Many thoughts: 1. Know that blood is rarely the target tissue we are trying to address. These mito disease pts have a muscle disorder but are walking around with low blood NAD. Blood NAD easy to measure and can be increased by NR, NA or NAM
2. Main diffs between activity of these B3s is genes to convert to NAD, NADPH etc. NA pathway not expressed in several key tissues like neuron. NR pathway typically upregulated when NAD under attack, eg heart failure, nerve damage & coronavirus infection
3. Yes we recently unblinded study with postpartum rats with 9 different types of food that indicates that trp, NA, NAM, NR & NMN are not equivalent for pup survival & development into adulthood. Still analyzing massive amounts of data but we will release when we can
4. Different conditions of metabolic stress are different. They don’t converge on SIRT functions. Blood NAD is a biomarker of B3 dose generally but not a direct measure of efficacy. Reject soundbites. Follow the science. Thanks for the question
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today @davidasinclair is telling the world that he has achieved age reversal with chemical cocktails
he submitted the paper on June 30 & it was accepted on July 4 by a journal of which he is coeditor-in-chief
paper was sent to me 3 days ago by a reporter for comment
reporter was told it is a "groundbreaking study" & "the first chemical approach to reprogram cells to a younger state"
reason WSJ didn't cover that paper is that ppl have been reporting chemical compounds that drive conversion of cells to induced pluripotency for the last 10-15 years
all of the compounds in today's paper were previously reported by others, mostly in 2013
there's a peer review failure today doi.org/10.1016/j.cell… in which an individual with 59 collaborators claims to have tested the information theory of aging
he did not test the information theory of aging
the claim is that he induced dsDNA breaks that are easily repaired, don't cause a DNA damage response or mutagenesis or cell death--only an epigenetic change
he knows this is not true because his co-first author & he published this paper in dec '21
there are a few issues being addressed here. let’s start w safety
human placebo controlled trials have never shown adverse events attributable to Niagen. note that LDL-C is raised in humans w Basis & pterostilbene alone
the class of compounds to which NR belongs is vitamin B3
there are decades of human data on these molecules showing human safety. niacin is unique in causing flushing but nicotinamide was tested in large Australian skin cancer and was shown to be cancer-preventative in ppl
there’s a hierarchy of evidence w human RCTs (and meta-analysis of RCTs) on the top. human case reports & good quality rodent studies are lower. cell studies are lower. poorly conducted rodent and/or poorly conducted cell studies are garbage in/garbage out