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
Open accessAbstract
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].”
From The Role of Antioxidants in the Interplay between Oxidative Stress and Senescence (2022) · cites this paper as [201]
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Cites
López-Otín, C., Blasco, M. A., Partridge, L., Serrano, M., & Kroemer, G. (2013) · Cell · doi:10.1016/j.cell.2013.05.039 · Cited by 14,982 · see citing works
Aging: a theory based on free radical and radiation chemistry
Harman, D. (1956) · Journal of Gerontology · doi:10.1093/geronj/11.3.298 · Cited by 8,567 · see citing works
Oxidative stress and diabetic complications
Giacco, F., & Brownlee, M. (2010) · Circulation Research · doi:10.1161/circresaha.110.223545 · Cited by 5,461 · see citing works
Gait speed and survival in older adults.
Studenski, S. (2011) · JAMA · doi:10.1001/jama.2010.1923 · Cited by 4,558 · see citing works
Chronic Inflammation (Inflammaging) and Its Potential Contribution to Age-Associated Diseases
Franceschi, C., & Campisi, J. (2014) · The Journals of Gerontology Series A: Biological Sciences and Medical Sciences · doi:10.1093/gerona/glu057 · Cited by 3,891 · see citing works
Inflammaging: a new immune–metabolic viewpoint for age-related diseases
Franceschi, C., Garagnani, P., Parini, P., Giuliani, C., & Santoro, A. (2018) · Nature Reviews Endocrinology · doi:10.1038/s41574-018-0059-4 · Cited by 3,586 · see citing works
Lu, S. C.-L. (2012) · Biochimica et Biophysica Acta (BBA) - General Subjects · doi:10.1016/j.bbagen.2012.09.008 · Cited by 2,192 · see citing works
The importance of glutathione in human disease
Townsend, D. M., Tew, K. D., & Tapiero, H. (2003) · Biomedicine & Pharmacotherapy · doi:10.1016/s0753-3322(03)00043-x · Cited by 2,009 · see citing works
The Biologic Clock: The Mitochondria?
Harman, D. (1972) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1972.tb00787.x · Cited by 1,991 · see citing works
Ros and ros-mediated cellular signaling
Zhang, J., Wang, X., Vikash, V., Ye, Q., Wu, D., Liu, Y., & Dong, W. (2016) · Oxidative Medicine and Cellular Longevity · doi:10.1155/2016/4350965 · Cited by 1,980 · see citing works
Oxidative Stress, Synaptic Dysfunction, and Alzheimer’s Disease
Tönnies, E., & Trushina, E. (2017) · Journal of Alzheimer s Disease · doi:10.3233/jad-161088 · Cited by 1,750 · see citing works
Glutathione and its role in cellular functions
Sies, H. (1999) · Free Radical Biology and Medicine · doi:10.1016/s0891-5849(99)00177-x · Cited by 1,735 · see citing works
Oxidative Stress in Atherosclerosis
Kattoor, A. J., Pothineni, N. V. K., Palagiri, D. R., & Mehta, J. L. (2017) · Current Atherosclerosis Reports · doi:10.1007/s11883-017-0678-6 · Cited by 1,276 · see citing works
The role of mitochondria in aging
Bratic, A., & Larsson, N.-G. (2013) · Journal of Clinical Investigation · doi:10.1172/jci64125 · Cited by 1,087 · see citing works
Mitochondrial dysfunction and oxidative stress in heart disease
Peoples, J. N., Saraf, A., Ghazal, N., Pham, T. T., & Kwong, J. Q. (2019) · Experimental & Molecular Medicine · doi:10.1038/s12276-019-0355-7 · Cited by 950 · see citing works
Mitochondrial role in cell aging
Miquel, J., Economos, A. C., Fleming, J., & Johnson, J. E. (1980) · Experimental Gerontology · doi:10.1016/0531-5565(80)90010-8 · Cited by 937 · see citing works
