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Nicotinamide Adenine Dinucleotide Supplementation Fails to Enhance Anesthetic Recovery in Rodents

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Journal Sci Rep
Date 2025 Jan 9
PMID 39789056
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Abstract

Nicotinamide Adenine Dinucleotide (NAD) is implicated in bioenergetics, DNA repair, and senescence. Depletion of NAD is associated with aging and neurodegenerative disease, prompting a growing interest in NAD supplementation. With rising over-the-counter use of NAD, understanding their impact on anesthetic recovery becomes essential. This study investigates the effect of NADH, a common NAD precursor, on anesthesia in rodents. Baseline and post-anesthesia (1.5% isoflurane) open field and Y-maze activity were recorded in adult male and female C57BL/6 mice (n = 8-10/group). NADH (150 mg/kg, intraperitoneal) or vehicle (0.9% normal saline) were given at baseline or during anesthesia. The NADH-treated group exhibited a significant decrease in open-field activity relative to vehicle-treated. This diminished activity was reflected in reduced distance travelled and average velocity after emergence from anesthesia in the NADH-treated group. NADH treatment did not improve Y-maze performance after anesthesia, partly related to reduced locomotor activity in the NADH-treated group. This study demonstrates that NADH does not appear to hasten recovery from anesthesia. Instead, there was a depression in open-field activity and no change in Y-maze performance with NADH supplementation, indicators of locomotive and cognitive recovery in rodents. The broad implications of NAD in aging are likely to shape supplementation trends, highlighting the importance of understanding the potential influence of administering NAD on anesthetic sensitivity and recovery.

References
1.
Camacho-Pereira J, Tarrago M, Chini C, Nin V, Escande C, Warner G . CD38 Dictates Age-Related NAD Decline and Mitochondrial Dysfunction through an SIRT3-Dependent Mechanism. Cell Metab. 2016; 23(6):1127-1139. PMC: 4911708. DOI: 10.1016/j.cmet.2016.05.006. View

2.
Dasgupta M, Dumbrell A . Preoperative risk assessment for delirium after noncardiac surgery: a systematic review. J Am Geriatr Soc. 2006; 54(10):1578-89. DOI: 10.1111/j.1532-5415.2006.00893.x. View

3.
Martin B, Buth K, Arora R, Baskett R . Delirium as a predictor of sepsis in post-coronary artery bypass grafting patients: a retrospective cohort study. Crit Care. 2010; 14(5):R171. PMC: 3219273. DOI: 10.1186/cc9273. View

4.
Koster S, Hensens A, van der Palen J . The long-term cognitive and functional outcomes of postoperative delirium after cardiac surgery. Ann Thorac Surg. 2009; 87(5):1469-74. DOI: 10.1016/j.athoracsur.2009.02.080. View

5.
Marcantonio E, Flacker J, Michaels M, Resnick N . Delirium is independently associated with poor functional recovery after hip fracture. J Am Geriatr Soc. 2000; 48(6):618-24. DOI: 10.1111/j.1532-5415.2000.tb04718.x. View