2020
DOI: 10.1038/s41392-020-00311-7
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NAD+ metabolism: pathophysiologic mechanisms and therapeutic potential

Abstract: Nicotinamide adenine dinucleotide (NAD+) and its metabolites function as critical regulators to maintain physiologic processes, enabling the plastic cells to adapt to environmental changes including nutrient perturbation, genotoxic factors, circadian disorder, infection, inflammation and xenobiotics. These effects are mainly achieved by the driving effect of NAD+ on metabolic pathways as enzyme cofactors transferring hydrogen in oxidation-reduction reactions. Besides, multiple NAD+-dependent enzymes are involv… Show more

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Cited by 551 publications
(473 citation statements)
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References 680 publications
(1,043 reference statements)
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“…As described in a previous published review, the salvage pathway occupied 85% of all the NAD+ and thus regarded as a key metabolism pathway. 13 NAD+ would be transformed to nicotinamide (NAM) through NAD+ consuming enzymes, and then became nicotinamide dinucleotide (NMN) after being catalyzed by nicotinamide phosphoribosyl transferase (NAMPT). NMN would then be catalyzed by nicotinamide mononucleotide adenylyl transferase 1–3 (NMNAT1-3).…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…As described in a previous published review, the salvage pathway occupied 85% of all the NAD+ and thus regarded as a key metabolism pathway. 13 NAD+ would be transformed to nicotinamide (NAM) through NAD+ consuming enzymes, and then became nicotinamide dinucleotide (NMN) after being catalyzed by nicotinamide phosphoribosyl transferase (NAMPT). NMN would then be catalyzed by nicotinamide mononucleotide adenylyl transferase 1–3 (NMNAT1-3).…”
Section: Resultsmentioning
confidence: 99%
“…NAD+, as a coenzyme that exists in human body and is closely related to thousands of enzymes involved in cellular life activities, 13 has the potential of delaying senescence and prolonging life with its direct precursor substance, nicotinamide mononucleotide (NMN). As aging is a risk factor of DED based on the TFOS DEWS II, 14 the application of NMN, which is a potential anti-aging drug might help in the management of DED.…”
Section: Introductionmentioning
confidence: 99%
“…De novo NAD + synthesis or increased availability of NAD + precursors may thus support cognitive functions and lead to a decrease of Aβ amyloid fibrils [ 221 , 222 , 223 , 224 , 225 ]. Nicotinamide treatment preserved mitochondrial integrity in mouse models of AD [ 220 ] in cells with a functional NAD + salvage pathway.…”
Section: Nad + Boosters and Therapeutic Role Inmentioning
confidence: 99%
“…NAD + is essential for glycolysis as well as oxidative phosphorylation (OXPHOS) as an electron transmitter. NAD + also serves as a co-substrate for poly (ADP-ribose) polymerases (PARPs) and the sirtuin family ( 26 28 ). The intracellular NAD + level is one of the critical determinants of differentiation and functions in macrophages.…”
Section: The Impact Of Dietary Intervention On Immune Responsesmentioning
confidence: 99%