Targeting SIRT1: A Potential Strategy for Combating Severe COVID‐19

Shokri-Afra et al., BioMed Research International, doi:10.1155/bmri/9507417, Jan 2025
Quercetin for COVID-19
27th treatment shown to reduce risk in July 2021, now with p = 0.002 from 12 studies.
No treatment is 100% effective. Protocols combine treatments.
6,300+ studies for 210+ treatments. c19early.org
Review showing that SIRT1 activation may benefit COVID-19 treatment through multiple anti-inflammatory and antiviral mechanisms.
Bioavailability. Quercetin has low bioavailability and studies typically use advanced formulations to improve bioavailability which may be required to reach therapeutic concentrations.
Reviews covering quercetin for COVID-19 include1-20.
Review covers quercetin, curcumin, and resveratrol.
Shokri-Afra et al., 31 Jan 2025, peer-reviewed, 8 authors. Contact: msc.musavi66@gmail.com, malekzadeganyalda@gmail.com.
Targeting SIRT1: A Potential Strategy for Combating Severe COVID‐19
Hajar Shokri-Afra, Fatemeh Saber Jeyvan, Zeinab Barartabar, Parisa Khanicheragh, Elham Yousefi Abdolmaleki, Davod Ilbeigi, Hadis Musavi, Yalda Malekzadegan
BioMed Research International, doi:10.1155/bmri/9507417
Sirtuin 1 (SIRT1) is a crucial regulator of cellular processes, including inflammation, metabolism, and stress responses, playing a significant role in the body's defense mechanisms. During SARS-CoV-2 infection, SIRT1 plays a crucial role in modulating the immune response. This protein helps to enhance the antiviral response through deacetylating key transcription factors and regulating proinflammatory cytokines, thereby reducing the cytokine storm (an overwhelming immune response) associated with severe COVID-19 cases. SIRT1 influences the expression of angiotensin-converting enzyme 2 (ACE2), the primary receptor for SARS-CoV-2, thereby potentially mitigating viral entry and replication. Natural activators of SIRT1, such as resveratrol, have been shown to enhance its activity, offering promising avenues for therapeutic interventions aimed at bolstering the immune response during COVID-19. Understanding the multifaceted role of SIRT1 in human defense mechanisms against SARS-CoV-2 could pave the way for innovative strategies to manage COVID-19 and similar viral infections, emphasizing the importance of SIRT1 as a potential target for future therapeutic approaches.
Disclosure All authors reviewed the manuscript. All authors agree to be accountable for the research presented. Conflicts of Interest The authors declare no conflicts of interest. Author Contributions H.S-A., H.M., P.K., F.S.J., Z.B., E.Y.A., D.I., and Y.M. wrote the main manuscript text. H.S-A. prepared Figures 1 and 2 .
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