Role of Nicotinamide in the Pathogenesis of Actinic Keratosis: Implications for NAD+/SIRT1 Pathway
2024

Nicotinamide's Role in Actinic Keratosis

Sample size: 30 publication 10 minutes Evidence: moderate

Author Information

Author(s): Riccardo Belardi, Francesca Pacifici, Terenzio Cosio, Sara Lambiase, Ruslana Gaeta Shumak, Fabio Artosi, Antonia Rivieccio, Danilo Cavalloro, Elena Dellambra, Luca Bianchi, David Della-Morte, Elena Campione

Primary Institution: University of Rome Tor Vergata

Hypothesis

Does nicotinamide increase serum NAD+ levels and promote SIRT1 activation in patients with actinic keratosis?

Conclusion

Nicotinamide administration significantly reduced actinic keratosis progression by enhancing NAD+ levels and SIRT1 activity.

Supporting Evidence

  • Nicotinamide reduced the number and size of actinic keratosis lesions.
  • Nicotinamide significantly increased serum NAD+ levels.
  • Nicotinamide treatment led to enhanced nuclear SIRT1 activity.
  • Patients showed a decrease in monocytes and basophils after treatment.
  • Statistical analysis indicated significant results for various parameters.

Takeaway

This study shows that taking nicotinamide can help prevent skin problems caused by sun damage.

Methodology

30 patients with actinic keratosis were treated with 1000 mg of oral nicotinamide daily for 24 months, with assessments of hematological, biochemical, and skin conditions.

Potential Biases

Potential confounding factors from concomitant medications.

Limitations

Small sample size and lack of a control group.

Participant Demographics

Mean age 66.4 years, 76.5% male, with comorbidities including hypertension.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3390/biom14121512

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