Sustained hyperglycemic stimulation of vascular cells is involved in the pathogenesis of diabetes mellitusâinduced cardiovascular complications. Silent information regulator T1 (SIRT1), a mammalian sirtuin, has been previously recognized to protect endothelial cells against hyperglycemiaâinduced oxidative stress. In the present study, human umbilical vein endothelial cells (HUVâECâC) were treated with Dâglucose, and the levels of oxidative stress, mitochondrial dysfunction, the rate of apoptosis and SIRT1 activity were measured. The effect of manipulated SIRT1 activity on hyperglycemiaâinduced oxidative stress, mitochondrial dysfunction and apoptosis was then assessed using the SIRT1 activator, resveratrol (RSV), and the SIRT1 inhibitor, sirtinol. The present study confirmed that hyperglycemia promotes oxidative stress and mitochondrial dysfunction in HUVâECâC cells. The accumulation of reactive oxygen species, the swelling of mitochondria, the ratio of adenosine 5'âdiphosphate to adenosine 5'âtriphosphate and localized mitochondrial superoxide levels were all increased following Dâglucose treatment, whereas the mitochondrial membrane potential was significantly reduced by >50Â mg/ml Dâglucose treatment. In addition, hyperglycemia was confirmed to induce apoptosis in HUVâECâC cells. Furthermore, the results confirmed the prevention and aggravation of hyperglycemiaâinduced apoptosis by RSV treatment and sirtinol treatment, via the amelioration and enhancement of oxidative stress and mitochondrial dysfunction in HUVâECâC cells, respectively. In conclusion, the present study revealed that hyperglycemia promotes oxidative stress, mitochondrial dysfunction and apoptosis in HUVâECâC cells, and manipulation of SIRT1 activity regulated hyperglycemiaâinduced mitochondrial dysfunction and apoptosis in HUVâECâC cells. The data revealed the protective effect of SIRT1 against hyperglycemiaâinduced apoptosis via the alleviation of mitochondrial dysfunction and oxidative stress.