Tao H, et al. European Journal of Pharmacology, 2026, 1015, 178562.
This study evaluated β-nicotinamide mononucleotide (NMN) in a lipopolysaccharide-induced endotoxemia mouse model to investigate myocardial protection through Sirt5-mediated succinate dehydrogenase (SDH) regulation. NMN was administered intraperitoneally (500 mg/kg) for up to 28 days to monitor myocardial NAD⁺ levels and cardiac function. Cardiac injury markers (cTnI), ATP production, inflammatory cytokines, and oxidative stress were measured, while SDH activity and succinate metabolism were analyzed using biochemical assays. Immunoprecipitation and desuccinylation analysis confirmed enhanced Sirt5-SDH interaction and reduced SDH succinylation. Cardiomyocyte-specific Sirt5 knockdown abolished NMN's protective effects, validating the mechanism. These experimental findings demonstrate that NMN restores NAD⁺ levels, promotes Sirt5-dependent SDH desuccinylation, and corrects metabolic dysfunction, providing a mechanistic basis for NMN in cardiac protection during endotoxemia.