Role and Potential Mechanisms of Nicotinamide Mononucleotide in Aging

Aging Dis. 2024 Apr 1;15(2):565-583. doi: 10.14336/AD.2023.0519-1.

Abstract

Nicotinamide adenine dinucleotide (NAD+) has recently attracted much attention due to its role in aging and lifespan extension. NAD+ directly and indirectly affects many cellular processes, including metabolic pathways, DNA repair, and immune cell activities. These mechanisms are critical for maintaining cellular homeostasis. However, the decline in NAD+ levels with aging impairs tissue function, which has been associated with several age-related diseases. In fact, the aging population has been steadily increasing worldwide, and it is important to restore NAD+ levels and reverse or delay these age-related disorders. Therefore, there is an increasing demand for healthy products that can mitigate aging, extend lifespan, and halt age-related consequences. In this case, several studies in humans and animals have targeted NAD+ metabolism with NAD+ intermediates. Among them, nicotinamide mononucleotide (NMN), a precursor in the biosynthesis of NAD+, has recently received much attention from the scientific community for its anti-aging properties. In model organisms, ingestion of NMN has been shown to improve age-related diseases and probably delay death. Here, we review aspects of NMN biosynthesis and the mechanism of its absorption, as well as potential anti-aging mechanisms of NMN, including recent preclinical and clinical tests, adverse effects, limitations, and perceived challenges.

Publication types

  • Review

MeSH terms

  • Aged
  • Aging
  • Animals
  • Homeostasis
  • Humans
  • Longevity
  • NAD*
  • Nicotinamide Mononucleotide* / metabolism

Substances

  • NAD
  • Nicotinamide Mononucleotide

Grants and funding

This work was supported by the National Natural Science Foundation of China (Grant No. 82171550).