A dedicated field of research and clinical application focused on elevating and maintaining optimal intracellular levels of Nicotinamide Adenine Dinucleotide (NAD+), a crucial coenzyme essential for cellular energy production and DNA repair. The science is driven by the observation that NAD+ levels naturally decline with age, contributing significantly to metabolic dysfunction and the aging process. Interventions aim to counteract this decline to support cellular vitality and metabolic health.
Origin
The foundational science originates from the discovery of NAD+ and its central role in cellular metabolism, specifically the Krebs cycle and oxidative phosphorylation. The “Restoration Science” aspect gained momentum with the identification of NAD+-dependent enzymes, such as sirtuins and PARPs, and the development of NAD+ precursor molecules like Nicotinamide Riboside (NR) and Nicotinamide Mononucleotide (NMN). It represents a targeted strategy within geroscience.
Mechanism
NAD+ acts as a critical cofactor for numerous enzymes, including Sirtuins, which regulate gene expression related to stress resistance, and Poly-ADP-Ribose Polymerases (PARPs), which are vital for DNA damage repair. By administering NAD+ precursors, the cell’s biosynthetic pathways are upregulated, increasing the pool of available NAD+. This restoration enhances mitochondrial function, improves metabolic signaling, and supports the genome’s maintenance machinery, effectively buffering against age-related cellular stress.
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