Quinolinate as a Marker for Kynurenine Metabolite Formation and the Unresolved Question of NAD(+) Synthesis During Inflammation and Infection
Open accessAbstract
Quinolinate (Quin) is a classic example of a biochemical double-edged sword, acting as both essential metabolite and potent neurotoxin. Quin is an important metabolite in the kynurenine pathway of tryptophan catabolism leading to the de novo synthesis of nicotinamide adenine dinucleotide (NAD+). As a precursor for NAD+, Quin can direct a portion of tryptophan catabolism toward replenishing cellular NAD+ levels in response to inflammation and infection. Intracellular Quin levels increase dramatically in response to immune stimulation (e.g., lipopolysaccharide; LPS or pokeweed mitogen; PWM) in macrophages, microglia, dendritic cells and other cells of the immune system. NAD+ serves numerous functions including energy production, the poly ADP ribose polymerization (PARP) reaction involved in DNA repair and the activity of various enzymes such as the NAD+-dependent deacetylases known as sirtuins. We used highly specific antibodies to protein-coupled Quin to delineate cells that accumulate Quin as a key aspect of the response to immune stimulation and infection. Here we describe Quin staining in the brain, spleen and liver after LPS administration to the brain or systemic PWM administration. Quin expression was strong in immune cells in the periphery after both treatments, whereas very limited Quin expression was observed in the brain even after direct LPS injection. Immunoreactive cells exhibited diverse morphology ranging from foam-cells to cells with membrane extensions related to cell motility. We also examined protein expression changes in the spleen after kynurenine administration. Acute (8 hr) and chronic (48 hr) kynurenine administration led to significant changes in protein expression in the spleen, including multiple changes involved with cytoskeletal rearrangements associated with cell motility and phagocytosis. Kynurenine administration resulted in several expression level changes in proteins associated with heat shock protein 90 (HSP90), a chaperone for the aryl-hydrocarbon receptor (AHR), which is the primary kynurenine metabolite receptor. We propose that cells with high levels of Quin are those that are currently releasing kynurenine pathway metabolites as well as accumulating Quin for sustained NAD+ synthesis from tryptophan. Further, the kynurenine pathway may be linked to the regulation of cell motility in immune and cancer cells.
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Elevated QUIN levels in leukocytes during inflammatory responses contribute to increased NAD+.
“Several studies indicate elevated QUIN levels in leukocytes, during inflammatory responses, contribute to increased NAD+ [61,62].”
From VEEV TC-83 Triggers Dysregulation of the Tryptophan–Kynurenine Pathway in the Central Nervous System That Correlates with Cognitive Impairment in Tg2576 Mice (2024) · cites this paper as [61]
The Discussion section on Quin accumulation reports elevated intracellular Quin in immune cells and says it could support sustained conversion to NAD+, but presents that role as a possibility rather than an established effect. The section on NAD+ synthesis outside the liver also reports that IFN-γ treatment alone decreased NAD+ levels in human monocytes and macrophages; increases were observed when PARP was inhibited. Page numbers are not available in our copy. (LLM, conf=0.87)
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“Yet, the precise nature of the benefits that the kynurenine pathway confers on fitness is a matter of ongoing debate (7, 9, 16, 22, 23).”
BackgroundSelf-citationSSRP1 functions as a co‐activator of the transcriptional activator p63
Zeng, S. X., Dai, M., Keller, D. M., & Lu, H. (2002) · The EMBO Journal · doi:10.1093/emboj/cdf540 · Cited by 89 · cited 1× · see citing works
“However, it has been shown that overexpression of SSRP1 with p63-gamma caused a ∼43% increase of apoptotic cells (61).”
BackgroundFodor, I., Nelson, D., Alegria-Hartman, M., Robbins, K., Langlois, R., Turteltaub, K., Corzett, T., & McCutchen-Maloney, S. (2005) · Bioinform. · doi:10.1093/bioinformatics/bti612 · Cited by 76 · see citing works
Badawy, A., & Evans, M. (1976) · Biochemical Journal · doi:10.1042/bj1580079 · Cited by 73 · cited 1× · see citing works
“Gerbils lack the apoenzyme form of tryptophan dioxygenase and therefore cortisol does not regulate tryptophan catabolism in the liver as it does in certain other species, including rats and humans (68).”
BackgroundSelf-citationTryptophan Metabolism: A Versatile Area Providing Multiple Targets for Pharmacological Intervention
Badawy, A. A.-B. (2019) · Egyptian Journal of Basic and Clinical Pharmacology · doi:10.32527/2019/101415 · Cited by 73 · see citing works
Self-citationStanford, E., Ramirez-Cardenas, A., Wang, Z.-Y., Novikov, O., Alamoud, K., Koutrakis, P., Mizgerd, J., Genco, C., Kukuruzinska, M., Monti, S., et al. (2016) · Molecular Cancer Research · doi:10.1158/1541-7786.mcr-16-0069 · Cited by 72 · cited 1× · see citing works
“AHR agonists also significantly increased migration of squamous cell carcinoma cells in culture (89).”
BackgroundCharacterization and evolution of vertebrate indoleamine 2, 3-dioxygenases
Yuasa, H. J., Ball, H. J., Ho, Y. F., Austin, C., Whittington, C. M., Belov, K., Maghzal, G. J., Jermiin, L. S., & Hunt, N. H. (2009) · Comparative Biochemistry and Physiology Part B Biochemistry and Molecular Biology · doi:10.1016/j.cbpb.2009.02.002 · Cited by 72 · see citing works
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“The Km of QPRT is 100 times greater than the normal levels of Quin in the liver, but the Vmax of the enzyme is low, meaning that during times of high tryptophan throughput, some degree of Quin accumulation would be expected (114).”
