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5-Amino-1MQ

Evidence: C

Metabolic / Weight Management

2 min readLast reviewed July 26, 2026

Key facts

  • Research areaMetabolic / Weight Management
  • Study records12
  • Last updated2026-07-26

Evidence Snapshot

Evidence: CLimited Human Evidence
2026-07-26Last updated

What this grade covers

Preclinical evidence only; no verified human interventional efficacy or safety evidence was identified in this review.

Regulatory Context

No FDA-approved 5-Amino-1MQ drug product was identified in the official records searched through July 19, 2026. In a 2026 warning letter, FDA stated that 5-amino-1-methylquinolinium iodide used by the inspected outsourcing facility was not eligible for section 503B exemptions because it was not on the 503B bulks list and was not used for a shortage-listed drug.

In Plain English

A quick, research-focused overview. It does not replace, and cannot outrank, the detailed evidence below.

What is it?

A small-molecule quinolinium NNMT inhibitor commonly abbreviated 5A1MQ.

Why are researchers interested in it?

NNMT participates in nicotinamide and methyl-donor metabolism and has been studied as a metabolic target.

What does the evidence look like?

Direct evidence for weight and metabolic effects is preclinical and comes mainly from diet-induced-obesity mouse studies.

Biggest things to know

It is not a peptide, human efficacy and safety are unestablished, and the cation should not be assumed equivalent to every marketed iodide or chloride preparation.

Research Takeaway

5-Amino-1MQ is a small-molecule 5-amino-1-methylquinolinium NNMT inhibitor, not a peptide.

See all 13 evidence claims →

Quick Summary

Metabolic / Weight Management

5-Amino-1MQ is a small-molecule inhibitor of nicotinamide N-methyltransferase (NNMT), not a peptide. Mouse studies report changes in body weight, adiposity, glucose-insulin measures, and liver pathology, but no directly matching human interventional efficacy study was identified in this review. Product salt form, route, purity, and compounding status materially affect interpretation.

Mechanism & Research Overview

5-Amino-1MQ inhibits NNMT, an enzyme that methylates nicotinamide using S-adenosylmethionine. Preclinical work links NNMT inhibition to changes in energy handling, adipose biology, glucose-insulin signaling, and hepatic metabolism. The magnitude, direction, and safety of these effects in humans remain unestablished.

Mechanism pathway

Relationship-support labels describe the type and directness of the research available, not proof of safety or effectiveness. Indirectly supported, inferred and uncertain relationships are not equivalent to directly supported ones.

  1. Compound5-Amino-1MQ
  2. Directly supported (Directly supported relationship)
    Biological targetNNMT enzymeEnzyme
  3. Leads to
    PathwayMitochondrial & Energy Signaling
  4. Contributes to
    • Biological processReduction of intracellular 1-methylnicotinamide (1-MNA), the NNMT reaction product

Relationship details

  1. 5-Amino-1MQ → NNMT enzyme — Directly supported5-Amino-1MQ directly inhibits the enzyme nicotinamide N-methyltransferase (NNMT).
  2. Reduction of intracellular 1-methylnicotinamide (1-MNA), the NNMT reaction product — contributes to the pathway (structural link, no support rating)

A biological process is not the same as a proven health or treatment outcome.

Open in the Mechanism & Pathway Explorer→

Evidence Claims

Individual scientific statements drawn from the sources cited below, each shown with the specific evidence boundary that statement does not establish.

identity

Supported

5-Amino-1MQ is a small-molecule 5-amino-1-methylquinolinium NNMT inhibitor, not a peptide.

Sources: Selective and membrane-permeable small molecule inhibitors of nicotinamide N-methyltransferase reverse high fat diet-induced obesity in mice

preclinical_evidence

Supported

A 2024 mouse study reported improvements in several obesity-related metabolic and liver measures and characterized route-dependent exposure; these findings do not establish human efficacy or safety.

Sources: Nicotinamide N-methyltransferase inhibition mitigates obesity and metabolic dysfunction in a sex-dependent manner

Regulatory Status

Supported

FDA stated in a 2026 warning letter that 5-amino-1-methylquinolinium iodide was not eligible for the cited outsourcing-facility products to receive 503B exemptions because the bulk substance was not on the 503B bulks list and was not tied to a shortage-listed drug.

Sources: GenoGenix LLC Warning Letter — 5-amino-1-methylquinolinium iodide compounding eligibility

formulation

Supported

The 5-amino-1-methylquinolinium cation and its iodide or chloride salt forms should not be treated as automatically interchangeable without exact identity and formulation documentation.

Sources: Selective and membrane-permeable small molecule inhibitors of nicotinamide N-methyltransferase reverse high fat diet-induced obesity in mice; GenoGenix LLC Warning Letter — 5-amino-1-methylquinolinium iodide compounding eligibility

identity

Supported

FDA's GSRS and PubChem identify the 5-amino-1-methylquinolinium ion separately from its iodide and chloride salt forms. The parent ion, iodide salt, chloride salt, and unspecified vendor material must not be treated as automatically interchangeable in molecular weight, formulation, pharmacokinetics, purity, or safety.

