Benefits
Attention and cognition
In the main BioPQQ trial, 41 healthy older adults were randomly assigned to 20 mg a day or placebo for 12 weeks; the change in the Stroop interference ratio, a measure of selective attention, was significantly smaller in the PQQ group than in placebo, which the authors read as holding attention steadier rather than improving it. A visual-spatial score improved only in a subgroup that started below 70. Memory itself was not directly tested in that trial.
Mitochondrial and energy support
Mitochondrial biogenesis has been shown in cell and animal work, not in the BioPQQ human trials. The only fatigue and vigor data in people come from a small open-label study with no placebo group, so an effect on everyday energy is unproven.
Antioxidant protection
PQQ is chemically stable and cycles through many oxidation-reduction reactions in laboratory tests. Whether that translates into antioxidant protection in the body was not measured in the human BioPQQ studies.
Mechanism of action
Mitochondrial biogenesis
In cultured cells and in animals, PQQ activates signaling pathways such as PGC-1-alpha that stimulate the creation of new mitochondria. This is a proposed mechanism; it has not been confirmed in people taking BioPQQ.
Redox cycling
PQQ can undergo thousands of oxidation-reduction cycles in laboratory tests, which is the basis for calling its antioxidant activity durable. Cell protection has been observed in cell culture, not in the human trials.
Clinical trials
Laboratory study comparing PQQ with a related imidazole compound in a human neuroblastoma cell line and a liver cancer cell line, plus memory learning tests in aged mice. Not a human trial. (Yamada et al. 2020, Heliyon)
Cultured human cell lines and aged mice. No people took part in this study.
The imidazole compound had almost the same biological activity as PQQ except for antioxidant activity, and both improved memory learning in aged mice. The paper's one line about people is a passing mention of separate research, not a result measured here.