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NAD+ homeostasis in health and disease
Open accessAbstract
The conceptual evolution of nicotinamide adenine dinucleotide (NAD+) from being seen as a simple metabolic cofactor to a pivotal cosubstrate for proteins regulating metabolism and longevity, including the sirtuin family of protein deacylases, has led to a new wave of scientific interest in NAD+. NAD+ levels decline during ageing, and alterations in NAD+ homeostasis can be found in virtually all age-related diseases, including neurodegeneration, diabetes and cancer. In preclinical settings, various strategies to increase NAD+ levels have shown beneficial effects, thus starting a competitive race to discover marketable NAD+ boosters to improve healthspan and lifespan. Here, we review the basics of NAD+ biochemistry and metabolism, and its roles in health and disease, and we discuss current challenges and the future translational potential of NAD+ research.
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“Pharmacological agents that induce mitophagy and have a positive impact on murine healthspan include NAD + precursors (such as nicotinamide, nicotinamide mononucleotide and nicotinamide riboside) 124 and urolithin A 125 .”
From Hallmarks of aging: An expanding universe (2023) · cites this paper as [124]
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“Accordingly, NAD+ homeostasis is required for the proper function of various metabolic tissues, including fat, muscle, intestines, kidneys and liver (reviewed in72).”
From NAD+ metabolism and its roles in cellular processes during ageing (2021) · cites this paper as [72]
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Yoshino, M., Yoshino, J., Kayser, B. D., Patti, G. J., Franczyk, M. P., Mills, K. F., Sindelar, M., Pietka, T., Patterson, B. W., Imai, S.-I., et al. (2021) · Science · doi:10.1126/science.abe9985 · Cited by 439
Metadata
- Authors
- Katsyuba, E., Romani, M., Hofer, D., & Auwerx, J.
- Affiliations
- École Polytechnique Fédérale de Lausanne (CH)
- Thermo Fisher Scientific (Switzerland) (CH)
- Corresponding author
- Auwerx, Johan
- Venue
- Nature Metabolism
- Published
- 2020-01-20
- Volume
- 2
- Issue
- 1
- Pages
- 9-31
- ISSN
- 2522-5812 (ISSN-L)
- OpenAlex
- W3000157665
- Cited by
- 627
- References
- 456
- Citations by year
- 2026: 102 · 2025: 101 · 2024: 92 · 2023: 110 · 2022: 110 · 2021: 77 · 2020: 34
- FWCI
- 10.28
- Type
- journal article
- Language
- en
- Open access
- green
- infoscience.epfl.ch
- Licence
- Locations
- Nature Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Infoscience (Ecole Polytechnique Fédérale de Lausanne) (submittedVersion, cc-by-nc-nd)
- Funders
- National Institute on Aging (R01AG043930)
- 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 › Physiology › Calcium signaling and nucleotide metabolism
- Keywords
- NAD+ homeostasis, NAD+ metabolism, sirtuins, aging, age-related diseases, neurodegeneration, diabetes mellitus, cancer, healthspan, lifespan
- MeSH terms
- Animals, Disease, Glycolysis, Homeostasis, Humans, Longevity, Metabolism, NAD, NADP, Oxidation-Reduction, Phosphorylation, Subcellular Fractions, Sirtuins
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