NAD+ Metabolic Cofactors refer to the group of precursor molecules, such as Nicotinamide Riboside (NR) and Nicotinamide Mononucleotide (NMN), that serve as substrates for the biosynthesis of Nicotinamide Adenine Dinucleotide (NAD+). NAD+ is a ubiquitous coenzyme essential for hundreds of metabolic reactions, particularly those involved in energy production, DNA repair, and the activity of sirtuin longevity proteins. Clinically, supporting these cofactors is a strategy to combat the age-related decline in systemic NAD+ levels.
Origin
The role of NAD+ has been known since the early 20th century, but the focus on its metabolic cofactors and their potential for therapeutic manipulation emerged prominently with research into sirtuins and aging pathways in the early 2000s. The term is now central to the clinical longevity discourse, representing a targeted approach to improving cellular energy and repair mechanisms. This area integrates nutritional science with advanced molecular biology.
Mechanism
These cofactors function as rate-limiting substrates in the salvage pathway that recycles and synthesizes NAD+. By increasing the availability of NR or NMN, clinicians aim to boost intracellular NAD+ concentrations, which subsequently enhances the efficiency of the electron transport chain for ATP production. Elevated NAD+ levels also promote the activity of sirtuins, enzymes that regulate gene expression, genomic stability, and metabolic health, effectively linking the cofactor to core longevity pathways.
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