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Published on: December 28, 2014
NAD+ and NADH in ischemic brain injury
1Department of Neurology, San Francisco Veterans Affairs Medical Center and the University of California at San Francisco, San Francisco, CA 94121, USA. Weihai.Ying@ucsf.edu
Abstract:
NAD+ and NADH have been emerging as the common mediators of energy metabolism, mitochondrial functions, calcium homeostasis, aging and cell death. NAD+ and NADH can affect cell death by various mechanisms, such as influencing energy metabolism, mitochondrial permeability transition pores, and apoptosis-inducing factor. Because energy failure, calcium disregulation and cell death are the key components in the tissue damaging cascade initiated by cerebral ischemia, it is likely that NAD+ and NADH play significant roles in ischemic brain damage. Many studies, including the findings that poly(ADP-ribose) polymerase-1 mediates ischemic brain injury and that NAD+ administration can decrease ischemic brain damage, have suggested significant roles of NAD+ and NADH in the debilitating illness. However, there is still distinct insufficiency of the information regarding the roles of NAD+ and NADH in ischemic brain injury. Because increasing evidence has indicated critical functions of NAD+ and NADH in various biological processes, future studies on the roles of NAD+ and NADH in cerebral ischemia may expose essential mechanisms underlying ischemic brain injury and suggest novel therapeutic strategies for the illness.
Insights
Nicotinamide adenine dinucleotide (NAD+) and its reduced form (NADH) are vital in brain injury. Research suggests these molecules play significant roles in ischemic brain damage, highlighting potential therapeutic targets.
Area of Science:
- Biochemistry
- Neuroscience
- Cell Biology
Background:
- Nicotinamide adenine dinucleotide (NAD+) and NADH are key mediators of cellular energy metabolism, mitochondrial function, calcium homeostasis, aging, and cell death.
- These molecules influence cell death pathways, including energy metabolism, mitochondrial permeability transition pores, and apoptosis-inducing factor.
- Energy failure, calcium dysregulation, and cell death are central to the tissue damage cascade following cerebral ischemia.
Purpose of the Study:
- To investigate the significant roles of NAD+ and NADH in ischemic brain damage.
- To explore the potential of NAD+ and NADH as therapeutic targets for cerebral ischemia.
Main Methods:
- Review of existing studies on NAD+, NADH, and ischemic brain injury.
- Analysis of mechanisms by which NAD+ and NADH influence cell death and energy metabolism in the context of ischemia.
- Examination of findings related to poly(ADP-ribose) polymerase-1 and NAD+ administration in ischemic brain injury.
Main Results:
- Studies indicate that poly(ADP-ribose) polymerase-1 contributes to ischemic brain injury.
- Administration of NAD+ has been shown to reduce ischemic brain damage.
- Despite suggestive evidence, a comprehensive understanding of NAD+ and NADH roles in ischemic brain injury remains insufficient.
Conclusions:
- NAD+ and NADH likely play critical roles in ischemic brain damage due to their involvement in energy metabolism and cell death pathways.
- Further research into NAD+ and NADH mechanisms in cerebral ischemia is essential.
- Understanding these roles may reveal underlying mechanisms of ischemic brain injury and identify novel therapeutic strategies.
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