Trigonelline Increases NAD, Improves Muscle Function, And Extends Lifespan

This sounds like a new compound being worked on in Bryan Kennedy’s group:

NATIONAL UNIVERSITY OF SINGAPORE, YONG LOO LIN SCHOOL OF MEDICINE

A research consortium led by Nestlé Research in Switzerland and the Yong Loo Lin School of Medicine, National University of Singapore (NUS Medicine) made a recent discovery that the natural molecule trigonelline present in coffee, fenugreek, and also in the human body, can help to improve muscle health and function. In an international collaboration among the University of Southampton, University of Melbourne, University of Tehran, University of South Alabama, University of Toyama and University of Copenhagen, the work builds on a previous collaborative study that described novel mechanisms of human sarcopenia.

Sarcopenia is a condition where cellular changes that happen during ageing gradually weaken the muscles in the body and lead to accelerated loss of muscle mass, strength and reduced physical independence.

One important problem during sarcopenia is that the cellular cofactor NAD+ declines during ageing, while mitochondria, the energy powerhouses in our cells, produce less energy. The study team discovered that levels of trigonelline were lower in older people with sarcopenia. Providing this molecule in pre-clinical models resulted in increased levels of NAD+, increased mitochondrial activity and contributed to the maintenance of muscle function during ageing.

NAD+ levels can be enhanced with different dietary precursors like the essential amino acid L-tryptophan (L-Trp), and vitamin B3 forms such as nicotinic acid (NA), nicotinamide (NAM), nicotinamide riboside (NR) and nicotinamide mononucleotide (NMN).

Assistant Professor Vincenzo Sorrentino from the Healthy Longevity Translational Research Programme at NUS Medicine added, “Our findings expand the current understanding of NAD+metabolism with the discovery of trigonelline as a novel NAD+ precursor and increase the potential of establishing interventions with NAD±producing vitamins for both healthy longevity and age-associated diseases applications”.

Nutrition and physical activity are important lifestyle recommendations to maintain healthy muscles during ageing. “We were excited to discover through collaborative research that a natural molecule from food cross-talks with cellular hallmarks of ageing. The benefits of trigonelline on cellular metabolism and muscle health during ageing opens promising translational applications,” said Jerome Feige, Head of the Physical Health department at Nestlé Research.

The journal paper, titled Trigonelline is an NAD+ precursor that improves muscle function during ageing and is reduced in human sarcopenia, was published in Nature Metabolism on 19 March 2024.

Trigonelline is an alkaloid with chemical formula C7H7NO2. It is a zwitterion formed by the methylation of the nitrogen atom of niacin (vitamin B3). Trigonelline is a product of niacin metabolism that is excreted in the urine of mammals.[1]

Trigonelline occurs in many plants. It has been isolated from the Japanese radish[2] (Raphanus sativus cv. Sakurajima Daikon), fenugreek seeds (Trigonella foenum-graecum, hence the name),[3] garden peas, hemp seed, oats,[4] potatoes, Stachys species, dahlia,[5] Strophanthus species,[6] and Dichapetalum cymosum.[7] Trigonelline is also found in coffee.[8] Higher levels of trigonelline are found in arabica coffee.

Holtz, Kutscher, and Theilmann have recorded its presence in a number of animals.[9]

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FWIW
https://www.sciencedirect.com/topics/pharmacology-toxicology-and-pharmaceutical-science/trigonelline

Vincenzo Sorrentino is an Italian-born scientist in the fields of aging, mitochondrial biology, and neuromuscular degeneration. He is an Assistant Professor at the NUS, in the Department of Biochemistry and the Healthy Longevity TRP, Yong Loo Lin School of Medicine, where he develops his research on the link between metabolism, nutrition, and proteostasis, and their impact on health and aging. At the 6th #TimepieLongevityForum, Dr. Sorrentino highlighted #trigonelline as a novel, stable NAD⁺ modulator, showing that supplementation consistently increases #NAD⁺ levels across species—from human cells to C. elegans and mice.

Gemini Pro AI Summary and Analysis of this video:

Here is the summary and analysis of the provided transcript.

