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Updated: Jul 28, 2025

Simultaneous Measurement of Superoxide/Hydrogen Peroxide and NADH Production by Flavin-containing Mitochondrial Dehydrogenases
Published on: February 24, 2018
The acute effect of different NAD
Xiangyu Li1, Hong Yang2, Han Jin2
1Bash Biotech Inc, 600 West Broadway, Suite 700, San Diego, CA, 92101, USA; Science for Life Laboratory, KTH - Royal Institute of Technology, Stockholm, Sweden; Guangzhou Laboratory, Guangzhou, 510005, China.
Combined Metabolic Activators (CMAs) with nicotinamide (Nam), nicotinamide mononucleotide (NMN), or nicotinamide riboside (NR) effectively boost NAD+ levels. These precursors show promise for improving metabolic conditions without adverse effects like flushing.
Area of Science:
- Metabolic biochemistry
- Human clinical studies
- Nutraceutical research
Background:
- NAD+ and glutathione precursors are used to manage metabolic disorders like NAFLD and diabetes.
- Combined Metabolic Activators (CMAs) aim to improve metabolic health.
- Understanding the efficacy and safety of different NAD+ precursors within CMAs is crucial.
Purpose of the Study:
- To assess the safety and acute effects of six different CMA formulations containing NAD+ precursors.
- To analyze the impact of various NAD+ precursors on plasma metabolomics.
- To identify optimal CMA formulations for boosting NAD+ levels.
Main Methods:
- A one-day, double-blinded, placebo-controlled human clinical study.
- Administration of six different CMAs with 1g of various NAD+ precursors.
- Global metabolomics analysis of plasma samples.
Main Results:
- The NAD+ salvage pathway is the primary route for increasing NAD+ levels via CMAs without direct NAD+ precursors.
- Nicotinamide (Nam) incorporation into CMAs most effectively boosted NAD+ products, followed by niacin (NA), nicotinamide riboside (NR), and nicotinamide mononucleotide (NMN).
- Niacin (NA) administration caused flushing and potentially risky changes in phospholipids and bilirubin levels.
Conclusions:
- CMAs containing nicotinamide (Nam), nicotinamide mononucleotide (NMN), or nicotinamide riboside (NR) are effective for boosting NAD+ levels.
- These formulations show potential for improving metabolic conditions.
- Flush-free niacin (FFN) did not demonstrate significant NAD+ boosting effects in this study.
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