Cited by 1,617Sirtuins and Resveratrol in MedicineBiochemical and Molecular ResearchGenetics, Aging, and Longevity in Model Organisms

The DOI matches its Crossref record; 276 of the 281 references it cites were found in a registry or an index; 22 of the 332 sources its claims cite were checked for support.

NAD+ metabolism and its roles in cellular processes during ageing

Open access
Covarrubias, Anthony J., Perrone, Rosalba, Grozio, Alessia, Verdin, Eric·2021·Nature Reviews Molecular Cell Biology

Abstract

Nicotinamide adenine dinucleotide (NAD+) is a coenzyme for redox reactions, making it central to energy metabolism. NAD+ is also an essential cofactor for non-redox NAD+-dependent enzymes, including sirtuins, CD38 and poly(ADP-ribose) polymerases. NAD+ can directly and indirectly influence many key cellular functions, including metabolic pathways, DNA repair, chromatin remodelling, cellular senescence and immune cell function. These cellular processes and functions are critical for maintaining tissue and metabolic homeostasis and for healthy ageing. Remarkably, ageing is accompanied by a gradual decline in tissue and cellular NAD+ levels in multiple model organisms, including rodents and humans. This decline in NAD+ levels is linked causally to numerous ageing-associated diseases, including cognitive decline, cancer, metabolic disease, sarcopenia and frailty. Many of these ageing-associated diseases can be slowed down and even reversed by restoring NAD+ levels. Therefore, targeting NAD+ metabolism has emerged as a potential therapeutic approach to ameliorate ageing-related disease, and extend the human healthspan and lifespan. However, much remains to be learnt about how NAD+ influences human health and ageing biology. This includes a deeper understanding of the molecular mechanisms that regulate NAD+ levels, how to effectively restore NAD+ levels during ageing, whether doing so is safe and whether NAD+ repletion will have beneficial effects in ageing humans.

Overview

Integrity signals

Registry

Crossref · 10.1038/s41580-020-00313-x

Cites

276 of 276 references verified0 citation errors · 0 not checkable

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Nothing to recompute.

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Claims the paper makes

169 Not checked yet · 31 Own interpretation · 18 No basis given · 8 Supported · 5 Partly supported · 1 Own result · accuracy not yet measured

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  • It may state two separate claims as one. 96
  • Probably not a substantial claim. 16
107 of 107
  • The paper relies on this without support.

    Ageing reduces the ability to mount an effective adaptive immune response because adaptive immune cell functions change, a process called immunosenescence.

    “ageing is characterized by a reduced ability to build an effective adaptive immune response due to altered functions of adaptive immune cells, known as immunosenescence.”
  • The paper relies on this without support.

    Ageing skews immune cell populations, decreasing naive T and B cells, reducing T cell antigen receptor diversity, and increasing virtual memory T cells.

    “Ageing leads to an imbalance or skewing of immune cell populations, including decreased levels of naive T and B cells, loss of T cell antigen receptor diversity and an increase in levels of virtual memory T cells.”
  • The paper relies on this without support.

    NAD+-boosting strategies that extend healthspan and lifespan in animal models will also do so in humans.

    “The good news is that different NAD+-boosting strategies have been shown to be effective in extending healthspan and lifespan (see the section Therapeutic targeting of NAD+ level decline and TABLE 1).”
    “However, the translatability of NAD+-boosting therapies to humans remains the key question to be answered.”
  • The paper relies on this without support.

    Ageing-related diseases will impose substantial societal and economic costs in the coming decades.

    “This is particularly important as elderly populations are rising rapidly, and ageing-related diseases are predicted to cause a great deal of societal and economic burden in the coming decades.”
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Citations

Cites

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Research works printed but not linked: 1

  1. Liu, Q., Kriksunov, I. A., Hao, Q., Graeff, R. & Lee, H. C. Acidic residues at the active sites of CD38 and ADP-ribosyl cyclase determine NAAPD synthesis and hydrolysis activities. J. Biol. Chem. https://doi.org/10.2210/pdb2hct/pdb (2006). · DOI

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Metadata

Authors
Covarrubias, A. J., Perrone, R., Grozio, A., & Verdin, E.
Affiliations
Buck Institute for Research on Aging (US)
Corresponding author
Verdin, Eric
Venue
Nature Reviews Molecular Cell Biology
Published
2020-12-22
Volume
22
Issue
2
Pages
119-141
ISSN
  • 1471-0072 (ISSN-L)
  • 1471-0080
OpenAlex
W3115773653
Cited by
1,617
References
281
Citations by year
2026: 403 · 2025: 352 · 2024: 302 · 2023: 233 · 2022: 222 · 2021: 103 · 2020: 2
FWCI
17.40
Type
journal article
Language
en
Open access
Locations
  • Nature Reviews Molecular Cell Biology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute on Aging (T32AG000266)
  • National Institute of Diabetes and Digestive and Kidney Diseases (R24DK085610)
Topics
  • Health Sciences › Medicine › Geriatrics and Gerontology › Sirtuins and Resveratrol in Medicine
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Biochemical and Molecular Research
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Aging › Genetics, Aging, and Longevity in Model Organisms
Keywords
NAD+ metabolism, aging, sirtuins, CD38, poly(ADP-ribose) polymerase, cellular senescence, DNA repair, chromatin remodeling, immune cell function, healthspan extension, lifespan extension, sarcopenia, frailty, metabolic disorders, cognitive decline
MeSH terms
Aging, Animals, Cell Physiological Phenomena, Energy Metabolism, Humans, Mitochondria, NAD, Metabolic Networks and Pathways

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