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Stable bioreactor control reveals acidic pH-driven metabolic reprogramming and mitochondrial dysfunction in human
Samhan Alsolami1,2, Yingzi Zhang1,2, Upendra Singh3,4
1Bioscience Program, Biomedical Sciences Division (BioMed), King Abdullah University of Science and Technology (KAUST), Thuwal, Saudi Arabia.
Communications Biology
|April 15, 2026
Summary
Acidic environments harm human cells by altering metabolism and damaging mitochondria. Restoring NAD+ levels can partially reverse these negative effects, highlighting pH balance importance.
Area of Science:
- Cell Biology
- Metabolic Research
- Mitochondrial Biology
Background:
- Cellular pH regulation is crucial for physiological function.
- The molecular effects of acidic environments on cells are not fully understood.
Purpose of the Study:
- To investigate the molecular consequences of acidic pH on human cells.
- To explore the role of NAD+ metabolism in mediating the effects of acidic environments.
Main Methods:
- Utilized a gas-only bioreactor for precise control of pH, oxygen, and temperature.
- Performed integrated multi-omics analyses to assess cellular responses.
- Investigated the impact of NAD+ restoration via NMN supplementation and PARP1 inhibition.
Main Results:
- Acidic pH induced a glycolytic shift, suppressed proliferation, and caused mitochondrial dysfunction.
- Acidic conditions increased reactive oxygen species (ROS), activated inflammatory pathways, and led to mitochondrial DNA mutation enrichment.
- Acidic pH depleted intracellular NAD+, partly due to PARP1 activation.
- NMN supplementation and PARP1 inhibition partially rescued proliferation and reversed mitochondrial DNA heteroplasmy.
Conclusions:
- pH homeostasis is critical for coordinating cellular metabolism, redox balance, and immune signaling.
- NAD+ metabolism acts as a mechanistic link between acidic microenvironments, mitochondrial instability, and immune-metabolic changes.
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