Nicotinamide adenine dinucleotide (NAD+) is a key coenzyme found in every cell of the human body, playing a crucial role in energy production and cellular metabolism. As we age, NAD+ levels decline, leading to a number of age-related health problems. This has sparked considerable interest in NAD+ precursors - compounds that can increase NAD+ levels - as potential supplements to improve health and longevity.
Understanding NAD+ and its importance
Before delving into precursors, it is important to understand why NAD+ is essential:
- Energy production: NAD+ is a key player in cellular respiration, particularly in the Krebs cycle and oxidative phosphorylation, where it helps generate ATP, the cell's energy currency.
- DNA repair: NAD+ is involved in the activation of sirtuins and poly(ADP-ribose) polymerase (PARP), enzymes critical for DNA repair and genome stability.
- Cellular communication: NAD+ plays a role in calcium signaling and other pathways important for cellular communication and homeostasis.
- Anti-Aging: Higher levels of NAD+ have been linked to improved mitochondrial function, reduced inflammation and increased longevity.
Considering these roles, maintaining or increasing NAD+ levels could potentially promote overall health, reduce the effects of aging and improve metabolic function.
Key precursors of NAD
1. Nicotinamide riboside (NR)
Przegląd:
Nicotinamide riboside (NR) is a unique form of vitamin B3, also known as niacin. It was discovered relatively recently compared to other forms of vitamin B3, which has led to increased research interest. NR occurs naturally in trace amounts in milk, yeast and beer. It is considered one of the most efficient NAD+ precursors due to its high bioavailability and the simplicity of its conversion pathway to NAD+. NR's role in increasing NAD+ levels has made it a popular supplement in the wellness and anti-aging communities. It is sold under various brand names, such as Niagen, and is available in a variety of forms, including capsules, tablets and powders.
Mechanizm działania:
NR is converted to NAD+ in a two-step process. It is first phosphorylated to nicotinamide riboside monophosphate (NRP) and then converted to NAD+.
Korzyści:
- Increased cellular energy:
- Studies have shown that NR supplementation can significantly increase NAD+ levels, boosting cellular energy production.
- Neuroprotection: NR has been linked to improved brain health and cognitive function, potentially reducing the risk of neurodegenerative diseases.
- Cardiovascular health: Studies suggest that NR may improve heart health by improving mitochondrial function and reducing oxidative stress.
Safety and dosage:
NR is generally considered safe, with common doses ranging from 100 mg to 500 mg daily. Some mild side effects, such as nausea and fatigue, have been reported at higher doses.
22. Nicotinamide mononucleotide (NMN)
Przegląd:
Nicotinamide mononucleotide (NMN) is another form of vitamin B3 that is directly involved in NAD+ biosynthesis. It is found in a variety of foods, including broccoli, avocado, cabbage and cucumbers, albeit in small amounts. NMN has gained considerable attention for its potential to rapidly and effectively increase NAD+ levels. Unlike NR, NMN is a more direct precursor of NAD+, meaning it requires fewer enzymatic steps for conversion. This direct pathway has made NMN the focus of intense research, especially for its potential benefits in anti-aging and metabolic health. It is often marketed as a high-quality NAD+ enhancer and, like NR, is available in a variety of supplement forms.

Mechanizm:
NMN is directly converted to NAD+ by the enzyme nicotinamide phosphoribosyltransferase (NAMPT).
Korzyści:
- Longevity and anti-aging: NMN has gained popularity for its potential anti-aging benefits, as it has been shown to increase NAD + levels and sirtuin activity, both of which are associated with longevity.
- Metabolic Health: NMN improves insulin sensitivity, which can be beneficial for metabolic diseases such as diabetes. Metabolic Health
- Muscle function: Supports muscle health and function, making it a popular supplement among athletes and aging individuals who want to maintain muscle mass and performance.
Safety and Dosage:
NMN is also considered safe at typical doses of 250 mg to 500 mg per day. Side effects are rare, but may include mild digestive discomfort.
3. nicotinic acid (NA)
Przegląd:
Nicotinic acid (NA), commonly known as niacin, is the oldest known form of vitamin B3 and has been used for decades, mainly for its ability to control cholesterol levels. NA occurs naturally in foods such as meat, fish, seeds and green vegetables. It is well known for its role in the prevention and treatment of pellagra, a disease caused by niacin deficiency. In addition to its role in cardiovascular health, NA is also a precursor to NAD+, although its conversion process is less direct compared to NR and NMN. Despite its advantages, NA's use may be limited by its side effect of a feeling of redness, which some users find uncomfortable.
Mechanizm:
NA is converted to NAD+ through a series of enzymatic reactions. It is initially converted to nicotinamide and then follows the same pathway as other NAD+ precursors.
Korzyści:
- Cholesterol management: NA is effective in lowering LDL cholesterol and increasing HDL cholesterol, making it beneficial for cardiovascular health.
- Increase NAD+ levels: Like other precursors, NA can increase NAD+ levels, although it is not as effective as NR or NMN.
