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In 1958, Jack Preiss and Philip Handler published a scientific paper describing how NAD+ was made from niacin in three steps.(1) This pathway was later named the Preiss-Handler pathway after the co-discoverers. It describes the enzyme steps needed to convert niacin into the NAD+ molecule.
The salvage pathway is used to produce NAD+ from nicotinamide molecules. Whether the source of the nicotinamide is vitamin B3 (as niacinamide), newer nicotinamides (e.g., nicotinamide riboside [NR], nicotinamide mononucleotide [NMN]), or molecules in food that get broken down during digestion into nicotinamide, the salvage pathway turns them into NAD+ in our tissues.
Most organisms have several alternatives for producing the NAD+ molecule. In humans, there are three major NAD+ biosynthesis pathways: the De Novo Pathway, starting from the essential amino acid L-tryptophan; the Preiss-Handler pathway, using niacin (nicotinic acid); and the Salvage Pathway from niacinamide (nicotinamide). In this article, we’ll be covering the De Novo Pathway.
Many people who are health conscious have likely heard of the benefits you can get from vitamin B6. Including vitamin B6 in your diet is relatively easy as you can find it in foods such as bread, pork, fish, eggs, and wholegrain cereals. These foods, however, may have depleted amounts of vitamin B6, in part because food preparation can lower that amount. Food that is frozen, canned, cooked, or processed usually leads to a lower level of vitamin B6 that you would get otherwise, so other dietary strategies should be pursued. For that reason, many people are choosing to include pyridoxal-5-phosphate (P5P) as part of their diet.