Sources: FDA GSRS 5-Amino-1-methylquinolinium; PubChem 5-Amino-1-methylquinolinium

preclinical_evidence

Supported

A separate mouse study found that NNMT inhibition combined with a lower-calorie diet reduced adiposity and changed the gut microbiome in diet-induced obese mice. Diet was a co-intervention, limiting attribution to NNMT inhibition alone, and this remains preclinical evidence only.

Sources: Reduced-Calorie Diet and NNMT Inhibition in DIO Mice

preclinical_evidence

Supported

An LC-MS/MS bioanalytical method characterized 5-amino-1-methylquinolinium exposure in rat plasma and urine. This is a bioanalytical method study, not a human safety or efficacy trial.

Sources: 5-AMQ LC-MS/MS Assay in Rat Plasma and Urine

preclinical_evidence

Supported

Cell and mouse research has examined 5-Amino-1MQ in cervical-cancer (HeLa) cells and tumor-microenvironment models, with results showing antiproliferative or immunotherapy-sensitizing effects. These results remain preclinical. NNMT biology is context-dependent, and systemic inhibition could have effects not predicted by isolated cell or animal models; 5-Amino-1MQ must not be described as preventing or treating cancer in humans.

Sources: 5MQ Antiproliferative Activity in HeLa Cells; NNMT Inhibition in Bladder Cancer Models

preclinical_evidence

Supported

Recent preclinical studies have evaluated NNMT inhibition in kidney and other fibrosis models, with some reporting reduced senescence or fibrosis markers. These models do not prove treatment of chronic kidney disease, liver disease, pancreatic disease, cardiac fibrosis, or age-related tissue dysfunction in humans.

Sources: NNMT Inhibition in Kidney Fibrosis Models

Evidence Boundary

Supported

Compounded or grey-market 5-Amino-1MQ products should not be represented as clinically validated obesity treatments or as equivalent to a reviewed FDA-approved drug.

Sources: GenoGenix LLC Warning Letter — 5-amino-1-methylquinolinium iodide compounding eligibility

Safety & Evidence Limitations

Considerations reported in the sources cited on this page — not a complete list of every possible risk, and not medical advice.

  • Safety Consideration

    The direct metabolic evidence reviewed is from mice; human weight-loss and metabolic outcomes are unestablished.
  • Safety Consideration

    Animal tolerability and route-dependent mouse exposure cannot establish human risk, duration, or route equivalence.
  • Safety Consideration

    The 5-amino-1-methylquinolinium cation, iodide salt, chloride salt, and finished formulations should not be treated as automatically equivalent.
  • Safety Consideration

    Several key mouse studies involved researchers affiliated with the compound developer; this does not invalidate the work but increases the importance of independent replication.
  • Safety Consideration

    FDA’s 503B warning-letter findings concern legal eligibility and facility compliance and do not establish clinical benefit.

Research Areas Being Studied

Research areas discussed on this page reflect the Metabolic / Weight Management category and the sources cited below.

Findings Reported in Studies

Educational summary only — reported in cited studies, not a claim of proven benefit.

No Human Study Findings Listed Yet

See preclinical, regulatory, and review sources below.

Study Tables by Evidence Type

12 study records

Human Studies & Clinical Data

No Human Studies & Clinical Data Listed Yet

This section will be updated as sources are added.

Animal / Cell / Preclinical Data(8)

Nicotinamide N-methyltransferase inhibition mitigates obesity and metabolic dysfunction in a sex-dependent manner

2024

PMID 39161060

Population / Model
Dose / Duration / Finding

5A1MQ treatment limited weight and fat-mass gain and improved glucose-related measures in mice, with sex-dependent effects. The paper remains preclinical and provides no basis for a human dosing or safety recommendation.

Reduced-Calorie Diet and NNMT Inhibition in DIO Mice

2022

PMID 35013352

Population / Model
Mouse microbiome/metabolic study
Dose / Duration / Finding

A mouse study found that NNMT inhibition combined with a lower-calorie diet reduced adiposity and changed the gut microbiome in diet-induced obese mice. Diet was a co-intervention, limiting attribution to NNMT inhibition alone.

Safety note

Preclinical only; animal/cell findings do not establish human safety or efficacy.

5-AMQ LC-MS/MS Assay in Rat Plasma and Urine

2021

PMID 34304009

Population / Model
Analytical method
Dose / Duration / Finding

An LC-MS/MS bioanalytical method characterized 5-amino-1-methylquinolinium exposure in rat plasma and urine. This is a bioanalytical method development study, not a safety or efficacy trial.

Safety note

Preclinical only; animal/cell findings do not establish human safety or efficacy.

