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Notably, treatment of mice with Cockayne syndrome with PARP1 inhibitors or NAD + supplements promoted lifespan extension and ameliorated the severe phenotypes caused by PARP1 hyperactivation, providing strong evidence that the negative consequences downstream of PARP1 activation are mediated by dysregulation of NAD + homeostasis in response to extensive DNA damage and genotoxic stress 33

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It is a synthetic opioid acting as a full agonist of -opioid receptor but also as NMDA receptor antagonist

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