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As shown in Table 1 and Figure 6, in the pursuit of structurally diverse NNMT inhibitors, researchers have identified certain macrocyclic peptides that bind to NNMT, displaying potent inhibition with Half-maximal inhibitory concentration (IC 50 ) values as low as 229 nM (Van Haren et al., 2021)

Gastrointestinal side effects are most likely to appear at this stage

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Fihn BM, Sjqvist A, Jodal M

Thus, it is possible that the senescent phenotype drives the accumulation of CD38 + inflammatory cells, which modulate the availability of NAD + precursors, and plays a crucial role in the metabolism of nicotinamide nucleotide (Figure 5) (65)