NAD+ (nicotinamide adenine dinucleotide) is a coenzyme present in every living cell. It plays a central role in cellular energy production (as part of the mitochondrial electron transport chain), acts as a substrate for sirtuin proteins (which regulate gene expression and cellular stress responses), and is essential for the activity of PARP enzymes involved in DNA damage repair.
NAD+ levels decline with age, research suggests levels in human tissues may fall by 50% or more between ages 20 and 60. This decline has attracted significant scientific interest in NAD+ as a target for longevity and metabolic research.