Trigonelline: A Novel NAD+ Precursor for Sarcopenia and Kidney Disease

A. Executive Summary

This presentation by Dr. Vincenzo Sorrentino (National University of Singapore, formerly Nestlé Research) introduces Trigonelline as a newly identified NAD+ precursor with specific efficacy for muscle aging (sarcopenia) and diabetic kidney disease. The speaker begins by establishing the “NAD+ deficit” theory of aging, noting that while current precursors like Nicotinamide Riboside (NR) and Nicotinamide Mononucleotide (NMN) are popular, they suffer from instability in serum and rapid degradation into Nicotinamide (NAM).

Through metabolomic screening of human sarcopenic cohorts, Sorrentino’s team discovered that serum levels of Trigonelline were significantly depleted in frail elderly individuals and correlated positively with muscle strength and mitochondrial function.

Mechanistically, the presentation demonstrates that Trigonelline enters the NAD+ cycle via the Preiss-Handler pathway(distinct from the salvage pathway used by NR/NMN) and is chemically stable in serum. In preclinical models (C. elegans, mice, and zebrafish), Trigonelline treatment restored NAD+ levels, improved muscle grip strength, and protected kidney proximal tubules from diabetic damage. The core thesis is that Trigonelline represents a stable, bioavailable alternative to current NAD+ boosters, specifically targeting mitochondrial health in muscle and kidney tissues.

B. Bullet Summary

  • Sarcopenia Definition: Defined clinically not just by low muscle mass, but by the triad of low mass, low grip strength, and slow gait speed.
  • NAD+ Instability: The speaker presents data showing that popular precursors NR and NMN degrade rapidly (within hours) into Nicotinamide (NAM) when exposed to human serum at 37°C.
  • Trigonelline Discovery: Identified via metabolomics as a metabolite significantly reduced in humans with sarcopenia and diabetic kidney disease (DKD).
  • Mechanism of Action: Unlike NR/NMN (Salvage Pathway), Trigonelline utilizes the Preiss-Handler Pathway(similar to Niacin) to synthesize NAD+.
  • Mitochondrial Link: Trigonelline levels correlates strongly with the upregulation of mitochondrial gene sets involved in bioenergetics.
  • Muscle Efficacy: In aged mice, dietary Trigonelline supplementation for 12 weeks preserved muscle strength and reduced fatigue.
  • Kidney Protection: In diabetic models, Trigonelline protected the proximal tubules (the most metabolically active part of the kidney) and reduced albuminuria (protein leakage).
  • Zebrafish Model: A transgenic zebrafish model visually demonstrated that Trigonelline prevents protein leakage from the kidney into the water during cisplatin-induced injury.
  • Stability Advantage: Trigonelline is chemically stable in the blood, avoiding the rapid breakdown seen with nucleotide-based precursors (NR/NMN).
  • Clinical Gap: While human observational data exists (correlation), interventional clinical trials for Trigonelline in humans are still needed.

D. Claims & Evidence Table (Adversarial Peer Review)

Claim from Video Speaker’s Evidence Scientific Reality (Best Available Data) Evidence Grade Verdict
“Trigonelline is a novel NAD+ precursor.” Blockade of Salvage vs. Preiss-Handler pathways in vitro confirms NAD+ synthesis via the latter. Validated in Nature Metabolism(Sorrentino et al., 2024). It is methylated niacin. A (Peer-Reviewed) Strong Support
“NR and NMN degrade rapidly to NAM in serum.” Internal metabolomics data showing degradation within <24 hours. Controversial but supported. Liu et al. (2018) showed NMN dephosphorylation to NR/NAM in plasma. Stability is a known issue. B (Biochem) Plausible/Strong
“Trigonelline improves muscle strength in aging.” Mouse data (grip strength) and C. eleganslifespan/mobility data. Strong preclinical data. Human association data exists, but no RCT proving causation in humans yet. D (Animal/Obs) Promising (Translational Gap)
“Trigonelline protects against Diabetic Kidney Disease.” Mouse transcriptomics (proximal tubule) and Zebrafish leakage models. Mechanism (mitochondrial support in high-energy tubules) is sound. Efficacy limited to animal models so far. D (Animal) Speculative (in Humans)
“Niacin cures mitochondrial myopathy.” Cites Finnish study (Pirinen et al., 2020). True. High-dose Niacin effectively treats adult-onset mitochondrial myopathy, though side effects (flushing) limit general use. B (Human RCT) Strong Support

