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. 2022 Apr 6;11(2):111–132. doi: 10.12997/jla.2022.11.2.111

Table 1. Vascular disorders, against which NAD+ precursors show beneficial effects.

Vascular disease NAD+ precursor Experimental setting Effects Ref.
Hypertension NAM Dahl salt-sensitive rats Reduced high blood pressure 26 73
eNOS−/− mice Improved endothelial function
L-NAME-treated mice Reduced inflammation
NA Nephrectomized rats Reduced high blood pressure 76
Reduced inflammation
Reduced oxidative stress
NR Middle-aged and old humans A trend towards reduced blood pressure and aortic stiffness 72
Atherosclerosis NA Humans and (APOE) mice with atherosclerosis Decreased LDL cholesterol 83 132
Increased HDL cholesterol
NAM APOE mice Improved protection against ApoB-containing lipoprotein oxidation 79
Reduced inflammation and atherogenesis
Coronary artery disease NAD+ A swine model of myocardial ischemia-reperfusion Decreased necrosis, fibrosis and stiffness 103
Improved recovery of cardiac function
Reduced inflammation
NAM Ischemia-reperfusion injury in rats Decreased myocardial infarction size 104 133
Reduced oxidative stress
NR Ischemia-reperfusion injury in mice Improved ejection fraction and reduced infarct size 105
NMN Ischemia-reperfusion injury in mice and aged rats Smaller infarct size 106 107
Ameliorated cardiac function
Improved ROS and mitochondrial membrane potential
Aortic aneurysm NA and NAM Calcium chloride- and angiotensin II-treated mice Decreased formation of abdominal aortic aneurysms 112
Reduced inflammation and immune cell infiltration
Lower matrix degradation
Vascular aging NMN Naturally aged mice Reduced arterial stiffness 32 34
Cerebromicrovascular protection
Improved neurovascular coupling
Improved endothelial function
Lower oxidative stress

NAD+, nicotinamide adenine dinucleotide; NAM, nicotinamide; eNOS, endothelial nitric oxide synthase; HDL, high-density lipoprotein; LDL, low-density lipoprotein; L-NAME, N[ω]-nitro-l-arginine methyl ester; ROS, reactive oxygen species; NA, nicotinic acid; NR, nicotinamide riboside; NMN, nicotinamide mononucleotide.