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Updated: Aug 18, 2025

An Intestinal Gut Organ Culture System for Analyzing Host-Microbiota Interactions
Published on: June 30, 2021
NAD precursors cycle between host tissues and the gut microbiome
Karthikeyani Chellappa1, Melanie R McReynolds2, Wenyun Lu2
1Department of Physiology and Institute for Diabetes, Obesity, and Metabolism, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Dietary nicotinamide adenine dinucleotide (NAD) precursors are absorbed early, not reaching the gut microbiome. Instead, host nicotinamide fuels microbial NAD synthesis, enhancing host metabolic flexibility.
Area of Science:
- Microbiology
- Metabolic Science
- Nutritional Science
Background:
- Nicotinamide adenine dinucleotide (NAD) is a vital redox cofactor for mammalian and microbial life.
- Understanding NAD+ metabolism in the gut microbiome is crucial for host health.
Purpose of the Study:
- To investigate the origins of NAD+ precursors available to the mouse gut microbiome.
- To elucidate the metabolic interplay between host and gut microbes concerning NAD+ synthesis.
Main Methods:
- Utilized isotope tracing to track NAD+ precursor metabolism in vivo.
- Analyzed nutrient absorption and microbial conversion pathways within the gastrointestinal tract.
Main Results:
- Dietary NAD+ precursors are absorbed in the upper gastrointestinal tract, unavailable to distal gut microbes.
- Circulating host nicotinamide is utilized by the gut microbiome for NAD+ synthesis.
- The microbiome converts host nicotinamide to nicotinic acid, supporting host NAD+ levels and metabolic flexibility.
- Nicotinamide riboside, a popular nutraceutical, is primarily converted to nicotinic acid by the gut microbiome for host NAD+ utilization.
Conclusions:
- The gut microbiome utilizes host-derived nicotinamide to synthesize NAD+.
- Microbial transformation of host-derived nicotinamide is essential for maintaining host NAD+ homeostasis and metabolic flexibility.
- The gut microbiome plays a key role in processing nutraceuticals like nicotinamide riboside for host benefit.
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