BackgroundTerakata, M., Fukuwatari, T., Kadota, E., Sano, M., Kanai, M., Nakamura, T., Funakoshi, H., & Shibata, K. (2013) · Journal of NutriLife · doi:10.3945/jn.113.176875 · Cited by 65 · cited 1× · see citing works
“proposed that the TDO-deficient mice could develop normally on a niacin-deficient diet because extra hepatic cells released kynurenine, which the liver took up and converted to Quin and then NAD (117).”
BackgroundGrant, R., Passey, R. J., Matanovic, G., Smythe, G., & Kapoor, V. (1999) · Archives of Biochemistry and Biophysics · doi:10.1006/abbi.1999.1381 · Cited by 65 · see citing works
Beagles, K. E., Morrison, P., & Heyes, M. (1998) · Journal of Neurochemistry · doi:10.1046/j.1471-4159.1998.70010281.x · Cited by 65 · cited 1× · see citing works
“During strong immune stimulation with LPS infusion into the brain, the extracellular Quin level, as measured by microdialysis, increased 66-fold (102).”
BackgroundBahri, R., Bollinger, A., Bollinger, T., Orinska, Z., & Bulfone-Paus, S. (2012) · PLoS ONE · doi:10.1371/journal.pone.0045234 · Cited by 64 · see citing works
Audrito, V., Managò, A., Gaudino, F., Sorci, L., Messana, V. G., Raffaelli, N., & Deaglio, S. (2019) · Frontiers in Immunology · doi:10.3389/fimmu.2019.01720 · Cited by 64 · cited 1× · see citing works
“The effects of excessive kynurenine flux on cancer cell evasion may be another pathology associated with excess tryptophan in the diet (121).”
BackgroundChoroid Plexus Blood-CSF Barrier: Major Player in Brain Disease Modeling and Neuromedicine
Johanson, C. E. (2018) · Journal of Neurology and Neuromedicine · doi:10.29245/2572.942x/2018/4.1194 · Cited by 62 · cited 1× · see citing works
“LPS is known to disrupt the blood–brain barrier (41) and injections into the hippocampus elicit strong immune cell infiltration and microglial activation over the course of 7 or more days (42).”
BackgroundTryptophan, adenosine, neurodegeneration and neuroprotection
Stone, T., Forrest, C., Mackay, G. M., Stoy, N., & Darlington, L. (2007) · Metabolic brain disease · doi:10.1007/s11011-007-9064-3 · Cited by 60 · see citing works
Dynamics of NAD-metabolism: everything but constant
Opitz, C. A., & Heiland, I. (2015) · Biochemical Society Transactions · doi:10.1042/bst20150133 · Cited by 58 · cited 1× · see citing works
“NAD utilized for redox reactions is not consumed, but many enzyme systems such as the PARP reaction utilize NAD as cosubstrate and convert it to nicotinamide and ADP-ribose, thus depleting intracellular supplies (118).”
BackgroundMiller, J. M., Macgarvey, U., & Beal, M. (1992) · Neuroscience Letters · doi:10.1016/0304-3940(92)90186-b · Cited by 53 · cited 1×
“For example, intraperitoneal administration of kynurenine induces dose-dependent increases in rat brain cortical and striatal kynurenic acid concentrations and a dramatic elevation of its extracellular striatal levels (47, 48).”
BackgroundYoshida, R., Oku, T., Imanishi, J., Kishida, T., & Hayaisi, O. (1986) · Archives of Biochemistry and Biophysics · doi:10.1016/0003-9861(86)90038-x · Cited by 51 · see citing works
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“Lectin histochemistry with Griffonia simplicifolia-B4 lectin (GSL-IB4) and double staining with Quin was done as described earlier (27).”
BackgroundMethodSelf-citationOhashi, K., Kawai, S., & Murata, K. (2013) · Eukaryotic Cell · doi:10.1128/ec.00339-12 · Cited by 47 · cited 1× · see citing works
“Quin is released by yeast cells and taken up by other yeast cells where it is converted to NAD (93).”
BackgroundMy life with tryptophan—Never a dull moment
Hayaishi, O. (1993) · Protein Science · doi:10.1002/pro.5560020320 · Cited by 46 · see citing works
Aspects of Tryptophan and Nicotinamide Adenine Dinucleotide in Immunity: A New Twist in an Old Tale
Biefer, H. R. C., Vasudevan, A., & Elkhal, A. (2017) · International Journal of Tryptophan Research · doi:10.1177/1178646917713491 · Cited by 44 · cited 1× · see citing works
“Yet, the precise nature of the benefits that the kynurenine pathway confers on fitness is a matter of ongoing debate (7, 9, 16, 22, 23).”
BackgroundSwiprosin-1 Is a Novel Actin Bundling Protein That Regulates Cell Spreading and Migration
Kwon, M., Park, K. R., Kim, Y.-D., Na, B.-R., Kim, H.-R., Choi, H.-J., Piragyte, I., Jeon, H., Chung, K., Song, W., et al. (2013) · PLoS ONE · doi:10.1371/journal.pone.0071626 · Cited by 43 · cited 1× · see citing works
“Swiprosin 1, which is involved in cortical cytoskeleton dynamics among other functions (63, 64), was also decreased in the spleen after 48 h of kynurenine administration (ratio−1.”
BackgroundMoffett, J., Espey, M., Gaudet, S. J., & Namboodiri, A. (1993) · Brain Research · doi:10.1016/0006-8993(93)91450-7 · Cited by 43 · see citing works
Self-citationChiarugi, A., & Moroni, F. (1999) · Neuropharmacology · doi:10.1016/s0028-3908(99)00048-9 · Cited by 40 · see citing works
Inhibition of allogeneic T-cell response by Kupffer cells expressing indoleamine 2,3-dioxygenase.
