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Article

Alterations in Intestinal Brush Border Membrane Functionality and Bacterial Populations Following Intra-Amniotic Administration (Gallus gallus) of Nicotinamide Riboside and Its Derivatives

Department of Food Science, Cornell University, Ithaca, NY 14853, USA
*
Authors to whom correspondence should be addressed.
These authors contributed equally to this work.
Nutrients 2022, 14(15), 3130; https://doi.org/10.3390/nu14153130
Submission received: 26 April 2022 / Revised: 26 July 2022 / Accepted: 27 July 2022 / Published: 29 July 2022
(This article belongs to the Special Issue Emerging Dietary Bioactives in Health and Disease)

Abstract

:
Nicotinamide riboside (NR) acts as a nicotinamide adenine dinucleotide (NAD+) precursor where NR supplementation has previously been shown to be beneficial. Thus, we synthesized and characterized nicotinamide riboside tributyrate chloride (NRTBCl, water-soluble) and nicotinamide riboside trioleate chloride (NRTOCl, oil-soluble) as two new ester derivatives of nicotinamide riboside chloride (NRCl). NRCl and its derivatives were assessed in vivo, via intra-amniotic administration (Gallus gallus), with the following treatment groups: (1) non-injected (control); and injection of (2) deionized H2O (control); (3) NRCl (30 mg/mL dose); (4) NRTBCl (30 mg/mL dose); and (5) NRTOCl (30 mg/mL dose). Post-intervention, the effects on physiological markers associated with brush border membrane morphology, intestinal bacterial populations, and duodenal gene expression of key proteins were investigated. Although no significant changes were observed in average body weights, NRTBCl exposure increased average cecum weight. NR treatment significantly increased Clostridium and NRCl treatment resulted in increased populations of Bifidobacterium, Lactobacillus, and E. coli. Duodenal gene expression analysis revealed that NRCl, NRTBCl, and NRTOCl treatments upregulated the expression of ZnT1, MUC2, and IL6 compared to the controls, suggesting alterations in brush border membrane functionality. The administration of NRCl and its derivatives appears to trigger increased expression of brush border membrane digestive proteins, with added effects on the composition and function of cecal microbial populations. Additional research is now warranted to further elucidate the effects on inflammatory biomarkers and observe changes in the specific intestinal bacterial populations post introduction of NR and its derivatives.

1. Introduction

The duodenal brush border membrane (BBM), the digestive and absorptive surface of the small intestine, is an essential component of the digestive tract where elucidation of gut health can be ascertained by BBM functionality and morphology [1]. A critical factor in intestine health maintenance is its resident microbiota’s composition and function [1]. The intestinal microbiota comprises trillions of microorganisms that live symbiotically with their host. These microbes play vital roles in the digestive and immunological functions of the gastrointestinal tract by preventing colonization of potentially pathogenic organisms regulating the mucosal immune system, and maintaining intestinal homeostasis [2]. Further, this commensal microbial community contributes to the digestion of dietary fibers and minerals [3,4]; and interacts with epithelial cells to maintain an effective gut barrier [5,6]. Prebiotics, foods fortified with micronutrients such as vitamins and minerals, and polyphenolic compounds such as anthocyanins have been shown to exert positive effects on the growth and activity of bacteria that improve host health [7,8,9,10,11]. These health-promoting food ingredients are fermented to short-chain fatty acids (SCFAs) by specific bacteria in the colon [12,13,14,15]. The presence of SCFAs has been associated with increasing populations of bacteria (i.e., Lactobacillus and Bifidobacterium), acidifying the intestinal luminal pH and subsequently inhibiting the growth of potentially pathogenic bacteria.
Butyrate, a well-studied SCFA, plays a critical role in gastrointestinal tract health, where butyrate is utilized as an energy source for intestinal epithelial cells and can assist in maintaining intestinal epithelium integrity. Moreover, butyrate can protect the host from potential immune and inflammatory diseases associated with the translocation of antigens and pathogens [16]. Increased SCFA production has been associated with increased enterocyte proliferation, demonstrated through increases in villus surface area and enhancements in duodenal BBM functionality [17]. BBM functional capacity dictates the extent of food hydrolysis and micronutrient uptake. Thus, it is essential to examine the interactions between dietary bioactives and the BBM functionality and morphology.
It was previously demonstrated that the Gallus gallus is physiologically relevant in vivo models for evaluating the absorption and bioavailability of biofortified foods and bioactive compounds [18,19,20,21,22,23,24]. Specifically, the intra-amniotic administration approach, where the amniotic fluid is naturally and orally consumed by the embryo, allows for an assessment of the effects of the solution administered into the amniotic fluid on the different systems of interest. Hence, and as was previously demonstrated, this in vivo model has been utilized to study the impact of various biofortified foods, prebiotics, amino acids, carbohydrates, food additives, and antioxidants on BBM morphology and functionality, the intestinal bacterial populations, and mineral status [6,16,17,25,26,27,28,29,30].
Nicotinamide riboside (NR) is a bioavailable form of vitamin B3 naturally present in the diet and acts as a cellular nicotinamide adenine dinucleotide (NAD+) precursor [31,32]. NAD+ is an essential cofactor and substrate for numerous critical cellular processes, where NAD+ precursors were demonstrated to have protective roles in several disease states [33]. NR is reportedly more effective than other NAD+ precursors, such as niacin and nicotinamide [32]. As NR-enriched foods have not yet been identified and well-characterized [34], supplementation of NR as a prebiotic can be a promising option to boost NAD+ levels [31,32,35]. NR supplementation was previously studied, in vivo and in humans, and was found to have beneficial effects, including the reduction of DNA and mitochondria damage [36] and providing therapeutic benefits for Alzheimer’s disease [37], obesity [38,39], diabetes [39,40], muscle degeneration [35], and aging [41].
Moreover, NR has been shown to improve the ability to fight pathogenic infections by increasing the innate immune response [41,42]. Currently, NR is an FDA-approved nutritional supplement and is commercially available as a chloride salt of NR (NRCl) in capsule form under the brand name NiagenTM [43]. Recently, Gonzalez et al. 2020 studied the intra-amniotic administration of NR on myogenesis, where significant beneficial effects were observed with pectoralis muscle development in vivo [34,44]. However, the impact of NR and its derivatives on intestinal health, including BBM functionality and bacterial populations, have not yet been studied.
In this work, for the first time, we studied the functionalization of currently commercially available NRCl to nicotinamide riboside tributyrate chloride (NRTBCl) as a water-soluble derivative and nicotinamide riboside trioleate chloride (NRTOCl) as an oil-soluble derivative (Figure 1). The primary objective of this study was to assess the effects of intra-amniotic administration of NRCl and two new derivatives (NRTBCl and NRTOCl) on BBM functionality via the evaluation of duodenal gene expression of BBM biomarkers, specifically key digestive and absorptive proteins, immune function proteins, and inflammation biomarkers, in vivo. Further, we assessed the effects of NRCl and its new derivatives on cecal bacterial populations. We hypothesized that intra-amniotic administration of NRCl and its derivatives causes favorable alterations in brush border functionality and gut microbiota.

