N-Acetylglucosamine: benefits, dosage, contraindications

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N-acetylglucosamine (GlcNAc) is the acetylated derivative of the amino sugar glucosamine, which is a natural substance necessary for the production of proteoglycans, mucopolysaccharides, and hyaluronic acid. These substances make up joint tissues, such as articular cartilage, tendons, and synovial fluid. They are also present in blood vessels, heart valves, and mucus. Glucosamine is found in the chitin of shrimp shells and other crustaceans. As a supplement, it is derived from marine exoskeletons or synthetically produced and is available in salt form. GlcNAc is one of the main salt forms of glucosamine (along with glucosamine sulfate and glucosamine hydrochloride). GlcNAc is involved in tissue repair and anti-inflammatory reactions.

Other name(s) 

2-acetamido-2-deoxy-b2-D-glucose

Scientific name(s)

2-acetamido-2-deoxy-b2-D-glucose

Family or group: 

Carbohydrates


Indications

Rating methodology

EFSA approval.

Several clinical trials (> 2) randomized controlled with double blind, including a significant number of patients (>100) with consistently positive outcomes for the indication.
Several clinical trials (> 2) randomized controlled with double blind, and including a significant number of patients (>100) with positive outcomes for the indication.
One or more randomized studies or multiple cohorts or epidemiological studies with positive outcomes for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or contradictory.
Lack of clinical studies to date that can demonstrate the indication.


Osteoarthritis
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Many clinical trials have used glucosamine and its derivatives, such as glucosamine sulfate and N-acetyl-D-glucosamine, to treat patients suffering from joint disorders, including osteoarthritis, rheumatoid arthritis, cartilage injuries, and degenerative joint diseases. Preparations containing GlcNAc are administered via parenteral, oral, and topical routes. A dose of 100 mg/day was used orally.

Posologie

posologieOral route

posologie100 mg


Skin Lightening
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A clinical study involving women aged 40 to 60 with skin hyperpigmentation and solar lentigines primarily due to aging and sun exposure, shows that applying a cream containing 2% N-acetylglucosamine and 4% niacinamide on the face twice daily with sunscreen for 10 weeks reduces facial hyperpigmentation compared to sunscreen alone. The effect of N-acetylglucosamine alone is not clear.

Posologie

posologieTopical route


Synergies


Bone Health
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A randomized, double-blind, placebo-controlled study was conducted in 68 healthy subjects without arthritis symptoms. Participants were recruited and randomly assigned to receive either a placebo or N-Acetylglucosamine (at 500 or 1,000 mg/day) for 16 weeks. Results showed that oral administration of GlcNAc improves cartilage metabolism in healthy subjects without apparent adverse effects.

Posologie

posologieOral route

posologie500 - 1000 mg


Skin Health
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Hyaluronic acid (HA), which is primarily produced by fibroblasts and keratinocytes, is a well-known ingredient that retains water in the stratum corneum and dermis. However, it is inefficiently absorbed through topical or oral administration due to its high molecular weight. Adding GlcNAc, which is the building block of hyaluronic acid (HA), to cultured keratinocytes results in a dose-dependent increase in HA production.

Posologie

posologieOral route


Chronic Inflammatory Bowel Diseases
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A clinical study in children aged 8 to 17 with Crohn's disease or ulcerative colitis not responding to conventional treatment suggests that oral or rectal N-acetylglucosamine (total daily dose of 3 to 6 g) could reduce symptoms. The validity of this result is limited by the absence of a control group.

Posologie

posologieRectal, oral route

posologie3 - 6 g


Wrinkles
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Due to the versatile functions of GlcNAc, it is considered a valuable ingredient in cosmetics to improve wrinkles and skin color. Indeed, the hyaluronic acid (HA) content decreases with age, which could contribute to wrinkle formation and decreased skin elasticity. Adding GlcNAc to cultured keratinocytes results in increased hyaluronic acid production.

Posologie

posologieTopical route


Wound
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It has been demonstrated that glucosamine accelerates wound healing by stimulating the synthesis of hyaluronic acid.

Posologie

posologieTopical route


Properties


Anti-inflammatory

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It has been shown in vitro that glucosamine and N-acetylglucosamine (GlcNAc) inhibit the production of nitric oxide, induced by IL-13b2 and TNF-3b1 (inflammatory cytokines) in normal human articular chondrocytes (cartilage cells). Additionally, N-acetylglucosamine inhibits the production of cyclooxygenase-2 and IL-6 (which are involved in inflammatory reactions). Numerous clinical trials have shown that GlcNAc significantly helps prevent joint damage in patients suffering from inflammatory joint disorders such as osteoarthritis and rheumatoid arthritis.

Usages associés

Osteoarthritis

Dermatological Effect

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In an in vitro study, the addition of N-acetylglucosamine to keratinocytes (epidermis cells) in culture led to a dose-dependent increase in hyaluronic acid production. This enables water retention in the stratum corneum and dermis, preventing wrinkle formation and decreased skin elasticity. In addition to its moisturizing effects, in vitro studies have shown that GlcNAc reduces facial hyperpigmentation by decreasing melanin production.

Usages associés

Skin health, Wrinkles, Skin Lightening

Digestive Effect

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GlcNAc is capable of increasing the release of mucopolysaccharides (constituents with great elasticity due to their ability to absorb water) by fibroblasts (connective tissue cells) and restoring the protective structure of the gastrointestinal tract. Thus, GlcNAc increases the elasticity of perivascular tissues, leading to increased arterio-capillary blood flow, and acts as a protector of normal mucosal membrane function in humans.

Usages associés

Chronic inflammatory bowel diseases

Healing

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GlcNAc promotes the proliferation of keratinocytes (epidermis cells) and fibroblasts (cells present in connective tissue) and increases hyaluronic acid production in the skin, which supports wound healing.

Usages associés

Wound


Safety dosage

Adult: 100 mg - 1000 mg

The typical dosage of N-acetylglucosamine is not available. It has been used safely up to a dose of 1g per day orally and 6g rectally. A cream with 2% N-acetylglucosamine has been used safely for up to 10 weeks.


Interactions

Médicaments

Warfarin: strong interaction

Glucosamine could increase the anticoagulant effects of warfarin and increase the risk of bruising and bleeding.


Precautions

Pregnant women: avoid

Avoid use due to lack of reliable and sufficient information.

Breastfeeding women: avoid

Avoid use due to lack of reliable and sufficient information.