Enhancing GSH, mainly through NAC, GSH precursors or pro-GSH compound administration, becomes a potential treatment option for SARS-CoV-2 infection and COVID-19 disease by reducing oxidative stress and cytokine expression especially in diabetic patients at risk of more severe disease (Singh et al., 2022)
However, microbes in the colon can synthesize NAD + de novo from fiber, and microbes in the ileum and jejunum are able to utilize circulating NAM
Costa, L
Therefore, assay for reduced activity of this enzyme, in red blood cell lysates, is highly diagnostic in cases of suspected thiamine deficiency
Understanding the specific cellular pathways and molecular targets could guide future drug development efforts
1 - Forman HJ, Zhang H, Rinna A