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NAD+

NAD⁺ (Nicotinamide Adenine Dinucleotide) is a vital coenzyme found in all living cells, playing a central role in energy metabolism, DNA repair, and cellular signaling. It is essential for converting nutrients into ATP (cellular energy) and supports key biological processes such as mitochondrial function, gene expression regulation, and oxidative stress defense. NAD⁺ levels decline with age, and restoring NAD⁺ has become a focus of research into aging, neuroprotection, immune regulation, and metabolic health. It is widely studied for its role in promoting cellular resilience and longevity pathways.

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NAD⁺ Summary

Cellular Energy & Mitochondrial Function

  • Essential for ATP production via glycolysis and the TCA cycle.
  • Supports mitochondrial biogenesis and enhances cellular respiration.
  • Promotes metabolic efficiency, energy output, and resistance to fatigue in high-demand tissues.
  • Restores energy metabolism in aged or dysfunctional cells.

DNA Repair & Genomic Stability

  • Required substrate for PARP enzymes involved in repairing DNA strand breaks.
  • Helps maintain genomic integrity in response to oxidative stress and damage.
  • Enhances cellular survival and replication through SIRT1- and PARP-dependent repair pathways.

Neuroprotection & Cognitive Function

  • Preserves brain energy metabolism and supports neuronal survival.
  • Improves memory, learning, and plasticity in animal models.
  • Reduces cognitive decline associated with aging and neurodegenerative conditions (e.g. Alzheimer’s).
  • Enhances axonal growth and synaptic signaling through SIRT1/PGC-1α pathways.

Cardiovascular & Vascular Health

  • Regulates endothelial function and nitric oxide (NO) bioavailability.
  • Improves blood vessel tone, elasticity, and vascular repair.
  • Reduces markers of cardiovascular inflammation and mitochondrial dysfunction in heart cells.
  • Protects against ischemia-reperfusion injury in preclinical heart models.

Inflammation & Immune Modulation

  • Modulates immune responses and cytokine signaling.
  • NAD⁺-dependent sirtuins reduce pro-inflammatory gene expression.
  • Counteracts chronic low-grade inflammation by inhibiting CD38 and inflammatory signaling.
  • Supports immune cell metabolism and stress resilience in activated macrophages and T cells.

Aging & Longevity Research

  • NAD⁺ levels decline with age; restoring NAD⁺ in animals reverses hallmarks of aging.
  • Boosts sirtuin activity, which regulates DNA stability, stress response, and mitochondrial health.
  • Extends lifespan and healthspan in multiple species when NAD⁺ is enhanced via precursors (e.g. NMN, NR).
  • Improves metabolic, physical, and cognitive function in aged models.

Metabolic Health & Insulin Sensitivity

  • Improves glucose metabolism, insulin sensitivity, and lipid profiles in preclinical models.
  • Reduces oxidative stress and inflammation associated with obesity and diabetes.
  • Enhances fatty acid oxidation and adaptive thermogenesis.
  • Synergizes with exercise and caloric restriction to improve metabolic flexibility.

Epigenetic & Circadian Regulation

  • Functions as a cofactor for sirtuins and clock genes, regulating circadian rhythms.
  • Affects gene expression, chromatin remodeling, and histone deacetylation.
  • Links cellular metabolism to transcriptional activity, enabling stress adaptation and cell longevity.
NAD⁺ Synergies & Additive Research Compounds

To maximize the utility of NAD⁺ in experimental models, researchers often combine it with synergistic compounds that enhance its bioavailability, boost its synthesis, or work through complementary pathways. These combinations are commonly used in anti-aging, metabolic, neuroprotective, and cellular resilience research. Below is a summary of notable NAD⁺ synergies validated in preclinical studies:

