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Published on: May 9, 2025
Discovery and Characterization of Novel Nonsubstrate and Substrate NAMPT Inhibitors
Julie L Wilsbacher1, Min Cheng2, Dong Cheng2
1AbbVie Inc., North Chicago, Illinois. julie.wilsbacher@abbvie.com.
Abstract:
Cancer cells are highly reliant on NAD+-dependent processes, including glucose metabolism, calcium signaling, DNA repair, and regulation of gene expression. Nicotinamide phosphoribosyltransferase (NAMPT), the rate-limiting enzyme for NAD+ salvage from nicotinamide, has been investigated as a target for anticancer therapy. Known NAMPT inhibitors with potent cell activity are composed of a nitrogen-containing aromatic group, which is phosphoribosylated by the enzyme. Here, we identified two novel types of NAM-competitive NAMPT inhibitors, only one of which contains a modifiable, aromatic nitrogen that could be a phosphoribosyl acceptor. Both types of compound effectively deplete cellular NAD+, and subsequently ATP, and produce cell death when NAMPT is inhibited in cultured cells for more than 48 hours. Careful characterization of the kinetics of NAMPT inhibition in vivo allowed us to optimize dosing to produce sufficient NAD+ depletion over time that resulted in efficacy in an HCT116 xenograft model. Our data demonstrate that direct phosphoribosylation of competitive inhibitors by the NAMPT enzyme is not required for potent in vitro cellular activity or in vivo antitumor efficacy. Mol Cancer Ther; 16(7); 1236-45. ©2017 AACR.
Insights
Novel nicotinamide phosphoribosyltransferase (NAMPT) inhibitors deplete cancer cell NAD+ and ATP, leading to cell death. These compounds show efficacy in preclinical models, demonstrating that direct enzyme phosphoribosylation is not required for antitumor activity.
Area of Science:
- Biochemistry
- Molecular Biology
- Cancer Research
Background:
- Cancer cells depend on NAD+-dependent processes like metabolism and DNA repair.
- Nicotinamide phosphoribosyltransferase (NAMPT) is a key enzyme in NAD+ salvage and a target for cancer therapy.
- Existing NAMPT inhibitors often require phosphoribosylation by the enzyme.
Purpose of the Study:
- To identify and characterize novel NAM-competitive NAMPT inhibitors.
- To investigate the mechanism of action and efficacy of these inhibitors.
- To determine if direct phosphoribosylation is essential for NAMPT inhibitor activity.
Main Methods:
- Synthesis and characterization of novel NAMPT inhibitors.
- In vitro assessment of cellular NAD+ and ATP depletion.
- In vivo efficacy studies using HCT116 xenograft models.
- Kinetic analysis of NAMPT inhibition.
Main Results:
- Two novel classes of NAM-competitive NAMPT inhibitors were identified.
- Both inhibitor types depleted cellular NAD+ and ATP, causing cell death in vitro.
- Optimized dosing achieved in vivo efficacy in a preclinical cancer model.
- Direct phosphoribosylation of inhibitors by NAMPT was not necessary for activity.
Conclusions:
- Novel NAMPT inhibitors can effectively target cancer cell metabolism.
- Antitumor efficacy can be achieved without direct inhibitor phosphoribosylation.
- These findings offer new therapeutic strategies for targeting NAMPT in cancer.
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