SIRT2 suppresses aging-associated cGAS activation and protects aged mice from severe COVID-19

Marine Barthez1, Biyun Xue2, Jian Zheng3

  • 1Department of Nutritional Sciences and Toxicology, University of California, Berkeley, Berkeley, CA 94720, USA.

Cell Reports
|April 12, 2025
PubMed

Insights

Aging increases COVID-19 severity. SIRT2 deficiency worsens disease in aged mice, but NAD+ boosters like 78c offer protection by regulating immune responses to SARS-CoV-2.

Area of Science:

  • Immunology
  • Gerontology
  • Virology

Background:

  • Aging is a significant risk factor for severe COVID-19, but the underlying mechanisms are not fully understood.
  • Age-related decline in immune function contributes to increased vulnerability to infections like SARS-CoV-2.

Purpose of the Study:

  • To investigate the role of SIRT2 in age-associated COVID-19 severity.
  • To explore therapeutic strategies targeting NAD+ metabolism for protecting aged individuals from SARS-CoV-2 infection.

Main Methods:

  • Utilized aged mice models lacking SIRT2 and infected them with SARS-CoV-2.
  • Administered NAD+ booster (78c) to aged mice during SARS-CoV-2 infection.
  • Investigated the molecular mechanisms involving SIRT2, cGAS acetylation, and ORF3a-mediated inflammation.

Main Results:

  • Aged mice lacking SIRT2 exhibited exacerbated COVID-19 disease and higher mortality.
  • Treatment with NAD+ booster 78c significantly protected aged mice against lethal SARS-CoV-2 infection.
  • SIRT2 regulates cGAS acetylation, suppressing age-associated inflammation and immune overactivation.

Conclusions:

  • SIRT2 plays a crucial role in mitigating age-associated COVID-19 severity by controlling cGAS-mediated inflammation.
  • NAD+ boosting represents a promising therapeutic avenue for preventing severe outcomes in elderly populations infected with SARS-CoV-2.