NAD⁺ Synergistic Compounds

Compound Mechanism of Synergy Relevant Research / Notes
5-Amino-1MQ NNMT inhibitor that prevents NAD⁺ depletion and boosts intracellular NAD⁺ pools; activates SIRT1 and AMPK. Directly enhances NAD⁺’s metabolic and mitochondrial effects; combined use amplifies fat oxidation and energy efficiency.
MOTS-c Mitochondrial peptide that activates AMPK and PGC-1α; improves NAD⁺ utilization and mitochondrial biogenesis. Works additively with NAD⁺ to support ATP production, endurance, and metabolic homeostasis in preclinical aging models.
BPC-157 Angiogenic and cytoprotective peptide that stabilizes endothelial and mitochondrial function. Combined with NAD⁺ to enhance tissue recovery, reduce oxidative injury, and accelerate regeneration under metabolic stress.
TB-500 (Thymosin Beta-4) Promotes cellular migration and cytoskeletal repair; supports oxygenation in regenerating tissues. When used with NAD⁺, reinforces mitochondrial repair and tissue perfusion in recovery models.
GHK-Cu Copper-binding peptide that upregulates antioxidant enzymes (SOD, catalase) and mitochondrial gene expression. Synergizes with NAD⁺ in oxidative stress studies by enhancing redox balance and energy enzyme activity.
Glutathione (GSH) Endogenous antioxidant that maintains NAD⁺/NADH redox cycling and neutralizes reactive oxygen species. Supports NAD⁺’s cytoprotective effects and preserves mitochondrial stability in energy-demanding environments.
CJC-1295 (No DAC) GHRH analog that elevates GH/IGF-1 axis activity, increasing hepatic NAD⁺ biosynthesis. Enhances NAD⁺’s mitochondrial and anabolic pathways by stimulating growth hormone-linked metabolism.
Ipamorelin Selective GH secretagogue that increases GH pulses and promotes recovery; complements NAD⁺’s energy metabolism. Co-administration in GH-axis research supports cellular regeneration and fatigue reduction.
Thymosin Alpha-1 Immune-modulating peptide reducing inflammatory ROS production and supporting mitochondrial homeostasis. Works synergistically with NAD⁺ to sustain immune balance and redox resilience in systemic stress models.
AOD-9604 GH-fragment peptide that enhances lipolysis and cellular energy turnover. Used with NAD⁺ to study lipid metabolism and mitochondrial oxidation pathways in metabolic research.

 

Potential Research Use Cases for NAD⁺ Combinations

  • Mitochondrial Energy & Fat-Oxidation Models:
    NAD⁺ + 5-Amino-1MQ / MOTS-c / AOD-9604
    → Enhances AMPK–SIRT1 signaling, fatty acid oxidation, and energy efficiency.
  • Cellular Regeneration & Oxidative Stress Studies:
    NAD⁺ + BPC-157 / TB-500 / GHK-Cu
    → Strengthens mitochondrial repair and redox stability in oxidative or ischemic models.
  • Metabolic & Endocrine Optimization:
    NAD⁺ + CJC-1295 (No DAC) / Ipamorelin
    → Supports GH-linked anabolic energy metabolism and NAD⁺ biosynthesis.
  • Immune & Anti-Inflammatory Research:
    NAD⁺ + Thymosin Alpha-1 / Glutathione
    → Stabilizes immune homeostasis and reduces redox imbalance under cellular stress.
  • Longevity & Systemic Recovery Models:
    NAD⁺ + MOTS-c / GHK-Cu / BPC-157
    → Promotes mitochondrial biogenesis, antioxidant defense, and tissue regeneration in aging-related research.
NAD+ Research

Nicotinamide Adenine Dinucleotide (NAD⁺) is a crucial coenzyme present in all living cells and is widely recognized for its central involvement in cellular energy and longevity research. This molecule functions as a cornerstone in metabolic pathways and is extensively investigated for its influence on aging biology and essential biological processes. Acting as a molecular “powerhouse,” it participates in hundreds of enzymatic reactions that sustain cellular vitality and stability (Ref 9).

Cellular Energy & Metabolism

This coenzyme is indispensable for energy generation. It operates as a primary electron carrier during nutrient breakdown, transferring electrons to the mitochondria to support ATP synthesis. As the major hydride acceptor in glycolysis and the TCA cycle, it enables the efficient conversion of carbohydrates, fats, and amino acids into usable fuel.

Its central role in metabolism underscores its essential importance for cellular function, as ATP is the basic energy currency of life. High availability has been linked to improved metabolic efficiency and resistance to metabolic stress in research settings (Ref 1).

DNA Repair & Genomic Stability

This coenzyme is also vital for DNA maintenance. PARPs—key DNA-repair enzymes—consume it to signal strand breaks and recruit repair factors. Sufficient levels help fuel DNA restoration, while reduced amounts lead to less effective repair, resulting in accumulated DNA damage and genomic instability over time (Covarrubias et al., 2021).

