Abstract:Aim To clarify the role of sirtuin 1(SIRT1)/dynamin-related protein 1(DRP1) in genistein inhibiting oxidized low density lipoprotein(ox-LDL)-induced apoptosis of human umbilical vein endothelial cells(HUVEC). Methods HUVECs were cultured in vitro. The levels of mitochondrial fission factor (MFF), mitochondrial fission protein 1 (FIS1), mitofusin 1 (MFN1), mitofusin 2 (MFN2), optic atrophy 1 (OPA1), Bcl-2, Bax, cytochrome c (Cyt c), apoptotic protease activating factor 1 (APAF1), cleaved Caspase-9, cleaved Caspase-3, p-DRP1(Ser616) and acetylation-DRP1 (ac-DRP1), as well as the interaction between p-DRP1 and Bax were examined. Results Compared with ox-LDL treatment, genistein pretreatment suppressed the activity of DRP1 through diminishing acetylation and phosphorylation, which was associated with activating SIRT1(all P<0.05). Genistein pretreatment inhibited mitochondrial fission by enhancing MFN1, MFN2 and OPA1, and reducing MFF and FIS1(all P<0.05). Genistein pretreatment suppressed apoptosis through inhibiting the interaction between p-DRP1 and Bax, accompanied with increasing Bcl-2 and decreasing Bax, Cyt c, APAF1, cleaved Caspase-9 and Caspase-3 (all P<0.05). Conclusion Genistein suppressed ox-LDL-induced mitochondrial fission and apoptosis through activating SIRT1and inhibiting DRP1 in HUVEC.Therefore, SIRT1/DRP1 had a crucial role in genistein inhibiting ox-LDL-induced apoptosis in HUVEC.