Impaired yolk sac NAD metabolism disrupts murine embryogenesis with relevance to human birth defects

Kayleigh Bozon1, Hartmut Cuny1,2, Delicia Z Sheng1

  • 1Victor Chang Cardiac Research Institute, Sydney, Australia.

Elife
|March 6, 2025
PubMed

Insights

Congenital NAD Deficiency Disorder (CNDD) arises from impaired nicotinamide adenine dinucleotide (NAD) synthesis. The extraembryonic visceral yolk sac, not the embryonic liver, is crucial for NAD production during early organogenesis.

Area of Science:

  • Developmental Biology
  • Metabolic Pathways
  • Human Genetics

Background:

  • Congenital malformations often have unknown causes, but genetic disruption of nicotinamide adenine dinucleotide (NAD) de novo synthesis leads to Congenital NAD Deficiency Disorder (CNDD).
  • NAD synthesis is vital for embryogenesis, but its location during early development, prior to the liver's postnatal dominance, remains unclear.
  • Previous research indicates NAD deficiency specifically impacts organogenesis in mouse embryos.

Purpose of the Study:

  • To investigate the site of NAD de novo synthesis during early embryogenesis in a mouse model of human CNDD.
  • To determine the role of extraembryonic tissues in NAD production during organogenesis.
  • To elucidate the impact of impaired NAD synthesis on embryonic development and metabolism.

Main Methods:

  • Utilized a mouse model mimicking human CNDD.
  • Analyzed gene expression, enzyme activity, and metabolic profiles in embryonic livers and extraembryonic tissues.
  • Assessed NAD synthesis functionality in the visceral yolk sac endoderm.

Main Results:

  • The visceral yolk sac endoderm exclusively synthesizes NAD de novo during early organogenesis, preceding the embryonic liver's function.
  • CNDD conditions resulted in reduced NAD levels and altered metabolic profiles in visceral yolk sacs, impacting embryo metabolism.
  • Genes involved in NAD synthesis are conserved in the human yolk sac equivalent.

Conclusions:

  • Visceral yolk sac-mediated NAD de novo synthesis is essential for mouse embryogenesis.
  • Perturbation of this pathway causes CNDD, with implications for understanding human congenital malformations.
  • Functional homology between mouse and human yolk sacs suggests these findings are relevant to human development.

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