2009
DOI: 10.3748/wjg.15.5674
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Nicotinamide overload may play a role in the developmentof type 2 diabetes

Abstract: AIM:To investigate whether nicotinamide overload plays a role in type 2 diabetes. METHODS:Nicotinamide metabolic patterns of 14 diabetic and 14 non-diabetic subjects were compared using HPLC. Cumulative effects of nicotinamide and N 1 -methylnicotinamide on glucose metabolism, plasma H2O2 levels and tissue nicotinamide adenine dinucleotide (NAD) contents of adult Sprague-Dawley rats were observed. The role of human sweat glands and rat skin in nicotinamide metabolism was investigated using sauna and burn injur… Show more

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Cited by 73 publications
(81 citation statements)
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“…1,3,18 Recently, our studies found that excess nicotinamide may induce oxidative stress, and suggested that obesity and type 2 diabetes, two major risk factors for CVD, may involve increased niacin consumption. 8,13,19 The present study further demonstrated that excess nicotinamide may contribute to increased circulating catecholamines, as well as increasing plasma Hcy levels.…”
Section: Discussionsupporting
confidence: 74%
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“…1,3,18 Recently, our studies found that excess nicotinamide may induce oxidative stress, and suggested that obesity and type 2 diabetes, two major risk factors for CVD, may involve increased niacin consumption. 8,13,19 The present study further demonstrated that excess nicotinamide may contribute to increased circulating catecholamines, as well as increasing plasma Hcy levels.…”
Section: Discussionsupporting
confidence: 74%
“…8 The latter two factors may contribute to chronic nicotinamide overload (i.e. nicotinamide toxicosis) and subsequent methyl depletion, oxidative stress, insulin resistance and liver injury.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Our recent study demonstrated that excessive nicotinamide might increase the generation of hydrogen peroxide, a highly ROS, and have a role in the development of insulin resistance. 35,60 It is interesting to know whether niacin fortification may have adverse effects. Although niacin fortification has been implemented to prevent niacin deficiency (that is, pellagra) for more than half a century, there are virtually no studies that document and track the long-term changes of the levels of plasma niacin and labile methyl donors, or the changes in the redox status.…”
Section: Arsenicmentioning
confidence: 99%
“…They involve the xenobiotic-metabolizing enzymes 80 and the sweat glands. 81 Most importantly, some toxic compounds (for example, nicotinamide 60 ) cannot be effectively excreted through urine in its natural form, but can be eliminated through sweat. Therefore, sweating can prevent oxidative stress and also avoid methyl depletion.…”
Section: Proposed Mechanism For the Effects Of Methyl Consumersmentioning
confidence: 99%