This is only a meeting abstract, but on their face, these certainly sound like more dramatic findings than previoius reports, particularly the magnitude of the exercise result.
Journal of Science and Medicine in SportVolume 20, Supplement 2, November 2017, Pages S165-S166
Abhirup Das, David Sinclair. Michael Bonkowski. Ian Johnston, Lindsay WuPurpose: A therapy to extend physical performance and improve survival would be a major advantage to the modern soldier. ... We aimed to test whether restoring NAD+ could improve performance and survivability in situations relevant to the [Australian Defense Forces].
Methods: C57BL6 mice were used ... Muscle injury was induced by surgical hindlimb arterial occlusion. ...
Results: Orally delivered NMN [400 mg kg−1 day−1, addition to drinking water] extended physical endurance by over 60% under both trained and untrained conditions. This was likely due to a newly discovered pathway that improved capillary density in muscle, which also enhanced capillary regrowth and muscle recovery following hindlimb arterial occlusion. [MR: It's not clear to me whether they're saying the exercise imporvoment happened in otherwise-unharmed animals, or only after arterial occlusion].
To mimic major trauma, animals were bled out, and re-infused with saline alone, or saline containing NMN [under anaesthetised conditions].. Infusion with NMN improved survival from 20% to over 60% at 24 h after bleed out.
NAD+ plays a major role in DNA repair, which is rate limiting for survival during exposure to DNA damaging chemicals or radiation, a challenge faced by modern soldiers through the threats of unconventional chemical and radiological weapons. To test whether elevating NAD+ could provide protection against these threats, we administered NMN during exposure to the chemotherapy drug doxorubicin, [10 mg kg−1 i.p.] and observed protection against loss of spatial memory, nerve pain, and inactivity. NMN treatment following high level radiation exposure [6 Gy] restored a loss in haematocrit, pointing towards improved survival. ...
Conclusion: Together, we show that a single NAD+ precursor can address multiple challenges faced by modern soldiers, including enhanced physical performance, improved survival during major trauma, and protection against radiological and chemical weapons. If successfully developed, this research has wide implications for maintaining an edge in performance, and improved survival, for the modern soldier.
The improved capillary density and enhanced capillary regrowth might indicate a possible cancer risk, via angiogenesis.