Niagen Bioscience cites study linking CD38 to placental NAD+ decline
- Independent study in Nature Communications identifies CD38 enzyme as primary driver of NAD+ decline in aging placental tissue
- Research across human, mouse, and pig models shows older mothers have lower placental NAD+, NADH, and NADP+ levels
- Oral nicotinamide riboside (NR) or CD38 inhibition restored NAD+ and improved fetal growth in aged pregnant mice
- Niagen Bioscience states it did not conduct, fund, or design the study and its proprietary ingredient was not used

*this image is generated using AI for illustrative purposes only.
Niagen Bioscience (NASDAQ: NAGE) highlighted independent preclinical research published in Nature Communications identifying the CD38 enzyme as a primary driver of age-related NAD+ decline in placental tissue.
The study, led by researchers at Sichuan Agricultural University, analyzed human, mouse, and pig models. It found that older mothers exhibited lower levels of NAD+, NADH, and NADP+ in placental tissue compared to younger mothers. Higher metabolite levels correlated with higher infant birth weights across species.
Andrew Shao, PhD, Senior Vice President of Global Scientific and Regulatory Affairs at Niagen Bioscience, stated the paper demonstrated age-related decline in placental tissue NAD+, reaffirmed that CD38 consumes both NAD+ and NMN, and showed the positive reproductive effects of increasing NAD+ with NR.
Mechanism and Precursor Dynamics
The research identified CD38-expressing macrophages accumulating in aged placental tissue as the source of depletion. These cells consumed NAD+ from neighboring decidual stromal cells. The authors noted that CD38 acts extracellularly, degrading precursors before they can enter cells. CD38 is a multifunctional ectoenzyme whose expression increases with age, particularly on immune cell surfaces, contributing to metabolic changes and inflammation.
The study distinguished between two NAD+ precursors:
- Nicotinamide mononucleotide (NMN): CD38 degrades NMN outside the cell. Because NMN carries a phosphate group, it cannot cross the cell membrane intact and remains exposed to degradation.
- Nicotinamide riboside (NR): Previous research cited by the authors indicates NR inhibits CD38 activity. Consequently, NR is not consumed by CD38 outside the cell.
Experimental Outcomes
In aged pregnant mice, oral NR administration or CD38 inhibition restored placental NAD+ levels. This intervention improved fetal growth and shifted placental gene expression toward a younger profile. The company clarified it did not conduct, fund, or design the study, nor was its proprietary Niagen ingredient used.
What the Numbers Show
The data reveals a divergence in precursor efficacy based on enzymatic activity. While both NMN and NR aim to boost NAD+, the presence of high CD38 activity creates a barrier for NMN due to extracellular degradation. NR’s dual role as a precursor and CD38 inhibitor suggests a structural advantage in tissues where this enzyme is overactive, such as aged or inflamed placental tissue.
Broader Research Context
The findings align with a broader body of preclinical evidence regarding NR and reproductive endpoints. Previous studies listed by the company include:
- Improved mitochondrial function in PCOS patients (Wang et al., 2021).
- Enhanced lactation and offspring development in sow models (Huang et al., 2025/2026).
- Reversal of ovarian aging and improved oocyte quality in mice (Yang et al., 2020/2023; Li et al., 2022).
- Protection against gestational hypoxia effects in fetal guinea pigs (Thompson et al., 2023).
Will regulatory agencies like the FDA accept preclinical placental data as sufficient evidence to support clinical trials for NR in maternal health?
How might the demonstrated structural advantage of NR over NMN in CD38-rich environments impact the competitive landscape of the NAD+ precursor supplement market?
What is the timeline for Niagen Bioscience to initiate human clinical trials specifically targeting age-related fertility and placental health outcomes?

