2. Materials and Methods

2.1. Animals

For the following study, a commercial hatchery (Moyer’s chicks, Quakertown, PA, USA) provided Cornish cross-fertile broiler chicken eggs (n = 50). The eggs were incubated under controlled conditions at the Cornell University Animal Science poultry farm incubator. All animal protocols were approved by the Cornell University Institutional Animal Care and Use Committee (IACUC #2020-0077).

2.2. Materials

Nicotinamide riboside chloride (NRCl, beta form) was received as a donation from ChromaDex Company (Los Angeles, CA, USA). Oleoyl chloride, butyric anhydride, and 4-dimethylamino pyridine were purchased from Sigma Aldrich with 89, 98, and 99% purity, respectively. Pyridine was bought from Fluka with 99.9% purity. Silica gel (P60, 40–63 µm, 60 Å) was purchased from SiliCycle (Québec, QC, Canada), and Silica Gel 60 F254 Coated Aluminum-Backed TLC (thin layer chromatography) sheets were obtained from EMD Millipore (Billerica, MA, USA).

2.2.1. Synthesis of Nicotinamide Riboside Tributyrate Chloride (NRTBCl)

Using a round-bottom flask in an ice bath, 300 mg (1.035 mmol) of NRCl, 25 mg of 4-dimethylamino pyridine (0.205 mmol), 1.5 mL of butyric anhydride (9.170 mmol), and 9 mL of acetonitrile (CH3CN) were added and stirred for 5 h under nitrogen blanket. A thin-layer chromatography (TLC) test was employed to track the progress of the reaction. Next, the solvent was evaporated by a rotary evaporator under reduced pressure, and the excess amount of butyric anhydride was washed out with n-hexane. Finally, the crude product was purified by column chromatography on SiO2. The eluent was a mixture of CH3OH (35%) and ethyl acetate (EtOAc) (65%). The purified NR-tributyrate chloride was obtained in 71% (367 mg) as a pale-yellow-colored greasy product (λmax in water was 266 nm).

2.2.2. Synthesis of Nicotinamide Riboside Trioleate Chloride (NRTOCl)

Using a round-bottom flask in an ice bath, 200 mg (0.690 mmol) of NRCl, 0.55 mL (6.81 mmol) of pyridine, and 4.75 mL of dimethylformamide (DMF) were added. Then, 2.0 mL (5.38 mmol) of oleoyl chloride was dropwise added, and the reaction mixture was stirred for 3 h under a nitrogen blanket. A TLC test was used to track the progress of the reaction. After 3 h, 5 mL of methanol was added to the reaction mixture to neutralize the extra amount of oleoyl chloride. After that, the solvent was evaporated using a rotary evaporator under reduced pressure. The crude product was extracted in n-hexane and purified using column chromatography on SiO2. The eluent was a mixture of CH3OH (12%) and EtOAc (88%). The purified NRTOCl was obtained in 64.3% (479.2 mg) as a pale-creamy-colored greasy product (λmax in methanol was 267 nm).

2.3. Characterization of NRTBCl and NRTOCl

2.3.1. Nuclear Magnetic Resonance (NMR) Spectroscopy

A 500 MHz NMR (Bruker AVANCE) spectrometer was used for 1H NMR (500 MHz) and 13C NMR (125 MHz) spectra in deuterated chloroform (CDCl3). The chemical shifts were expressed in δ (ppm) relative to tetramethylsilane (TMS) as the internal standard and coupling constants (J) were measured in Hz. Spin multiplicities were described as singlet (s), doublet (d), triplet (t), quartet (q), and multiplet (m).

2.3.2. Attenuated Total Reflectance—Fourier-Transform Infrared (ATR-FTIR) Spectroscopy

The ATR-FTIR spectra were recorded on a Shimadzu IRAffinity-1S spectrophotometer in transmittance mode in the range of 400–4000 cm−1 wave number.

2.3.3. UV-Vis Spectroscopy

UV-Vis was recorded on a Shimadzu UV-2600 spectrophotometer in the range of 200–800 nm.

2.3.4. Liquid Chromatography-Mass Spectrometry (LC-MS) Analysis

Liquid Chromatograph (Agilent 1100 series) was coupled with a mass spectrometer for LC-MS analysis. Before injection, all samples were passed through a 13 mm nylon syringe filter with a 0.22 μm pore size. Reverse-phase chromatography was used with a Phenomenex Luna Omega (Phenomenex) LC column with the following specifications: 100 × 4.6 mm, 3 µm, polar C18, 100 Å pore size with a flow rate of 0.3 mL min−1. LC eluents include MilliQ-water (solvent A) and acetonitrile (solvent B) using gradient elution (solution A: B composition change with time: 0 min: 95:5, 3 min: 95:5, 15 min: 85:15, 17 min: 90:10, and 20 min 95:5). The mass spectrometer (Finnigan LTQ mass spectrometer) was equipped with an electrospray interface (ESI) set in positive electrospray ionization mode for analyzing the NRTOCl and NRTBCl. The optimized parameters were sheath gas flow rate at 20 arbitrary units, spray voltage set at 4.00 kV, capillary temperature at 350 °C, capillary voltage at 41.0 V, and tube lens set at 125.0 V.

2.3.5. Particle Characterization

The particle size distribution, mean particle diameter (average zeta size), and zeta-potential of NRTOCl in 1% ethanol in DI water were measured using a commercial dynamic light-scattering device (Nano-ZS, Malvern Instruments, Worcestershire, UK).

2.4. Intra-Amniotic Administration Solution Preparation

After the synthesis and characterization of NRTBCl and NRTOCl, these compounds and NRCl were used for intra-amniotic administration. NRCl and NRTBCl were dissolved in DI H2O at 30 mg/mL. NRTOCl was insoluble in water; thus, it was dispersed using 1% ethanol as a cosolvent.