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E. Actionable Insights (Pragmatic & Prioritized)

Top Tier (High Confidence)

  • Focus on Mitochondrial Health for Sarcopenia:
    • Insight: Muscle loss is driven by mitochondrial failure.
    • Protocol: Prioritize Zone 2 cardio and Resistance Training, which are the only proven physiological drivers of mitochondrial biogenesis in humans, regardless of supplementation.
  • Monitor Kidney Function in Metabolic Disease:
    • Insight: 50% of diabetics develop kidney disease.
    • Protocol: If you are pre-diabetic or insulin resistant, monitor Albuminuria (uACR ratio) and Cystatin Calongside HbA1c, as kidney metabolic failure is a silent driver of aging.

Image of kidney nephron structure

Getty Images

Experimental (Risk / Reward)

  • Trigonelline Sources (Coffee & Fenugreek):
    • Context: While the speaker discusses purified Trigonelline, it is naturally abundant in Fenugreek seeds and Coffee (Arabica beans).
    • Protocol: Consumption of moderate coffee or fenugreek extracts may provide this metabolite, though dosages for NAD+ boosting in humans are not yet established.
  • Niacin (Vitamin B3) for NAD+:
    • Context: The speaker highlights Niacin’s efficacy via the same pathway (Preiss-Handler) as Trigonelline, noting it works well if you can tolerate the “flush.”
    • Protocol: Low-cost alternative to NR/NMN, but requires medical supervision due to vascular effects (flushing) and potential glucose elevation.

AVOID (Safety Flags)

  • Over-reliance on Unstable Precursors:
    • Insight: Be skeptical of liquid NR/NMN preparations or non-encapsulated forms, as the speaker’s data confirms rapid degradation into standard Nicotinamide (NAM).

H. Technical Deep-Dive

The NAD+ Pathway Divergence

The speaker differentiates Trigonelline from current market leaders (NR/NMN) based on the entry point into NAD+ biosynthesis.

  1. The Salvage Pathway (NR / NMN / NAM):
  • Most commercial boosters use this route.
  • Mechanism: Nicotinamide (NAM) → NMN → NAD+.
  • Bottleneck: This pathway is often rate-limited by the enzyme NAMPT. The speaker argues that NR and NMN degrade back into NAM in the blood, essentially serving as expensive delivery mechanisms for NAM.
  1. The Preiss-Handler Pathway (NA / Trigonelline):
  • Mechanism: Trigonelline (Methylated Niacin) → Niacin (NA) → Nicotinic Acid Mononucleotide (NAMN) → NAAD → NAD+.
  • Enzymes: Relies on NAPRT.
  • Significance: By utilizing a different enzymatic entry point, Trigonelline can bypass NAMPT bottlenecks and avoids the feedback inhibition often seen in the salvage pathway. It provides a distinct “fuel line” for mitochondrial NAD+ production.

Kidney Proximal Tubule Bioenergetics

The talk highlights the Proximal Tubule of the kidney.

  • Function: This section of the kidney reabsorbs glucose, amino acids, and water. It is extremely energy-demanding and rich in mitochondria.
  • Pathology: In diabetes/aging, these mitochondria fail (NAD+ depletion), leading to cell death and protein leakage (albuminuria).
  • Intervention: Trigonelline specifically upregulates mitochondrial gene expression in this tissue, preserving the energetic capacity required to filter blood without cellular injury.

