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Human whole-blood NAD+ levels do not vary with age or lifestyle interventions

*Corresponding author for this work
  • University of Amsterdam
  • Endocrinology
  • Amsterdam UMC
  • University of Valencia
  • Universidad Católica San Antonio de Murcia
  • Vrije Universiteit Amsterdam
  • Amsterdam University of Applied Sciences
  • University of Helsinki
  • University of Oulu
  • Leiden University
  • Deakin University
  • Emma Center for Personalized Medicine

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Nicotinamide adenine dinucleotide (NAD+) levels in blood and tissues are widely proposed to decline with age, yet evidence in human blood is inconsistent. Using a rigorously validated ultra-high-performance liquid chromatography coupled with high-resolution mass spectrometry system that accounts for real-world analytical variability, we quantify NAD+ across seven independent human cohorts. We find that whole-blood NAD+ levels remain remarkably stable with age and across lifestyle interventions, but change in response to nicotinamide riboside supplementation, as expected. Our results challenge the utility of blood NAD+ levels as a biomarker of ageing or lifestyle factors.
Original languageEnglish
Pages (from-to)1282-1290
Number of pages9
JournalNature Metabolism
Volume8
Issue number6
Early online date2026
DOIs
Publication statusPublished - Jun 2026

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