Pyrroloquinoline quinone (PQQ) is a peptide-derived redox cofactor, significant in mitochondriogenesis, reproduction, growth, and aging.
PQQ enhances mitochondrial function by boosting NAD+-dependent sirtuin activity and the expression of key targets like PGC-1α, NRF-1, and TFAM, contributing to its antioxidant properties.
It is known to mitigate conditions such as ischemia, inflammation, and lipotoxicity, and it exhibits nootropic properties.
Often referred to as a "longevity vitamin," PQQ is considered a therapeutic nutraceutical with vitamin-like properties. Originally identified as a cofactor for bacterial dehydrogenases, PQQ is now recognized as the third most common redox coenzyme, following nicotinamide and flavin nucleotides.
Present in certain bacteria, foods, and human tissues, especially breast milk, PQQ cannot be synthesized by the human body but offers extensive health benefits, including antioxidant protection, immune modulation, energy metabolism, neuroprotection, and inflammation reduction.
Pyrroloquinoline, also known as pyrroloquinoline quinone (PQQ), is an peptide-derived redox factor.
PQQ is important in mitochondriogenesis, reproduction, growth, and aging. It promotes mitochondrial function and exerts antioxidant capacity by enhancing NAD+-dependent sirtuin activity and the expression of targets such as PGC-1α, NRF-1, and TFAM. [6.]
PQQ mitigates conditions like ischemia, inflammation, and lipotoxicity and exhibits nootropic properties. [6.]
PQQ is considered a therapeutic nutraceutical with vitamin-like properties, and called by some a “longevity vitamin” due to its beneficial support for mitochondria-related cellular functions. [10., 14.] It is also considered by some to be “the new B vitamin.” [12.]
PQQ was identified as a cofactor for bacterial dehydrogenases in the late 1960s; it was later recognized as essential for various biological functions.
Now, after nicotinamide nucleotides and flavin nucleotides, PQQ is considered the third most common redox coenzyme. [12.]
PQQ is primarily produced by certain bacteria, and it is also present in some foods and in breast milk. [4.] It cannot be synthesized by the human body.
Antioxidant Properties
PQQ is a potent orthocyclic antioxidant that scavenges free radicals, providing protection against oxidative stress. It acts as an anti-neurological, anti-degenerative, anti-melanogenic, and anti-cancer agent.
Immune Modulation
PQQ influences the immune system by modulating CD4 cell counts and IL-2 production. It enhances immunity by increasing IgA levels and regulating T-cell proliferation.
Energy Metabolism
PQQ is crucial for mitochondrial biogenesis and ATP production. It supports cellular energy production by participating in glucose and carbohydrate metabolism and reducing reactive oxygen species (ROS).
Growth and Repair
PQQ stimulates growth in bacteria and plants by promoting cell reproduction and enhancing phosphate solubilization. In humans, it supports connective tissue growth and repair, improving skin health and elasticity.
Neuroprotection
PQQ enhances nerve growth factor (NGF) production, protects against neurological injuries, and improves cognitive functions. It has shown potential in treating conditions like Alzheimer's, Parkinson's, and traumatic brain injuries.
Inflammation and Disease
PQQ reduces inflammation by modulating various signaling pathways such as STAT, MAPK, JAK, and PI3K/Akt. It decreases the production of pro-inflammatory cytokines and oxidative stress markers.
Cell Signaling and Regulation
PQQ influences numerous cellular signaling pathways, including ERK1/2, mTOR, and cAMP, contributing to cell proliferation, differentiation, apoptosis, and metabolic regulation.
Sleep and Relaxation
PQQ improves sleep quality by regulating the PGC-1 alpha pathway, reducing fatigue, and enhancing overall sleep maintenance.
PQQ, the “longevity vitamin,” promotes optimal cellular health. Low levels of PQQ have been associated with:
Low PQQ levels can lead to defects in immune responses, resulting in reduced white blood cell function and increased susceptibility to infections. PQQ functions are known to enhance the immune response. [6.]
Insufficient PQQ may contribute to poor mitochondrial health, which is implicated in various conditions such as mental decline, heart disease, diabetes, and cancer. [6.]
Higher PQQ levels are associated with improvements in cognitive function. PQQ's benefits are linked to its role in mitochondrial biogenesis and antioxidant activity. .[14.]
A deficiency in PQQ may exacerbate conditions like heart disease, as it is crucial for maintaining heart health and myocardial mitochondrial function, and reducing oxidative stress in cardiac tissues. [15.]
It may also prevent cardiac fibrosis and improve cardiac function. [13.]
