NAD+ Metabolism Flashcards

1
Q

What is NAD+ composed of?

A

2 nucleotides linked together by their phosphate groups

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2
Q

What are the 2 nucleotides of NAD+?

A
  • adenine nucleotide – contains adenine as its nitrogenous base (also called AMP)
  • nicotinamide nucleotide (NMN) – contains nicotinamide as its nitrogenous base
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3
Q

What is adenine?

A

a purine base

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4
Q

What is nicotinamide (NMN)?

A

a nitrogenous base and derivative of vitamin B3 (niacin) that gives NAD+ its redox properties

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5
Q

What does the structure of NAD+ allow it to do?

A

act as a critical electron carrier

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6
Q

What is oxidation and reduction respectively?

A
  • oxidation = loss of electrons (NAD+)
  • reduction = gain of electrons (NADH)
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7
Q

What happens to NAD+ during redox reactions?

A

it can accept 2 electrons and 1 proton to become NADH

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8
Q

What is the extracellular concentration of NAD+ in the blood serum of mammals?

A

between 0.1 and 0.5 µM under physiological conditions

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9
Q

Describe the distribution of NAD+ in cells

A
  • mitochondria - high conc due to energy production
  • cytosol - lower conc than mitochondria (200-300) involved in glycolysis and other metabolic pathways
  • nucleus - lower conc than cytosol (100-200) crucial for DNA repair and gene reg
  • ER - lowest conc used in regulation of protein folding and quality control
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10
Q

What is the half-life of NAD+?

A

1-2 hours

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11
Q

What is maintaining NAD+ half-life crucial for?

A

cellular metabolism, DNA repair and longevity

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12
Q

What are the 3 main pathways cells use to produce NAD+?

A
  • Preiss-Handler pathway from niacin
  • de novo pathway from tryptophan
  • salvage pathway from recycling NMN
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13
Q

How can NAD+ synthesis be enhanced?

A
  • supplementation with precursors like nicotinamide riboside (NR) or NMN
  • diet rich in NAD+ precursors
  • activation of NAMPT enzyme, which recycles nicotinamide into NAD+
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14
Q

What are the 3 main NAD+ consumption enzymes?

A
  • PARPs - activated during DNA repair
  • CD38 - involved in immune signalling and inflammation
  • sirtuins - involved in longevity and metabolism
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15
Q

How can excessive NAD+ depletion be minimised?

A
  • reduce chronic inflammation by inhibiting CD38 with apigenin or quercetin
  • lower oxidative stress by antioxidant-rich diet or exercise
  • enhance DNA repair efficiency by limiting excessive PARP activation
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16
Q

How does calorie restriction affect NAD+?

A

it activates the NAMPT enzyme which enhances NAD+ regeneration through salvage pathway

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17
Q

What are the 4 main ways to maintain NAD+ half-life in cells?

A
  • increase NAD+ synthesis (diet, supplementation)
  • minimise excessive NAD+ consumption (inflammation control, reduce oxidative stress)
  • enhance NAD+ recycling (exercise, fasting)
  • support mitochondrial health (nutrition, physical activity)
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18
Q

What are the 4 main precursors to NAD+?

A
  • tryptophan
  • nicotinic acid (NA)
  • nicotinamide (NAM)
  • nicotinamide riboside (NR)
19
Q

What do NMNATs do?

A

work in Preiss-Handler and salvage pathway to add an AMP group either to NAMN or NAM, respectively

20
Q

What is the rate limiting enzyme in the Preiss-Handler pathway?

A

NAPRT (uses NA as substrate)

21
Q

What is the rate limiting enzyme in the salvage pathway?

A

NAMPT (regenerates NMN from NAM)

22
Q

How is NMN generated?

A

NR kinase phosphorylates NR

23
Q

What does the tryptophan degradation pathway lead to?

A

quinolinic acid as precursor which merges with the Preiss-Handler pathway to make NAD+ (less effective)

24
Q

What does inhibition of NAMPT in the salvage pathway lead to?

A

to a loss of NAD+

25
How can NAD+ be increased in experimental models?
by using precursors or decreased by using synthesis inhibitors or during ageing and disease
26
What are amidated precursors?
precursors that all contain NAM and are closer to NAD structure
27
What happens to deamidated precursors?
they go via Preiss-Handler
28
What happens to NRH after being taken into cells?
it is phosphorylated by adenosine kinase instead of NR kinase to form reduced NMNH
29
How can reduced precursors increased NAD+ more than classic ones?
- distinct transport properties that enhance their uptake - less prone to enzymatic degradation (e.g. from CD38 and PARPs) - less reactions and energy required for their conversion to NADH and NAD+
30
What does removal of NAM from NAD+ result in?
generation of ADP
31
What do most NAD+ consuming reactions lead to?
formation of NAM, which can then be recycled via the salvage pathway into NMN and then NAD+
32
How is the liver involved in NAD+ processing?
it is the main first-pass organ and generates NAM as the main precursor for other tissues
33
How is the gut microbiome involved in NAD+ processing?
it generates NA from deamidation of NAM
34
How is muscle involved in NAD+ processing?
it is mostly a salvage-based tissue, with NR, NMN and NAM as preferred substrates
35
How can NAD+ regulate mitochondrial activity within the organelle?
- regulation of ox-phos function - involvement in TCA cycle
36
How can NAD+ regulate mitochondrial homeostasis from outside the organelle?
- regulation of mitochondrial biogenesis and stress responses - involvement in glycolysis
37
What does activation of nuclear sirtuins by NAD+ consumption lead to?
deacetylated transcriptional regulators + NAM + acetyl-ADP-ribose
38
What do the deacetylated transcriptional regulators do?
contribute to overall mitochondrial homeostasis and therefore indirectly also to their better or increased activity
39
What is NAD+ deficiency linked to?
human disease and ageing
40
Give examples of secondary NAD+ synthesis deficiencies
- pellagra (lack of niacin) - mitochondrial myopathy - ageing - ageing-related diseases
41
What does NAD+ decline depend on?
modifiable life factors such as exercise and diet
42
How can the effects of NAD+ modulation be assessed?
- in vitro e.g. NAD+ levels in cells, cell proliferation, ox-phos gene expression or protein levels, mitochondrial respiration, mitochondrial stress responses, sirtuin or PARPs activity, expression of inflammatory/senescence genes - in short lived organisms (C. elegans, yeast, etc.) – all of the above + lifespan, healthspan (e.g. mobility, resistance to stressors, development) - in mice or humans – all of the above + lifespan (in mice), healthspan (e.g. strength, activity, cognition, metabolic health, body composition), biological clocks
43
What is trigonelline?
a methylated form of NA linked to muscle health and increased NAD+