Yan, M.-L., Wang, Y.-D., Tian, Y.-F., Lai, Z.-D., & Yan, L. (2010) · World Journal of Gastroenterology · doi:10.3748/wjg.v16.i5.636 · Cited by 39 · cited 1× · see citing works
“Kupffer cells are resident hepatic macrophages (39), and it has been shown that they respond to IFN-γ by activation of IDO and production of kynurenine (40).”
BackgroundMoffett, J. R., Espey, M., & Namboodiri, M. (1994) · Cell and Tissue Research · doi:10.1007/bf00331364 · Cited by 39 · cited 5× · see citing works
“The methods used for the production, purification, and characterization of the polyclonal Quin antibodies have been described previously (26).”
BackgroundMethodInfluentialSelf-citationLehrmann, E., Molinari, A., Speciale, C., & Schwarcz, R. (2001) · Experimental Brain Research · doi:10.1007/s002210100887 · Cited by 38 · cited 4× · see citing works
“Microglia are fully capable of generating Quin if provided super-physiological levels of the immediate precursor (31), but we observed little or no Quin-IR in microglia after direct injection of LPS into the hippocampus.”
BackgroundMethodInfluentialChen, Y.-R., Kori, R., John, B., & Tan, T. (2001) · Biochemical and Biophysical Research Communications - BBRC · doi:10.1006/bbrc.2001.5862 · Cited by 38 · cited 2×
“HS1 is also a caspase target during apoptosis (60).”
BackgroundMorrison, P., Morishige, G. M., Beagles, K. E., & Heyes, M. (1999) · Journal of Neurochemistry · doi:10.1046/j.1471-4159.1999.0722135.x · Cited by 38 · cited 2×
“Quin levels in the brain are maintained below blood levels by barriers and transporters (100).”
BackgroundNicotinic Acid Biosynthesis: Control by an Enzyme that Competes with a Spontaneous Reaction
Mehler, A., Yano, K., & May, E. (1964) · Science · doi:10.1126/science.145.3634.817 · Cited by 38 · cited 3×
“production of kynurenine, which is released for uptake by cells of the immune system thus diverting tryptophan metabolism to the immune system, (2) the production of NAD in cells of the immune system for the PARP reaction to DNA damage and other critical functions in immune cells, and (3) the production and release of”
BackgroundMethodAHSA1 regulates proliferation, apoptosis, migration, and invasion of osteosarcoma
Shao, J., Wang, L., Zhong, C. F., Qi, R., & Li, Y. (2015) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2015.11.008 · Cited by 36 · cited 1× · see citing works
“AHSA1 has been reported to regulate proliferation, apoptosis, migration, and invasion of osteosarcoma (85).”
BackgroundEspey, M., Moffett, J. R., & Namboodiri, A. (1995) · Journal of Leukocyte Biology · doi:10.1002/jlb.57.2.199 · Cited by 36 · see citing works
Self-citationSIRT1 regulates lamellipodium extension and migration of melanoma cells.
Kunimoto, R., Jimbow, K., Tanimura, A., Sato, M., Horimoto, K., Hayashi, T., Hisahara, S., Sugino, T., Hirobe, T., Yamashita, T., et al. (2014) · Journal of Investigative Dermatology · doi:10.1038/jid.2014.50 · Cited by 35 · cited 1×
“Interestingly, the NAD-dependent deacetylase enzyme SIRT1 is required for lamellipodia extension and migration of melanoma cells (78).”
BackgroundMoffett, J. R., Blinder, K., Venkateshan, C., & Namboodiri, M. (1998) · Cell and Tissue Research · doi:10.1007/s004410051145 · Cited by 34 · cited 5× · see citing works
“We observed a modest increase in Quin-IR in the liver after high-dose tryptophan (29).”
BackgroundInfluentialSelf-citationHigh protein intake is associated with low plasma NAD+ levels in a healthy human cohort
Seyedsadjadi, N., Berg, J., Bilgin, A. A., Braidy, N., Salonikas, C., & Grant, R. (2018) · PLOS ONE · doi:10.1371/journal.pone.0201968 · Cited by 33 · cited 1× · see citing works
“Interestingly, studies indicate that high protein diets have a negative impact on plasma NAD levels (120).”
BackgroundSu, H.-H., Lin, H.-T., Suen, J.-L., Sheu, C., Yokoyama, K., Huang, S.-K., & Cheng, C.-M. (2016) · Toxicology · doi:10.1016/j.tox.2016.09.019 · Cited by 32 · cited 1× · see citing works
“AHR activation in lung fibroblasts significantly enhanced migration via generation of arachidonic acidmetabolites (88).”
BackgroundEspey, M., Tang, Y., Morse, H., Moffett, J., & Namboodiri, M. A. A. (1996) · AIDS (London) · doi:10.1097/00002030-199602000-00004 · Cited by 32 · cited 1× · see citing works
“We have shown that Quin-IR is increased in a number of different conditions where the immune system is stimulated, in addition to those detailed here, including SIV in monkeys (105), human T-cell lymphotropic virus type 1 infection of human peripheral blood monocytes/macrophages (106), and in a murine AIDS model (107).”
BackgroundSelf-citationRoles of SAMHD1 in antiviral defense, autoimmunity and cancer
Li, M., Zhang, D., Zhu, M., Shen, Y., Wei, W., Ying, S.-C., Korner, H., & Li, J. (2017) · Reviews in Medical Virology · doi:10.1002/rmv.1931 · Cited by 31 · cited 1× · see citing works
“SAM and HD domain-containing protein 1 (SAMHD1) is involved in anti-viral responses (55).”
