Role of NRF2 and Sirtuin activators in COVID-19

Hasnat Khan1, Shivangi Patel1, Anuradha Majumdar1

  • 1Department of Pharmacology, Bombay College of Pharmacy, Mumbai 400098, India.

Insights

Investigating novel COVID-19 treatments, this study explores the roles of TMPRSS2, ACE2, NRF2, and Sirtuins. Activating NRF2 and SIRT pathways may offer new therapeutic strategies for ameliorating COVID-19 symptoms.

Area of Science:

  • Molecular Biology
  • Virology
  • Immunology

Background:

  • COVID-19 pathophysiology presents complex challenges requiring urgent therapeutic solutions.
  • The virus entry and replication depend on host factors like TMPRSS2 and ACE2.
  • NRF2 protein plays a crucial anti-inflammatory role by inhibiting NF-kB and suppressing pro-inflammatory genes.

Purpose of the Study:

  • To explore novel therapeutic targets for COVID-19 treatment.
  • To investigate the association between NRF2 and Sirtuins in the context of COVID-19.
  • To propose NRF2 and/or SIRT activators as potential treatments for COVID-19.

Main Methods:

  • Literature review on COVID-19 pathophysiology and host-pathogen interactions.
  • Analysis of the molecular mechanisms involving NRF2, Sirtuins, TMPRSS2, and ACE2.
  • Hypothesizing therapeutic potential based on known biological pathways.

Main Results:

  • Sirtuins deacetylate NRF2, indicating a direct association between these proteins.
  • Absence of SIRT leads to NRF2 inhibition, compromising anti-oxidative and anti-inflammatory cellular defenses.
  • TMPRSS2 and ACE2 are key host factors for viral entry and replication.

Conclusions:

  • NRF2 activators may enhance anti-inflammatory and anti-oxidative responses.
  • SIRT activators could restore NRF2 function, offering cellular protection.
  • Targeting NRF2 and SIRT pathways presents a promising avenue for COVID-19 therapeutic development.

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