2.5. Intra-Amniotic Administration Procedure and Study Design

The intra-amniotic administration procedure was previously described by Tako et al. [25,28,30,45,46,47,48]. On Day 17 of embryonic incubation, eggs with viable embryos were weighed and allocated into treatment groups (n = 10) with equal weight distribution. The intra-amniotic injection solution (1 mL) was injected with a 21-gauge needle into the amniotic fluid, recognized by candling. Following injection, the injection sites were sterilized with 70% ethanol and sealed with cellophane tape. Eggs were then placed in hatching baskets, with each treatment equally represented at each incubator location. The treatment groups are as follows: (1) non-injected (control); and injection of (2) DI H2O (control); (3) NR (30 mg/mL dose); (4) NRTBCl (30 mg/mL dose); and (5) NRTOCl (30 mg/mL dose).

2.6. Tissue Collection

Immediately post-hatch (Day 21), birds were weighed and euthanized with CO2 exposure. The duodenum, ceca, and pectoral muscles were immediately collected and frozen in liquid nitrogen. Samples were stored at −80 °C until analysis [49].

2.7. Isolation of Total RNA from Chicken Duodenum

Total RNA was extracted from 30 mg of the proximal duodenal tissue using a Qiagen RNeasy Mini Kit (Qiagen Inc., Germantown, MD, USA). Total RNA was eluted in 50 μL of RNase-free water. All steps were carried out under RNase-free conditions. RNA was quantified with a NanoDrop 2000 (ThermoFisher Scientific, Waltham, MA, USA) at A 260/280. RNA was stored at −80 °C until use.

2.8. Real-Time Polymerase Chain Reaction

All procedures were conducted as previously described [30,47,50]. Briefly, the primers used in the real-time polymerase chain reactions (RT-PCR) were designed using Real-time Primer Design Tool software (IDT DNA, Coralville, IA, USA) based on 11 gene sequences from the GenBank database (Table 1). cDNA was generated using a C1000 Touch thermocycler (Biorad, Hercules, CA, USA) and a Promega-Improm-II Reverse Transcriptase Kit (Catalog #A1250) 20 μL reverse transcriptase reaction following the manufacturer’s protocols. The concentration of cDNA was determined with a NanoDrop 2000 at A 260/280 with an extinction coefficient of 33 for single-stranded DNA.
RT-PCR procedure was conducted with a Bio-RadCFX96 Touch (Hercules, CA, USA). Ten μL RT-PCR mixtures consisted of cDNA (2 μg), 2X BioRad SSO Advanced Universal SYBR Green Supermix (Catalog #1725274, Hercules, CA, USA), forward and reversed primers, and nuclease-free water (no template control). The no-template control of nuclease-free water was included to eliminate DNA contamination in the PCR mix. Reactions were performed in duplicates and under the following reaction conditions: initial denaturing (95 °C, 30 s), followed by 40 cycles of denaturing (95 °C, 15 s), several annealing temperatures (according to IDT for 30 s), and elongating (60 °C, 30 s). After the cycling process was accomplished, melting curves were determined from 65.0 °C to 95.0 °C with increments of 0.5 °C for 5 s to confirm the amplification of a single product. RT-PCR efficiency values for the eleven genes were Muc2, 1.022; 18s rRNA, 0.934. Gene expression levels were determined from Ct values based on the ‘second derivative maximum’ calculated by the Bio-Rad CFX Maestro Software (Bio-Rad, Hercules, CA, USA). Gene expression was standardized to the expression of 18S.

2.9. Cecal Microbial DNA Isolation and Analysis

All procedures were conducted as previously described [18,22,24,30,47]. Briefly, Ceca contents were inserted into a sterile 50 mL tube (Corning, NY, USA) with 9 mL of sterile 1X phosphate saline (PBS) and then vortexed with glass beads (3 mm size) for 3 min. Particles and remains were removed by centrifugation at 700× g for 1 min, and the supernatant was collected and centrifuged at 12,000× g for 5 min. The pellet was rinsed twice with 1X PBS and kept at −20 °C for DNA extraction.
For DNA extraction, the pellet was mixed with 50 mM EDTA and treated with 10 mg/mL lysozyme (Sigma Aldrich Co., St. Louis, MO, USA) for 45 min at 37 °C. The bacterial genomic DNA was recovered using the Wizard Genomic DNA purification kit (Promega Corp., Madison, WI, USA), following the manufacturer’s instructions.

2.10. Cecal Short-Chain Fatty Acids (SCFA) Analysis and Cecal Content pH

As was previously described [28], cecal samples were homogenized in HCl (2 mL, 3%, 1 M), centrifuged and combined with ethyl acetate (100 µL) and acetic acid-d4 (1 µg/mL) before collecting the organic phase to determine short-chain fatty acid (SCFA) composition. Samples were quantified via GC-MS using a TRACE™ 1310 gas chromatograph (Thermo Fisher Scientific, Waltham, MA, USA) and a TraceGOLD™ TG-WaxMS A column (Thermo Fisher Scientific, Waltham, MA, USA). The pH of cecum content was determined using an Oakton® model 700 digital pH meter (Oakton Instruments, Vermon Hills, IL, USA). Before testing, the potentiometer was calibrated with pH buffers at 1.68, 4.01, 7.00, 10.01, and 12.45 according to the manufacturer’s recommendations.

2.11. PCR Amplification of Bacterial 16s rDNA

Primers for Lactobacillus, Bifidobacterium, E. coli, and Clostridium were designed as previously described [18,22,24,30,47,51]. The universal primers were prepared with the invariant sequence regions in the 16S rRNA of bacteria and used as an internal standard to normalize data. PCR reaction products were isolated by electrophoresis (2% agarose gel), stained with ethidium bromide, and quantified using the Quantity One 1-D analysis software (Bio-Rad, Hercules, CA, USA).

2.12. Statistical Analysis

Experimental treatments for the intra-amniotic administration assay were arranged in a completely randomized design and checked for normality of data utilizing the Shapiro–Wilk test before analyzing data further. Once the Gaussian distribution was confirmed, the one-way multiple analysis of variance (ANOVA) was conducted. Differences between treatment groups were compared with a post hoc Duncan test, with results considered statistically different at p < 0.05. Statistical analyses were carried out using SPSS version 27.0 software (IBM, Armonk, NY, USA). Results are expressed as mean ± standard error, n ≥ 8.