BackgroundPepelyayeva, Y., Rastall, D. P. W., Aldhamen, Y., O’Connell, P., Raehtz, S., Alyaqoub, F., Blake, M. K., Raedy, A. M., Angarita, A. M., Abbas, A. M., et al. (2018) · Scientific Reports · doi:10.1038/s41598-018-30159-5 · Cited by 30 · cited 1× · see citing works
“Mice lacking ERAP1 had reduced numbers of both Tr1-like regulatory T cells and tolerogenic dendritic cells (54), suggesting that increased ERAD1 expression could be associated with increased numbers of these tolerogenic cell types in the spleen in response to kynurenine administration.”
BackgroundMa, M., & Baumgartner, M. (2013) · PLoS ONE · doi:10.1371/journal.pone.0075577 · Cited by 30 · cited 1×
“Overall, Quin-IR cells in the brain after LPS injection resembled motile macrophages [see (73)].”
BackgroundStructural Basis of Streptococcus pyogenes Immunity to its NAD+ Glycohydrolase Toxin
Smith, C. L., Ghosh, J., Elam, J., Pinkner, J., Hultgren, S., Caparon, M., & Ellenberger, T. (2011) · Structure · doi:10.1016/j.str.2010.12.013 · Cited by 29
Effect of nicotinamide administration on the tryptophan-nicotinamide pathway in humans.
Fukuwatari, T., & Shibata, K. (2007) · International journal for vitamin and nutrition research. Internationale Zeitschrift fur Vitamin- und Ernahrungsforschung. Journal international de vitaminologie et de nutrition · doi:10.1024/0300-9831.77.4.255 · Cited by 28 · cited 1× · see citing works
“However, the tryptophan-to-NAD pathway operates independently of niacin supply (115).”
BackgroundTorigoe, M., Maeshima, K., Ozaki, T., Omura, Y., Gotoh, K., Tanaka, Y., Ishii, K., & Shibata, H. (2018) · Modern Rheumatology · doi:10.1080/14397595.2018.1510822 · Cited by 27
Grant, R. S. (2018) · International Journal of Tryptophan Research · doi:10.1177/1178646917751636 · Cited by 22 · cited 2× · see citing works
“However, a PARP inhibitor resulted in an increase in NAD levels in macrophages and INF-γ plus the PARP inhibitor further increased NAD levels (14).”
BackgroundSwiprosin‐1: Its Expression and Diverse Biological Functions
Thylur, R. P., Gowda, R., Mishra, S., & Jun, C. (2018) · Journal of Cellular Biochemistry · doi:10.1002/jcb.26199 · Cited by 20 · cited 1× · see citing works
“Swiprosin 1, which is involved in cortical cytoskeleton dynamics among other functions (63, 64), was also decreased in the spleen after 48 h of kynurenine administration (ratio−1.”
BackgroundMoffett, J., Espey, M., Saito, K., & Namboodiri, M. A. A. (1994) · Journal of Neuroimmunology · doi:10.1016/0165-5728(94)90232-1 · Cited by 19 · see citing works
Self-citationXie, J.-L., Damme, P. V., Fang, D., & Proud, C. (2019) · Journal of Biological Chemistry · doi:10.1074/jbc.ac119.008036 · Cited by 18 · cited 16× · see citing works
“Interestingly, heat shock protein 90B1 (HSP90B1; also known as endoplasmin), which is associated with the HSP90 chaperone complex, was expressed at an increased ratio +1.43.”
BackgroundInfluentialNamboodiri, A., Venkateshan, C. N. S., Narayanan, R., Blinder, K., Moffett, J. R., Gajdusek, D., Gravell, M., & Gibbs, C. J. (1996) · Journal of Neurovirology · doi:10.3109/13550289609146910 · Cited by 17 · see citing works
Self-citationVenkateshan, C. N., Narayanan, R., Espey, M., Moffett, J. R., Gajdusek, D., Gibbs, C. J., & Namboodiri, M. (1996) · Proceedings of the National Academy of Sciences of the United States of America · doi:10.1073/pnas.93.4.1636 · Cited by 15 · cited 1× · see citing works
“We have shown that Quin-IR is increased in a number of different conditions where the immune system is stimulated, in addition to those detailed here, including SIV in monkeys (105), human T-cell lymphotropic virus type 1 infection of human peripheral blood monocytes/macrophages (106), and in a murine AIDS model (107).”
BackgroundSelf-citationHsieh, C.-L., Huang, H.-M., Hsieh, S.-Y., Zheng, P.-X., Lin, Y.-S., Chiang-Ni, C., Tsai, P., Wang, S., Liu, C.-C., & Wu, J.-J. (2018) · Frontiers in Microbiology · doi:10.3389/fmicb.2018.01733 · Cited by 13 · see citing works
Increased conversion ratio of tryptophan to niacin in severe food restriction.
Shibata, K., Kondo, T., & Miki, A. (1998) · Bioscience, biotechnology and biochemistry · doi:10.1271/bbb.62.580 · Cited by 13 · cited 1×
“When tryptophan is required for NAD synthesis due to a poor diet or prolonged fasting, the liver activates TDO and tryptophan is catabolized through the kynurenine pathway to NAD (116).”
BackgroundST13, a proliferation regulator, inhibits growth and migration of colorectal cancer cell lines
Bai, R., Shi, Z.-W., Zhang, J.-W., Li, D., Zhu, Y.-L., & Zheng, S. (2012) · Journal of Zhejiang University SCIENCE B · doi:10.1631/jzus.b1200037 · Cited by 12 · cited 1×
“High expression levels of ST13 are associated with reduced cell migration and proliferation of colorectal cancer cells (62).”
BackgroundQuinolinic acid excretion and metabolism in man.
