Nicotinamide riboside

Nicotinamide riboside (NR) is a pyridine-nucleoside form of vitamin B3 that functions as a precursor to nicotinamide adenine dinucleotide (NAD+), a vital molecule involved in cellular metabolism and energy production. NR has gained attention for its potential benefits in aging, neuroprotection, and metabolic health, making it a subject of extensive research in the fields of nutrition, biochemistry, and gerontology.

Overview

Nicotinamide riboside is one of the three main NAD+ precursors, alongside nicotinic acid (niacin) and nicotinamide (niacinamide). Unlike other forms of vitamin B3, NR is believed to have a unique pathway for NAD+ biosynthesis, which might offer advantages in increasing NAD+ levels without the flushing effect associated with niacin or the potential inhibition of sirtuin activity linked to nicotinamide.

Biosynthesis and Metabolism

The conversion of NR to NAD+ involves two key enzymes: nicotinamide riboside kinase (NRK1 and NRK2), which phosphorylates NR to nicotinamide mononucleotide (NMN), and NMN adenylyltransferases (NMNATs), which convert NMN to NAD+. This pathway is considered more efficient under certain physiological conditions, particularly in tissues like muscle and brain, where NRK expression is higher.

Health Benefits

Research suggests that increasing NAD+ levels through NR supplementation could have several health benefits, including:

• Aging: NR is studied for its potential to slow aspects of the aging process, partly by enhancing mitochondrial function and activating sirtuins, proteins involved in cellular health and longevity.
• Neuroprotection: There is evidence that NR could support brain health by promoting the repair of DNA damage, reducing inflammation, and supporting the production of neuroprotective factors.
• Metabolic Health: NR supplementation has been linked to improved metabolic markers, such as reduced blood glucose and improved insulin sensitivity, potentially offering benefits for conditions like diabetes and obesity.

Safety and Side Effects

While NR is generally considered safe, with few reported side effects at moderate doses, high doses have been associated with mild to moderate side effects, such as nausea, fatigue, headaches, diarrhea, stomach discomfort, and indigestion. Long-term effects and the safety of NR supplementation at high doses remain under investigation.

Research Directions

Ongoing research aims to further elucidate the mechanisms by which NR influences NAD+ metabolism and its potential therapeutic applications. Clinical trials are exploring its effects on various health conditions, including neurodegenerative diseases, cardiovascular health, and metabolic disorders.

Conclusion

Nicotinamide riboside represents a promising area of research in the quest to improve human health through dietary supplementation. Its potential to enhance NAD+ biosynthesis and support cellular functions could have wide-ranging benefits, though more research is needed to fully understand its effects and optimal usage.

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