Nicotinamide Riboside Protects the Heart from the Cardiotoxic Effects of Doxorubicin, a Chemotherapy Drug: Preclinical Findings
Synopsis
Doxorubicin (DOX) is a common chemotherapy drug, but it can seriously damage the heart, partly due to oxidative stress. Normally, heart cells use autophagy to remove damaged components and protect themselves, but DOX blocks this process, worsening heart injury. This study found that nicotinamide riboside (NR), a precursor to NAD+, can prevent DOX-induced heart damage. NR increased NAD+ levels, reduced heart injury, and improved heart function in mice, and it also protected cultured heart cells. NR worked by restoring autophagy, clearing damaged cellular components, reducing oxidative stress, and maintaining lysosome function. Blocking lysosome acidification or SIRT1 eliminated NR’s protective effects, showing that NR protects the heart via the NAD+/SIRT1 pathway.
Journal
Clinical Science