Sarett, H. (1951) · Journal of Biological Chemistry · doi:10.1016/s0021-9258(18)50919-4 · Cited by 9 · cited 1×
“Periphery In humans, Quin is excreted in the urine and the level in urine increases with increasing oral doses of tryptophan (98).”
BackgroundMitogen-Induced Interferon Gamma Production in Human Whole Blood: The Effect of Heat and Cations
Nam, J.-H., Cha, B., Park, J.-Y., Abekura, F., Kim, C.-H., & Kim, J.-R. (2019) · Current Pharmaceutical Biotechnology · doi:10.2174/1389201020666190528093432 · Cited by 7 · cited 1× · see citing works
“Further, PWM is one of the more potent inducers of INF-γ release (37).”
BackgroundGlycoconjugate with terminal galactose
Honda, T., Schulte, B. A., & Spicer, S. (2004) · Histochemistry · doi:10.1007/bf00501913 · Cited by 3
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- [1]Henderson LM. Quinolinic acid metabolism; replacement of nicotinic acid for the growth of the rat and Neurospora. J Biol Chem. (1949) 181: 677– 85. 15393785
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Microglia: Agents of the CNS Pro-Inflammatory Response
Rodríguez-Gómez, J. A., Kavanagh, E., Engskog-Vlachos, P., Engskog, M. K. R., Herrera, A. J., Espinosa-Oliva, A. M., Joseph, B., Hajji, N., Venero, J. L., & Burguillos, M. A. (2020) · Cells · doi:10.3390/cells9071717 · Cited by 365 · see citing works
Salminen, A. (2022) · Ageing Research Reviews · doi:10.1016/j.arr.2022.101573 · Cited by 197 · see citing works
“Currently, it is not known whether its role is to replenish the reduced content of NAD during chronic inflammation (Moffett et al., 2020).”
BackgroundGreathouse, K. L., & Wyatt, M. (2021) · Nutrients · doi:10.3390/nu13041189 · Cited by 111 · see citing works
“Therefore, Kyn pathway activity is amplified under inflammatory conditions, in part due to an NAD+ requirement for increased energy demands in the immune cells and to implement immunomodulatory functions [35].”
BackgroundKynurenine Pathway Metabolites as Biomarkers in Alzheimer’s Disease
Liang, Y., Xie, S., He, Y., Xu, M., Qiao, X., Zhu, Y. H., & Wu, W. (2022) · Disease Markers · doi:10.1155/2022/9484217 · Cited by 86 · see citing works
A multimodal atlas of tumour metabolism reveals the architecture of gene–metabolite covariation
Benedetti, E., Liu, E. M., Tang, C., Kuo, F., Büyüközkan, M., Park, T., Park, J., Correa, F., Hakimi, A. A., Intlekofer, A. M., et al. (2023) · Nature Metabolism · doi:10.1038/s42255-023-00817-8 · Cited by 76 · see citing works
Jennings, M. R., Munn, D. H., & Blazeck, J. (2021) · Journal for ImmunoTherapy of Cancer · doi:10.1136/jitc-2021-003013 · Cited by 63 · see citing works
Wang, Y., Zhang, Y., Wang, W., Zhang, Y., Dong, X., & Liu, Y. (2025) · Metabolites · doi:10.3390/metabo15030210 · Cited by 56 · see citing works
An Emerging Cross-Species Marker for Organismal Health: Tryptophan-Kynurenine Pathway
Jamshed, L., Debnath, A., Jamshed, S., Wish, J. V., Raine, J. C., Tomy, G. T., Thomas, P. J., & Holloway, A. C. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms23116300 · Cited by 54 · see citing works
Sun, S.-P., Zhang, J., Li, H.-X., Du, Y.-Y., Li, S., Li, A., Suo, X., Wang, Y., & Sun, Q. (2021) · Journal of Ethnopharmacology · doi:10.1016/j.jep.2021.113880 · Cited by 48 · see citing works
The Kynurenine Pathway in Gut Permeability and Inflammation
Kearns, R. (2024) · Inflammation · doi:10.1007/s10753-024-02135-x · Cited by 37 · see citing works
“This variability in neuronal sensitivity may partly explain the elevated levels of neurodegeneration observed in these regions in AD patients, which correlates with increased QUIN levels and associated inflammatory processes [83].”
Enzymology of extracellular NAD metabolism
Gasparrini, M., Sorci, L., & Raffaelli, N. (2021) · Cellular and Molecular Life Sciences · doi:10.1007/s00018-020-03742-1 · Cited by 51 · see citing works
“In plasma, QA circulates at low micromolar level, but it significantly increases following infections or immune challenge [40], likely deriving from cells of the immune system that accumulate substantial levels of QA upon stimulation [41].”
BackgroundBadawy, A. A. ‐. (2023) · Bioscience Reports · doi:10.1042/bsr20230595 · Cited by 40 · see citing works
“The group of J R Moffett (see [15] and references cited therein) demonstrated accumulation of QA as a marker of KP enzymatic activities in immune cells, especially phagocytes and antigen-presenting cells (monocytes/macrophages, dendritic cells, microglia, Langerhans and Kupffer cells).”
BackgroundSelf-citationNAD+ Metabolism, Metabolic Stress, and Infection
Groth, B., Venkatakrishnan, P., & Lin, S.-J. (2021) · Frontiers in Molecular Biosciences · doi:10.3389/fmolb.2021.686412 · Cited by 41 · see citing works
“This suggests that the brain balances the production of immunosuppressive KYN metabolites and the restoration of depleted NAD levels with the neurotoxic QA (Moffett et al., 2020).”
