuring protein levels using Image J software. The values reported represent the experimental condition normalized to the control, unless otherwise specified.

Negative geotaxis assay
The climbing apparatus consisted of an 18-cm-long vial with an inner diameter of 2.8 cm, and flies were allowed to adapt to the vial for 10 min before assessing negative geotaxis. Sponges were placed in the ends of the tube to prevent escape while allowing air exchange. With a light box behind the vials, the rack was tapped down five times and on the fifth, a timed digital camera snapped a picture after 8 s. The extent of climbing could be analyzed visually or by imaging software. Five pictures of each group were taken and averaged to arrive at a fixed score for each vial. The total score for all the flies in a vial was tallied, and then divided by the number of flies in the vial to generate the "climbing index" for that trial. Each vial was subjected to 5 trials, and then the indices from the five trials were averaged [78].

Lifespan assays
Dead flies were recorded daily. Lifespan was estimated for each fly as the number of days alive from the day of hatching to the day of death. Mean and median lifespan and survival curves were used to characterize the lifespan. Sample sizes were 200 to 210 flies per group [80].

Statistical analyses
The 1-way analysis of variance (ANOVA) with least significant difference (LSD) tests was used to identify differences among the hand-Gal4>w 11118 , UAS-dSir2-overexpression>w 11118 , and hand-Gal4>UAS-dSir2overexpression flies. Independent-sample t tests were used to assess differences between the hand-Gal4>w 11118 and hand-Gal4>UAS-dSir2-RNAi flies.
Analyses were performed using the Statistical Package for the Social Sciences (SPSS) version 16.0 for Windows (SPSS Inc., Chicago, USA), with statistical significance set at P<0.05. Data are represented as means ± SEM.