SIRT5 and gastric cancer: However, there is quite a consensus in the literature that HDAC4, HDAC7, HDAC9, SIRT2, and SIRT7 are upregulated in GC and seem to be pro-tumor factors, whereas SIRT4, SIRT5, and SIRT6, which are downregulated, seem to have a tumor suppressor function (Table 2).