Ribose is a type of sugar normally made in the body from glucose. Ribose plays important roles in the synthesis of RNA, DNA, and the energy-containing substance adenosine triphosphate (ATP).
According to preliminary animal and human research, ribose supplementation speeds up regeneration of ATP in muscle cells of the heart or elsewhere in the body when those cells have been deprived of oxygen.1 2 3 4
Ribose has been used in connection with the following conditions (refer to the individual health concern for complete information):
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Reliable and relatively consistent scientific data showing a substantial health benefit. Contradictory, insufficient, or preliminary
studies suggesting a health benefit or minimal health benefit. For an herb, supported by traditional use but
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Ribose is not an essential nutrient, therefore deficiencies do not occur.
Sports supplement manufacturers recommend 1 to 10 grams per day of ribose.
No known side effects have been reported from the use of ribose when consumed in amounts of less than 10 grams per day. Larger amounts may cause gastrointestinal distress such as diarrhea,5 and may lower glucose levels,6 although it is not known whether symptoms of hypoglycemia might result.
At the time of writing, there were no well-known drug interactions with ribose.
1. Zimmer HG, Ibel H, Suchner U, Schad H. Ribose intervention in the cardiac pentose phosphate pathway is not species-specific. Science 1984;223:712–4.
2. Zimmer HG, Ibel H. Ribose accelerates the repletion of the ATP pool during recovery from reversible ischemia of the rat myocardium. J Mol Cell Cardiol 1984;16:863–6.
3. Kavazis AN, Sobota JS, Kivipelto J, et al. Ribose supplementation in maximally exercising Thoroughbreds. Equine Vet J Suppl 2002;34:191–6.
4. Pauly DF, Pepine CJ. D-Ribose as a supplement for cardiac energy metabolism. J Cardiovasc Pharmacol Ther 2000;5:249–58.
5. Gross M, Reiter S, Zollner N. Metabolism of D-ribose administered continuously to healthy persons and to patients with myoadenylate deaminase deficiency. Klin Wochenschr 1989;67:1205–13.
6. Gross M, Zollner N. Serum levels of glucose, insulin, and C-peptide during long-term D-ribose administration in man. Klin Wochenschr 1991;69:31–6.
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The information presented in Healthnotes is for informational purposes only. It is based on scientific studies (human, animal, or in vitro), clinical experience, or traditional usage as cited in each article. The results reported may not necessarily occur in all individuals. For many of the conditions discussed, treatment with prescription or over-the-counter medication is also available. Consult your doctor, practitioner, and/or pharmacist for any health problem and before using any supplements or before making any changes in prescribed medications. Information expires March 2005.