BackgroundImmunotherapy of COVID-19 with poly (ADP-ribose) polymerase inhibitors: starting with nicotinamide
Badawy, A. A. ‐. (2020) · Bioscience Reports · doi:10.1042/bsr20202856 · Cited by 39 · see citing works
Self-citationParveen, S., Shen, J., Lun, S., Zhao, L., Alt, J., Koleske, B. N., Leone, R. D., Rais, R., Powell, J. D., Murphy, J. R., et al. (2023) · Nature Communications · doi:10.1038/s41467-023-43304-0 · Cited by 42 · see citing works
“Kynurenine metabolism also generates quinolinic acid, a potent neurotoxin (if accumulated), which is essential for the de novo synthesis of NAD +64 .”
Neuroimmunometabolism: A New Pathological Nexus Underlying Neurodegenerative Disorders
Mitra, S., Banik, A., Saurabh, S., Maulik, M., & Khatri, S. (2022) · Journal of Neuroscience · doi:10.1523/jneurosci.0998-21.2022 · Cited by 44 · see citing works
“Tryptophan is converted into kynurenine and down-stream effector molecules by indoleamine-2,3 dioxygenase, a rate-limiting enzyme whose expression is elevated during inflammation, including the brain (Kwidzinski and Bechmann, 2007; O ’ Neill et al., 2016; Moffett et al., 2020).”
Dysregulated Metabolic Pathways in Subjects with Obesity and Metabolic Syndrome
Mir, F., Ullah, E., Mall, R., Iskandarani, A., Samra, T., Cyprian, F., Parray, A., Alkasem, M., Abdalhakam, I., Farooq, F., et al. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms23179821 · Cited by 28 · see citing works
Zhao, J., Chen, J., Wang, C., Liu, Y., Li, M., Li, Y., Li, R., Han, Z., Wang, J., Chen, L., et al. (2022) · PLoS Pathogens · doi:10.1371/journal.ppat.1010366 · Cited by 34 · see citing works
“The previous study also found that Ca and its major downstream effector, CaMKII, are important for immune cells’ functions, and CaMKII could significantly enhance the production of IFN-α/β in macrophages [37,58].”
BackgroundLai, W., Huang, Z., Li, S., Li, X.-G., & Luo, D. (2023) · International Immunopharmacology · doi:10.1016/j.intimp.2023.109840 · Cited by 28 · see citing works
He, S., Granot-Hershkovitz, E., Zhang, Y., Bressler, J., Tarraf, W., Yu, B., Huang, T.-Y., Zeng, D.-L., Wassertheil-Smoller, S., Lamar, M., et al. (2021) · medRxiv · doi:10.1002/dad2.12259 · Cited by 26 · see citing works
Immunometabolic coevolution defines unique microenvironmental niches in ccRCC
Tang, C., Xie, A., Liu, E. M., Kuo, F., Kim, M., DiNatale, R. G., Golkaram, M., Chen, Y., Gupta, S., Motzer, R. J., et al. (2023) · Cell Metabolism · doi:10.1016/j.cmet.2023.06.005 · Cited by 24 · see citing works
Pathobiochemistry of Aging and Neurodegeneration: Deregulation of NAD+ Metabolism in Brain Cells
Kolotyeva, N. A., Groshkov, A. A., Rozanova, N. A., Berdnikov, A. K., Novikova, S. V., Komleva, Y. K., Salmina, A. B., Illarioshkin, S. N., & Пирадов, М. А. (2024) · Biomolecules · doi:10.3390/biom14121556 · Cited by 22 · see citing works
“Some studies [84,85] highlight an association of the pathogenesis of epilepsy, Huntington’s disease, and stroke with aberrant activity of quinolinate phosphoribosyl transferase (QPRT).”
The roles of the kynurenine pathway in COVID-19 neuropathogenesis
Dehhaghi, M., Heydari, M., Panahi, H. K. S., Lewin, S. R., Heng, B., Brew, B. J., & Guillemin, G. J. (2024) · Infection · doi:10.1007/s15010-024-02293-y · Cited by 24 · see citing works
“In addition to the neurotoxic effects of QUIN mentioned above, excessive levels of QUIN can negatively affect the NAD + metabolism [176, 177].”
BackgroundNataraj, B. H., Kumari, M., Nagpal, R., Ali, S. A., & Behare, P. V. (2023) · Food Bioscience · doi:10.1016/j.fbio.2023.103101 · Cited by 24 · see citing works
Kynurenine Pathway Metabolites as Potential Biomarkers in Chronic Pain
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“It has been proposed that, during inflammation, tryptophan metabolism occurs mainly in immune cells, while in homeostatic/healthy conditions, most TRP degradation occurs in the liver [103].”
BackgroundWang, Z., Yin, L.-P., Qi, Y., Zhang, J.-L., Zhu, H.-Y., & Tang, J.-G. (2022) · Frontiers in Microbiology · doi:10.3389/fmicb.2022.934786 · Cited by 20 · see citing works
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States of quinolinic acid excess in urine: A systematic review of human studies
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“Additionally, there is evidence that urinary quinolinic acid levels correspond with systemic levels (15).”
BackgroundSandvig, H. V., Aam, S., Alme, K., Lydersen, S., Ueland, P. M., Ulvik, A., Wethal, T., Saltvedt, I., & Knapskog, A. (2024) · Brain, behavior, and immunity · doi:10.1016/j.bbi.2024.02.030 · Cited by 16 · see citing works
“In the brain following stroke, QA is produced by activated microglia and by infiltrating macrophages (Lugo-Huitr ´ on et al., 2013; Moffett et al., 2020), while hepatocytes and peripheral immune cells contribute to plasma QA (Moffett et al., 2020).”
BackgroundMethod“Kynurenine switch” and obesity
Shestopalov, A., Shatova, O., Karbyshev, M. S., Gaponov, A. M., Moskaleva, N., Appolonova, S., Tutelyan, A., Makarov, V., Yudin, S., & Roumiantsev, S. (2022) · Bulletin of Siberian Medicine · doi:10.20538/1682-0363-2021-4-103-111 · Cited by 15
“Intracellular levels of quinolinic acid increase in response to immune stimulation by lipopolysaccharide in macrophages, microglia, dendritic cells, and other cells of the immune system [8].”