Oxidative stress in chronic kidney disease
Daenen, K., Andries, A., Mekahli, D., Schepdael, A. V., Jouret, F., & Bammens, B. (2018) · Pediatric Nephrology · doi:10.1007/s00467-018-4005-4 · Cited by 888 · see citing works
Structural and Functional Changes With the Aging Kidney
Đenić, A., Glassock, R. J., & Rule, A. D. (2015) · Advances in Chronic Kidney Disease · doi:10.1053/j.ackd.2015.08.004 · Cited by 871 · see citing works
Oxidative stress in Alzheimer’s disease
Chen, Z., & Zhong, C. (2014) · Neuroscience Bulletin · doi:10.1007/s12264-013-1423-y · Cited by 797 · see citing works
Fiorentino, T. V., Prioletta, A., Zuo, P., & Folli, F. B. (2013) · Current Pharmaceutical Design · doi:10.2174/1381612811319320005 · Cited by 766 · see citing works
Oxidant Mechanisms in Renal Injury and Disease
Ratliff, B. B., Abdulmahdi, W., Pawar, R. D., & Wolin, M. S. (2016) · Antioxidants and Redox Signaling · doi:10.1089/ars.2016.6665 · Cited by 699 · see citing works
Kirkham, P. A., & Barnes, P. J. (2013) · Chest · doi:10.1378/chest.12-2664 · Cited by 685 · see citing works
Oxidative stress and pathophysiology of ischemic stroke: novel therapeutic opportunities.
Rodrigo, R., Fernández-Gajardo, R., Gutiérrez, R., Matamala, J. M., Carrasco, R., Miranda-Merchak, A., & Feuerhake, W. (2013) · CNS and Neurological Disorders - Drug Targets · doi:10.2174/1871527311312050015 · Cited by 621 · see citing works
Glutathione peroxidase family – an evolutionary overview
Margis, R., Dunand, C., Teixeira, F. K., & Margis-Pinheiro, M. M. A. N. (2008) · FEBS Journal · doi:10.1111/j.1742-4658.2008.06542.x · Cited by 611 · see citing works
Jiang, T., Sun, Q., & Chen, S. (2016) · Progress in Neurobiology · doi:10.1016/j.pneurobio.2016.07.005 · Cited by 594 · see citing works
Ageing, age-related diseases and oxidative stress: What to do next?
Luo, J., Mills, K., le Cessie, S., Noordam, R., & van Heemst, D. (2020) · Ageing Research Reviews · doi:10.1016/j.arr.2019.100982 · Cited by 581 · see citing works
Reactive Oxygen Species as a Signal in Glucose-Stimulated Insulin Secretion
Pi, J., Bai, Y., Zhang, Q., Wong, V. A., Floering, L. M., Daniel, K. W., Reece, J. M., Deeney, J. T., Andersen, M. E., Corkey, B. E., et al. (2007) · Diabetes · doi:10.2337/db06-1601 · Cited by 570 · see citing works
Development of insulin resistance and obesity in mice overexpressing cellular glutathione peroxidase
McClung, J. P., Roneker, C. A., Mu, W., Lisk, D. J., Langlais, P., Liu, F., & Lei, X. G. (2004) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0308096101 · Cited by 536 · see citing works
Fabrication and Characteristics of Chitosan Sponge as a Tissue Engineering Scaffold
Ikeda, T., Ikeda, K., Yamamoto, K., Ishizaki, H., Yoshizawa, Y., Yanagiguchi, K., Yamada, S., & Hayashi, Y. (2014) · BioMed Research International · doi:10.1155/2014/786892 · Cited by 509 · see citing works
Mitochondrial Aging and Age-Related Dysfunction of Mitochondria
Chistiakov, D. A., Sobenin, I. A., Revin, V. V., Orekhov, A. N., & Bobryshev, Y. V. (2014) · BioMed Research International · doi:10.1155/2014/238463 · Cited by 497 · see citing works
Impaired free fatty acid utilization by skeletal muscle in non-insulin-dependent diabetes mellitus.
