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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]
In the citing paper
“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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“46 A long-term study demonstrated that the activation of Sirt in skeletal muscle C2C12 cells significantly improved fatty acid oxidation and insulin resistance, whereas the knockout of Sirt resulted in obesity and insulin resistance.”
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“The formation of tube networks was assessed as described before ( Das et al., 2018 ).”
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“These findings suggest that H 2 S reduces vascular endothelial senescence by modulating SIRT1 activity (Das et al. 2018).”
NAD+ homeostasis and its role in exercise adaptation: A comprehensive review
Jiang, Z., Luo, X., Han, C., Qin, Y.-Y., Pan, S.-Y., Qin, Z.-H., Bao, J., & Luo, L. (2024) · Free Radical Biology and Medicine · doi:10.1016/j.freeradbiomed.2024.09.036 · Cited by 6
Kat7 accelerates osteoarthritis disease progression through the TLR4/NF-κB signaling pathway
Liu, Z., Qiu, L., Zhang, Y., Zhao, G., Sun, X., & Luo, W. (2025) · Journal of Molecular Medicine · doi:10.1007/s00109-025-02519-y · Cited by 5
Iñañez, A., Rey-Vergara, R. D., Quimis, F. G., Rocha, P., Galindo-Campos, M. A., Menéndez, S., Masfarré, L., Sánchez, I., Carpes, M., Martínez, C. M., et al. (2025) · International Journal of Molecular Sciences · doi:10.3390/ijms26031293 · Cited by 5
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Endothelium–gut communication: IGF-1Rs crosstalk with microbiota
Chen, Z., & Malhi, N. K. (2021) · EMBO Reports · doi:10.15252/embr.202152896 · Cited by 5
“…mouse models, several groups have convincingly demonstrated that genetic perturbation specifically in the endothelium can significantly impact whole-body metabolism through modulation of metabolic organs, e.g., skeletal muscle, adipose tissues, and liver (Das et al, 2018; Tang et al, 2020).”
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“Studies by Abhirup et al. found that NMN supplementation elevated NAD + levels and promoted postischemic neovascularization in aged mice [10,11].”
He, K., Tan, B., Lu, A., Bai, L., Song, C., Miao, Y., Liu, B.-Y., Chen, Q., Teng, X., Dai, J., et al. (2024) · Bioscience Reports · doi:10.1042/bsr20240320 · Cited by 4
“In mice, exogenous supplementation of H 2 S precursors, GYY4137 and NaHS, reversed vascular aging by increasing SIRT1 activity to protect against oxidative stress [48].”
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Skeletal Stem Cells—A Paradigm Shift in the Field of Craniofacial Bone Tissue Engineering
Tevlin, R., Longaker, M. T., & Wan, D. C. (2020) · Frontiers in Dental Medicine · doi:10.3389/fdmed.2020.596706 · Cited by 5
Comprehensive bibliometric analysis of sirtuins: Focus on sirt1 and kidney disease
Liu, T., Mu, S., Yang, L., Mao, H., Ma, F., Wang, Y., & Zhan, Y. (2022) · Frontiers in Pharmacology · doi:10.3389/fphar.2022.966786 · Cited by 4
BZD9L1 benzimidazole analogue hampers colorectal tumor progression by impeding angiogenesis
Oon, C. E., Subramaniam, A. V., Ooi, L. Y., Yehya, A. H. S., Lee, Y. T., Kaur, G., Sasidharan, S., Qiu, B., & Wang, X. (2023) · World Journal of Gastrointestinal Oncology · doi:10.4251/wjgo.v15.i5.810 · Cited by 4
SIRT2 transgenic over‐expression does not impact lifespan in mice
Wu, L. E., Fiveash, C. E., Bentley, N. L., Kang, M., Govindaraju, H., Barbour, J. A., Wilkins, B. P., Hancock, S. E., Madawala, R. J., Das, A., et al. (2023) · Aging Cell · doi:10.1111/acel.14027 · Cited by 3
“…impact of declining NAD + levels during old age, and the beneficial effects of reversing this decline during ageing and other pathologies through treatment with exogenous NAD + metabolites (Aflatounian et al., 2022; Das et al., 2018; Rajman et al., 2018; Wu & Sinclair, 2016; Zhang et al., 2016).”
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Protein Acetylation and NAD+ Homeostasis in Aging Muscle
Ji, L. L. (2025) · Advances in experimental medicine and biology · doi:10.1007/978-3-031-88361-3_17 · Cited by 3
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“SirT1 in endothelial cells modulates pro-angiogenic signaling, promotes capillary density and blood flow, and may thereby improve oxygen delivery and endurance [42].”
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“In ECs, exogenous H2S has been shown to influence a number of important signaling pathways; vascular endothelial growth factor receptor (VEGFR)2, which controls proliferation and angiogenesis [56]; mitogen-activated protein kinase (MAPK), which effects protein kinase B (Akt), extracellular signal-regulated kinase (ERK…”
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“RNA sequencing has also been used to identify genes and pathways involved in the anti-aging mechanisms of NAD+ [20,22,25,29].”
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Hydrogen Sulfide Actions in the Vasculature
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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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