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Impairment of an endothelial NAD(+)-H2S signaling network is a reversible cause of vascular aging
Open accessAbstract
A decline in capillary density and blood flow with age is a major cause of mortality and morbidity. Understanding why this occurs is key to future gains in human health. NAD precursors reverse aspects of aging, in part, by activating sirtuin deacylases (SIRT1-SIRT7) that mediate the benefits of exercise and dietary restriction (DR). We show that SIRT1 in endothelial cells is a key mediator of pro-angiogenic signals secreted from myocytes. Treatment of mice with the NAD+ booster nicotinamide mononucleotide (NMN) improves blood flow and increases endurance in elderly mice by promoting SIRT1-dependent increases in capillary density, an effect augmented by exercise or increasing the levels of hydrogen sulfide (H 2 S), a DR mimetic and regulator of endothelial NAD+ levels. These findings have implications for improving blood flow to organs and tissues, increasing human performance, and reestablishing a virtuous cycle of mobility in the elderly.
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“NADP boosters (nicotinamide mononucleotide,158 nicotinamide riboside,159 P7C3,160 apigenin161) can be used resolve the NAD depletion issue and are able to prevent senescence in ECs158 and VSMCs.159”
From Senescence-induced inflammation: an important player and key therapeutic target in atherosclerosis (2020) · cites this paper as [158]
In the citing paper
“NMN supplementation also increased the number of endothelial cells and improved endothelial cell function by increasing blood flow and endurance in elderly mice by a SIRT1-dependent mechanism210.”
From NAD+ metabolism and its roles in cellular processes during ageing (2021) · cites this paper as [210]
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“It was reported that premature endothelium senescence reversibly triggers vascular ageing and the age-associated decrease in exercise endurance in old mice [42].”
From Immune Clearance of Senescent Cells to Combat Ageing and Chronic Diseases (2020) · cites this paper as [42]
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“[89, 90] the elevation of SIRT1 protein expression/activity, and the SIRT3-dependent global decrease in mitochondrial protein acetylation [68, 107–110].”
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BackgroundPreventing Developmental Origins of Cardiovascular Disease: Hydrogen Sulfide as a Potential Target?
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RETRACTED ARTICLE: The Na/K-ATPase Oxidant Amplification Loop Regulates Aging
Sodhi, K., Nichols, A., Mallick, A., Klug, R. L., Liu, J., Wang, X., Srikanthan, K., Goguet-Rubio, P., Nawab, A., Pratt, R. D., et al. (2018) · Scientific Reports · doi:10.1038/s41598-018-26768-9 · Cited by 32
RetractedLuo, G., Xiao, L., Wang, D., Wang, N., Luo, C., Yang, X., & Hao, L. (2020) · Toxicology in Vitro · doi:10.1016/j.tiv.2020.104808 · Cited by 34
Ageing and longevity genes in cardiovascular diseases
Liberale, L., Kraler, S. C., Camici, G. G., & Lüscher, T. F. (2020) · Basic & Clinical Pharmacology & Toxicology · doi:10.1111/bcpt.13426 · Cited by 34
Jiang, T., Yang, W., Zhang, H., Song, Z., Liu, T., & Lv, X. (2020) · Frontiers in Physiology · doi:10.3389/fphys.2020.00596 · Cited by 32
“(3) Inhibition of SIRT1 abolished SIRT1-dependent Nrf2/HO1 and eNOS activation, thus enhancing oxidative stress, inflammation, and apoptosis.”
