This study is designed to assess the physiological consequences of elevating Nicotinamide Adenine Dinucleotide (NAD+) availability using Nicotinamide Riboside (NR) supplementation in skeletal muscle tissue, and examine its effect upon muscle metabolic phenotype.
-NAD+ sensitive metabolic decline in ageing, including sarcopenia, leads to a reduction in energy metabolism, contribute to chronic inflammation, disposing individuals to metabolic disease and overall decreased later-life health. Prominent metabolic changes include a decline in NAD+ content and deterioration in muscle NAD+ mediated signalling and mitochondrial function, ultimately compromising skeletal muscle and whole body energy homeostasis. The most efficient means to boost NAD+ in muscle appears to be oral delivery of NR, and participants will be supplemented with 1000mg NR (2x x250mg tablets twice daily) for 3 weeks. * Hypothesis: elevating skeletal muscle NAD+ bioavailability using NR supplementation will increase markers of mitochondrial function and that will manifest as a more favourable metabolic profile. * Study Setting: the study will be carried out at the NIHR/Wellcome Trust Clinical Research Facility, Queen Elizabeth Hospital Birmingham.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
12
University Hospitals Birmingham NHS Foundation Trust
Birmingham, West Midlands, United Kingdom
RECRUITINGMitochondrial function assessment in skeletal muscle using high resolution respirometry
Mitochondrial function assessment on muscle biopsies using high resolution respirometry
Time frame: Following 3 weeks of NR supplementation
Skeletal muscle NAD+ levels in vastus lateralis biopsy using targeted metabolomics
Time frame: Following 3 weeks of NR supplementation
Improvement in response to oral glucose tolerance test/HOMA-IR
Time frame: Following 3 weeks of NR supplementation
Improvement in lipid profile
Time frame: Following 3 weeks of NR supplementation
Muscle Arterio-Venous Difference - Tissue-specific metabolite trafficking, oxygen consumption and CO2 production
Time frame: Following 3 weeks of NR supplementation
Muscle biopsy: adaptive expression profile (genomic)
Time frame: Following 3 weeks of NR supplementation
Changes in resting metabolic rate using indirect calorimetry
Time frame: Following 3 weeks of NR supplementation
24 hour urine collection - NAD+ metabolomics and changes in steroid ratios using Gas chromatography/ mass spectrometry
Time frame: Following 3 weeks of NR supplementation
Muscle strength - grip testing
Time frame: Following 3 weeks of NR supplementation
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