Vitamin B3 derivative protects from most aggressive form of liver cancer.

b3The most aggressive form of cancer is called hepato-cellular carcinoma and in 2012 745,000 deaths were attributed to the condition. This cancer has a high with few treatment options.

A new study has found that diets rich in nicotinamide ribosome, a derivative of vitamin B3, protects from developing HCC in its initial stages and demonstrates a curative effect of the diet when the cancer was already present. Researchers used a mouse model to reproduce the steps of HCC development from the appearance of the first lesions in the to the development of metastasis.

The researchers traced the metabolic pathway leading to the development of cancer and genetically engineered mice that contained high levels of URI only in the , in a controlled manner over time. At 30 weeks, the mice with high levels of URI generated sporadic tumours in the and even metastasis when the induction lasted longer. The study details how deficiency in nicotinamide adenine dinucleotide (NAD+), a universal compound found in that is needed to burn calories via cell metabolism, orchestrates the development of the disease.

“An increase in URI reduces cellular NAD+ and as a consequence produces genotoxic stress and ,” said Nabil Djouder, leader of the study and Head of the Growth Factors, Nutrients and Cancer Group in the BBVA Foundation-CNIO Biology Programme. “It is still not totally clear, however, why the deficit in NAD+ causes these lesions,” he adds. Supplementation of the diet in mice with nicotinamide riboside, a derivative of vitamin B3 that increases intracellular levels of NAD+, negated tumour development. When the same diet was given to mice that had already developed the disease, the size of the tumours was reduced and they eventually disappeared.

The results have been reproduced in other such as pancreatic cancer. “We observed the same results in mice with pancreatic adenocarcinoma with regards to , so we could conclude that this treatment is effective on tumours caused by oncogene-induced and thus, deficit in NAD+,” said Krishna Tummala, first author of the study.


Krishna S. Tummala, Ana L. Gomes, Mahmut Yilmaz, Osvaldo Graña, Latifa Bakiri, Isabel Ruppen, Pilar Ximénez-Embún, Vinayata Sheshappanavar, Manuel Rodriguez- Justo, David G. Pisano, Erwin F. Wagner & Nabil Djouder. of De Novo NAD Synthesis by Oncogenic URI Causes Tumorigenesis through . , November 2014 DOI: 10.1016/j.ccell.2014.10.002

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