Nicotinamide Riboside Restores Mitochondrial Function in Alzheimer's Disease: Preclinical Findings
Synopsis
Mutant APP and amyloid-β (Aβ) disrupt mitochondrial dynamics and damage synapses in Alzheimer’s disease (AD), partly due to impaired mitophagy, the removal of dysfunctional mitochondria. Using mAPP-transfected HT22 hippocampal neurons, this study tested four mitophagy enhancers—urolithin A (UA), actinonin, tomatidine, and nicotinamide riboside (NR). mAPP expression caused excessive mitochondrial fission, reduced fusion, impaired respiration, synaptic gene loss, and poor cell survival. All four enhancers reversed these defects by improving mitochondrial morphology, boosting mitophagy and fusion-related genes, restoring synaptic markers, and enhancing respiration and viability. UA showed the strongest overall effect, but NR also contributed meaningful restoration of mitochondrial and synaptic function. These results highlight mitophagy enhancement as a promising therapeutic strategy for Alzheimer’s disease.
Journal
Mitochondrion