3. Results

3.1. Fourier Transform Infrared (FTIR) of NRTBCl

The FTIR of NRTBCl shows two bands at 3340 and 3130 cm−1, which are asymmetric and symmetric stretching bonds of NH2 in the amide functional group. The exitance of two bands at 2964 and 2877 cm−1 is attributed to asymmetric and symmetric stretching vibrations of aliphatic C-H. A strong band at 1738 cm−1 confirms the carbonyl of ester groups in this compound. The carbonyl of the amide functional group appears at 1678 cm−1. The band at 1620 cm−1 is evidence of the C=C bond in the pyridinium ring. Two bands at 1462 and 1384 cm−1 show out-of-plane C-H bending vibrations of the methylene and methyl groups, respectively. The stretching vibrations of the C-O bonds in the ester groups and ribose ring appear at 1163 and 1097 cm−1 (Figure 2). The obtained FTIR results confirm the functional groups in the NRTBCl structure.

3.2. 1H NMR of NRTBCl

The 1H NMR (500 MHz) of NRTBCl was performed in CDCl3 at room temperature (Figure 3). The expanded 1H NMR of this compound displays that the most deshielded proton (H1) at 9.93 ppm is attributed to the hydrogen located on the pyridinium ring between the positive nitrogen and amide group (Figure 4). A doublet (J = 6 Hz) at 9.60 ppm is attributed to H5 located on the pyridinium ring in a position ortho to the positive nitrogen. The chemical shift of H3 in the para position with respect to the positive nitrogen appears at 9.41 ppm as a doublet peak (J = 7.5 Hz). Because of the interaction between nitrogen lone pair and carbonyl of the amide group, the chemical shifts of NH2 protons are not equivalent in NRTBCl. In this compound, one of the NH2 protons appears at 9.37 ppm and another at 7.25 ppm. The final hydrogen on the pyridinium ring is H4 which appears as a triplet peak (J = 7 Hz) at 8.43 ppm. In the structure of NRTBCl, there are four hydrogens on the ribose ring. The anomeric hydrogen (H1′) is impacted more by the oxygen atom of the ribose ring and the positive nitrogen of the pyridinium ring so that this hydrogen appears at 6.88 ppm as a doublet peak (J = 3.5 Hz). H2′ and H3′ are neighbors and appear as two triplet peaks (J = 5 Hz) and (J = 6 Hz) with chemical shifts of 5.74 and 5.48 ppm, respectively. Since H2′ is closer to the anomeric center than H3′, its chemical shift is more deshielded than H3′. H4′ in the ribose ring and one of the hydrogens of the methylene group (H5′) bonded to the single oxygen of the ester group overlap and appeared as a multiplet at 4.67 ppm with integral 2. Another hydrogen of this methylene group appears at 4.54 ppm as a doublet (J = 11 Hz). In the three chain ester groups of NRTBCl, there are three CH2 groups near the ester carbonyl groups, which appear as multiplets between 2.33–2.52 ppm. The multiplet at 1.62 ppm can be attributed to the other three methylene groups near the CH2 groups bonded to the carbonyl groups. Finally, a multiplet peak between 0.90–0.96 ppm with an integral of 9 confirms the existence of three methyl groups at the end of the butyrate esters arms. The 1H NMR results verified the structure of NRTBCl.

3.3. 13C NMR of NRTBCl

The 13C NMR (125 MHz) of NRTBCl in CDCl3 was also studied at room temperature (Figure 5). The 13C NMR of this compound exhibits three peaks at 173.2, 172.7, and 172.2 ppm, attributed to the three different carbonyl carbons of the ester groups in the structure of NRTBCl. A peak at 163.1 ppm confirms the carbonyl of the amide group in this compound. There are five distinct peaks at 147.3, 143.4, 141.6, 134.3, and 128.8 ppm for the carbons in the pyridinium ring. Four peaks at 98.1, 82.4, 75.6, and 69.1 ppm confirmed the existence of a ribose ring in the structure of NRTBCl, and the chemical shift of the methylene carbon bonded to the single oxygen of the ester group appears at 62.4 ppm. In the three short ester chains of NRTBCl, three distinct peaks at 35.73, 35.66, and 35.5 ppm are attributed to the three CH2 groups near the carbonyl carbons of the ester groups (Figure 5). The methylene groups in these chains appear at 18.25, 18.2, and 18.1 ppm. Because the chemical shifts of the methyl groups are very close to each other, one of the methyl groups overlaps with the other one, and these three methyl groups appear as two peaks at 13.62 and 13.60 ppm. The obtained results of 13C NMR corroborated well with the 1H NMR results to verify the NRTBCl structure.

3.4. LC-MS Analysis of NRTBCl

To confirm the presence of three butyrate groups, LC-MS was performed to find the molecular weight of NRTBCl (Figure 6). The selected reaction monitoring (SRM) results show a single peak with 465.05 m/z (M-Cl) that agrees with the structure of the NRTB cation. Interestingly, a fragment with 343.22 m/z is attributed to the ribose-trioleate molecule formed by eliminating the nicotinamide molecule from NRTBCl.

3.5. FTIR of NRTOCl

FTIR (cm−1): 3288 (asymmetric stretching vibration of N-H), 3122 (symmetric stretching vibration of N-H), 3005 (stretching vibration of vinyl and aromatic C-H), 2922 (asymmetric stretching vibration of aliphatic C-H), 2852 (symmetric stretching vibration of aliphatic C-H), 1743 (stretching vibration of C=O in ester groups), 1689 (stretching vibration of C=O in the amide group), 1622 (stretching vibration of C=C), 1458 (out-of-plane C-H bending vibrations of CH2), 1379 (out-of-plane C-H bending vibrations of CH3), 1161 (stretching vibration of C-O), 1116 (stretching vibration of C-O), 914 (out-of-plane C-H bending vibration of aromatic ring), 721 (out-of-plane C-H bending vibration of vinyl groups), 677 and 632 (out-of-plane C-H bending vibration of aromatic ring). (Supporting information, Figure S1 FTIR of NRTOCl). The obtained FTIR results verified the functional groups of NRTOCl.