Selective and membrane-permeable small molecule inhibitors of nicotinamide N-methyltransferase reverse high fat diet-induced obesity in mice

2018

PMID 29155147

Population / Model
Dose / Duration / Finding

The study developed methylquinolinium NNMT inhibitors, including the 5-amino-1-methylquinolinium scaffold, and demonstrated anti-obesity effects in high-fat-diet mouse models. This establishes 5-Amino-1MQ as a small-molecule NNMT inhibitor, not a peptide.

Selective NNMT inhibitors including 5-amino-1MQ

2018
Population / Model
Preclinical/cell/mouse
Dose / Duration / Finding

Adipocyte and mouse studies — 5-amino-1MQ inhibited NNMT and reduced adiposity/metabolic markers in models.

Safety note

Preclinical only; animal/cell findings do not establish human safety or efficacy.

5MQ Antiproliferative Activity in HeLa Cells

PMID 33645410

Population / Model
Dose / Duration / Finding

Cell studies reported antiproliferative activity of 5-amino-1-methylquinolinium-related compounds in cervical-cancer (HeLa) cells. This is preclinical cell evidence and does not establish that 5-Amino-1MQ prevents or treats cancer in humans.

NNMT Inhibition in Bladder Cancer Models

PMID 39067875

Population / Model
Dose / Duration / Finding

Cell and mouse research examined NNMT inhibition in bladder-cancer tumor-microenvironment models, reporting antiproliferative or immunotherapy-sensitizing effects. These results remain preclinical and must not be presented as evidence that 5-Amino-1MQ treats cancer in humans.

Show full finding

NNMT Inhibition in Kidney Fibrosis Models

PMID 41543936

Population / Model
Dose / Duration / Finding

Preclinical studies evaluated NNMT inhibition in kidney-fibrosis models and reported reduced senescence or fibrosis markers. These models do not prove treatment of chronic kidney disease or other fibrotic conditions in humans.

Regulatory Documents & Official Trial Registries(3)

FDA GSRS 5-Amino-1-methylquinolinium

2026
Population / Model
Dose / Duration / Finding

FDA's GSRS identifies the 5-amino-1-methylquinolinium ion as a distinct substance record, separate from its iodide and chloride salt forms.

GenoGenix LLC Warning Letter — 5-amino-1-methylquinolinium iodide compounding eligibility

2026
Population / Model
FDA warning letter to a registered outsourcing facility
Dose / Duration / Finding

The letter addresses 503B eligibility and manufacturing/compliance findings; it is not evidence of efficacy.

Safety note

The warning letter also described serious manufacturing deficiencies and a sterile-product recall at the inspected facility. Those facility findings should not be generalized to every product, but they illustrate compounding-quality risk.

FDA. GenoGenix LLC Warning Letter, January 20, 2026.

PubChem 5-Amino-1-methylquinolinium

2026
Population / Model
Dose / Duration / Finding

PubChem CID 950107 records the 5-amino-1-methylquinolinium ion as a defined chemical entity, distinct from its iodide and chloride salt forms.

Review Articles / Secondary Sources(1)

NNMT roles in obesity and 5-amino-1MQ

2021
Population / Model
Review
Dose / Duration / Finding

Obesity/metabolic pathway — Summarizes 5-amino-1MQ-treated mouse findings and NNMT obesity biology.

Safety note

Secondary source; useful for context but not a substitute for primary study review.

Anecdotal Reported Patterns — Not Medical Advice

Anecdotal Reported Patterns — Not Medical Advice

Reported dosing patterns are included for educational context only. They are self-reported, unverified, not medical advice, and not instructions for human use. Community-submitted patterns are not yet available in this Phase 1 prototype; this section is a placeholder reserved for moderated, aggregated community data.

Lab Markers to Discuss With a Clinician

Educational topics only — not self-monitoring instructions.

body weight trendwaist circumferencebody compositionfasting glucosefasting insulinHbA1clipid panelALT/AST/GGTkidney function/eGFRadverse event log

FAQ

No. It is a small-molecule quinolinium compound studied as an NNMT inhibitor.

Disclaimer

5-Amino-1MQ remains a preclinical research small molecule. Mouse weight-loss and metabolic findings are not instructions, proof of human benefit, or evidence that a marketed product is safe or correctly identified.

Educational use only. This content is provided for informational and research-summary purposes only. It is not medical advice, not a treatment recommendation, not a dosing guide, and not a substitute for care from a licensed medical professional. Nothing here is intended to diagnose, treat, cure, prevent, or mitigate disease. Reported dosing patterns, when shown elsewhere on the site, must be labeled either as Study / Trial Dosing or Anecdotal Reported Patterns — Not Medical Advice. Community reports are self-reported, unverified, and not scientific proof.

Community-reported experiences, once enabled, must be displayed only as moderated, anonymized, or aggregated data. They are anecdotal, self-reported, unverified, and should never be presented as proof of safety, efficacy, or expected results.

Content status: Published. Last updated 2026-07-26.

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