Cited by 42Sulfur Compounds in BiologyGenetics, Aging, and Longevity in Model OrganismsExercise and Physiological Responses

GlyNAC Supplementation Improves Glutathione Deficiency, Oxidative Stress, Mitochondrial Dysfunction, Inflammation, Aging Hallmarks, Metabolic Defects, Muscle Strength, Cognitive Decline, and Body Composition: Implications for Healthy Aging

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Sekhar, Rajagopal V·2021·The Journal of Nutrition

Abstract

Cellular increases in oxidative stress (OxS) and decline in mitochondrial function are identified as key defects in aging, but underlying mechanisms are poorly understood and interventions are lacking. Defects linked to OxS and impaired mitochondrial fuel oxidation, such as inflammation, insulin resistance, endothelial dysfunction, and aging hallmarks, are present in older humans and are associated with declining strength and cognition, as well as the development of sarcopenic obesity. Investigations on the origins of elevated OxS and mitochondrial dysfunction in older humans led to the discovery that deficiencies of the antioxidant tripeptide glutathione (GSH) and its precursor amino acids glycine and cysteine may be contributory. Supplementation with GlyNAC (combination of glycine and N-acetylcysteine as a cysteine precursor) was found to improve/correct cellular glycine, cysteine, and GSH deficiencies; lower OxS; and improve mitochondrial function, inflammation, insulin resistance, endothelial dysfunction, genotoxicity, and multiple aging hallmarks; and improve muscle strength, exercise capacity, cognition, and body composition. This review discusses evidence from published rodent studies and human clinical trials to provide a detailed summary of available knowledge regarding the effects of GlyNAC supplementation on age-associated defects and aging hallmarks, as well as discussing why GlyNAC supplementation could be effective in promoting healthy aging. It is particularly exciting that GlyNAC supplementation appears to reverse multiple aging hallmarks, and if confirmed in a randomized clinical trial, it could introduce a transformative paradigm shift in aging and geriatrics. GlyNAC supplementation could be a novel nutritional approach to improve age-associated defects and promote healthy aging, and existing data strongly support the need for additional studies to explore the role and impact of GlyNAC supplementation in aging.

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  • Administration of glutathione precursors (glycine and cysteine) is sufficient to significantly increase GSH levels and reduce OS in aged individuals.

    “Similarly, the administration of glutathione precursors (i.e., glycine and cysteine) is sufficient to significantly increase GSH levels and reduce OS in aged individuals [200,201].”

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  1. Sonjak V, Jacob KJ, Spendiff S, Vuda M, Perez A, Miguez K, Minozzo FC, Spake C, Morais JA, Hepple RT. Reduced mitochondrial content, elevated ROS, and modulation by denervation in skeletal muscle of pre-frail/frail elderly women. J Gerontol A Biol Sci Med Sci 2019;74(12):1887-95.
  2. Harman D. The biological clock: the mitochondria? J Am Geriatr Soc 1972;20(4):145-7.

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Authors
Sekhar, R. V.
Affiliations
Baylor College of Medicine (US)
Corresponding author
Sekhar, Rajagopal V
Venue
The Journal of Nutrition
Publisher
Elsevier BV
Published
2021-12
Volume
151
Issue
12
Pages
3606-3616
ISSN
0022-3166 (ISSN-L)
OpenAlex
W3204352586
Cited by
42
References
69
Citations by year
2026: 8 · 2025: 8 · 2024: 9 · 2023: 7 · 2022: 8 · 2021: 2
FWCI
0.68
Type
journal article
Language
en
Open access
Locations
  • Journal of Nutrition (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Sulfur Compounds in Biology
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Aging › Genetics, Aging, and Longevity in Model Organisms
  • Health Sciences › Medicine › Rehabilitation › Exercise and Physiological Responses
Keywords
N-acetylcysteine, glycine supplementation, glutathione deficiency, oxidative stress, mitochondrial dysfunction, hallmarks of aging, sarcopenic obesity, insulin resistance, endothelial dysfunction, inflammation, muscle strength, cognitive decline, body composition, healthy aging, dietary supplementation
MeSH terms
Healthy Aging, Acetylcysteine, Aged, Animals, Body Composition, Glutathione, Humans, Inflammation, Mitochondria, Randomized Controlled Trials as Topic, Oxidative Stress, Dietary Supplements, Mice, Muscle Strength, Cognitive Dysfunction

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