3.6. 1H NMR of NRTOCl

1H NMR (500 MHz, CDCl3) δ (ppm): 10.34 (s, 1 H, pyridinium ring), 9.86 (s, 1 H, NH), 9.44 (d, J = 10 Hz, 1 H, pyridinium ring), 9.34 (d, J = 10 Hz, 1 H, pyridinium ring), 8.20 (t, J = 10 Hz, 1 H, pyridinium ring), 6.75 (d, J = 5 Hz, 1 H, ribose ring), 6.28 (s, 1 H, NH), 5.57 (t, J = 5 Hz, 1 H, ribose ring), 5.43 (t, J = 5 Hz, 1 H, ribose ring), 5.35 (m, 6 H, H-C=C-H groups), 4.70 (m, 2 H, ribose ring and one of the diastereotopic methylene group), 4.50 (dd, J1 = 14, J2 = 4 Hz, 1 H, diastereotopic methylene group), 2.37–2.55 (m, 6 H, three CH2 groups), 2.02 (m, 12 H, six CH2 groups), 1.63 (m, 3 H, three CH2 groups), 1.30 (m, 60 H, thirty CH2 groups), 0.89 (t, 9 H, three CH3 groups) (Supporting information, Figure S2 1H NMR of NRTOCl in CDCl3, and Figure S3 Expanded 1H NMR of NRTOCl).

3.7. 13C NMR of NRTOCl

13C NMR (125 MHz, CDCl3) δ (ppm): 173.1, 172.9 and 172.3 (carbonyl of ester groups), 162.5 (carbonyl of amide group), 146.7, 142.5, 141.8 and 134.6 (pyridinium ring), 130.07, 130.06, 130.04, 129.67 and 129.62 (C=C), 127.9 (pyridinium ring), 98.0, 82.9, 75.8 and 69.1 (ribose ring), 62.2 (diastereotopic methylene), 33.9, 33.8, 33.7, 31.9, 29.8, 29.74, 29.73, 29.72, 29.5, 29.34, 29.32, 29.23, 29.22, 29.16, 29.15, 29.11, 29.10, 29.09, 27.24, 27.18, 24.76, 24.73, 24.6, 22.7 and 14.1 (aliphatic carbons in oleate chains) (Supporting information, Figure S4 13C NMR of Netcool in CDCl3, and Figure S5 Expanded 13C NMR of NRTOCl). The results of 1H NMR and 13C NMR confirm the structure of NRTOCl.

3.8. LC-MS of NRTOCl

A single peak with 1047.52 m/z (M-Cl) agrees with the structure of the NRTO cation. A fragment with 925.70 m/z is attributed to the ribose-trioleate molecule formed by removing the nicotinamide molecule from NRTOCl (Supporting information, Figure S6 SRM LC-MS of NRTOCl. (a) SRM LC of NRTOCl. (b) Mass spectrum of NRTOCl).

3.9. Particle Size and Zeta Potential of NRTOCl

NRTOCl was dispersed in DI water using 1% (v/v) ethanol as a cosolvent, and the average size and zeta potential of the NRTOCl particles were 192 nm and +65 mV, respectively (Supporting information, Figure S7 Particle size of NRTOCl in DI water containing 1% ethanol).

3.10. Gross Physiological Parameters

There were no significant differences in body weight between treatment groups. Compared with the non-injected control, the average cecum weight was significantly increased (p < 0.05) with NRCl exposure. When compared with NRCl exposure, NRTBCl exposure resulted in significantly increased (p < 0.05) cecum weight. Compared with the non-injected and H2O control, no significant differences were found with NRCl and NRTBCl and NRTOCl exposure between cecum: bodyweight ratios (Table 2).

3.11. Ceca Bacterial Analysis

Cecal genera bacterial populations are shown in Figure 7. NRCl exposure resulted in a significant increase (p < 0.05) in the relative abundance of Bifidobacterium spp. when compared with all other treatment groups. NRCl derivative exposure did not significantly alter Bifidobacterium spp. relative abundance when compared with the controls. Bifidobacterium spp. and Lactobacillus spp. relative abundance was significantly elevated with NRCl exposure, while NRTOCl exposure decreased relative abundance compared with the H2O control (p < 0.05). Compared with the non-injected control, NRTOCl treatment resulted in a significant decrease in the relative abundance of E. coli. NRCl, NRTBCl, and NTROCl exposure significantly elevated Clostridium populations compared with the controls (p < 0.05).

3.12. Short-Chain Fatty Acids and pH Concentrations in Cecal Contents

Short-chain fatty acid (SCFA) production significantly increased for butyrate, and as a result, cecal chyme pH significantly decreased in NRCl, NRTBCl, and NRTOCl groups compared to the non-injected and water-injected groups (Figure 8).

3.13. Duodenal Brush Border Membrane Gene Expression

For iron-related protein gene expression, divalent metal transporter 1 (DMT1), there was no significant difference between any treatment groups; however, there was a general trend of increasing expression of the experimental groups (NRCl, NRTBCl, and NTROCl) compared to the controls (non-injected and H2O injected groups) (Figure 9). For zinc transporters gene expression, while there were no significant differences in ZIP1 expression, there was a significant increase (p < 0.05) in zinc transporter 1 (ZnT1) with NR and NR derivative exposure (NRCl, NRTBCl, and NTROCl) when compared to the non-injected and H2O controls.
As for inflammatory gene expression, NR exposure (NRCl, NRTBCl, and NTROCl) did not alter (p > 0.05) the expression of TNF-α and IL-8 relative to the non-injected and H2O injection groups. However, there was a significant (p < 0.05) down-regulation in the expression of IL-6 and IL-1β in the NR experimental groups (NRCl, NRTBCl, and NRTOCl) compared to the H2O injected group.
NRCl and NRTBCl exposure increased gene expression of brush border membrane absorptive proteins, sodium-glucose transporter 1 (SGLT-1), and sucrose isomaltase (SI) relative to the non-injected and H2O injected groups. Additionally, the digestive viscoelastic gels formed by mucin (MUC2) (protecting the intestinal cells) were altered significantly (p < 0.05) in gene expression within NRCl, NRTBCl, and NRTOCl groups compared to the non-injected and water injected groups (Figure 9).

