Cold-stimulated brown adipose tissue activation is related to changes in serum metabolites relevant to NAD metabolism in humans.

Cold-induced brown adipose tissue (BAT) activation is considered to improve metabolic health. In murine BAT, cold increases the fundamental molecule for mitochondrial function, nicotinamide adenine dinucleotide (NAD), but limited knowledge of NAD metabolism during cold in human BAT metabolism exists. We show that cold increases the serum metabolites of the NAD salvage pathway (nicotinamide and 1-methylnicotinamide) in humans.

Niacin Cures Systemic NAD Deficiency and Improves Muscle Performance in Adult-Onset Mitochondrial Myopathy.

NAD is a redox-active metabolite, the depletion of which has been proposed to promote aging and degenerative diseases in rodents. However, whether NAD depletion occurs in patients with degenerative disorders and whether NAD repletion improves their symptoms has remained open. Here, we report systemic NAD deficiency in adult-onset mitochondrial myopathy patients.