Low levels of PQQ are linked to increased inflammation and oxidative stress, which are key factors in the development of diabetes and related metabolic disorders. [5.]
PQQ appears to have a greater protective benefit against the damaging effects of diabetes and hyperglycemia, rather than a direct glucose-lowering effect. [1.]
Pyrroloquinoline quinone (PQQ) has shown potential health benefits, particularly in preventing obesity and preserving muscle mass in obese animal models. [11.]
PQQ has anti-inflammatory properties; thus, low levels may lead to higher inflammatory markers and greater risks of inflammatory diseases. [12.]
Insufficient PQQ may result in decreased energy production at the cellular level, leading to chronic fatigue and reduced overall vitality.
One small study of 17 participants showed that 8 weeks of daily supplementation of 20 mg PQQ reduced fatigue and perceived stress, and increased beneficial sleep and quality of life. [9.]
One small study showed that female participants taking 20 mg oral PQQ reported a subjective improvement in skin conditions, particularly dry skin and elasticity. [8.]
Currently, testing for levels of PQQ in humans is not widely available. However, tests to assess mitochondrial function are readily available through various companies. Testing for mitochondrial function is commonly done by assessing organic acids.
Organic acids are organic compounds with acidic properties. They include a variety of functional groups like carboxyl, phenol, enol, and thiol, with carboxylic acids having the strongest acidity.
Organic acids are considered weak acids, with those containing phenol, enol, alcohol, or thiol groups being even weaker.
Their structures vary in terms of carbon chain types—aromatic, aliphatic, alicyclic, heterocyclic—saturation, substitutions, and the number of functional groups.
These acids play critical roles in metabolic and catabolic pathways, notably in the tricarboxylic acid cycle inside mitochondria, which is central to energy production in eukaryotes. They are also pivotal in determining the sensory properties of fruits and vegetables.
In functional medicine, organic acid testing is utilized to evaluate a patient's metabolic function through a simple urine test. This testing can identify metabolic imbalances that may affect a patient’s mood, energy, and overall health.
Testing provides insights into nutrient deficiencies, dietary habits, toxic exposures, and gut microbiome activity.
The results assist practitioners in customizing treatment plans to address specific metabolic dysfunctions and improve health outcomes.
Additionally, it helps in assessing the impact of microbial metabolism and the efficiency of the Krebs Cycle, aiding in personalized healthcare.
Laboratory testing for organic acids is typically done in urine, although it can also be tested in blood. Testing may be ordered to diagnose an inborn metabolic disorder, or to assess metabolic function and gastrointestinal health in a functional medicine setting.
Urine samples may be collected in a clinical setting; they can also be collected at home. Some labs recommend or require a first morning void sample, to provide a concentrated sample.
Interpretation of organic acid test results requires a comprehensive assessment of various organic acids, and possibly other vitamins, minerals, and biomarkers, for a full picture of mitochondrial health and function.
Reputable resources are available to learn more about mitochondrial health assessment, including the following:
Class: How to Use Metabolomics Testing to Identify and Correct Mitochondrial Dysfunction
Click here to compare testing options and order testing to assess mitochondrial health.
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[9.] Nakano M, Yamamoto T, Okamura H, Tsuda A, Kowatari Y. Effects of Oral Supplementation with Pyrroloquinoline Quinone on Stress, Fatigue, and Sleep. Functional Foods in Health and Disease. 2012;2(8):307. doi:https://doi.org/10.31989/ffhd.v2i8.81
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[11.] Nur, Ikemoto K, Kikuchi M, Ogawa M, Akutagawa K, Mitsugu Akagawa. Pyrroloquinoline Quinone Attenuates Fat Accumulation in Obese Mice Fed with a High-Fat Diet, Daphnia magna Supplied with a High Amount of Food, and 3T3-L1 Adipocytes. ACS food science & technology. 2021;1(10):1979-1989. doi:https://doi.org/10.1021/acsfoodscitech.1c00301
[12.] Qu XF, Zhai BZ, Hu WL, Lou MH, Chen YH, Liu YF, Chen JG, Mei S, You ZQ, Liu Z, Zhang LJ, Zhang YH, Wang Y. Pyrroloquinoline quinone ameliorates diabetic cardiomyopathy by inhibiting the pyroptosis signaling pathway in C57BL/6 mice and AC16 cells. Eur J Nutr. 2022 Jun;61(4):1823-1836. doi: 10.1007/s00394-021-02768-w. Epub 2022 Jan 8. PMID: 34997266; PMCID: PMC9106599.
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