# The Effect of Short-Term NAD3® Supplementation on Circulating Adult Stem Cells in Healthy Individuals Aged 40-70 Years

**Authors:** Janine Hellenbrand, Richard J Bloomer, Marie Van der Merwe

PMC · DOI: 10.7759/cureus.55661 · 2024-03-06

## TL;DR

This study found that short-term NAD3® supplementation affects the number of certain adult stem cells in the blood of healthy middle-aged and older adults.

## Contribution

The study is the first to show that NAD3® alters circulating stem cell populations in healthy individuals.

## Key findings

- Seven days of NAD3® reduced CD45dimCD34+ and CD45dimCD34+CD309neg stem cell counts.
- There was a trend toward increased circulating endothelial cells with NAD3®.
- Acute NAD3® did not mobilize stem cells from the bone marrow.

## Abstract

Objective

This study aimed to assess the impact of acute and short-term supplementation with NAD3®, a theacrine-containing supplement, on circulating adult stem cell numbers in a healthy male and female population aged 40-70 years.

Methods

This was a double-blind, placebo-controlled crossover study with 12 participants randomized to receive either NAD3® or a placebo for seven days. Blood samples were collected after an overnight fast, before and after the seven-day supplementation period, and one and two hours after the final supplement dose. Using flow cytometry, circulating stem cells, including lymphocytoid CD34+ stem cells (CD45dimCD34+), stem cells associated with vascular maintenance and repair (CD45dimCD34+CD309+), CD34+ stem cells linked to a progenitor phenotype (CD45dimCD34+CD309neg), circulating endothelial stem cells (CD45negCD31+CD309+), and mesenchymal stem cells (CD45negCD90+) were quantified.

Results

Acute NAD3® supplementation did not result in the mobilization of stem cells from the bone marrow. However, seven days of daily NAD3® supplementation resulted in selective changes in circulating stem cell numbers. A significant time*treatment interaction was observed for CD45dimCD34+ cells (p=0.04) and CD45dimCD34+CD309neg cells (p=0.04), indicating a decrease in cell numbers with supplementation. There was also a trend toward an increase in circulating endothelial cells (p=0.08) with seven days of NAD3®supplementation.

Conclusion

Short-term NAD3® supplementation demonstrated an effect on the quantity of bone marrow-derived stem cells in circulation. The study suggests that this theacrine-containing supplement may play a role in modulating adult stem cell populations, emphasizing the potential impact of NAD3® on regenerative processes. Further research with extended supplementation periods and larger sample sizes is warranted to elucidate the functional consequences of these changes and explore the therapeutic implications for age-related declines in stem cell function.

## Linked entities

- **Chemicals:** theacrine (PubChem CID 75324)

## Full-text entities

- **Genes:** KDR (kinase insert domain receptor) [NCBI Gene 3791] {aka CD309, FLK1, VEGFR, VEGFR2}, CD34 (CD34 molecule) [NCBI Gene 947]
- **Chemicals:** NAD3 (-), theacrine (MESH:C077059)

## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11000032/full.md

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Source: https://tomesphere.com/paper/PMC11000032