We agree with Yu and Sun (1) that sirtuin 6 (SIRT6) was not only implicated in the repression of inflammation (2), oxidative stress, tumor, and aging (3) but also functioned as an oncogene in the epidermis (4). The idea that SIRT6 is a two-edged sword in health and disease is nevertheless intriguing. SIRT6 promotes resistance to DNA damage and oxidative stress, the principal defects associated with age-related diseases. The modulation of aging and other metabolic functions by SIRT6 may be indicative of previously unrecognized regulatory systems in the cell (5). In line to such evidence, we unveiled SIRT6 as a possible target for the antiatherogenic therapies (6). By maintaining both the integrity and the expression of the mammalian genome, SIRT6 may help prevent cellular senescence. Moreover, successful molecular modulation of SIRT6 activity may lead to the development of new chemotherapeutic modalities as well as the development of new therapeutic strategies to delay atherosclerosis progression in high-risk patients, such as patients with diabetes.

Duality of Interest. No potential conflicts of interest relevant to this article were reported.

1.
Yu
W-L
,
Sun
Y
. Comment on Balestrieri et al.
Sirtuin 6 expression and inflammatory activity in diabetic atherosclerotic plaques: effects of incretin treatment
.
Diabetes
2015
;
64
:
1395
1406
(Letter). Diabetes 2015;64:e5. DOI: 10.2337/db14-1633
2.
Zhang
P
,
Tu
B
,
Wang
H
, et al
.
Tumor suppressor p53 cooperates with SIRT6 to regulate gluconeogenesis by promoting FoxO1 nuclear exclusion
.
Proc Natl Acad Sci U S A
2014
;
111
:
10684
10689
3.
Sun
H
,
Wu
Y
,
Fu
D
,
Liu
Y
,
Huang
C
.
SIRT6 regulates osteogenic differentiation of rat bone marrow mesenchymal stem cells partially via suppressing the nuclear factor-κB signaling pathway
.
Stem Cells
2014
;
32
:
1943
1955
4.
Ming
M
,
Han
W
,
Zhao
B
, et al
.
SIRT6 promotes COX-2 expression and acts as an oncogene in skin cancer
.
Cancer Res
2014
;
74
:
5925
5933
5.
Beauharnois
JM
,
Bolívar
BE
,
Welch
JT
.
Sirtuin 6: a review of biological effects and potential therapeutic properties
.
Mol Biosyst
2013
;
9
:
1789
1806
6.
Balestrieri
ML
,
Rizzo
MR
,
Barbieri
M
, et al
.
Sirtuin 6 expression and inflammatory activity in diabetic atherosclerotic plaques: effects of incretin treatment
.
Diabetes
2015
;
64
:
1395
1406