Dietary supplementation with NAD+ precursors or ketone esters has been shown to improve mitochondrial function in preclinical models of heart failure with either reduced or preserved ejection fraction. Both supplementation approaches hold promise but are in the early stages of development as clinical therapies for heart failure.
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Acknowledgements
The authors receive grant support from the NIH: R01 HL126209 and HL144937 to K.D.O. and R.T.; and HL110349, HL142628 and HL149695 to R.T.
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K.D.O. and R.T. are listed as co-inventors on a patent application submitted by the University of Washington, USA, regarding targeting NAD+ metabolism to treat inflammation in heart failure. R.T. is a member of the Scientific Advisory Board of Cytokinetics, USA.
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O’Brien, K.D., Tian, R. Boosting mitochondrial metabolism with dietary supplements in heart failure. Nat Rev Cardiol 18, 685–686 (2021). https://doi.org/10.1038/s41569-021-00610-8
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DOI: https://doi.org/10.1038/s41569-021-00610-8