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“Quinolinate is an intermediate metabolite in the tryptophan metabolism contributing to the de novo biosynthesis of nicotinamide adenine dinucleotide (NAD+), which is pivotal to energy and critical cellular processes [10].”
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“Notably, IDO is highly expressed in immune cells (93) and compared to TDO it is far more responsive to immunological signals (94).”
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“insufficient dietary niacin intake or a compromised immune system, tryptophan is catabolized for NAD de novo synthesis.(12,13) Tryptophan is an essential amino acid in mammals(14) and the least abundant of all essential amino acids.”
BackgroundStructure, mechanism and inhibition of anthranilate phosphoribosyltransferase
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Elevated serum levels of kynurenine pathway metabolites in patients with Behçet disease
Onmaz, D. E., Tezcan, D., Abuşoğlu, S., Sivrikaya, A., Kuzu, M., Yerlikaya, F. H., Yi̇lmaz, S., & Ünlü, A. (2022) · Amino Acids · doi:10.1007/s00726-022-03170-4 · Cited by 13 · see citing works
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“IDO1, on the other hand, is induced by pro-inflammatory cytokines, especially interferon gamma (IFN-γ) [90].”
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Metabolomics Profiling of Stages of Coronary Artery Disease Progression
Anlar, G., Anwardeen, N., Alashmar, S., Pedersen, S., Elrayess, M. A., & Zeidan, A. (2024) · Metabolites · doi:10.3390/metabo14060292 · Cited by 10 · see citing works
“These revelations augment our understanding of the metabolic dysregulations that contribute to atherosclerosis and could potentially direct subsequent investigations and the development of precise treatments aimed at reducing cardiovascular risks.”
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Exploring the role of riboflavin in swine well-being: a literature review
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“28,29 The kynurenine pathway was activated after Omicron SARS ‐ CoV ‐ 2 infection and several metabolites in kynurenine metabolism pathway including N ‐ formylkynurenine, kynurenine, and quinolinate significantly increased (Figure 3E and Table S3).”
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“Quinolinate can be used to synthesize nicotinamide adenine dinucleotide (NAD + ), which is depleted in response to proinflammatory stimuli 44 .”
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Basson, C., Serem, J., Bipath, P., & Hlophe, Y. (2024) · Cell Biology International · doi:10.1002/cbin.12163 · Cited by 6
“…active kynurenine metabolites are formed through tryptophan catabolism via the kynurenine pathway (Macchiarulo et al., 2009), namely due to insufficient dietary niacin consumption or in immunomodulatory conditions, such as cancer (Basson et al., 2023a; Mehmel et al., 2020; Moffett et al., 2020).”
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“TGF-β1induced Th17 differentiation can occur without IL-6 if there is sufficient IL-21[14-20] (Figure 3).”
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“Quinolinate (quinolinic acid) is known as a marker for kynurenine in the tryptophan pathway (27).”
Michieletto, J., Delvaux, A., Chu-Van, E., Junot, C., Fenaille, F., & Castelli, F. (2023) · Metabolites · doi:10.3390/metabo13030311 · Cited by 5 · see citing works
“More recently, tryptophan/kynurenine derivatives have been largely described as immunoregulators: tryptophan breakdown appears to be associated with the maintenance of tolerance and quinolinic acid acts as a precursor of nicotinamide adenine dinucleotide [22,23].”
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“Moreover, as in the fetal brain, and possibly due to its rapid conversion to NAD + (Moffett et al., 2020), LPS treatment did not raise brain QUIN levels acutely in the adult animals, as also previously reported (Clark, Notarangelo, et al., 2019).”
BackgroundThe role of kynurenine and kynurenine metabolites in psoriasis
Akyürek, F., Akyürek, F. T., & Şengül, F. (2024) · Turkish Journal of Biochemistry · doi:10.1515/tjb-2024-0135 · Cited by 4 · see citing works
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“232,233 Large-scale metabolomics studies revealed significantly elevated kynurenine-to-tryptophan (Kyn/Trp) ratios in patients withADandmildcognitiveimpairment(MCI)comparedtohealthycon-trols, and these progressively increased with disease severity.”
Wang, T.-T., Jepsen, J. M., Vinding, R., Brustad, N., Chen, L., Hernández-Lorca, M., Ali, M., Rosenberg, J., Mohammadzadeh, P., Widdowson, M., et al. (2026) · Nature Communications · doi:10.1038/s41467-025-68115-3 · Cited by 3 · see citing works
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Gao, Y., Gao, C.-S., & Nie, H.-T. (2025) · Environmental Research · doi:10.1016/j.envres.2025.121687 · Cited by 3
Role of Tryptophan Metabolites and Short-Chain Fatty Acids in Pathogenesis of Autoimmune Diseases
Shatova, O. P., Yagodkina, E. M., Kaydoshko, S. S., Zabolotneva, A. A., & Shestopalov, A. V. (2023) · Journal of Evolutionary Biochemistry and Physiology · doi:10.1134/s0022093023040270 · Cited by 3 · see citing works
D'Elia, Z. L. G. F. D. A. B., & Marques, B. M. (2021) · Journal of Infectious Diseases and Epidemiology · doi:10.23937/2474-3658/1510234 · Cited by 5 · see citing works
Lindahl, J., Veibäck, G. S., Suneson, K., Blanking, W., Tjernberg, J., Ståhl, D., Wiman, Å., Ventorp, F., Erhardt, S., & Lindqvist, D. (2026) · Brain Behavior & Immunity - Health · doi:10.1016/j.bbih.2026.101221 · Cited by 3 · see citing works
“NAD + is one of the body's most prevalent metabolites, primarily due to its critical role in energy production, and as most NAD + is derived from reactions recycling NAA rather than from KP activity (Moffett et al., 2020; Xie et al., 2020).”