Kelley, D. E., & Simoneau, J. A. (1994) · Journal of Clinical Investigation · doi:10.1172/jci117600 · Cited by 487 · see citing works
Renal Aging: Causes and Consequences
O’Sullivan, E. D., Hughes, J., & Ferenbach, D. A. (2017) · Journal of the American Society of Nephrology · doi:10.1681/asn.2015121308 · Cited by 484 · see citing works
Joseph, A., Adhihetty, P. J., Buford, T. W., Wohlgemuth, S. E., Lees, H. A., Nguyen, L. M. ‐., Aranda, J. M., Sandesara, B. D., Pahor, M., Manini, T. M., et al. (2012) · Aging Cell · doi:10.1111/j.1474-9726.2012.00844.x · Cited by 395 · see citing works
Folli, F. B., Corradi, D., Fanti, P., Davalli, A. M., Paez, A. M., Giaccari, A., Perego, C., & Muscogiuri, G. (2011) · Current Diabetes Reviews · doi:10.2174/157339911797415585 · Cited by 376 · see citing works
Brain Glutathione Levels – A Novel Biomarker for Mild Cognitive Impairment and Alzheimer’s Disease
Mandal, P. K., Saharan, S., Tripathi, M., & Murari, G. (2015) · Biological Psychiatry · doi:10.1016/j.biopsych.2015.04.005 · Cited by 339 · see citing works
Sekhar, R. V., Patel, S. G., Guthikonda, A. P., Reid, M., Balasubramanyam, A., Taffet, G. E., & Jahoor, F. (2011) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.110.003483 · Cited by 336 · see citing works
Self-citationAshraf, N. U., & Sheikh, T. A. (2015) · Free Radical Research · doi:10.3109/10715762.2015.1078461 · Cited by 311 · see citing works
Oxidative stress and free radicals in COPD – implications and relevance for treatment
Domej, W., Oettl, K., & Renner, W. (2014) · International Journal of COPD · doi:10.2147/copd.s51226 · Cited by 307 · see citing works
Quantitative imaging of energy expenditure in human brain
Zhu, X., Qiao, H., Du, F., Xiong, Q., Liu, X., Zhang, X., Uǧurbil, K., & Chen, W. (2012) · NeuroImage · doi:10.1016/j.neuroimage.2012.02.013 · Cited by 267 · see citing works
Role of insulin-induced reactive oxygen species in the insulin signaling pathway
Goldstein, B. J., Mahadev, K., Wu, X., Zhu, L., & Motoshima, H. (2005) · Antioxidants & Redox Signaling · doi:10.1089/ars.2005.7.1021 · Cited by 238 · see citing works
Brain fluorodeoxyglucose (FDG) PET in dementia
Kato, T., Inui, Y., Nakamura, A., & Ito, K. (2016) · Ageing Research Reviews · doi:10.1016/j.arr.2016.02.003 · Cited by 236 · see citing works
Oxidative stress and antioxidant strategies in dermatology
Baek, J.-O., & Lee, M. (2015) · Redox Report · doi:10.1179/1351000215y.0000000015 · Cited by 224 · see citing works
Fülöp, T., Larbi, A., & Witkowski, J. M. (2019) · Gerontology · doi:10.1159/000497375 · Cited by 221 · see citing works
Oxidative stress and ageing: is ageing a cysteine deficiency syndrome?
