Nicotinamide Riboside Restores Heart Energy and Function in Heart Failure: Preclinical Findings
Synopsis
More than half of people with heart failure have a condition called heart failure with preserved ejection fraction (HFpEF), but its causes are not well understood and current treatments are limited. This study found that hearts affected by HFpEF show high levels of protein acetylation—especially in mitochondria, where energy is produced—and a reduced NAD+/NADH ratio, leading to poor energy metabolism. In a mouse model of HFpEF, researchers treated the animals with nicotinamide riboside (NR), a precursor of NAD+, for 30 days. The treatment restored the NAD+/NADH balance, reduced excessive acetylation, improved mitochondrial energy production, and alleviated heart dysfunction. These results suggest that metabolic imbalance and NAD+ depletion play key roles in HFpEF and that NR supplementation could be a promising way to improve heart function and energy metabolism in this condition.
Journal
Journal of Molecular and Cellular Cardiology