Nicotinamide Riboside Improves Ovarian Function in PCOS: Preclinical Findings
Synopsis
In a DHEA-induced mouse model of polycystic ovary syndrome (PCOS), ovarian NAD+ levels dropped sharply, leading to mitochondrial dysfunction in granulosa cells, stromal cells, and oocytes. This caused irregular estrous cycles, reduced ovulation potential, increased ovarian fibrosis, and poor oocyte quality marked by excess ROS, abnormal mitochondrial clustering, low membrane potential, spindle defects, and impaired early embryonic development. Supplementation with nicotinamide riboside (NR) prevented ovarian NAD+ decline, normalized reproductive cycles, reduced fibrosis, restored mitochondrial function, and enhanced both the quantity and quality of oocytes. Fertilized oocytes from NR-treated PCOS mice showed significantly improved early embryonic development. These findings indicate that boosting ovarian NAD+ through NR is a promising therapeutic strategy for treating PCOS-related infertility.
Journal
Journal of Ovarian Research