The Kynurenine Pathway in Psoriasis: Mechanisms and Therapeutic Opportunities
Huang, S., Bai, Y.-P., & Duan, X.-W. (2025) · Inflammation · doi:10.1007/s10753-025-02339-9 · Cited by 2 · see citing works
“Experiments suggest that QUIN may synergistically promote inflammatory cell infiltration and epidermal barrier disruption through activa - tion of keratinocyte inflammatory mediators and immune cell chemotaxis [90, 91].”
A Multimodal Atlas of Tumor Metabolism Reveals the Architecture of Gene-Metabolite Co-regulationPreprint
Benedetti, E., Liu, E. M., Tang, C., Kuo, F., Büyüközkan, M., Park, T., Park, J., Correa, F., Hakimi, A. A., Intlekofer, A. M., et al. (2022) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2022.11.23.517549 · Cited by 4 · see citing works
Plasma Metabolomics in a Nonhuman Primate Model of Abdominal Radiation Exposure
Jun, S.-R., Boerma, M., Udaondo, Z., Richardson, S., Thrall, K., Miousse, I., Seng, J., Pathak, R., & Hauer-Jensen, M. (2021) · Metabolites · doi:10.3390/metabo11080540 · Cited by 2 · see citing works
Disruption of myocardial NAD⁺ balance in heart failure: Mechanisms and therapeutic opportunities
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“Qui-nolinate is a key metabolite in the kynurenine pathway of tryptophan catabolism breakdown [28].”
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Metabolic Effects of Healing Touch During Cervical Cancer Treatment: An Exploratory Analysis
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“47 The mito-chondria-related kynurenine pathway is the only pathway responsible for the synthesis of the metabolic cofactor nicotinamide adenine dinucleotide (NAD + , of which kynurenine is a precursor), which decreases with aging and whose supplementation improves resilience to age-related…”
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“Its production is tightly regulated by the enzyme IDO, which is upregulated during inflammation and microbial dysbiosis [223].”
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“Within this moderate-support tier, QPRT remains biologically interesting because it encodes quinolinate phosphoribosyltransferase, a downstream enzyme in the kynurenine pathway, 20 and kynurenine-pathway metabolites have repeatedly been linked to neuroinflammatory and chronic pain states.”
Evaluation of the Relationship Between Bruxism and Tryptophan Metabolites: A Case-Control Study.
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The Association Between Metabolomic and Usual Biochemical Data Helps to Detect Insulin Resistance
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“Our findings support the concept that disturbances in tryptophan metabolism can be identified early through the analysis of organic acidurias [20,38,42], providing insights into immunometabolic dysregulation prior to the clinical manifestation of disease and enabling opportunities for primary…”
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“…15 kynurenine, 15 N-acetylleucine, 16 norvaline and paraxanthine 17 ) as well as paradoxically three neurotoxic ones (N-acetylisoleucine, quinolate 15 and quinolate carboxylate 15 ) was observed in DC patient plasma, indicating a possible link between telomere dysfunction and neuronal function.”
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“Quinolinate can be used to synthesize nicotinamide adenine dinucleotide (NAD + ), which is depleted in response to proin�ammatory stimuli 41 .”
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Elevated serum levels of kynurenine pathway metabolites in Behçet's patientsPreprint
Onmaz, D., Tezcan, D., Sivrikaya, A., Abuşoğlu, S., Kuzu, M., Yerlikaya, F., Yılmaz, S., & Ünlü, A. (2021) · Research Square · doi:10.21203/rs.3.rs-987705/v1
- Authors
- Moffett, J. R., Arun, P., Puthillathu, N., Vengilote, R., Ives, J. A., Badawy, A. A.-B., & Namboodiri, A. M.
- Affiliations
- Uniformed Services University of the Health Sciences (US)
- Samueli Institute (US)
- Corresponding author
- Moffett, John R.
- Venue
- Frontiers in Immunology
- Publisher
- Frontiers Media SA
- Published
- 2020-02-21
- Volume
- 11
- Pages
- 31-31
- ISSN
- 1664-3224 (ISSN-L)
- PMC
- PMC7047773
- OpenAlex
- W3007394158
- Cited by
- 89
- References
- 124
- Citations by year
- 2026: 8 · 2025: 13 · 2024: 15 · 2023: 19 · 2022: 19 · 2021: 13 · 2020: 2
- FWCI
- 3.94
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Immunology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Institutes of Health
- Topics
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Health Sciences › Medicine › Geriatrics and Gerontology › Sirtuins and Resveratrol in Medicine
- Life Sciences › Immunology and Microbiology › Immunology › Immune Response and Inflammation
- Keywords
- quinolinate, kynurenine pathway, tryptophan catabolism, NAD+ synthesis, inflammation, infection, lipopolysaccharide, pokeweed mitogen, immune cells, cell motility, phagocytosis, HSP90, aryl hydrocarbon receptor, sirtuins, poly(ADP-ribosyl)ation
- MeSH terms
- Animals, Cell Movement, Gerbillinae, Hippocampus, Immunity, Inflammation, Kynurenine, Lipopolysaccharides, Liver, Male, Mice, Inbred C57BL, NAD, Pokeweed Mitogens, Poly(ADP-ribose) Polymerases, Spleen, Tryptophan, Biomarkers, Quinolinic Acid, HSP90 Heat-Shock Proteins, Indoleamine-Pyrrole 2,3,-Dioxygenase, Mice, Rats
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