4. Discussion

NR was discovered as a form of vitamin B3 that can increase NAD(P) levels, as NAD+ is utilized as a coenzyme for oxidoreductases and a source of ADP ribosyl group for adding one or more ADP-ribose moieties to a protein [52,53,54]. This study focuses on NR derivatives, NRTBCl and NRTOCl, synthesized using butyric anhydride and oleoyl chloride, respectively. The reactions were executed under mild conditions and resulted in acceptable yields. The final purified products were characterized using FTIR, NMR, and LC-MS to determine their structures.
The effects of synthesized and characterized NRCl, NRTBCl, and NRTOCl as prebiotic supplementation on duodenal brush border molecular and cecal microbial populations were investigated in vivo. These compounds did not show any significant effects on average body weight (Table 2). However, NRCl treatment substantially reduced the average cecum weight compared to the non-injection control. A potential explanation for this observation may be the three butyrate groups that are integral structural parts of NRTBCl, which can be metabolized to butyric acid by the gut microbiota [55,56,57]. Previously, Aghazadeh & TahaYazdi (2012) found that butyric acid dietary supplementation increased the weight of the liver and intestines compared to butyric acid-free diets [56]. Additionally, Panda et al. (2009) demonstrated that 0.4% dietary butyrate supplementation significantly increased (p < 0.05) body weight, intestinal tract health, and villi development in vivo (Gallus gallus) in comparison to antibiotic-treated and control groups [57].
Further, we studied the effects of the investigated NR compounds on cecum bacterial populations (Figure 7). Significant (p < 0.05) increases in Clostridium populations were observed with NR exposure compared to the controls, where the Clostridium genus houses a well-known butyrate producer, Clostridial cluster XIVa; a microbial cluster that may affect intestinal butyrate levels [58,59,60,61]. As was previously demonstrated, butyrate, a short-chain fatty acid, plays a key role as a significant energy source for gut bacteria and the induction of epithelial cell proliferation, supporting intestinal development and health [28,55,56,57,62,63,64]. In the current study, butyrate cecal contents concentrations were higher in treatment groups relative to controls (p < 0.05, Figure 8). However, the observed increased abundance in Clostridium class is not a direct indicator of butyrate production. Previously, Lozada-Fernandez et al. (2022) found similar results, demonstrating that NR-treated mice had an increase in fecal propionate, butyrate, valerate and isobutyrate concentrations compared to controls while having an increased population of Firmicutes (oxidizing butyrate for growth) [65]. This result was hypothesized to be caused by Firmicutes metagenome-assembled genomes (MAGs) utilizing acetyl coenzyme A (acetyl- CoA) butyrate synthesis pathway, thus indicating the NR supplementation enriches butyrate-producing Firmicutes (e.g., Clostridium sp.) [65]. However, current observations indicate that further and detailed investigation, especially the specific quantification of butyrate-producing bacteria is essential to better understand the microbial basis of an increase in butyrate, as a result of NR consumption.
The NRCl treatment group demonstrated a significant (p < 0.05) increase in Bifidobacterium, Lactobacillus, and E. coli populations compared to the other experimental groups. This may be attributed to the potential and indirect targeting of Clostridium due to the immunomodulatory role that nicotinamide holds, as was similarly found under M. tuberculosis and HIV infections circumstances [66,67,68,69,70,71]. Interestingly, the impact of NRCl on the increase of the populations of Bifidobacterium and Lactobacillus was more than that of E. coli in comparison to H2O, and non-injected controls. Elevated levels of commensal bacterial populations (Bifidobacterium and Lactobacillus) may be due to NRCl, and its derivatives consumed by beneficial bacteria within the gut. These commensal bacteria are preferred by the host, and this preference decreases the populations of potentially invasive bacteria through the production of antimicrobial defensins and cathelicidins (i.e., muramidase, α-defensins, β-defensins) by the host’s innate immune system in the small intestine [72,73,74,75].
Contrary to NRCl, the NRTBCl treatment did not alter the populations of Bifidobacterium, Lactobacillus, or E. coli. Further, relative to NRCl and NRTBCl, the NRTOCl treatment significantly (p < 0.05) reduced the populations of Bifidobacterium, Lactobacillus, and E. coli. Structurally, NRTOCl comprises a quaternary ammonium group with a positive charge and three hydrophobic oleate branches. This structure can act as a cationic surfactant and negatively affect these bacterial populations. Reuerio et al. (2016) demonstrated a significant increase in Bacteroidetes and Firmicutes (i.e., Lactobacillus) in subjects with elevated ammonia levels, leading to a decreased population of Actinobacteria (i.e., Bifidobacterium), which supports the microbial findings presented here [76]. Therefore, the increase in ammonium associated with supplementation of NRTOCl led to a bacterial profile shift towards Bacteroidetes, possibly lowering the population of Bifidobacterium, Lactobacillus, and E. coli.
Previous studies have demonstrated that the intra-amniotic administration of polyphenols and other dietary substances (as soluble fiber extracts) has affected BBM functionality through alterations in gene expression of key BBM digestive and absorptive proteins [29,45,47,50,77,78]. In the current study, we investigated the effects of NRCl and its derivatives on BBM gene expression (Figure 9), and the results demonstrated that NRCl, NRTBCl, and NRTOCl increased the expression of ZnT1 and MUC2 and decreased the expression of IL-6. In comparison with the other investigated compounds and controls, NRTOCl significantly increased MUC2 gene expression level, which is a valuable factor in maintaining intestinal health, as MUC2 that encodes mucin 2 protein that is secreted onto mucosal surfaces and protects the intestinal epithelium cells where its disruption causes several pathologies [79,80,81]. A consistently high level of MUC2 expression can be associated with an essential protective barrier against external pathogens (as indicated by microbial findings, Figure 7) due to MUC2’s diverse functions in intestinal homeostasis. It was previously demonstrated that there was embryonic development of MUC2 at nine weeks of gestation, making it an important marker for the differentiation of secretory cell lineages [47].
The significant decrease in the gene expression of IL-6, which acts as a pleiotropic pro-inflammatory cytokine, is indirectly activated by the supplementation of NRCl, NRTBCl, and NRTOCl, to protect the host against invasive bacteria, which further explains the reduction in the abundance of specific invasive bacterial populations (E. coli). This finding agrees with previous observations by Elhassan et al. (2019), where oral NR supplementation resulted in significantly decreased IL-6 expression, in vivo [82].
Moreover, gene expression of the ZnT1 transporter was significantly increased in NRCl, NRTBCl, and NRTOCl, compared to the control groups; this observation can be linked to the potential antioxidative effect NRCl, which may lead to increased cellular zinc [52,83,84]. Specifically, ZnT1 acts as a rescue agent under excess zinc conditions to export zinc from cellular organelles to the cytosol [85,86]. This finding may indicate increased zinc content within the cellular organelles of the enterocytes due to NR supplementation, resulting in excess zinc being transported via the basolateral membrane [87]. Previously, it was demonstrated that the intra-amniotic administration of zinc-methionine increased ZnT1 expression due to the introduction of additional zinc [87]. Additionally, ZnT1 expression is increased during times of inflammation as a shuttle of zinc content into the plasma for circulation, which coincides with the increase in IL-6 gene expression [88,89,90,91,92].
Therefore, the administration of NRCl and its derivatives triggers altered expression of key BBM genes involved in digestion, and absorption, with additional effects on intestinal microbiota composition and function. Further and as was previously suggested, these functional changes, as demonstrated via gene expression of key BBM proteins (zinc transporter, inflammatory cytokines, absorptive proteins, and mucin), were previously associated with BBM tissue physiological and morphometric alterations, as increased villi size [24,50,93,94,95,96,97]. These alterations may potentially also be associated with increased proliferation of cellular populations that hold essential roles in BBM function, including, enterocytes, and therefore, increased villus surface area (the intestinal digestive and absorptive surface), and goblet cells (produce and secrete mucus), both number and diameter in intestinal villi and crypt [18,22,24,47,50,93,98,99,100,101,102,103,104,105]. In this context, it was previously demonstrated that colonocytes and enterocytes oxidation pathways utilize butyrate as fuel for cell metabolism [106,107,108], via SL16 monocarboxylate transporter 1 (MCT1, SCL16A1) and Sodium-coupled monocarboxylate transporter 1 (SMCT1, SLC5A8) that transport butyrate through epithelial cells in the small intestine [109,110]. This allows butyrate and its metabolites to enter the bloodstream, and to potentially affect anti-inflammatory cytokines [111,112], by mediating the binding of free fatty acid receptors (FFARs) [113,114,115], and by that to indirectly support rapid glycolytic energy extraction for undifferentiated stem cells [116,117,118]. Further, Kien et al. demonstrated in piglets that cecal infu-sion of butyrate significantly (p = 0.007) supported small intestinal enterocytes proliferation (ileum and jejunum) [119]. Similarly, Zhang et al. suggested that propionate’s cecal fermentation plays a significant role in jejunum development and gut health [120]. In addition, De Vadder et al. demonstrated that FOS and SCFAs (propionate and butyrate) increased cell proliferation, via FFAR3 receptors in rats [101]. However, it is important to emphasize that further assessments are necessary to confirm the potential effects of NR and its derivatives on intestinal morphology and functionality due to SCFAs production (specifically butyrate) by the cecal and/or small intestinal microbiome.
Overall, current results introduce an innovative approach to evaluating the impact of NR and its derivatives on BBM functional biomarkers, and intestinal microbial populations, in vivo.