By supporting PARP activity and related repair pathways, this molecule acts as a guardian of genome stability. DNA integrity is especially important because genomic damage is a major driver of aging and cancer development. In summary, adequate availability allows continuous surveillance and restoration of DNA lesions (Ref 9).

Mitochondrial Function & Autophagy

This coenzyme plays a significant role in mitochondrial health and quality-control pathways such as autophagy. Autophagy removes damaged cellular components, including mitochondria through mitophagy. Levels of this molecule regulate autophagy via sirtuin enzymes like SIRT1. Higher availability activates SIRT1, promoting the clearance of defective mitochondria.

Declines in this molecule impair autophagic flux and mitophagy, causing cells to accumulate dysfunctional proteins and organelles. This contributes to cellular decline and has been implicated in age-related physiological changes. Research shows that maintaining adequate levels supports autophagy and mitochondrial efficiency. In model organisms, elevating availability has restored mitophagy under metabolic or oxidative stress, improving cell survival and function (Ref 3).

Aging & Longevity

Levels of this coenzyme naturally fall with age across many tissues. This reduction contributes to age-associated physiological decline by impairing processes such as energy metabolism and DNA repair. Insufficiency has been associated with numerous hallmarks of aging, including genomic instability, mitochondrial dysfunction, stem cell exhaustion, and chronic inflammation.

Animal studies show that restoring availability produces benefits such as improved metabolic performance, enhanced cognitive and muscle function, reduced inflammation, and increased lifespan. For example, rodents given precursors demonstrate improved insulin sensitivity, higher endurance, and fewer signs of age-related degeneration (Ref 2; Ref 11).

Certain age-related conditions—from neurodegeneration to metabolic disorders—were slowed or partially reversed in research models when cellular levels were replenished. While promising, these findings remain under scientific investigation. Our product is intended exclusively for research purposes (not for human use) (Ref 9).

Cognitive Function & Neuroprotection

This coenzyme plays a crucial role in the nervous system, where high energy demand and long-lived neurons require efficient metabolic support. In the brain, it fuels neuronal metabolism and activates protective enzymes such as SIRT1 and SIRT3. Rodent studies demonstrate that raising availability can improve cognitive performance and protect against neurodegenerative changes.

In Alzheimer’s research models, precursor administration improved memory, increased neuron survival, and reduced accumulation of toxic proteins. Restoring levels also enhanced synaptic plasticity and supported neuronal health in aging animals. Conversely, depletion increases vulnerability to stress, and excessive activation of enzymes like PARP1 or CD38 can drain cellular reserves, leading to impaired memory and neuronal damage (Ref 12; Ref 13).

Immune Modulation & Inflammation

This coenzyme also influences immune function through its role in immunometabolism. Immune cells depend on it for energy during activation and use related pathways for signaling. CD38—highly expressed in immune cells—breaks it down to produce secondary messengers that regulate calcium signaling and immune responses (Ref 5). Adequate levels support immune balance and help prevent excessive activation.

Declines contribute to “inflammaging,” a chronic low-grade inflammatory environment associated with aging. Age-related increases in enzymes such as CD38 and PARP consume this molecule, reducing cellular availability (Ref 9). Experimental restoration has been shown to diminish inflammatory cytokines and improve immune-cell resilience (Ref 9).

Epigenetic Regulation & Cell Signaling

This molecule is a central regulator in gene-expression mechanisms through its role as a cofactor for sirtuins, including SIRT1, SIRT3, and SIRT6. These enzymes influence chromatin structure, transcription factors, and stress-response genes. It also maintains circadian rhythm stability by modulating components such as CLOCK and BMAL1. When levels are sufficient, these regulatory processes support antioxidant defense, mitochondrial performance, and metabolic homeostasis.

Reduced availability leads to disorganized chromatin and altered gene-expression patterns, increasing susceptibility to cellular stress and dysfunction. Research models show that restoring levels stabilizes gene regulation and enhances resilience to metabolic and oxidative challenges (Ref 17).

