Evidence map›Paper›PMID 42048163›Full record

Trial reportJCI insight2026

NAD+ augmentation by nicotinamide riboside engages SLIT2/ROBO1 signaling to attenuate Th17 inflammation in psoriasis.

Kim Han, Rachael J Klein, Thomas C Recupero, Anna Chiara Russo, Rahul Sharma, Anand K Gupta, Shahin Hassanzadeh, Rebecca D Huffstutler, Pradeep K Dagur, Bryan Fisk and 2 more

4 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in JCI insight, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00001846 recruitingnot on this map

Collection and Distribution of Blood Components From Healthy Donors for In Vitro Research Use

TypeobservationalSponsorNational Institutes of Health Clinical Center (CC)Ran2001Enrolled5,000ConditionsBlood Donors, Research Subjects, Apheresis
NCT01143454 recruitingnot on this map

Cardiovascular Disease Discovery Protocol

TypeobservationalSponsorNational Heart, Lung, and Blood Institute (NHLBI)Ran2010Enrolled5,000ConditionsMetabolic Disease, Obesity, Li-Fraumeni Syndrome, CardiomyopathyArmsNSR IDE-MRI: Research pulse sequences
NCT01778569 completednot on this map

Human Translational Studies of Inflammation and Cardiometabolic Diseases: The Psoriasis, Atherosclerosis and Cardiometabolic Disease (PACI) Initiative

TypeobservationalSponsorNational Heart, Lung, and Blood Institute (NHLBI)Ran2013Enrolled386ConditionsMetabolic Disease, Cardiovascular Disease, Inflammation, Psoriasis
NCT04271735 nacompletednot on this map

Pilot Study to Evaluate the Effect of Nicotinamide Riboside on Immune Activation in Psoriasis

TypeinterventionalSponsorNational Heart, Lung, and Blood Institute (NHLBI)Ran2020 to 2022Enrolled29ConditionsPsoriasis, Atherosclerotic Cardiovascular Disease, Obesity, DyslipidemiaArmsNiagen, Placebo
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Kim HanLaboratory of Mitochondrial Biology and Metabolism, NHLBI.
Rachael J KleinLaboratory of Mitochondrial Biology and Metabolism, NHLBI.
Thomas C RecuperoLaboratory of Mitochondrial Biology and Metabolism, NHLBI.
Anna Chiara RussoLaboratory of Mitochondrial Biology and Metabolism, NHLBI.
Rahul SharmaLaboratory of Mitochondrial Biology and Metabolism, NHLBI.
Anand K GuptaLaboratory of Mitochondrial Biology and Metabolism, NHLBI.
Shahin HassanzadehLaboratory of Mitochondrial Biology and Metabolism, NHLBI.
Rebecca D HuffstutlerCardiovascular Branch, NHLBI.
Pradeep K DagurFlow Cytometry Core Facility, NHLBI, and.
Bryan FiskIntegrated Data Science Section, NIAID, NIH, Bethesda, Maryland, USA.
Neelam R RedekarIntegrated Data Science Section, NIAID, NIH, Bethesda, Maryland, USA.
Michael N SackLaboratory of Mitochondrial Biology and Metabolism, NHLBI.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUNDEnhancing NAD+ levels with nicotinamide riboside (NR) confers antiinflammatory effects in human disease, although immunoregulatory mechanisms remain poorly characterized. We previously showed that ex vivo NR supplementation of primary CD4+ T cells from psoriatic individuals dampened immune responsiveness.METHODSTo validate this in vivo, we performed a randomized, placebo-controlled NR supplementation study in individuals with mild-to-moderate psoriasis. Participants received oral NR (500 mg twice daily) or matching placebo for 4 weeks, with blood samples collected at baseline and after supplementation. NR reduced Th17 immune responsiveness.RESULTSBulk CD4+ T cell RNA-seq identified induction of the SLIT-ROBO signaling pathway. NR supplementation increased circulating SLIT2 levels and enhanced SLIT2 production in dermal fibroblasts. Pharmacologic and genetic interrogation in CD4+ T cells and fibroblasts demonstrated that SLIT2, acting through the ROBO1 receptor, inhibited Rho GTPase signaling, thereby attenuating canonical Th17 polarization and fibroblast inflammatory activation.CONCLUSIONThese findings indicate that NAD+ augmentation exerts anti-inflammatory effects in psoriasis through SLIT2-ROBO1-mediated crosstalk between dermal fibroblasts and circulating CD4+ T cells, leading to suppression of Th17-driven inflammation.TRIAL REGISTRATIONClinicalTrials.gov NCT04271735 (registration date - 2020-08026), NCT01143454 (registration date - 2010-07-21), NCT01778569 (registration date - 2013-01-22), and NCT00001846 (registration date - 2001-01-11).FUNDINGThe NHLBI Division of Intramural Research (HL005102 - MNS).

Indexed as

Intercellular Signaling Peptides and ProteinsNADNerve Tissue ProteinsNiacinamidePsoriasisReceptors, ImmunologicSlit Homolog 2 ProteinTh17 CellsAdultCD4-Positive T-LymphocytesDouble-Blind MethodFemaleFibroblastsHumansInflammationMaleIntercellular Signaling Peptides and ProteinsNADNerve Tissue ProteinsNiacinamidenicotinamide-beta-ribosidePyridinium CompoundsReceptors, ImmunologicRoundabout ProteinsSlit Homolog 2 ProteinAdaptive immunityClinical trialsDermatologyImmunologySignal transduction

Identifiers

PMID42048163
PMCPMC13313537

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.