Newswise, October 31, 2016 — Much of human health hinges on
how well the body manufactures and uses energy. For reasons that remain
unclear, cells’ ability to produce energy declines with age, prompting
scientists to suspect that the steady loss of efficiency in the body’s energy
supply chain is a key driver of the aging process.
Now, scientists at Washington University School of Medicine in
St. Louis have shown that supplementing healthy mice with a natural compound
called NMN can compensate for this loss of energy production, reducing typical
signs of aging such as gradual weight gain, loss of insulin sensitivity and
declines in physical activity.
The study is published Oct. 27 in the journal Cell Metabolism
.
“We have shown a way to slow the physiologic decline that we
see in aging mice,” said Shin-ichiro Imai, MD, PhD, a professor of developmental
biology and of medicine.
“This means older mice have metabolism and energy levels
resembling that of younger mice. Since human cells rely on this same energy
production process, we are hopeful this will translate into a method to help
people remain healthier as they age.”
Imai is working with researchers conducting a clinical trial
to test the safety of NMN in healthy people. The phase 1 trial began earlier
this year at Keio University School of Medicine in Tokyo.
With age, the body loses its capacity to make a key element of
energy production called NAD (nicotinamide adenine dinucleotide). Past work by
Imai and co-senior author Jun Yoshino, MD, PhD, an assistant professor of
medicine, has shown that NAD levels decrease in multiple tissues as mice age.
Past research also has shown that NAD is not effective when
given directly to mice so the researchers sought an indirect method to boost
its levels. To do so, they only had to look one step earlier in the NAD supply
chain to a compound called NMN (nicotinamide mononucleotide).
NMN can be given safely to mice and is found naturally in a
number of foods, including broccoli, cabbage, cucumber, edamame and avocado.
The new study shows that when NMN is dissolved in drinking
water and given to mice, it appears in the bloodstream in less than three
minutes. Importantly, the researchers also found that NMN in the blood is
quickly converted to NAD in multiple tissues.
“We wanted to make sure that when we give NMN through drinking
water, it actually goes into the blood circulation and into tissues,” Imai
said. “Our data show that NMN absorption happens very rapidly.”
To determine the long-term effects of giving NMN, Imai,
Yoshino and their colleagues studied three groups of healthy male mice fed
regular mouse chow diets.
Starting at five months of age, one group received a high dose
of NMN-supplemented drinking water, another group received a low dose of the
NMN drinking water, and a third group served as a control, receiving no NMN.
The researchers compared multiple aspects of physiology
between the groups, first at 5 months of age and then every three months, until
the mice reached 17 months of age. Typical laboratory mice live about two
years.
The researchers found a variety of beneficial effects of NMN
supplementation, including in skeletal muscle, liver function, bone density,
eye function, insulin sensitivity, immune function, body weight and physical
activity levels. But these benefits were seen exclusively in older mice.
“When we give NMN to the young mice, they do not become
healthier young mice,” Yoshino said.
“NMN supplementation has no effect in the young mice because
they are still making plenty of their own NMN. We suspect that the increase in
inflammation that happens with aging reduces the body’s ability to make NMN
and, by extension, NAD.”
In skeletal muscle, the investigators — including the study’s
first author, Kathryn Mills, the research supervisor in Imai’s lab — found that
NMN administration helps energy metabolism by improving the function of
mitochondria, which operate as cellular power plants.
They also found that mice given NMN gained less weight with
aging even as they consumed more food, likely because their boosted metabolism
generated more energy for physical activity.
The researchers also found better function of the mouse retina
with NMN supplementation, as well as increased tear production, which is often
lost with aging. They also found improved insulin sensitivity in the older mice
receiving NMN, and this difference remained significant even when they
corrected for differences in body weight.
In a paper published earlier this year in Cell Reports,
Yoshino and his colleagues revealed more details of how NAD works in
influencing glucose metabolism and the body’s fat tissue.
In that study, the mice had a defect in the ability to
manufacture NAD only in the body’s fat tissue. The rest of their tissues and
organs were normal.
“Even though NAD synthesis was stopped only in the fat tissue,
we saw metabolic dysfunction throughout the body, including the skeletal
muscle, the heart muscle, the liver and in measures of the blood lipids,”
Yoshino said.
“When we gave NMN to these mice, these dysfunctions were
reversed. That means NAD in adipose tissue is a critical regulator of whole
body metabolism.”
Added Imai, “This is important because Jun showed that if you
mess up NAD synthesis only in fat tissue, you see insulin resistance
everywhere. Adipose tissue must be doing something remarkable to control whole
body insulin sensitivity.”
During the long-term NMN study in healthy mice, Imai also said
they monitored the animals for any potential increase in cancer development as
a result of NMN administration.
“Some tumor cells are known to have a higher capability to
synthesize NAD, so we were concerned that giving NMN might increase cancer
incidence,” Imai said. “But we have not seen any differences in cancer rates
between the groups.”
The phase 1 trial in Japan is using NMN manufactured by
Oriental Yeast Co., which also provided the NMN used in these mouse studies.
Outside of this clinical trial, high-grade NMN for human consumption is not
commercially available. But there’s always broccoli.
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