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These studies suggest NAD+ is a crucial molecule involved in aging, metabolism, cardiovascular health, neurodegenerative diseases, addiction management, and potentially extending lifespan and healthspan.
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Nicotinamide adenine dinucleotide (NAD+) is a coenzyme found in all living cells. It plays a crucial role in various cellular processes, including energy metabolism, DNA repair, and cell survival. NAD+ exists in two forms: the oxidized form (NAD+) and the reduced form (NADH) . The balance between these forms is essential for maintaining cellular redox homeostasis and energy metabolism.
NAD+ is central to energy metabolism. It acts as a coenzyme in redox reactions, which are critical for the catabolism of nutrients and energy production through glycolysis and mitochondrial respiration . By carrying electrons from one reaction to another, NAD+ facilitates the conversion of nutrients into usable cellular energy .
NAD+ levels decline with age, which is associated with various age-related diseases, including neurodegenerative disorders, metabolic diseases, and cardiovascular conditions . Modulating NAD+ levels through supplementation with NAD+ precursors has shown potential in prolonging health span and life span, making it a promising therapeutic target for aging and its associated disorders .
NAD+ plays a pivotal role in brain health by supporting neuronal stress resistance and synaptic plasticity. It is involved in adaptive stress responses and mitochondrial homeostasis, which are crucial for counteracting neurodegenerative processes seen in diseases like Alzheimer's, Parkinson's, and Huntington's. Enhancing NAD+ levels may offer new therapeutic opportunities for these conditions.
In the cardiovascular system, NAD+ is involved in protecting against metabolic syndrome, heart failure, ischemia-reperfusion injury, arrhythmia, and hypertension. Maintaining NAD+ levels is essential for cardiovascular health, and strategies to boost NAD+ are being explored to mitigate cardiovascular diseases.
The therapeutic potential of NAD+ has garnered significant interest. Supplementation with NAD+ precursors, such as nicotinamide riboside, is being investigated for its ability to elevate NAD+ levels without adverse effects. This approach holds promise for treating a range of conditions, from metabolic disorders to neurodegenerative diseases and even addiction .
NAD+ is a vital coenzyme that influences numerous biological processes, including energy metabolism, DNA repair, and cell survival. Its levels decline with age, contributing to various age-related diseases. Understanding and modulating NAD+ metabolism offers promising therapeutic avenues for enhancing health span and treating a wide array of diseases.
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