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Nicotinamide is an amide form of niacin, which is also known as vitamin B3, that can be biosynthesized in vivo or obtained through the diet.1 It is a precursor in the synthesis of the metabolic cofactor NAD+ and an inhibitor of sirtuin 1 (SIRT1; IC50 = <50 µM).2 Nicotinamide (10 µM) increases the activity of serine palmitoyltransferase (SPT) and the biosynthesis of ceramide, glucosylceramide, sphingomyelin, free fatty acids, and cholesterol in primary human keratinocytes.3 Nicotinamide (40 µM) induces apoptosis in SNU-398, SNU-739, and HepG2 hepatocellular carcinoma (HCC) cells, and it prevents the formation of neoplastic lesions in a diethylnitrosamine-induced mouse model of HCC.4 Unlike niacin, nicotinamide does not reduce plasma lipid levels or induce flushing.5,6,7
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1. Cell life versus cell longevity: The mysteries surrounding the NAD+ precursor nicotinamide. Curr. Med. Chem. 13(8), 883-895 (2006).
2. Inhibition of silencing and accelerated aging by nicotinamide, a putative negative regulator of yeast sir2 and human SIRT1. The Journal of Biological Chemisty 277(47), 45099-45107 (2002).
3. Nicotinamide increases biosynthesis of ceramides as well as other stratum corneum lipids to improve the epidermal permeability barrier. Br. J. Dermatol. 143(3), 524-531 (2000).
4. Nicotinamide inhibits the early stage of carcinogen-
5. Nicotinic acid (niacin): New lipid-
6. Nicotinic acid: An old drug with a promising future. Br. J. Pharmacol. 153(Suppl 1), S68-S75 (2008).
7. Effects of anti-
Comparative analysis of pioglitazone and tirzepatide on body weight, glucose levels, neuroinflammation, and oxidative stress in diabetic rats. Drug Des. Devel. Ther. 31, 6605-6618 (2025).