Dröge, W. (2005) · Philosophical Transactions of the Royal Society B Biological Sciences · doi:10.1098/rstb.2005.1770 · Cited by 208 · see citing works
Mandal, P. K., Tripathi, M., & Sugunan, S. (2011) · Biochemical and Biophysical Research Communications · doi:10.1016/j.bbrc.2011.11.047 · Cited by 201 · see citing works
Glutathione‐dependent reductive stress triggers mitochondrial oxidation and cytotoxicity
Zhang, H., Limphong, P., Pieper, J., Liu, Q., Rodesch, C., Christians, E., & Benjamin, I. (2012) · The FASEB Journal · doi:10.1096/fj.11-199869 · Cited by 201 · see citing works
Mitochondrial bioenergetics in aging
Lenaz, G., D’Aurelio, M., Merlo Pich, M., Genova, M. L., Ventura, B., Bovina, C., Formiggini, G., & Parenti Castelli, G. (2000) · Biochimica et Biophysica Acta (BBA) - Bioenergetics · doi:10.1016/s0005-2728(00)00177-8 · Cited by 189 · see citing works
Mitochondrial Glutathione: Regulation and Functions
Calabrese, G., Morgan, B., & Riemer, J. (2017) · Antioxidants and Redox Signaling · doi:10.1089/ars.2017.7121 · Cited by 182 · see citing works
Glutathione as a Marker for Human Disease
Teskey, G., Abrahem, R., Cao, R., Gyurjian, K., Islamoglu, H., Lucero, M., Martinez, A., Paredes, E., Salaiz, O., Robinson, B., et al. (2018) · Advances in clinical chemistry · doi:10.1016/bs.acc.2018.07.004 · Cited by 182 · see citing works
Kumar, P., Liu, C., Hsu, J. W.-C., Chacko, S. K., Minard, C. G., Jahoor, F., & Sekhar, R. V. (2021) · Clinical and Translational Medicine · doi:10.1002/ctm2.372 · Cited by 180 · see citing works
Self-citationMitochondrial dysfunction in cardiac aging
Tocchi, A., Quarles, E. K., Basisty, N., Gitari, L., & Rabinovitch, P. S. (2015) · Biochimica et Biophysica Acta (BBA) - Bioenergetics · doi:10.1016/j.bbabio.2015.07.009 · Cited by 151 · see citing works
Oxidative Stress in Ischemic Heart Disease
Kibel, A., Lukinac, A. M., Đambić, V., Jurić, I., & Selthofer-Relatić, K. (2020) · Oxidative Medicine and Cellular Longevity · doi:10.1155/2020/6627144 · Cited by 149 · see citing works
Meléndez‐Hevia, E., de Paz-Lugo, P., Cornish-Bowden, A. J., & Cárdenas, M. L. (2009) · Journal of Biosciences · doi:10.1007/s12038-009-0100-9 · Cited by 147 · see citing works
Holloway, G. P., Holwerda, A. M., Miotto, P. M., Dirks, M. L., Verdijk, L. B., & van Loon, L. J. C. (2018) · Cell Reports · doi:10.1016/j.celrep.2018.02.069 · Cited by 134 · see citing works
Dietary thiols accelerate aging of C. elegans
Gusarov, I., Shamovsky, I., Pani, B., Gautier, L., Eremina, S. Y., Katkova-Zhukotskaya, O. A., Mironov, A. S., Makarov, A. А., & Nudler, E. (2021) · Nature Communications · doi:10.1038/s41467-021-24634-3 · Cited by 105 · see citing works
Nguyen, D. J. M., Samson, S. L., Reddy, V. T., GONZALEZ, E. V., & Sekhar, R. V. (2013) · Aging Cell · doi:10.1111/acel.12073 · Cited by 99 · see citing works
Self-citationGlycine supplementation extends lifespan of male and female mice
Miller, R. A., Harrison, D. E., Astle, C. M., Bogue, M. A., BRIND, J. L., Fernández, E., Flurkey, K., Javors, M. A., Ladiges, W., Leeuwenburgh, C., et al. (2019) · Aging Cell · doi:10.1111/acel.12953 · Cited by 96 · see citing works
Mitochondrial Dysfunction in Age‐Related Metabolic Disorders
