NAPRT-mediated deamidated NAD biosynthesis enhances colon tissue resiliency and suppresses tumorigenesis

Xiaoyue Wu1, Jason G Williams2, Haoyang Liang3

  • 1Molecular and Cellular Biology Laboratory, National Institute of Environmental Health Sciences, Research Triangle Park, NC, 27709, USA.

Nature Communications
|February 10, 2026
PubMed

Insights

Physiological levels of nicotinic acid phosphoribosyl transferase (NAPRT) suppress tumor formation by maintaining gut epithelial cell NAD levels. NAPRT deficiency impairs DNA repair and increases susceptibility to cancer and colitis.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Oncology

Background:

  • Nicotinamide adenine dinucleotide (NAD) is crucial for cellular metabolism and is synthesized via salvage and de novo pathways.
  • NAD-producing enzymes are often upregulated in cancer, contributing to rapid proliferation.
  • The role of specific NAD synthesis pathways, like the deamidated pathway, in tumor suppression is not fully understood.

Purpose of the Study:

  • To investigate the role of nicotinic acid phosphoribosyl transferase (NAPRT), a key enzyme in deamidated NAD biosynthesis, in tumorigenesis.
  • To determine if physiological levels of NAPRT can suppress tumor development.
  • To explore the therapeutic potential of boosting deamidated NAD biosynthesis for cancer prevention.

Main Methods:

  • Utilized mouse models to study the effects of NAPRT deficiency on tumorigenesis and colitis.
  • Assessed poly-(ADP-ribose) polymerases activity and DNA repair mechanisms in NAPRT-deficient cells.
  • Correlated NAPRT expression levels with patient prognosis in various human cancer types.

Main Results:

  • Physiological levels of NAPRT were found to suppress tumorigenesis, contrary to the oncogenic role of other NAD-producing enzymes.
  • NAPRT is enriched in gut epithelial cells, supporting NAD homeostasis and stress response.
  • NAPRT deficiency led to impaired DNA repair, increased sensitivity to colitis and chemically induced tumors, and spontaneous tumor development in aged mice.
  • Low NAPRT expression correlated with poor prognosis in several human cancers.

Conclusions:

  • Homeostatic levels of deamidated NAD biosynthesis, mediated by NAPRT, contribute to tumor suppression.
  • NAPRT plays a critical role in maintaining genomic stability and preventing cancer development.
  • Enhancing the NAPRT-mediated NAD synthesis pathway presents a potential strategy for cancer prevention and treatment.

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