“…These findings suggest that CD44 and/or CARM1 may be required for increases in SIRT1 and SIRT6 levels. Although a recent review proposes that CD44 may upregulate the SIRT1 levels via PI3K/Akt pathway, they do not provide direct evidence for CD44-mediated regulation of SIRT1 ( Ahmad et al, 2022 ). In this context, it is worth noting that PI3K-Akt-GSK3β signaling pathway is required for SIRT1 induction by ER stress ( Koga et al, 2015 ) and HMW-HA-CD44 interaction has been shown to promote proliferation of decidual cells during the early stages of pregnancy by activating the PI3K/Akt ( Zhu et al, 2013 ).…”