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NAD+ and NADH in cellular functions and cell death
1Department of Neurology, University of California, San Francisco Veterans Affairs Medical Center, San Francisco, CA 94121, USA. Weihai.Ying@ucsf.edu
Abstract:
Increasing evidence has indicated that NAD+ and NADH play critical roles not only in energy metabolism, but also in cell death and various cellular functions including regulation of calcium homeostasis and gene expression. It has also been indicated that NAD+ and NADH are mediators of multiple major biological processes including aging. NAD+ and NADH produce the biological effects by regulating numerous NAD+/NADH-dependent enzymes, including dehydrogenases, poly(ADP-ribose) polymerases, Sir2 family proteins (sirtuins), mono(ADP-ribosyl)transferases, and ADP-ribosyl cyclases. Of particular interest, NAD+-dependent generation of ADP-ribose, cyclic ADP-ribose and O-acetyl-ADP-ribose can mediate calcium homeostasis by affecting TRPM2 receptors and ryanodine receptors; and sirtuins and PARPs appear to play key roles in aging, cell death and a variety of cellular functions. It has also been indicated that NADH and NAD+ can be transported across plasma membranes of cells, and that extracellular NAD+ may be a new signaling molecule. Our latest studies have shown that intranasal NAD+ administration can profoundly decrease ischemic brain damage. These new pieces of information have fundamentally changed our understanding about NAD+ and NADH, suggesting novel paradigms about the metabolism and biological activities of NAD+ and NADH. Based on this information, it is tempted to hypothesize that NAD+ and NADH, together with ATP and Ca2+, may be four most fundamental components in life, which can significantly affect nearly all major biological processes. Future studies on NAD+ and NADH may not only elucidate some fundamental mysteries in biology, but also provide novel insights for interfering aging and many disease processes.
Insights
Nicotinamide adenine dinucleotide (NAD+) and its reduced form (NADH) are vital for cellular functions, energy metabolism, and aging. Intranasal NAD+ administration shows promise in reducing brain damage, suggesting new therapeutic avenues.
Area of Science:
- Biochemistry
- Cell Biology
- Aging Research
Background:
- NAD+ and NADH are crucial for energy metabolism, cell death, calcium homeostasis, and gene expression.
- These molecules regulate key enzymes like sirtuins and PARPs, implicated in aging and cellular functions.
- Emerging evidence suggests extracellular NAD+ acts as a signaling molecule and can be transported across cell membranes.
Purpose of the Study:
- To explore the multifaceted roles of NAD+ and NADH in biological processes.
- To investigate the potential of NAD+ as a therapeutic agent for conditions like ischemic brain damage.
- To propose a new paradigm for understanding NAD+ and NADH metabolism and activity.
Main Methods:
- Review of existing literature on NAD+ and NADH functions.
- Analysis of NAD+/NADH-dependent enzymes and their roles.
- Presentation of recent findings on intranasal NAD+ administration in reducing ischemic brain damage.
Main Results:
- NAD+ and NADH regulate critical cellular processes, including calcium signaling via TRPM2 and ryanodine receptors.
- Sirtuins and PARPs, NAD+-dependent enzymes, are key players in aging and cell death.
- Intranasal NAD+ administration significantly reduced ischemic brain damage in studies.
Conclusions:
- NAD+ and NADH are fundamental molecules influencing nearly all major biological processes, potentially alongside ATP and Ca2+.
- Further research into NAD+ and NADH could unlock new strategies for combating aging and various diseases.
- Extracellular NAD+ represents a novel signaling pathway with therapeutic implications.
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