BackgroundDai, Q., Fan, X., Meng, X., Sun, S., Su, Y., Ling, X., Chen, X., Wang, K., Dai, X., Zhang, C., et al. (2021) · Journal of Cellular and Molecular Medicine · doi:10.1111/jcmm.16369 · Cited by 33
Tian, Y., Zhu, C., Li, P., Li, H., Liu, Q., Deng, X., & Wang, J. (2022) · Journal of Surgical Research · doi:10.1016/j.jss.2022.09.030 · Cited by 32
Wang, W., Ren, S., Lu, Y., Chen, X. X., Qu, J., Ma, X., Deng, Q., Hu, Z., Jin, Y. J., Zhou, Z., et al. (2021) · The EMBO Journal · doi:10.15252/embj.2020106771 · Cited by 30
Self-citationFrom Microcirculation to Aging-Related Diseases: A Focus on Endothelial SIRT1
Law, M., Wang, P., Zhou, Z.-Y., & Wang, Y. (2024) · Pharmaceuticals · doi:10.3390/ph17111495 · Cited by 35
Epigenetic modifications and emerging therapeutic targets in cardiovascular aging and diseases
Qiu, Y., Xu, Q., Xie, P., He, C., Li, Q., Yao, X., Mao, Y. H., Wu, X., & Zhang, T. (2024) · Pharmacological Research · doi:10.1016/j.phrs.2024.107546 · Cited by 33
Sirt1 coordinates with ERα to regulate autophagy and adiposity
Tao, Z., Shi, L., Parke, J., Zheng, L., Gu, W. J., Dong, X. C., Liu, D., Wang, Z., Olumi, A. F., & Cheng, Z. (2021) · Cell Death Discovery · doi:10.1038/s41420-021-00438-8 · Cited by 32
Multi-Modal Regulation of Circadian Physiology by Interactive Features of Biological Clocks
Lee, Y., & Wisor, J. P. (2021) · Biology · doi:10.3390/biology11010021 · Cited by 35
New insights into vascular aging: Emerging role of mitochondria function
Li, Y., Jin, X., Li, D. X., Lu, J. Z., Zhang, X., Yang, S., Zhao, Y., & Wu, M. (2022) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2022.113954 · Cited by 30
Erol, İ., Çiğerci, İ. H., Özkara, A., Akyıl, D., & Aksu, M. (2022) · Journal of Biomaterials Science Polymer Edition · doi:10.1080/09205063.2022.2046986 · Cited by 29
NAD+ supplementation limits triple-negative breast cancer metastasis via SIRT1-P66Shc signaling
Jiang, Y., Luo, Z., Gong, Y., Fu, Y., & Luo, Y. (2023) · Oncogene · doi:10.1038/s41388-023-02592-y · Cited by 29
Endothelial Senescence and Its Impact on Angiogenesis in Alzheimer’s Disease
Georgieva, I., Tchekalarova, J. D., Iliev, D. B., & Tzoneva, R. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms241411344 · Cited by 29
Mitophagy modulation for the treatment of cardiovascular diseases
Forte, M., D’Ambrosio, L., Schiattarella, G. G., Salerno, N., Perrone, M. A., Loffredo, F. S., Bertero, E., Pilichou, K., Manno, G., Valenti, V., et al. (2024) · European Journal of Clinical Investigation · doi:10.1111/eci.14199 · Cited by 29
“NAD + supplementation with exogenous precursors exerts beneficial effects in models of ageing and CVDs. 45,46 Mechanistically, NAD + stimulates mitophagy by activating the protein deacetylase sirtuins.”
BackgroundChen, G., An, N., Ye, W., Huang, S., Chen, Y., Hu, Z., Shen, E., Zhu, J., Gong, W., Tong, G., et al. (2021) · Redox Biology · doi:10.1016/j.redox.2021.101904 · Cited by 29
“Cell migration was determined using the wound healing scratch assay as previously described [36].”
MethodEndothelial metabolism in pulmonary vascular homeostasis and acute respiratory distress syndrome
Stevens, R. P., Paudel, S. S., Johnson, S., Stevens, T., & Lee, J. (2021) · American Journal of Physiology-Lung Cellular and Molecular Physiology · doi:10.1152/ajplung.00131.2021 · Cited by 32
Disrupted Binding of Cystathionine γ-Lyase to p53 Promotes Endothelial Senescence
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Endothelial dysfunction in the aging kidney
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Gulej, R., Patai, R., Ungvari, A., Kállai, A., Tarantini, S., Yabluchanskiy, A., Huffman, D. M., Conboy, M. J., Conboy, I. M., Mika Kivimaki, B., et al. (2025) · GeroScience · doi:10.1007/s11357-025-01657-y · Cited by 29
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Swaminathan, A., Fokin, A., Venckūnas, T., & Degens, H. (2021) · Scientific Reports · doi:10.1038/s41598-021-81037-6 · Cited by 28
Endothelial mTOR maintains hematopoiesis during aging
Ramalingam, P., Poulos, M. G., Gutkin, M. C., Katsnelson, L., Freire, A. G., Lazzari, E., & Butler, J. M. (2020) · The Journal of Experimental Medicine · doi:10.1084/jem.20191212 · Cited by 27
Kim, Y.-M., Sanborn, M. A., Vijeth, S., Gajwani, P., Wang, X., Jung, D., Vályi-Nagy, T., Chakraborty, S., Mancinelli, G. E., Tóth, P. T., et al. (2025) · Nature Cancer · doi:10.1038/s43018-025-00975-6 · Cited by 28
Translational geroscience: From invertebrate models to companion animal and human interventions
Lee, M. B., & Kaeberlein, M. R. (2018) · Translational Medicine of Aging · doi:10.1016/j.tma.2018.08.002 · Cited by 28
Wu, G., Guo, Y., Li, M., Li, C., Tan, Y., Li, Y., Li, J., Wang, L., Zhang, X., & Gao, F. (2022) · Cells · doi:10.3390/cells11101706 · Cited by 28
“Endurance exercise ability was measured as previously described [28].”