5. Conclusions

This study is the first to demonstrate the effects of nicotinamide riboside and its derivatives on duodenal BBM gene expression and cecal microbial profiles, in-vivo. We have synthesized and characterized two derivatives of vitamin B3–NRTOCl and NRTBCl. Through the in vivo study, we found that NRTOCl has the potential to improve BBM functionality by increasing MUC2, and ZnT1 and reducing the expression of inflammatory cytokine IL-1β. Additionally, we detected significant differences in cecal bacterial populations, which suggests that NR and its derivatives positively modulate the intestinal microbial profile, composition, and function. Further studies are warranted to validate the findings of the current research and establish the safety of the synthesized compounds.

Supplementary Materials

The following are available online at https://www.mdpi.com/article/10.3390/nu14153130/s1, Figure S1: FT-IR of NRTOCl, Figure S2: 1H NMR of NRTOCl in CDCl3, Figure S3: Expanded 1H NMR of NRTOCl, Figure S4: 13C NMR of NRTOCl in CDCl3, Figure S5: Expanded 13C NMR of NRTOCl, Figure S6: SRM LC-MS of NRTOCl. (a) SRM LC of NRTOCl. (b) Mass spectrum of NRTOCl, Figure S7: Particle size of NRTOCl in DI water containing 1% ethanol.

Author Contributions

Chemical synthesis and analysis; A.Z., L.K., Y.D. and A.A.; In vivo experiment, data analysis, collection, and methodology, N.K., J.C., N.A. and E.T.; A.Z., L.K., N.K., N.A. and J.C. wrote the manuscript draft; E.T. and A.A. finalized the manuscript and were the primary investigators who led the research conducted and presented in this manuscript. All authors have read and agreed to the published version of the manuscript.

Funding

This research received no external funding.

Institutional Review Board Statement

The animal protocol used in this study was conducted according to the guidelines of the Declaration of Helsinki and approved by the Cornell University Institutional Animal Care and Use Committee by ethic approval code 2020-0077.

Informed Consent Statement

Not applicable.

Data Availability Statement

The data presented in this study are available on request from the corresponding author.

Acknowledgments

Nicotinamide riboside chloride was a gift from ChromaDex Company.

Conflicts of Interest

The authors declare no conflict of interest.