Natarajan, V., Chawla, R., Mah, T. K. L., Vivekanandan, R., Tan, S., Sato, P. Y., & Mallilankaraman, K. B. (2020) · PROTEOMICS · doi:10.1002/pmic.201800404 · Cited by 81 · see citing works
da Fonseca, R. R., Johnson, W. E., O’Brien, S. J., Vasconcelos, V. M., & Antunes, A. (2010) · BMC Evolutionary Biology · doi:10.1186/1471-2148-10-281 · Cited by 77 · see citing works
Fukagawa, N. K., Yu, Y., & Young, V. R. (1998) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/68.2.380 · Cited by 76 · see citing works
Reductive Stress-Induced Mitochondrial Dysfunction and Cardiomyopathy
MA, W.-X., Li, C., Tao, R., Wang, X., & Yan, L. (2020) · Oxidative Medicine and Cellular Longevity · doi:10.1155/2020/5136957 · Cited by 69 · see citing works
Gersovitz, M., Bier, D. M., Matthews, D. E., Udall, J. N., Munro, H. N., & Young, V. R. (1980) · Metabolism · doi:10.1016/0026-0495(80)90220-6 · Cited by 60 · see citing works
Reductive stress in striated muscle cells
Bellezza, I., Riuzzi, F., Chiappalupi, S., Arcuri, C., Giambanco, I., Sorci, G., & Donato, R. (2020) · Cellular and Molecular Life Sciences · doi:10.1007/s00018-020-03476-0 · Cited by 43 · see citing works
Mitochondrial Dysfunction in Cardiovascular Aging
Hoppel, C. L., Lesnefsky, E. J., Chen, Q., & Tandler, B. (2017) · Advances in experimental medicine and biology · doi:10.1007/978-3-319-55330-6_24 · Cited by 42 · see citing works
Kumar, P., Liu, C., Suliburk, J. W., Minard, C. G., Muthupillai, R., Chacko, S. K., Hsu, J. W.-C., Jahoor, F., & Sekhar, R. V. (2020) · Biomedicines · doi:10.3390/biomedicines8100390 · Cited by 35 · see citing works
Self-citationCieslik, K. A., Sekhar, R. V., Granillo, A., Reddy, A. K., Medrano, G., Heredia, C. P., Entman, M. L., Hamilton, D. J., Li, S., Reineke, E. L., et al. (2018) · The Journals of Gerontology Series A · doi:10.1093/gerona/gly034 · Cited by 34 · see citing works
Self-citationSonjak, V., Jacob, K. J., Spendiff, S., Vuda, M., Pérez, A., Míguez, K., Minozzo, F. C., Spake, C. S. L., Morais, J. A., & Hepple, R. T. (2019) · The Journals of Gerontology Series A · doi:10.1093/gerona/glz066 · Cited by 34 · see citing works
Lapidot, A., & Nissim, I. (1980) · Metabolism · doi:10.1016/0026-0495(80)90064-5 · Cited by 33 · see citing works
Bae, Y., Cai, G.-B., Kim, S., Zo, Y.-G., & Kong, Y. (2009) · BMC Evolutionary Biology · doi:10.1186/1471-2148-9-72 · Cited by 31 · see citing works
Flagged first, then by citations
Research works printed but not linked: 2
- 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.
- Harman D. The biological clock: the mitochondria? J Am Geriatr Soc 1972;20(4):145-7.
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The Role of Antioxidants in the Interplay between Oxidative Stress and Senescence
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Kumar, P., Osahon, O. W., & Sekhar, R. V. (2022) · Nutrients · doi:10.3390/nu14051114 · Cited by 83 · see citing works
Self-citation
- Authors
- Sekhar, R. V.
- Affiliations
- Baylor College of Medicine (US)
- Corresponding author
- Sekhar, Rajagopal V
- ORCID
- 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
- bronze
- doi.org
- Licence
- 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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