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Nicotinamide Riboside Opposes Type 2 Diabetes and Neuropathy in Mice
Journal article   Open access   Peer reviewed

Nicotinamide Riboside Opposes Type 2 Diabetes and Neuropathy in Mice

Samuel A J Trammell, Benjamin J Weidemann, Ankita Chadda, Matthew S Yorek, Amey Holmes, Lawrence J Coppey, Alexander Obrosov, Randy H Kardon, Mark A Yorek and Charles Brenner
Scientific reports, Vol.6(1), 26933
05/27/2016
DOI: 10.1038/srep26933
PMCID: PMC4882590
PMID: 27230286
url
https://doi.org/10.1038/srep26933View
Published (Version of record) Open Access

Abstract

Male C57BL/6J mice raised on high fat diet (HFD) become prediabetic and develop insulin resistance and sensory neuropathy. The same mice given low doses of streptozotocin are a model of type 2 diabetes (T2D), developing hyperglycemia, severe insulin resistance and diabetic peripheral neuropathy involving sensory and motor neurons. Because of suggestions that increased NAD(+) metabolism might address glycemic control and be neuroprotective, we treated prediabetic and T2D mice with nicotinamide riboside (NR) added to HFD. NR improved glucose tolerance, reduced weight gain, liver damage and the development of hepatic steatosis in prediabetic mice while protecting against sensory neuropathy. In T2D mice, NR greatly reduced non-fasting and fasting blood glucose, weight gain and hepatic steatosis while protecting against diabetic neuropathy. The neuroprotective effect of NR could not be explained by glycemic control alone. Corneal confocal microscopy was the most sensitive measure of neurodegeneration. This assay allowed detection of the protective effect of NR on small nerve structures in living mice. Quantitative metabolomics established that hepatic NADP(+) and NADPH levels were significantly degraded in prediabetes and T2D but were largely protected when mice were supplemented with NR. The data justify testing of NR in human models of obesity, T2D and associated neuropathies.
Niacinamide - analogs & derivatives Prediabetic State - metabolism Diabetes Mellitus, Experimental - drug therapy Liver - pathology Obesity - drug therapy Streptozocin Male Insulin - blood Prediabetic State - drug therapy Cornea - drug effects Liver - drug effects Diet, High-Fat Obesity - etiology Cornea - pathology Diabetes Mellitus, Experimental - chemically induced Prediabetic State - pathology Diabetes Mellitus, Experimental - metabolism Prediabetic State - etiology Diabetic Neuropathies - prevention & control Liver - metabolism Mice, Inbred C57BL Insulin Resistance Hypoglycemic Agents - pharmacology Obesity - metabolism Obesity - pathology Animals Diabetic Neuropathies - pathology Diabetes Mellitus, Experimental - pathology Cornea - innervation Mice Niacinamide - pharmacology Blood Glucose - metabolism Diabetic Neuropathies - metabolism Diabetic Neuropathies - chemically induced

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