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 are substances that 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 produced synthetically and is available in salt form. GlcNAc is one of the main forms of glucosamine salt (alongside glucosamine sulfate and glucosamine hydrochloride). GlcNAc is involved in tissue repair and in anti-inflammatory responses.

Other name(s) 

2-acetamido-2-deoxy-β-D-glucose

Scientific name(s)

2-acetamido-2-deoxy-β-D-glucose

Family or group: 

Carbohydrates


Indications

Scoring methodology

EFSA approval.

Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with consistently positive conclusions for the indication.
Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with positive conclusions for the indication.
One or more randomized studies, or several cohorts or epidemiological studies, with positive conclusions for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or conflicting.
No 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 lesions, and degenerative joint diseases. Preparations containing GlcNAc are administered parenterally, orally, and topically. An oral dose of 100 mg/day has been used. nn

Posologie

posologieOrally

posologie100 mg


Skin lightening
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A clinical study in women aged 40 to 60 years with cutaneous hyperpigmentation and solar lentigines, mainly due to aging and sun exposure, shows that applying a cream containing 2% N-acetylglucosamine and 4% niacinamide to the face twice daily with sunscreen for 10 weeks reduces facial hyperpigmentation compared with sunscreen alone. The effect of N-acetylglucosamine alone is unclear.

Posologie

posologieTopically


Synergies


Bone health
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A randomized, double-blind, placebo-controlled study was conducted in 68 healthy subjects who did not have symptoms of arthritis. Participants were recruited and randomly assigned to receive a placebo or N-acetylglucosamine (at a dose of 500 or 1,000 mg/day) for 16 weeks. The results showed that oral administration of GlcNAc improves cartilage metabolism in healthy subjects without apparent adverse effects.

Posologie

posologieOrally

posologie500 - 1000 mg


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

Posologie

posologieOrally


Chronic inflammatory bowel diseases
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A clinical study in children aged 8 to 17 years with Crohn's disease or ulcerative colitis who did not respond to conventional treatment suggests that oral or rectal N-acetyl glucosamine (total daily dose of 3 to 6 g) may reduce symptoms. The validity of this result is limited by the absence of a control group.

Posologie

posologieRectal, oral

posologie3 - 6 g


Wrinkles
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Because of GlcNAc's versatile functions, it is considered a valuable ingredient in cosmetics to improve wrinkles and skin tone. Indeed, hyaluronic acid (HA) levels decrease with age, which may contribute to wrinkle formation and reduced skin elasticity. Adding GlcNAc to cultured keratinocytes leads to an increase in hyaluronic acid production.

Posologie

posologieTopical


Wound
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Glucosamine has been shown to accelerate wound healing by stimulating the synthesis of hyaluronic acid

Posologie

posologieTopical


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-1β and TNF-α (inflammatory cytokines) in normal human articular chondrocytes (cartilage cells). Moreover, N-acetylglucosamine inhibits the production of cyclooxygenase-2 and IL-6 (which are involved in inflammatory responses). Many 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 (epidermal cells) in culture resulted in a dose-dependent increase in hyaluronic acid production. The latter helps retain water in the stratum corneum and the dermis, and prevents the formation of wrinkles and the reduction of skin elasticity. nnIn addition to its moisturizing effects, in vitro studies have shown that GlcNAc reduces facial hyperpigmentation by decreasing melanin production.nn

Usages associés

Skin health, Wrinkles, Skin lightening

Digestive effect

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GlcNAc is able to increase the release of mucopolysaccharides (components with high elasticity due to their ability to absorb water) by fibroblasts (cells of connective tissue) and restore the protective structure of the gastrointestinal tract. Thus, GlcNAc increases the elasticity of perivascular tissues, leading to an increase in arteriocapillary blood flow, and acts to protect the normal function of the mucous membrane in humans. nn

Usages associés

Chronic inflammatory bowel diseases

Wound healing

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

Usages associés

Wound


Safe 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 1 g per day orally and 6 g rectally. A 2% N-acetylglucosamine cream has been used safely for up to 10 weeks.


Interactions

Médicaments

Warfarin: strong interaction

Glucosamine may increase the anticoagulant effects of warfarin and raise 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.