Safety and dosage:
Although effective, NA can cause redness, a common side effect characterized by redness and warmth of the skin. This can be alleviated by starting with lower doses and gradually increasing them. Typical doses to increase NAD+ levels are lower than those used to treat cholesterol, often around 50 mg to 250 mg daily.
4. Nicotinamide (NAM)
Przegląd:
Nicotinamide, also known as niacinamide, is another form of vitamin B3. It differs from nicotinic acid in that it does not cause redness, making it a more convenient option for many people. NAM is commonly found in a variety of foods, including meat, fish, nuts and mushrooms. It is widely used in skin care products for its anti-inflammatory properties and ability to improve skin health. NAM plays a key role in the NAD+ rescue pathway, where it is recycled back into NAD+. Although NAM is effective in increasing NAD+ levels, it is generally considered less potent compared to NR and NMN. However, its affordable price and safety profile make it an attractive option for those who want to increase NAD+ levels without the potential side effects associated with other forms.
Mechanizm:
NAM is converted to NAD+ via a salvage pathway that involves several enzymatic steps.
Korzyści:
- Skin health:NAM is widely used in dermatology for its ability to reduce inflammation, acne and improve skin barrier function.
- NAD+ levels: Although NAM can increase NAD+ levels, it is generally considered less effective than NR or NMN.
Safety and dosage:
NAM is well tolerated, and typical doses that increase NAD+ levels range from 100 mg to 500 mg daily. Higher doses are used in clinical settings to treat specific conditions.
Comparison of NAD+ precursors
Skuteczność
- NR and NMN are considered to be the most effective NAD+ precursors due to their direct conversion pathways and significant studies supporting their efficacy.
- NA is effective, but is associated with a flush side effect, which may be discouraging for some users.
- NAM is effective, but to a lesser extent compared to NR and NMN, and is often preferred for its skin health benefits.
Biodostępność
- NR and NMN have higher bioavailability compared to NA and NAM, which means they are more easily absorbed and utilized by the body.
- NA is less bioavailable and requires higher doses to achieve similar NAD+ enhancing effects.
- NAM has moderate bioavailability, but is often chosen for its other health benefits.
Safety and tolerability
- NR and NMN are generally well tolerated with minimal side effects, making them suitable for long-term use.
- NA can cause redness, which may limit its use in some people.
- NAM is safe and well tolerated, but less effective in increasing NAD+ levels compared to NR and NMN.
Choosing the right NAD+ precursor
Deciding which NAD+ precursor to include in your scheme, consider the following factors:
- Health goals: If your main goal is anti-aging and longevity, NR or NMN may be the best choice. For cardiovascular health, NA may be beneficial. For skin health, NAM is a strong option.
- Tolerance: If you experience side effects such as redness after NA, you may prefer NR or NMN.
- Cost: NR and NMN tend to be more expensive than NA and NAM, so budget considerations may also play a role in your decision.
Incorporate NAD+ precursors into your wellness routine
To maximize the benefits of NAD+ precursors, consider the following tips:
- Consistency: regular supplementation is the key to maintaining elevated NAD+ levels.
- Healthy lifestyle: Combine supplementation with a healthy diet, regular exercise, and adequate sleep to support overall health and NAD+ metabolism.
- Monitoring: Consider periodic blood tests to monitor NAD+ levels and adjust dosages as needed.
Future of NAD research
The field of NAD+ research is growing rapidly, and ongoing studies are exploring its potential in a variety of health conditions, including neurodegenerative diseases, cardiovascular disease and metabolic disorders. Emerging research is also investigating the role of NAD+ in enhancing immune function and its potential in cancer therapy.
NAD+ is an essential coenzyme for the production of energy and the repair of DNA
NAD+ is an essential coenzyme with significant effects on energy production, DNA repair and overall cellular health. NAD+ precursors, such as nicotinamide riboside (NR), nicotinamide mononucleotide (NMN), nicotinic acid (NA) and nicotinamide (NAM), offer promising opportunities to increase NAD+ levels and promote health and longevity.
Choosing the right precursor depends on individual health goals, tolerance and budget. As research continues to reveal the benefits and mechanisms of action of NAD+ and its precursors, incorporating these supplements into a holistic health regimen has tremendous potential for improving well-being and extending a healthy life.
Źródła:
- NAD+ Metabolism, Metabolic Stress, and Infection
- Effects of NAD+ precursor supplementation on glucose and lipid metabolism in humans: a meta-analysis
- Nicotinamide Mononucleotide Supplementation: Understanding Metabolic Variability and Clinical Implications
- The Role of NAD+ in Metabolic Regulation of Adipose Tissue: Implications for Obesity-Induced Insulin Resistance
- Implications of altered NAD metabolism in metabolic disorders
- NAD+ metabolism-based immunoregulation and therapeutic potential
- Maintenance of NAD+ Homeostasis in Skeletal Muscle during Aging and Exercise
- Roles of NAD+ in Acute and Chronic Kidney Diseases