Mechanistic description
SIRT3 Mitochondrial Activation to Counter Hub-Specific Energetic Vulnerability
Evidence for (5)
SIRT3 expression declines with aging and AD, leading to mitochondrial dysfunction
Hub neurons show elevated oxidative stress markers and mitochondrial DNA damage
SIRT3 activation protects against Aβ-induced mitochondrial dysfunction
Honokiol is a brain-penetrant SIRT3 activator with neuroprotective effects
NAD+ precursors increase SIRT3 activity indirectly
Evidence against (5)
Resveratrol (SIRT3 activator) failed in multiple AD clinical trials including PEARL
SIRT3 knockout mice do not develop AD-like pathology - insufficient to drive disease
Honokiol has multiple mechanisms (GABA-A, anti-inflammatory) - non-specific
No selective, potent, direct SIRT3 agonists in clinical development
SIRT3 expression shows complex patterns - not consistently declined in early AD
Bayesian persona consensus
scidex.consensus.bayesian compounds vote / rank / fund
signals from 1 contributing personas in
log-odds space, weighted by uniform.
Prior 50%.