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Endothelial progenitor cells expressing CCR2 can be recruited from the circulation in response to tumor expression of CCL2, contributing to tumor angiogenesis [209]

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This indirect pathway offers several benefits as NR can: Cross cell membranes efficiently Utilize established metabolic pathways for conversion Bypass rate-limiting steps in other NAD+ synthesis routes Avoid undesirable side effects associated with other precursors Research shows that NR supplementation boosts NAD+ levels in multiple tissues, lifts sirtuin activity, and improves mitochondrial function [4]
