Importantly, shRNA-induced depletion of SIRT7 in PAH PAVSMC significantly reduced S473 Akt phosphorylation (Figures 4C,D) and activatory phosphorylation of ACLY, and significantly increased inhibitory phosphorylation of ACC in human PAH PAVSMC (Figures 4C,E,F), suggesting that Akt-mediated lipogenesis in human PAH PAVSMC is regulated by SIRT7. This evidence concerns the gene SIRT7 and pulmonary arterial hypertension.