SIRT3

NAD-dependent deacetylase sirtuin-3, mitochondrial

Score: 0.717 Price: $0.50 Medium Druggability Status: active Wiki: SIRT3
HYPOTHESES
2
PAPERS
10
KG EDGES
658
DEBATES
0

3D Protein Structure

🧬 SIRT3 — PDB 4FVT Click to expand

Experimental structure from RCSB PDB | Powered by Mol*

Druggability & Clinical Context

Druggability
Medium
Score: 0.61
Clinical Stage
Phase II
Target Class
Enzyme
Safety
0.75
Druggability Analysis
Drug Development0.30
Structural Tractability0.85
Target Class0.85
Safety Profile0.75
Key Metrics
PDB Structures:
30
Known Drugs:
4
Approved:
0
In Clinical Trials:
0
Drug Pipeline (4 compounds)
Therapeutic Areas:
Alzheimer's disease Parkinson's disease Neurodegeneration Mitochondrial dysfunction Oxidative stress-related disorders Age-related cognitive decline Neuroinflammation
Druggability Rationale: SIRT3 is moderately tractable (0.68 score) as an enzyme target with a well-characterized NAD+-binding pocket and established precedent for activation via both direct small-molecule activators (Honokiol) and indirect NAD+ precursor approaches (NR, NMN). The existence of clinical-stage compounds and the target's clear enzymatic mechanism support small-molecule druggability, though achieving selective SIRT3 activation over other sirtuins remains a key challenge.
Mechanism: Enzyme activation — enhancing SIRT3 deacetylase activity restores mitochondrial protein function and reduces oxidative stress
Drug Pipeline (4 compounds)
Known Drugs:
Nicotinamide Riboside (NR) (Clinical trials)
Nicotinamide Mononucleotide (NMN) (Clinical trials)
Honokiol (Preclinical)
Resveratrol (Phase II)
Structural Data:
PDB (30) ✓AlphaFold ✓Cryo-EM —
3GLR4BN54HD85D7N4FVT+25 more
UniProt: Q9NTG7
Binding Pocket Analysis:

SIRT3 contains a conserved NAD+-binding pocket characteristic of the sirtuin family, with the catalytic domain accommodating both NAD+ cofactor and acetylated protein substrates. Direct activators likely bind allosteric sites distinct from the NAD+ pocket, while NAD+ precursors work by increasing local NAD+ availability rather than direct binding.

🧬 3D Protein Structure

🧬 SIRT3 — PDB 4FVT Click to expand interactive 3D viewer

Experimental structure from RCSB PDB | Powered by Mol* | Rotate: click+drag | Zoom: scroll

Selectivity & Safety Considerations

SIRT3 selectivity is challenging due to structural homology with other NAD+-dependent sirtuins (SIRT1, SIRT4, SIRT5); off-target effects on cytoplasmic sirtuins could confound mitochondrial-specific outcomes. Mitochondrial localization provides a degree of inherent selectivity advantage, allowing indirect activation via NAD+ precursors to preferentially benefit SIRT3 without requiring direct isoform selectivity.

3D Protein Structure

PDB: Open in RCSB AlphaFold model

Interactive 3D viewer powered by RCSB PDB / Mol*. Use mouse to rotate, scroll to zoom.

Clinical Trials (8)

Relevant trials from ClinicalTrials.gov

Active
5
Completed
3
Total Enrollment
280
By Phase
NA: 4 · PHASE1: 3 · PHASE3: 1
Honokiol in Early-Stage Resectable Non-Small Cell Lung Cancer Recruiting
PHASE1 NCT06566443 n=15
Carcinoma, Non-Small-Cell Lung
Interventions: Honokiol
Sponsor: The Methodist Hospital Research Institute | Started: 2024-11-08
Possible Action of Resveratrol in Improving the Outcomes of IVF/ICSI in Couples With Unexplained Infertility Recruiting
NA NCT06481696 n=90
Unexplained Infertility
Interventions: Resveratrol-based multivitamin supplemen, Folic acid, IVF/ICSI
Sponsor: Andros Day Surgery Clinic | Started: 2024-06-01
The Effectiveness and Safety of Cleanser Containing Triethyl Citrate, Pyruvic Acid, Combination Cream Containing Triethy Not Yet Recruiting
PHASE3 NCT06775314 n=102
Acne Vulgaris
Interventions: Cleanser, Combination cream, spot cream
Sponsor: Dr.dr.Irma Bernadette, SpKK (K) | Started: 2025-03-01
Acute Effects of Nicotinamide Riboside on Polysomnography-Measured Sleep Structure in Healthy Adults Not Yet Recruiting
NA NCT07284225 n=20
Healthy Volunteers
Interventions: Nicotinamide Riboside (NR), Placebo
Sponsor: Eye & ENT Hospital of Fudan University | Started: 2025-12-20
Effect of Supplement on Appetite and GLP-1 Not Yet Recruiting
NA NCT06790771 n=25
Hunger
Interventions: High Dose Supplement, Low Dose Supplement, Placebo
Sponsor: Texas Christian University | Started: 2025-01-15
Nicotinamide Riboside on Mitochondrial Function in Li-Fraumeni Syndrome Completed
PHASE1 NCT03789175 n=1
Cancer, Skin Fibroblasts, Muscle Weakness
Interventions: Nicotinamide Riboside (NR)
Sponsor: National Heart, Lung, and Blood Institute (NHLBI) | Started: 2019-03-25
NAD-brain: a Pharmacokinetic Study of NAD Replenishment Therapy Completed
PHASE1 NCT05698771 n=12
Healthy
Interventions: Nicotinamide Riboside (NR), nicotinamide mononucleotide, Nicotinamide Riboside (NR)
Sponsor: Haukeland University Hospital | Started: 2022-09-17
Resveratrol and First-degree Relatives of Type 2 Diabetic Patients Completed
NA NCT02129595 n=15
Pre-diabetes
Interventions: placebo, resveratrol
Sponsor: Maastricht University Medical Center | Started: 2014-04

Linked Hypotheses (2)

SIRT3-Mediated Mitochondrial Deacetylation Failure with PINK1/Parkin Mitophagy Dysfunction0.509
Mitochondrial-Nuclear Epigenetic Cross-Talk Restoration0.448

Linked Experiments (0)

No linked experiments

Scoring Dimensions

Portfolio 0.00 (25%) Druggability 0.61 (20%) Evidence 0.72 (20%) Safety 0.75 (15%) Competitive 0.00 (10%) Connectivity 0.00 (10%) 0.717 composite

Knowledge Graph (20)

activates (4)

SIRT3 GPX4
SIRT3 EGFR
SIRT3 SLC7A11
SIRT3 TFAM

associated with (1)

SIRT3 SOD2

expressed in (1)

SIRT3 SIRT4

inhibits (1)

SIRT3 NRF2

interacts with (6)

SIRT3 PLIN2
SIRT3 TP53
SIRT3 SREBF1
SIRT3 NOS3
SIRT3 C1Q
...and 1 more

regulates (4)

SIRT3 DRP1
SIRT3 HDAC3
SIRT3 HDAC6
SIRT3 HDAC7

therapeutic target (3)

SIRT3 PRKAA1
SIRT3 CREBBP
SIRT3 FOXO1

Debate History (0)

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