1. Importance of NAD+ Anabolism in Metabolic, Cardiovascular and Neurodegenerative Disorders.
- Author
-
Helman T and Braidy N
- Subjects
- Humans, Niacinamide metabolism, Nicotinamide Mononucleotide metabolism, Dietary Supplements, Aging metabolism, NAD metabolism, Neurodegenerative Diseases
- Abstract
The role of nicotinamide adenine dinucleotide (NAD+) in ageing has emerged as a critical factor in understanding links to a wide range of chronic diseases. Depletion of NAD+, a central redox cofactor and substrate of numerous metabolic enzymes, has been detected in many major age-related diseases. However, the mechanisms behind age-associated NAD+ decline remains poorly understood. Despite limited conclusive evidence, supplements aimed at increasing NAD+ levels are becoming increasingly popular. This review provides renewed insights regarding the clinical utility and benefits of NAD+ precursors, namely nicotinamide (NAM), nicotinic acid (NA), nicotinamide riboside (NR) and nicotinamide mononucleotide (NMN), in attenuating NAD+ decline and phenotypic characterization of age-related disorders, including metabolic, cardiovascular and neurodegenerative diseases. While it is anticipated that NAD+ precursors can play beneficial protective roles in several conditions, they vary in their ability to promote NAD+ anabolism with differing adverse effects. Careful evaluation of the role of NAD
+ , whether friend or foe in ageing, should be considered., (© 2022. The Author(s), under exclusive licence to Springer Nature Switzerland AG.)- Published
- 2023
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