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DNA Break-Induced Epigenetic Drift as a Cause of Mammalian AgingPreprint
Hayano, M., Yang, J.-H., Bonkowski, M. S., Amorim, J. A., Ross, J. M., Coppotelli, G., Griffin, P. T., Chew, Y. C., Guo, W., Yang, X., et al. (2019) · SSRN Electronic Journal · doi:10.2139/ssrn.3466338 · Cited by 27
Self-citationNAD+ and Vascular Dysfunction: From Mechanisms to Therapeutic Opportunities
Abdellatif, M., Bugger, H., Kroemer, G., & Sedej, S. (2022) · Journal of Lipid and Atherosclerosis · doi:10.12997/jla.2022.11.2.111 · Cited by 26
H2S Protects from Rotenone-Induced Ferroptosis by Stabilizing Fe-S Clusters in Rat Cardiac Cells
Linjacki, S., Wang, Y., Baath, N., Mantle, D., & Yang, G. (2024) · Cells · doi:10.3390/cells13050371 · Cited by 26
Advancements in NMN biotherapy and research updates in the field of digestive system diseases
Liao, G., Xie, Y., Peng, H., Li, T., Zou, X., Yue, F., Guo, J., & Rong, L. (2024) · Journal of Translational Medicine · doi:10.1186/s12967-024-05614-9 · Cited by 27
H2S to Mitigate Vascular Aging: A SIRT1 Connection
Arumugam, T. V., & Kennedy, B. K. (2018) · Cell · doi:10.1016/j.cell.2018.03.011 · Cited by 27
Metadata
- Authors
- Das, A., Huang, G. X., Bonkowski, M. S., Longchamp, A., Li, C., Schultz, M. B., Kim, L.-J., Osborne, B., Joshi, S., Lu, Y., Treviño-Villarreal, J. H., Kang, M.-J., Hung, T.-T., Lee, B., Williams, E. O., Igarashi, M., Mitchell, J. R., Wu, L. E., Turner, N., Arany, Z., Guarente, L., & Sinclair, D. A.
- Affiliations
- Harvard University (US)
- UNSW Sydney (AU)
- Massachusetts Institute of Technology (US)
- Corresponding author
- Guarente, Leonard
- Sinclair, David A.
- ORCID
- Venue
- Cell
- Publisher
- Elsevier BV
- Published
- 2018-03
- Volume
- 173
- Issue
- 1
- Pages
- 74-89.e20
- ISSN
- 0092-8674 (ISSN-L)
- PMC
- PMC5884172
- OpenAlex
- W2791288341
- Cited by
- 496
- References
- 87
- Citations by year
- 2026: 41 · 2025: 72 · 2024: 55 · 2023: 65 · 2022: 50 · 2021: 84 · 2020: 64 · 2019: 37 · 2018: 28
- FWCI
- 36.61
- Type
- journal article
- Language
- en
- Update notices
- erratum (2019-02-07)
- Open access
- bronze
- doi.org
- Licence
- Locations
- Cell (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- DSpace@MIT (Massachusetts Institute of Technology) (submittedVersion, cc-by-nc-nd)
- UNSWorks (University of New South Wales, Sydney, Australia) (submittedVersion, cc-by-nc-nd)
- Funders
- Glenn Foundation for Medical Research (RO1 AG028730, RO1 DK100263)
- Sinclair Gift Fund
- Edward Schulak (APP1093643)
- NIH/NIA (RO1 AG015339)
- NIH/NHLBI (RO1 HL094499)
- Topics
- Health Sciences › Medicine › Physiology (medical) › Nitric Oxide and Endothelin Effects
- Health Sciences › Medicine › Geriatrics and Gerontology › Sirtuins and Resveratrol in Medicine
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Sulfur Compounds in Biology
- Keywords
- endothelial cells, NAD+, hydrogen sulfide, vascular aging, blood flow
- MeSH terms
- Peroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alpha, Aging, Animals, Humans, Hydrogen Sulfide, Mitochondria, NAD, Physical Conditioning, Animal, Signal Transduction, Mice, Knockout, Muscle, Skeletal, Neovascularization, Physiologic, RNA Interference, RNA, Small Interfering, Vascular Endothelial Growth Factor A, Endothelial Cells, Mice, Receptors, Notch, Microvessels, Sirtuin 1
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