Chemicals classified as PPAN activators are implicated in the upregulation of PPAN through indirect mechanisms, primarily by influencing mitochondrial biogenesis and maintenance pathways. These compounds engage in cellular signaling cascades that ultimately demand enhanced mitochondrial functionality, where PPAN plays an essential role. For instance, resveratrol, through the activation of SIRT1, leads to the deacetylation of the transcriptional coactivator PGC-1α, a pivotal player in mitochondrial biogenesis. The deacetylation activates PGC-1α, which in turn can stimulate the transcription of genes involved in mitochondrial DNA replication and repair, potentially enhancing the need for PPAN's activity. Similarly, compounds like AICAR and metformin exert their effects through the activation of AMP-activated protein kinase (AMPK), a cellular energy sensor that responds to increased energetic demands by promoting PGC-1α activity. This activation is part of a broader adaptive response that includes the upregulation of mitochondrial biogenesis, which is hypothesized to involve PPAN for efficient mitochondrial DNA maintenance.
Further in the spectrum of PPAN activators are compounds like bezafibrate and alpha-lipoic acid, which activate peroxisome proliferator-activated receptors (PPARs) and improve mitochondrial function, respectively. PPARs are nuclear receptors that regulate the expression of genes involved in energy metabolism, and their activation can lead to increased mitochondrial biogenesis. Alpha-lipoic acid is known for its role in enhancing mitochondrial bioenergetics, thus potentially increasing the cellular requirements for PPAN. NAD+ precursors such as nicotinamide riboside elevate cellular NAD+ levels, which in turn enhances the activity of SIRT1, linking again to the PGC-1α pathway. Other components of this chemical class, including sulforaphane, coenzyme Q10, creatine, pterostilbene, and quercetin, modulate different facets of mitochondrial function, from antioxidant defense to energy synthesis.
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