I. Fact-Check

  • Speaker Identity: Dr. Vincenzo Sorrentino, Assistant Professor at NUS. The transcript mentions his move from Nestlé Research to Brian Kennedy’s lab, which aligns with his public CV.
  • Trigonelline Chemistry: True. Trigonelline is chemically N-methylnicotinic acid. It is a major alkaloid in coffee and fenugreek.
  • Nature Metabolism Study: True. The study “Trigonelline is an NAD+ precursor that improves muscle function during ageing and is reduced in human sarcopenia” was published in Nature Metabolism in March 2024.
  • Niacin & Mitochondria: True. The “Finnish study” referred to is Pirinen et al. (2020), Cell Metabolism, which showed Niacin cured NAD+ deficiency in mitochondrial myopathy patients.
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Fantastic comparison of Trigonelline supplements :grinning:

For reference, Mortalis Labs Trigonelline is $39.99 as a standard purchase, or $35.99 with subscription. I haven’t checked to see whether or not others have a subscription although I suspect they probably do.

Is it worth adding columns to note the delivery mechanism (liposomal, enteric, standard), the form of Trigonelline (hydrochloride vs methylated niacin vs fenugreek extract), and presence of fillers and additives?

Mortalis Labs Trigonelline is Trigonelline Hydrochloride. Neurogan used to have Trigonelline Hydrochloride tablets but I see they’ve discontinued this in favor of formulating a fenugreek extract. I believe the others on this list use Methylated Niacin. ML trig doesn’t have any fillers or additives.

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Comparison of Trigonelline Hydrochloride Versus Trigonelline Methylated Niacin

Chemically, trigonelline hydrochloride and trigonelline methylated niacin are forms of the same active cation but in different solid state salt forms. The meaningful differences involve physical stability in solid form, shelf life, and formulation properties, not the intrinsic biological action of the molecule once absorbed.

What Are We Comparing

Trigonelline methylated niacin (trigonelline base)
This is the inner salt and active nicotinic acid N-methylbetaine. It is often referred to simply as trigonelline. A useful reference for its identity is the Wikipedia page for trigonelline.
Source: Wikipedia, Trigonelline [Wikipedia contributors]

Trigonelline hydrochloride
This is the hydrochloride salt form of trigonelline where the same cation is paired with a chloride counterion.
Source: Sigma Aldrich, Trigonelline Hydrochloride Substance Page

Both forms deliver the same active trigonelline species in solution.

Stability and Solid State Properties

Trigonelline Methylated Niacin Physical Properties

Trigonelline crystallizes as a monohydrate with documented hygroscopic behavior when crystallized from aqueous solvents. It tends to take up moisture from air and shows a lower decomposition temperature compared with many salt forms. A patent filing discussing properties of trigonelline crystallization notes hygroscopic character.
Source: Google Patents, WO2017001991A1 Crystallization of Trigonelline [2017]

A vendor lists trigonelline (base) with an approximate 730 day shelf life under appropriate storage conditions.
Source: Lab Solu, Trigonelline Product Page [Lab Solu]

Trigonelline Hydrochloride Stability

Safety data sheets for trigonelline hydrochloride note the material is stable under normal ambient and anticipated storage conditions of temperature and pressure.
Source: Carl Roth, Safety Data Sheet SDB_5413 [Carl Roth]

A product data page for lyophilized trigonelline hydrochloride indicates stability of up to 36 months at −20 degrees C.
Source: Adooq Bioscience, Trigonelline Hydrochloride Product Page [Adooq]

Other manufacturer safety data sheets also describe the HCl form as stable under recommended storage conditions.
Source: Sinophytochem, Trigonelline Hydrochloride MSDS [Sinophytochem]

The HCl form generally has a higher melting point and is less hygroscopic than the base form.

Shelf Life Comparisons

There are no direct peer reviewed controlled studies on shelf life comparing the two forms. Based on vendor documentation:

Trigonelline hydrochloride can display multi year stability when stored under appropriate conditions and is described as stable under normal storage conditions in safety documents.

Trigonelline base is also multi-year stable when stored appropriately but is often described by analytical vendors with shorter or more cautious shelf life windows, reflecting its hygroscopic nature and sensitivity to humidity.

