A randomized placebo-controlled trial of nicotinamide riboside and pterostilbene supplementation in experimental muscle injury in elderly individuals
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Abstract
BACKGROUND: During aging, there is a functional decline in the pool of muscle stem cells (MuSCs) that influences the functional and regenerative capacity of skeletal muscle. Preclinical evidence has suggested that nicotinamide riboside (NR) and pterostilbene (PT) can improve muscle regeneration, e.g., by increasing MuSC function. The objective of this study was to investigate if supplementation with NR and PT (NRPT) promotes skeletal muscle regeneration after muscle injury in elderly individuals by improved recruitment of MuSCs. METHODS: Thirty-two elderly individuals (55–80 years of age) were randomized to daily supplementation with either NRPT (1,000 mg NR and 200 mg PT) or matched placebo. Two weeks after initiation of supplementation, skeletal muscle injury was induced by electrically induced eccentric muscle work. Skeletal muscle biopsies were obtained before, 2 hours after, and 2, 8, and 30 days after injury. RESULTS: A substantial skeletal muscle injury was induced by the protocol and associated with release of myoglobin and creatine kinase, muscle soreness, tissue edema, and a decrease in muscle strength. MuSC content, proliferation, and cell size revealed a large demand for recruitment after injury, but this was not affected by NRPT. Furthermore, histological analyses of muscle fiber area, central nuclei, and embryonic myosin heavy chain showed no NRPT supplementation effect. CONCLUSION: Daily supplementation with 1,000 mg NR and 200 mg PT is safe but does not improve recruitment of the MuSC pool or other measures of muscle recovery in response to injury or subsequent regeneration in elderly individuals. TRIAL REGISTRATION: ClinicalTrials.gov NCT03754842. FUNDING: Novo Nordisk Foundation (NNF17OC0027242) and Novo Nordisk Foundation CBMR.
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Human studies of exogenous NAD+ precursors such as nicotinamide riboside have not shown improved muscle function nor increased muscle NAD+.
“these approaches have not shown improved muscle function [179], nor have they shown increased muscle NAD+ [180, 181].”
From Targeting Intramyocellular Lipids to Improve Aging Muscle Function (2025) · cites this paper as [181]
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- Authors
- Jensen, J. B., Dollerup, O. L., Møller, A. B., Billeskov, T. B., Dalbram, E., Chubanava, S., Damgaard, M. V., Dellinger, R. W., Trošt, K., Moritz, T., Ringgaard, S., Møller, N., Treebak, J. T., Farup, J., & Jessen, N.
- Affiliations
- Aarhus University (DK)
- University of Copenhagen (DK)
- Elysium Health, Inc. (United States) (US)
- Novo Nordisk Foundation Center for Basic Metabolic Research (CBMR), University of Copenhagen, Copenhagen, Denmark.
- Magnetic Resonance Research Centre, Department of Clinical Medicine, and
- Corresponding author
- Jessen, Niels
- ORCID
- Venue
- JCI Insight
- Published
- 2022-10-10
- Volume
- 7
- Issue
- 19
- ISSN
- 2379-3708 (ISSN-L)
- PMC
- PMC9675477
- OpenAlex
- W4292774818
- Cited by
- 39
- References
- 48
- Citations by year
- 2026: 9 · 2025: 9 · 2024: 6 · 2023: 14 · 2022: 1
- FWCI
- 2.45
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- JCI Insight (publishedVersion, cc-by)
- medRxiv (acceptedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (publishedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Scopus (Elsevier) (submittedVersion, other-oa)
- Funders
- Novo Nordisk Foundation (NNF17OC0027242)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
- Health Sciences › Medicine › Rehabilitation › Exercise and Physiological Responses
- Health Sciences › Medicine › Geriatrics and Gerontology › Sirtuins and Resveratrol in Medicine
- Keywords
- nicotinamide riboside, pterostilbene, muscle stem cells, skeletal muscle regeneration, muscle damage, aging, eccentric exercise, dietary supplementation, myogenic progenitor cells, muscle fiber size
- MeSH terms
- Aged, Humans, Muscular Diseases, Myoglobin, Niacinamide, Pyridinium Compounds, Stilbenes, Muscle, Skeletal, Myosin Heavy Chains, Dietary Supplements, Creatine Kinase, MM Form
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