Nicotinamide Attenuates the Progression of Renal Failure in a Mouse Model of Adenine-Induced Chronic Kidney Disease

Nicotinamide adenine dinucleotide (NAD<sup>+</sup>) supplies energy for deoxidation and anti-inflammatory reactions fostering the production of adenosine triphosphate (ATP). The kidney is an essential regulator of body fluids through the excretion of numerous metabolites. Chronic kidney...

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Main Authors: Satoshi Kumakura, Emiko Sato, Akiyo Sekimoto, Yamato Hashizume, Shu Yamakage, Mariko Miyazaki, Sadayoshi Ito, Hideo Harigae, Nobuyuki Takahashi
Format: Article
Language:English
Published: MDPI AG 2021-01-01
Series:Toxins
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Online Access:https://www.mdpi.com/2072-6651/13/1/50
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author Satoshi Kumakura
Emiko Sato
Akiyo Sekimoto
Yamato Hashizume
Shu Yamakage
Mariko Miyazaki
Sadayoshi Ito
Hideo Harigae
Nobuyuki Takahashi
author_facet Satoshi Kumakura
Emiko Sato
Akiyo Sekimoto
Yamato Hashizume
Shu Yamakage
Mariko Miyazaki
Sadayoshi Ito
Hideo Harigae
Nobuyuki Takahashi
author_sort Satoshi Kumakura
collection DOAJ
description Nicotinamide adenine dinucleotide (NAD<sup>+</sup>) supplies energy for deoxidation and anti-inflammatory reactions fostering the production of adenosine triphosphate (ATP). The kidney is an essential regulator of body fluids through the excretion of numerous metabolites. Chronic kidney disease (CKD) leads to the accumulation of uremic toxins, which induces chronic inflammation. In this study, the role of NAD<sup>+</sup> in kidney disease was investigated through the supplementation of nicotinamide (Nam), a precursor of NAD<sup>+</sup>, to an adenine-induced CKD mouse model. Nam supplementation reduced kidney inflammation and fibrosis and, therefore, prevented the progression of kidney disease. Notably, Nam supplementation also attenuated the accumulation of glycolysis and Krebs cycle metabolites that occurs in renal failure. These effects were due to increased NAD<sup>+</sup> supply, which accelerated NAD<sup>+</sup>-consuming metabolic pathways. Our study suggests that Nam administration may be a novel therapeutic approach for CKD prevention.
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spelling doaj.art-1822a016ac1248849183965b705d7e0c2023-12-03T12:44:57ZengMDPI AGToxins2072-66512021-01-011315010.3390/toxins13010050Nicotinamide Attenuates the Progression of Renal Failure in a Mouse Model of Adenine-Induced Chronic Kidney DiseaseSatoshi Kumakura0Emiko Sato1Akiyo Sekimoto2Yamato Hashizume3Shu Yamakage4Mariko Miyazaki5Sadayoshi Ito6Hideo Harigae7Nobuyuki Takahashi8Division of Nephrology, Endocrinology and Vascular Medicine, Tohoku University Graduate School of Medicine, Sendai 980-8574, JapanDivision of Nephrology, Endocrinology and Vascular Medicine, Tohoku University Graduate School of Medicine, Sendai 980-8574, JapanDivision of Nephrology, Endocrinology and Vascular Medicine, Tohoku University Graduate School of Medicine, Sendai 980-8574, JapanDivision of Clinical Pharmacology and Therapeutics, Tohoku University Graduate School of Pharmaceutical Sciences, Sendai 980-8578, JapanDivision of Nephrology, Endocrinology and Vascular Medicine, Tohoku University Graduate School of Medicine, Sendai 980-8574, JapanDivision of Nephrology, Endocrinology and Vascular Medicine, Tohoku University Graduate School of Medicine, Sendai 980-8574, JapanDivision of Nephrology, Endocrinology and Vascular Medicine, Tohoku University Graduate School of Medicine, Sendai 980-8574, JapanDivision of Nephrology, Endocrinology and Vascular Medicine, Tohoku University Graduate School of Medicine, Sendai 980-8574, JapanDivision of Nephrology, Endocrinology and Vascular Medicine, Tohoku University Graduate School of Medicine, Sendai 980-8574, JapanNicotinamide adenine dinucleotide (NAD<sup>+</sup>) supplies energy for deoxidation and anti-inflammatory reactions fostering the production of adenosine triphosphate (ATP). The kidney is an essential regulator of body fluids through the excretion of numerous metabolites. Chronic kidney disease (CKD) leads to the accumulation of uremic toxins, which induces chronic inflammation. In this study, the role of NAD<sup>+</sup> in kidney disease was investigated through the supplementation of nicotinamide (Nam), a precursor of NAD<sup>+</sup>, to an adenine-induced CKD mouse model. Nam supplementation reduced kidney inflammation and fibrosis and, therefore, prevented the progression of kidney disease. Notably, Nam supplementation also attenuated the accumulation of glycolysis and Krebs cycle metabolites that occurs in renal failure. These effects were due to increased NAD<sup>+</sup> supply, which accelerated NAD<sup>+</sup>-consuming metabolic pathways. Our study suggests that Nam administration may be a novel therapeutic approach for CKD prevention.https://www.mdpi.com/2072-6651/13/1/50nicotinamideCKDNAD<sup>+</sup>adenine-induced CKD modelglycolysisKrebs cycle
spellingShingle Satoshi Kumakura
Emiko Sato
Akiyo Sekimoto
Yamato Hashizume
Shu Yamakage
Mariko Miyazaki
Sadayoshi Ito
Hideo Harigae
Nobuyuki Takahashi
Nicotinamide Attenuates the Progression of Renal Failure in a Mouse Model of Adenine-Induced Chronic Kidney Disease
Toxins
nicotinamide
CKD
NAD<sup>+</sup>
adenine-induced CKD model
glycolysis
Krebs cycle
title Nicotinamide Attenuates the Progression of Renal Failure in a Mouse Model of Adenine-Induced Chronic Kidney Disease
title_full Nicotinamide Attenuates the Progression of Renal Failure in a Mouse Model of Adenine-Induced Chronic Kidney Disease
title_fullStr Nicotinamide Attenuates the Progression of Renal Failure in a Mouse Model of Adenine-Induced Chronic Kidney Disease
title_full_unstemmed Nicotinamide Attenuates the Progression of Renal Failure in a Mouse Model of Adenine-Induced Chronic Kidney Disease
title_short Nicotinamide Attenuates the Progression of Renal Failure in a Mouse Model of Adenine-Induced Chronic Kidney Disease
title_sort nicotinamide attenuates the progression of renal failure in a mouse model of adenine induced chronic kidney disease
topic nicotinamide
CKD
NAD<sup>+</sup>
adenine-induced CKD model
glycolysis
Krebs cycle
url https://www.mdpi.com/2072-6651/13/1/50
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