Insights into the modulation of the interferon response and NAD+ in the context of COVID-19

Int Rev Immunol. 2022;41(4):464-474. doi: 10.1080/08830185.2021.1961768. Epub 2021 Aug 11.

Abstract

The COVID-19 pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has resulted in dramatic worldwide mortality. Along with developing vaccines, the medical profession is exploring new strategies to curb this pandemic. A better understanding of the molecular consequences of SARS-CoV-2 cellular infection could lead to more effective and safer treatments. This review discusses the potential underlying impact of SARS-CoV-2 in modulating interferon (IFN) secretion and in causing mitochondrial NAD+ depletion that could be directly linked to COVID-19's deadly manifestations. What is known or surmised about an imbalanced innate immune response and mitochondrial dysfunction post-SARS-CoV-2 infection, and the potential benefits of well-timed IFN treatments and NAD+ boosting therapies in the context of the COVID-19 pandemic are discussed.

Keywords: Innate immune system; SARS-CoV-2; mitochondrial dysfunction; nicotinamide adenine dinucleotide.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antiviral Agents / therapeutic use
  • COVID-19*
  • Humans
  • Interferons / therapeutic use
  • NAD
  • Pandemics
  • SARS-CoV-2

Substances

  • Antiviral Agents
  • NAD
  • Interferons