NAD⁺ Research References
Ref. No. Study / Source Focus / Key Findings Link
1 Cantó, C., Menzies, K.J., & Auwerx, J. (2015). NAD⁺ Metabolism and the Control of Energy Homeostasis: A Balancing Act between Mitochondria and the Nucleus. Cell Metabolism. How NAD⁺ metabolism links redox/energy status to sirtuins, mitochondrial fitness, and systemic energy homeostasis. PubMed
2 Verdin, E. (2015). NAD⁺ in Aging, Metabolism, and Neurodegeneration. Overview of age-related NAD⁺ decline; rationale for NAD⁺-boosting strategies in aging & neurodegeneration. PubMed
3 Fang, E.F., et al. (2019). NAD⁺ Augmentation Restores Mitophagy and Limits Accelerated Aging in Werner Syndrome. Nature Communications. NAD⁺ repletion restores mitophagy/mitochondrial quality and extends lifespan in WS models. PubMed
4 Imai, S.-I., & Guarente, L. (2014). NAD⁺ and Sirtuins in Aging and Disease. Trends in Cell Biology. NAD⁺ as a limiting factor for sirtuin activity in aging; roles in circadian and mitochondrial regulation. PubMed
5 Chini, C.C.S., et al. (2020). CD38 Ecto-enzyme in Immune Cells Is Induced During Aging and Regulates NAD⁺ and NMN Levels. Nature Metabolism. Defines CD38 (immune cells) as a key driver of age-related NAD⁺ loss and immunometabolic dysfunction. PubMed
6 Trammell, S.A.J., et al. (2016). Nicotinamide Riboside Is Uniquely and Orally Bioavailable in Mice and Humans. Nature Communications. NR elevates NAD⁺ in mice/humans with defined PK; establishes NAAD as a biomarker. PubMed
7 Rajman, L., Chwalek, K., & Sinclair, D.A. (2018). Therapeutic Potential of NAD-Boosting Molecules: The In Vivo Evidence. Cell Metabolism. Comprehensive review of NAD⁺ precursors and preclinical/clinical evidence. PubMed
8 Gilley, J., & Coleman, M.P. (2010). Endogenous NMNAT2 Is an Essential Survival Factor for Maintenance of Healthy Axons. PLoS Biology. Axon survival depends on NMNAT2/NAD⁺ biosynthesis—supports neuroprotection mechanisms. PubMed
9 Covarrubias, A.J., et al. (2021). NAD⁺ Metabolism and Its Roles in Cellular Processes During Aging. Nature Reviews Molecular Cell Biology. Systemic view of NAD⁺ in hallmarks of aging, immunity, metabolism, and inflammation. PubMed
10 Mao, B.B., et al. (2011). Sirt1 Deacetylates c-Myc and Promotes c-Myc/Max Association. International Journal of Biochemistry & Cell Biology. Direct link between NAD⁺-dependent SIRT1 and Myc transcriptional programs in tumor biology. PubMed
11 Mills, K.F., et al. (2016). Long-Term Administration of Nicotinamide Mononucleotide Mitigates Age-Associated Physiological Decline in Mice. Cell Metabolism. 12-month NMN improves metabolic function, activity, insulin sensitivity; broad health span phenotypes. PubMed
12 Hou, Y., et al. (2018). NAD⁺ Supplementation Normalizes Key Alzheimer’s Features and DNA Damage Responses… PNAS. NR improves cognition/synaptic plasticity and reduces neuroinflammation/pTau in AD mouse models. PubMed
13 Lautrup, S., et al. (2019). NAD⁺ in Brain Aging and Neurodegenerative Disorders. Cell Metabolism. Brain-specific review: NAD⁺ roles in neuronal stress resistance, plasticity, and neurodegeneration. PubMed
14 Camacho-Pereira, J., et al. (2016). CD38 Dictates Age-Related NAD Decline and Mitochondrial Dysfunction. Cell Metabolism. Identifies CD38 as major driver of age-related NAD⁺ decline; links to mitochondrial deficits. PubMed
15 Ying, W. (2008). NAD⁺/NADH and NADP⁺/NADPH in Cellular Functions and Cell Death: Regulation and Biological Consequences. Antioxidants & Redox Signaling. Classic review on NAD(H)/NADP(H) in energy metabolism, ROS/Ca²⁺ signaling, and cell death. PubMed
16 Covarrubias, A.J., et al. (2021). NAD⁺ Metabolism in Aging and Disease. Nature Reviews Molecular Cell Biology. Broad review aligning NAD⁺ with hallmarks of aging and disease (kept to match your outline numbering). PubMed
17 Verdin, E. (2014). The Many Faces of Sirtuins: Coupling of NAD Metabolism, Sirtuins and Lifespan. Nature Medicine. Perspective on how NAD⁺ controls epigenetics/circadian programs via sirtuins; “partners in time” theme. PubMed

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