PAG Labs

PAG LABS Research Library — Skin Longevity Science

This is the PAG LABS evidence hub for skin aging, photoaging, NAD+ biology, cellular senescence, collagen remodeling and nutritional research.

The purpose of this library is not to prove that one ingredient “reverses aging.” It is to map what scientists know, what remains uncertain and which findings actually come from human studies.

Three research questions: cellular mechanisms, blood or tissue biomarkers, and measured visible skin outcomes.
Use this framework to navigate the studies below. Biology, biomarkers and visible skin measurements answer different questions.

The studies, side by side

Start with the exact ingredient and the outcome. This selected evidence map brings together human skin research, biomarker trials and supporting delivery science. It is a curated starting point, not a systematic review or a set of trials of PAG NAD CORE.

Selected skin-longevity research · reviewed September 26, 2026
Research question People or model Dose / time / design What the result addresses Primary source
Skin NAD+ and age Human tissue observation; 49 pelvic-skin samples No supplement; cross-sectional Age-related differences in tissue NAD metabolism; not a facial treatment trial. Massudi 2012
Oral NMN and skin reports 17 postmenopausal women enrolled; 16 completed; no placebo 300 mg/day; 8 weeks Six of seven skin self-assessment items improved. Subjective outcomes; one withdrawal for headache. Morita 2022
Topical niacinamide Randomized, double-blind split-face study; 50 women 5% formulation; twice daily; 12 weeks Appearance and elasticity outcomes. Applies to topical niacinamide. Bissett 2005
Oral NMN and blood NAD Randomized placebo-controlled trial; 30 adults 250 mg/day; 12 weeks Whole-blood NAD increased; this was not a visible skin-outcome trial. Okabe 2022
Collagen supplements Systematic review; 23 randomized trials; 1,474 participants Different formulas and protocols Pooled benefits, with results differing by study quality and funding subgroup. Myung & Park 2025
Japanese and US facial aging 70 women in Tokyo and 85 in Cincinnati; ages 20–69 Population comparison; no supplement Different wrinkle and sagging patterns; NAD was not tested. Tsukahara 2004
Nicotinamide and barrier lipids Cultured human keratinocytes and topical skin work Cell and topical experiments Barrier-lipid synthesis and water-loss measurements; a different route from capsules. Tanno 2000
The 500 Dalton rule Scientific discussion of skin penetration Topical delivery framework Molecular size informs penetration; it does not decide overall product efficacy. Bos & Meinardi 2000

Doses describe the cited research, not personal dosing instructions. A population observation, an uncontrolled study and a randomized trial have different strengths. Full methods and disclosures are available in the linked publications.

Start here

Choose your next step

Evidence legend

Level What it means
Human clinical Measured clinical outcomes in people, ideally randomized and controlled.
Human biomarker A biological marker changed in people, but a visible skin benefit was not necessarily demonstrated.
Mechanistic Explains a biological pathway in cells or tissues.
Preclinical Cell or animal evidence that generates hypotheses for human research.

Evidence level is not a quality score. It tells you how directly a finding applies to the question being asked. A small human trial can be lower quality than a rigorous mechanistic study, but it still answers a more direct human-outcome question.

1. Photoaging and UV exposure

Ultraviolet radiation is one of the best-established extrinsic drivers of visible skin aging. Human research links UV exposure to matrix-remodeling signals including MMP-1, and randomized evidence supports regular sunscreen use for slowing photoaging.

Read the randomized sunscreen trial. Then explore Photoaging vs Intrinsic Skin Aging, UV, MMP-1 and Collagen, and the shorter MMP-1 guide.

2. Retinoids and evidence-based topical care

Topical tretinoin has randomized-trial evidence for photoaged skin. That matters because an evidence-first “inside-out” strategy should not pretend proven topical interventions are irrelevant. Nutrition and supplements, where appropriate, are complementary questions—not replacements for photoprotection or dermatologic care.

Review the systematic review of topical tretinoin trials. For delivery and penetration, see The 500 Dalton Rule and Topical vs Oral Skin Aging Interventions.

3. NAD+ biology and skin

NAD+ is central to cellular redox reactions and serves as a substrate for multiple enzyme families. Skin research links NAD biology to cellular energetics, stress responses and aging-related changes. But direct oral NAD+, NR and NMN are different interventions and must be evaluated separately.

Start with NAD+ and Skin Aging: What the Evidence Shows, then read NAD+ for Skin: Direct NAD+, NR and NMN Evidence Explained and Collagen vs NAD+.

4. Cellular senescence and quercetin

Senescent cells and the senescence-associated secretory phenotype are active areas of aging research. Early human senolytic studies have tested drug combinations such as dasatinib plus high-dose quercetin in specific patient populations. These studies do not establish that 250 mg/day of quercetin alone clears senescent skin cells in healthy people.

Read the preliminary dasatinib + quercetin human study, then see Quercetin, Cellular Senescence and Skin.

5. Collagen, extracellular matrix and MMPs

Collagen homeostasis reflects both synthesis and degradation. Matrix metalloproteinases are part of normal tissue remodeling and can be induced by UV-related signaling. Oral collagen research is mixed: pooled analyses often report improvements, while higher-quality or non-industry-funded subsets have sometimes failed to show benefit.

Continue with How Long Does Skin Collagen Remodeling Take?, Collagen vs NAD+, and UV, MMP-1 and Collagen.

6. Resveratrol and polyphenols

Resveratrol has antioxidant and signaling effects in preclinical models and has been studied in several human contexts. Skin-specific evidence is promising but substantially less definitive than marketing language often implies. The source and dose should be described precisely rather than using “wine” as a proxy.

Read Resveratrol and Skin Aging: Promising Biology, Limited Clinical Proof.

7. Population, diet and prevention claims

Population research can generate useful hypotheses, but ethnicity or longevity statistics should not be converted into product efficacy claims. UV behavior, pigmentation, smoking, diet, socioeconomic factors and many other variables can confound comparisons.

See Diet, Sun Exposure and Skin Aging: What Japanese Longevity Research Can Tell Us, Japanese Skin Aging, and Preventive vs Corrective Skincare.

How PAG LABS interprets its own formula

PAG NAD CORE combines direct NAD+, quercetin dihydrate extract and Japanese knotweed extract standardized to 98% resveratrol. We view the formula as a dietary-supplement approach informed by several areas of healthy-aging research. We do not describe it as clinically proven to reverse wrinkles, clear senescent cells, rebuild collagen or reproduce results from NR/NMN trials.

For product-level transparency, view the exact PAG NAD CORE Supplement Facts.

How to read a PAG LABS evidence page

  1. Start with the outcome: is the claim about a biomarker, a mechanism or visible human skin?
  2. Match the molecule: NAD+, NR and NMN are not interchangeable; neither are quercetin alone and dasatinib + quercetin.
  3. Match the route: topical and oral studies cannot be transferred automatically.
  4. Match the dose and population: a disease pilot or laboratory dose may not answer a healthy-aging consumer question.
  5. Prefer primary human evidence when the claim is clinical: mechanistic evidence is valuable but should stay in its lane.

Research standards

When you read a PAG LABS article, look for a quick answer, an evidence-level explanation, explicit uncertainty, primary references, contextual internal links and a review date. If a claim depends on a precursor, drug combination or non-human model, the article should say so.

Last reviewed: September 26, 2026.

PAG LABS sells dietary supplements. Our Research Library is educational and is not medical advice.