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Figure 1. Functionalization of NRCl to NRTBCl and NRTOCl.
Figure 1. Functionalization of NRCl to NRTBCl and NRTOCl.
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Figure 2. FTIR of NRTBCl.
Figure 2. FTIR of NRTBCl.
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Figure 3. 1H NMR of NRTBCl in CDCl3.
Figure 3. 1H NMR of NRTBCl in CDCl3.
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Figure 4. Expanded 1H NMR of NRTBCl.
Figure 4. Expanded 1H NMR of NRTBCl.
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Figure 5. 13C NMR of NRTBCl in CDCl3.
Figure 5. 13C NMR of NRTBCl in CDCl3.
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Figure 6. SRM LC-MS of NRTBCl. (a) SRM LC of NRTBCl. (b) Mass spectrum of NRTBCl.
Figure 6. SRM LC-MS of NRTBCl. (a) SRM LC of NRTBCl. (b) Mass spectrum of NRTBCl.
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Figure 7. Effects of intra-amniotic administration of experimental solutions on cecal genera and species-level bacterial populations (day of the hatch). Values are means ± SEM, n = 10. a–c Per bacterial category, treatments groups that do not share any letters within the same column are significantly different according to a one-way ANOVA with post hoc Duncan test (p < 0.05). AU = arbitrary units.
Figure 7. Effects of intra-amniotic administration of experimental solutions on cecal genera and species-level bacterial populations (day of the hatch). Values are means ± SEM, n = 10. a–c Per bacterial category, treatments groups that do not share any letters within the same column are significantly different according to a one-way ANOVA with post hoc Duncan test (p < 0.05). AU = arbitrary units.
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Figure 8. Cecal short-chain fatty acid (SCFA) composition and cecal pH. Values are the means ± SEM, n = 5. a,b Per SCFA (butyrate or acetate) and pH, treatments groups not indicated by the same letter within the same column are significantly different (p < 0.05).
Figure 8. Cecal short-chain fatty acid (SCFA) composition and cecal pH. Values are the means ± SEM, n = 5. a,b Per SCFA (butyrate or acetate) and pH, treatments groups not indicated by the same letter within the same column are significantly different (p < 0.05).
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Figure 9. Effects of the intraamniotic administration of experimental solutions on duodenal gene expression. Values are the means ± SEM, n = 10. a–c Per gene, treatments groups not indicated by the same letter within the same column are significantly different (p < 0.05). DMT1, Divalent metal transporter 1; ZIP1, Zinc Transport Protein 1; ZnT1, Zinc transporter 1; Sodium/Glucose cotransporter 1; SI, Sucrose isomaltase; MUC2, Mucin 2; TNF-α, Tumor necrosis factor-alpha; IL-8, Interleukin 8; IL-6, Interleukin 6; IL-1β, Interleukin 1 Beta. AU = arbitrary units.
Figure 9. Effects of the intraamniotic administration of experimental solutions on duodenal gene expression. Values are the means ± SEM, n = 10. a–c Per gene, treatments groups not indicated by the same letter within the same column are significantly different (p < 0.05). DMT1, Divalent metal transporter 1; ZIP1, Zinc Transport Protein 1; ZnT1, Zinc transporter 1; Sodium/Glucose cotransporter 1; SI, Sucrose isomaltase; MUC2, Mucin 2; TNF-α, Tumor necrosis factor-alpha; IL-8, Interleukin 8; IL-6, Interleukin 6; IL-1β, Interleukin 1 Beta. AU = arbitrary units.
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Table 1. Real-time polymerase chain reaction (RT-PCR) primer sequences.
Table 1. Real-time polymerase chain reaction (RT-PCR) primer sequences.
GeneForward Primer (5′→3′)Reverse Primer (5′→3′)Base PairGI Identifier
Iron Metabolism
DMT1TTGATTCAGAGCCTCCCATTAGGCGAGGAGTAGGCTTGTATTT101206597489
Zinc Metabolism
ZIP1TGCCTCAGTTTCCCTCACGGCTCTTAAGGGCACTTCT144107055139
ZnT1GGTAACAGAGCTGCCTTAACTGGTAACAGAGCTGCCTTAACT10554109718
Inflammatory Response
TNF-αGACAGCCTATGCCAACAAGTATTACAGGAAGGGCAACTCATC10953854909
IL-8TCATCCATCCCAAGTTCATTCAGACACACTTCTCTGCCATCTT105395872
IL-6ACCTCATCCTCCGAGACTTTAGCACTGAAACTCCTGGTCTT105302315692
IL-1βCTCACAGTCCTTCGACATCTTCTGTTGAGCCTCACTTTCTGG11988702685
BBM functionality
SGLT-1GCATCCTTACTCTGTGGTACTGTATCCGCACATCACACATCC1068346783
SICCAGCAATGCCAGCATATTGCGGTTTCTCCTTACCACTTCTT952246388
MUC2CCTGCTGCAAGGAAGTAGAAGGAAGATCAGAGTGGTGCATAG155423101
18SGCAAGACGAACTAAAGCGAAAGTCGGAACTACGACGGTATCT1007262899
DMT-1, Divalent metal transporter; ZIP1, Zinc transporter 1; ZnT1, zinc transporter 1; TNF-α, tumor necrosis factor; IL-8, interleukin 8; IL-6, interleukin 6; IL-1β, interleukin 1 beta; SGLT-1, sodium-glucose transporter 1; SI, sucrose isomaltase; Muc2, Mucin 2; 18S rRNA, 18S ribosomal subunit.
Table 2. Gross physiological parameters measured on the day of hatch (Day 21) 1.
Table 2. Gross physiological parameters measured on the day of hatch (Day 21) 1.
Group NameAverage Body Weight (g)Average Cecum Weight (g)CW: BW
NI42.06 ± 1.35 a0.45 ± 0.05 a0.011 ± 0.002 a
H2O42.16 ± 1.28 a0.29 ± 0.04 bc0.007 ± 0.001 ab
NRCl42.74 ± 1.30 a0.23 ± 0.05 c0.005 ± 0.001 b
NRTBCl43.80 ± 0.74 a0.38 ± 0.06 ab0.009 ± 0.001 ab
NRTOCl43.17 ± 0.85 a0.35 ± 0.04 abc0.008 ± 0.001 ab
1 Values are the means ± SEM, n = 10. a–c Treatment groups not indicated by the same letter within the same column are significantly different (p < 0.05). NI = non-injected, CW = cecum weight, BW = body weight.
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Kolba, N.; Zarei, A.; Cheng, J.; Agarwal, N.; Dadmohammadi, Y.; Khazdooz, L.; Abbaspourrad, A.; Tako, E. Alterations in Intestinal Brush Border Membrane Functionality and Bacterial Populations Following Intra-Amniotic Administration (Gallus gallus) of Nicotinamide Riboside and Its Derivatives. Nutrients 2022, 14, 3130. https://doi.org/10.3390/nu14153130

AMA Style

Kolba N, Zarei A, Cheng J, Agarwal N, Dadmohammadi Y, Khazdooz L, Abbaspourrad A, Tako E. Alterations in Intestinal Brush Border Membrane Functionality and Bacterial Populations Following Intra-Amniotic Administration (Gallus gallus) of Nicotinamide Riboside and Its Derivatives. Nutrients. 2022; 14(15):3130. https://doi.org/10.3390/nu14153130

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Kolba, Nikolai, Amin Zarei, Jacquelyn Cheng, Nikita Agarwal, Younas Dadmohammadi, Leila Khazdooz, Alireza Abbaspourrad, and Elad Tako. 2022. "Alterations in Intestinal Brush Border Membrane Functionality and Bacterial Populations Following Intra-Amniotic Administration (Gallus gallus) of Nicotinamide Riboside and Its Derivatives" Nutrients 14, no. 15: 3130. https://doi.org/10.3390/nu14153130

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