Both forms can achieve multi year stability in sealed containers, but formulations and storage conditions will strongly influence real world shelf life.

Absorption and Bioavailability

It is important to separate the intrinsic absorption of the trigonelline molecule from any effects of the salt form.

Solubility and Transport Considerations

Trigonelline itself is a highly polar, water soluble molecule. Its predicted logP of approximately −1.1 reflects this.
Source: Chemeo, Trigonelline Chemical Data Sheet [Chemeo]

Once dissolved in the gastrointestinal tract, both the base and HCl forms will present the same trigonelline cation to the absorption environment. The counterion in the solid form is not present once dissolved.

Experimental Pharmacokinetic Data

There documented in vivo pharmacokinetic studies of trigonelline that do not specify differential salt forms but show that orally administered trigonelline is absorbed into plasma in both animals and humans.

A rabbit pharmacokinetic study using trigonelline from plant extract reported oral absorption with high estimated bioavailability.
Source: ResearchGate, Determination of Trigonelline by HPLC and Study on Its Pharmacokinetics [Zhao et al.] [year unavailable]

A human pharmacokinetic study reports trigonelline plasma Tmax of about 1 hour and a half life in the range of 13.7 hours.
Source: PubMed, Human Pharmacokinetics of Trigonelline [Mohamadi et al.] [2021]

Separate research in a mouse Alzheimer model showed trigonelline in cerebral cortex after oral dosing, demonstrating systemic absorption and brain penetration.
Source: Nature, Scientific Reports Trigonelline Neuroprotection Study [Farid et al.] [2020]

A high impact recent study identified trigonelline as an NAD plus precursor, showing elevation of NAD plus levels in skeletal muscle in animal models and associations with strength in human cohorts.
Source: Nature Metabolism, Trigonelline as an NAD+ Precursor [Membrez et al.] [2024]

None of these studies compare base versus hydrochloride salt forms in head to head pharmacokinetic measurements.

Salt Form and Absorption

Physicochemical principles suggest that once both forms dissolve in the aqueous environment of the stomach and small intestine, the same active trigonelline species is available for absorption. The trigonelline cation is highly soluble and likely absorbed via carrier mediated transport as well as possibly by diffusion, though this area remains under investigation.

There is no direct published evidence that trigonelline hydrochloride itself is significantly better absorbed than trigonelline base. Claims that one form has superior bioavailability are theoretical extrapolations and are not supported by comparative human or animal pharmacokinetic studies.

Summary of Comparisons

Stability and solid state behavior
Trigonelline hydrochloride is generally less hygroscopic and documented to be stable under typical storage conditions according to safety data sheets and vendor information. The base form tends to be more hygroscopic and may require stricter humidity control.

Shelf life
Both forms can be multi year stable if formulated and stored appropriately. Vendors often list similar expiry windows for hydrochloride salt forms and slightly shorter or more cautious labels for trigonelline base.

Absorption and bioavailability
Both forms present the same active trigonelline species in solution. The published pharmacokinetic data on trigonelline absorption is for the molecule itself and does not differentiate between salt forms. There is no direct evidence that trigonelline hydrochloride is significantly better absorbed by the body compared with trigonelline base.

Biological action
All studies showing trigonelline absorption, systemic exposure, brain penetration, and metabolic effects relate to trigonelline itself. The salt form is a formulation choice and does not change the identity of the active molecule once dissolved.

Conclusion: Evaluating The Differences Between Trigonelline Hydrochloride and Trigonelline Methylated Niacin

In conclusion, trigonelline hydrochloride offers formulation advantages in stability and shelf life without changing the biological actions or absorption profile of the active trigonelline molecule. Trigonelline Hydrochloride and Trigonelline Methylated Niacin ultimately deliver the same biologically active trigonelline once dissolved in the gastrointestinal tract.

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I’ve tried this one (renue), but just get headaches like with all NAD+ boosters (it could be the dose to prevent this is lower than the standard dose in these pills). I feel like there is something else missing (possibly in the reporting) and maybe why we don’t see lifespan increase in mice in the ITP studies (for NR).

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