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Preliminary exploration of acute limit toxicity testing for nicotinamide mononucleotide in the neonatal population.

Overview

Authors: Hongting Cao1,2, Xinyu Ge2, Mingxuan Cui3, Li Bao4, Lijun Ma2, Jinhai Gu5, Ruijuan Xin4, Guanghua Li1,2, Li Bi6, Fengchen Bi2
  1. School of Public Health, Ningxia Medical University, Yinchuan, Ningxia, China
  2. School of Basic Medicine, Ningxia Medical University, Yinchuan, Ningxia, China
  3. The First Clinical Medical College, Ningxia Medical University, Yinchuan, Ningxia, China
  4. People’s Hospital of Ningxia Hui Autonomous Region, Ningxia Medical University, Yinchuan, China
  5. Key Laboratory of Cerebrocranial Disease, Ningxia Medical University, Yinchuan, Ningxia, China
  6. School of Information Engineering, Ningxia University, Yinchuan, China
Journal: Frontiers in pharmacology, volume 17, article 1773471
Dates: received 22 December 2025; accepted 15 April 2026; published online 28 May 2026
Type: Research article · Language: English
License: CC BY
Identifiers: DOI 10.3389/fphar.2026.1773471 · PMID 42292811 · PMCID PMC13254182 · OpenAlex W7162644324
Open access: gold, a free copy (OpenAlex)
Status: data only
Categories: genetics / omics (modality), human (organism), developmental (subfield)
Methods: Statistics
Keywords: drug toxicity, neonates, nervous system, developmental toxicity, NMN
Topic: Sirtuins and Resveratrol in Medicine (Geriatrics and Gerontology, Medicine), according to OpenAlex
Citations: not cited yet (Europe PMC); 63 references in the paper

Abstract

Introduction: This study investigated the potential toxicity of nicotinamide mononucleotide (NMN) during the neonatal period, a critical and vulnerable developmental window. While NMN, a precursor of NAD+, has demonstrated safety and therapeutic potential in adults, its toxicological effects on newborns remain unclear.

Methods: We conducted an acute limit toxicity test to evaluate the impact of NMN on vital organs (liver, kidney, and central nervous system) in neonatal mice.

Results: Under these experimental conditions, no significant acute toxicity was observed, with no histopathological damage or serum biochemical abnormalities detected in the major organs. However, high-throughput transcriptome sequencing revealed subtle yet specific gene expression perturbations, involving liver proliferation signal regulation, kidney adaptation to excretory load, and brain suppression of neuroinflammation alongside coordinated growth and metabolism.

Discussion: Despite the absence of overt histopathological or clinical toxicity, transcriptomic analysis revealed that a single high-dose NMN exposure may induce early molecular-level stress and compensatory adjustments in neonates. These findings provide crucial preliminary experimental evidence and transcriptomic insights for assessing NMN safety in early life, highlighting the need for future studies on long-term, subchronic, and chronic effects, while noting that the results cannot be directly extrapolated to human infants.

Reproduced under the paper's license (CC BY), from the paper cited above.

Code

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Data

Datasets cited

Data availability statement

The data presented in the study are deposited in the SRA repository, accession number PRJNA1461357 (https://www.ncbi.nlm.nih.gov/bioproject/PRJNA1461357).

Reproduced under the paper's license (CC BY), from the paper cited above.

Versions

The history of this record: each version stored by the harvester or made by a correction of its authors or of the maintainers of its code, and what changed in its facts. The texts of the paper (its abstract, its availability statements) are not part of it; versions that changed only those are not listed.

Version 1, 28 September 2026: the first record

Recorded: type, language, journal, volume, pages, dates, 10 authors, 5 keywords, 59 references.

Cite

This paper

Cao, H., Ge, X., Cui, M., Bao, L., Ma, L., Gu, J., Xin, R., Li, G., Bi, L., & Bi, F. (2026). Preliminary exploration of acute limit toxicity testing for nicotinamide mononucleotide in the neonatal population. Frontiers in pharmacology, 17, 1773471. https://doi.org/10.3389/fphar.2026.1773471

BibTeX

@article{cao2026preliminary,
author = {Cao, Hongting and Ge, Xinyu and Cui, Mingxuan and Bao, Li and Ma, Lijun and Gu, Jinhai and Xin, Ruijuan and Li, Guanghua and Bi, Li and Bi, Fengchen},
title = {{Preliminary exploration of acute limit toxicity testing for nicotinamide mononucleotide in the neonatal population}},
journal = {Frontiers in pharmacology},
year = {2026},
month = may,
volume = {17},
pages = {1773471},
publisher = {Frontiers Media SA},
issn = {1663-9812},
doi = {10.3389/fphar.2026.1773471},
url = {https://doi.org/10.3389/fphar.2026.1773471},
pmid = {42292811},
pmcid = {PMC13254182}
}

RIS

TY - JOUR
AU - Cao, Hongting
AU - Ge, Xinyu
AU - Cui, Mingxuan
AU - Bao, Li
AU - Ma, Lijun
AU - Gu, Jinhai
AU - Xin, Ruijuan
AU - Li, Guanghua
AU - Bi, Li
AU - Bi, Fengchen
TI - Preliminary exploration of acute limit toxicity testing for nicotinamide mononucleotide in the neonatal population
T2 - Frontiers in pharmacology
J2 - Front Pharmacol
PY - 2026
DA - 2026/05/28
VL - 17
SP - 1773471
SN - 1663-9812
PB - Frontiers Media SA
DO - 10.3389/fphar.2026.1773471
UR - https://doi.org/10.3389/fphar.2026.1773471
LA - en
ER -

CSL-JSON

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