The Efficacy of risk factor modification compared to NAD+ repletion in diastolic heart failure

Yen Chin Koay*, Ren Ping Liu, Bailey McIntosh, Niv Vigder, Serlin Lauren, Angela Yu Bai, Saki Tomita, Desmond Li, Dylan Harney, Benjamin Hunter, Yunwei Zhang, Jean Yang, Paul Bannon, Ashleigh Philp, Andrew Philp, David M. Kaye, Mark Larance, Sean Lal, John F. O'Sullivan*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)
59 Downloads (Pure)

Abstract

Heart failure (HF) with left ventricular diastolic dysfunction is a growing global concern. This study evaluated myocardial oxidized nicotinamide adenine dinucleotide (NAD+) levels in human systolic and diastolic HF and in a murine model of HF with preserved ejection fraction, exploring NAD+ repletion as therapy. We quantified myocardial NAD+ and nicotinamide phosphoribosyltransferase levels, assessing restoration with nicotinamide riboside (NR). Findings show significant NAD+ and nicotinamide phosphoribosyltransferase depletion in human diastolic HF myocardium, but NR successfully restored NAD+ levels. In murine HF with preserved ejection fraction, NR as preventive and therapeutic intervention improved metabolic and antioxidant profiles. This study underscores NAD+ repletion's potential in diastolic HF management.

Original languageEnglish
Pages (from-to)733-750
Number of pages18
JournalJACC: Basic to Translational Science
Volume9
Issue number6
Early online date20 Mar 2024
DOIs
Publication statusPublished - Jun 2024
Externally publishedYes

Bibliographical note

© 2024 The Authors. Published by Elsevier on behalf of the American College of Cardiology Foundation. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

  • diastolic heart failure
  • heart failure
  • NAD+ repletion

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