“…Phosphorylation of Akt leads to its activation and protects cells against genomic DNA degradation and membrane PS exposure [45,61,105]. Up-regulation of Akt activity during multiple injury paradigms, such as vascular and cardiomyocyte ischemia [106,107], free radical exposure [45,108], N-methyl-D-aspartate toxicity [109], hypoxia [110,111], β-amyloid toxicity [112][113][114], DNA damage [31, 41,110,115], metabotropic receptor signaling [38,116,117], cell metabolic pathways [42,63], and oxidative stress [31,33,41] increases cell survival. Cytoprotection through Akt also can involve control of inflammatory cell activation [33, 41,61], transcription factor regulation [118], maintenance of mitochondrial membrane potential (ΔΨ m ), prevention of cytochrome c release [45,61,105], and blockade of caspase activity [45,61,110] In addition to targeting the activity of membrane PS exposure and microglial activation, nicotinamide inhibits several pro-inflammatory cytokines, such as interleukin-1β, interleukin-6, interleukin-8, tissue factor, and tumor necrosis factor-α (TNF-α) [119][120][121][122].…”