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Resveratrol as an Adjunctive Therapy for Excessive Oxidative Stress in Aging COVID-19 Patients
Min-Tser Liao1,2,3, Chia-Chao Wu4,5, Shu-Fang Vivienne Wu6
1Department of Pediatrics, Taoyuan Armed Forces General Hospital, Taoyuan City 325, Taiwan.
Insights
Aging impairs immune responses to COVID-19, increasing severity. Resveratrol may counteract these age-related immune deficiencies and oxidative stress, potentially improving outcomes for elderly patients with coronavirus disease 2019.
Area of Science:
- Immunology
- Gerontology
- Virology
Background:
- The coronavirus disease 2019 (COVID-19) pandemic presents a significant global health challenge, with disease severity varying widely among individuals.
- Aging is associated with diminished interferon production and dysregulated immune responses, increasing susceptibility to viral infections like SARS-CoV-2.
- Elderly individuals exhibit impaired innate and adaptive immunity, leading to heightened inflammation, oxidative stress, and a greater risk of severe COVID-19 outcomes.
Purpose of the Study:
- To elucidate the impact of aging on immune function in the context of SARS-CoV-2 infection.
- To explore the potential of resveratrol as a therapeutic agent to mitigate age-related immune dysfunction and oxidative stress.
- To discuss the molecular mechanisms underlying resveratrol's antioxidant and antiviral properties in relation to aging and COVID-19.
Main Methods:
- Review of existing literature on aging, immune response, and COVID-19 pathogenesis.
- Analysis of the molecular mechanisms of interferon production and immune dysregulation in aging.
- Examination of resveratrol's known antioxidant and antiviral activities.
Main Results:
- Aging significantly impairs interferon production and immune cell function, exacerbating inflammatory and oxidative responses to SARS-CoV-2.
- These age-related immune deficits contribute to increased disease severity and potentially accelerated biological aging post-infection.
- Resveratrol demonstrates potent antioxidant and antiviral properties, suggesting a potential to reverse detrimental inflammatory and oxidative states.
Conclusions:
- Age-related immune deficiencies heighten the risk of severe COVID-19 and may accelerate biological aging.
- Intervention strategies targeting viral replication and inflammatory/oxidative stress are crucial for better treatment outcomes.
- Resveratrol shows promise in counteracting age-associated immune suppression and oxidative stress, offering a potential therapeutic avenue for elderly COVID-19 patients.
Abstract:
The coronavirus disease 2019 (COVID-19) pandemic continues to burden healthcare systems worldwide. COVID-19 symptoms are highly heterogeneous, and the patient may be asymptomatic or may present with mild to severe or fatal symptoms. Factors, such as age, sex, and comorbidities, are key determinants of illness severity and progression. Aging is accompanied by multiple deficiencies in interferon production by dendritic cells or macrophages in response to viral infections, resulting in dysregulation of inflammatory immune responses and excess oxidative stress. Age-related dysregulation of immune function may cause a more obvious pathophysiological response to SARS-CoV-2 infection in elderly patients and may accelerate the risk of biological aging, even after recovery. For more favorable treatment outcomes, inhibiting viral replication and dampening inflammatory and oxidative responses before induction of an overt cytokine storm is crucial. Resveratrol is a potent antioxidant with antiviral activity. Herein, we describe the reasons for impaired interferon production, owing to aging, and the impact of aging on innate and adaptive immune responses to infection, which leads to inflammation distress and immunosuppression, thereby causing fulminant disease. Additionally, the molecular mechanism by which resveratrol could reverse a state of excessive basal inflammatory and oxidative stress and low antiviral immunity is discussed.
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