Nicotinamide adenine dinucleotide (NAD + ) and its precursor metabolites are emerging as important regulators of both cell metabolism and cell state. Interestingly, the role of NAD + in human embryonic stem cell (hESC) metabolism and the regulation of pluripotent cell state is unresolved. Here we show that NAD + simultaneously increases hESC mitochondrial oxidative metabolism and partially suppresses glycolysis and stimulates amino acid turnover, doubling the consumption of glutamine. Concurrent with this metabolic remodeling, NAD + increases hESC pluripotent marker expression and proliferation, inhibits BMP4-induced differentiation and reduces global histone 3 lysine 27 trimethylation, plausibly inducing an intermediate naïve-toprimed bivalent metabolism and pluripotent state. Furthermore, maintenance of NAD + recycling via malate aspartate shuttle activity is identified as an absolute requirement for hESC self-renewal, responsible for 80% of the oxidative capacity of hESC mitochondria. Our findings implicate NAD + in the regulation of cell state, suggesting that the hESC pluripotent state is dependent upon cellular NAD + . K E Y W O R D S glycolysis, malate aspartate shuttle, mitochondria, naïve, nicotinamide adenine dinucleotide, pluripotent