Pediatric rheumatology

The anti-inflammatory potential of nicotinamide (vitamin B3) in Juvenile Idiopathic Arthritis (JIA): modulating Treg numbers and function with nicotinamide

Arthritis Res TherPublished Mechanistic study

Authors' conclusion

Given its established safety in both adults and children, NAM represents a promising future candidate for adjunctive therapy in JIA by restoring the balance between regulatory and effector T cells.

Study context

Population
JIA patients (PBMCs and SFMCs) and healthy controls (PBMCs); pilot: JIA patients receiving oral nicotinamide (NAM)pilot: 6 JIA patients
Comparison
NAM treatment vs untreated cells in vitro; oral NAM 1.8 g/m² daily for 3 days (pilot)
Methodological detailsin vitro, exploratory pilot phase II clinical study, Pilot: NAM measured in paired blood plasma and SF after oral 1.8 g/m² daily for 3 days
  • In vitro
  • Exploratory pilot phase II clinical study
  • Pilot: NAM measured in paired blood plasma and SF after oral 1.8 g/m² daily for 3 days

Main finding

As reported in the abstract

  • NAM significantly increased the proportion of FOXP3-expressing CD4+ T cells in both PBMCs and SFMCs
  • NAM significantly increased Treg suppressive capacity in PBMCs from healthy controls in vitro
  • Comparable NAM concentrations in plasma and SF after oral administration (pilot, 6 JIA patients)

Original publication

The anti-inflammatory potential of nicotinamide (vitamin B3) in JIA: modulating Treg numbers and function with nicotinamide. Arthritis Res Ther. Published 18 June 2026. doi:10.1186/s13075-026-03846-2

Composed by AI from the published abstract and checked against it. How Briefs are made →

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