NAD+ Biosynthesis is the complex set of metabolic pathways responsible for the cellular production of Nicotinamide Adenine Dinucleotide (NAD+), a crucial coenzyme found in every cell that is essential for energy metabolism, DNA repair, and gene expression. Maintaining robust NAD+ levels is paramount for cellular health, as its age-related decline is implicated in numerous aspects of senescence and metabolic dysfunction. Clinical strategies often focus on supporting these pathways through precursor supplementation to enhance cellular resilience and longevity.
Origin
The study of NAD+ dates back to the early 20th century, with its role as a coenzyme in cellular respiration being well-established. However, the focus on its biosynthesis as a therapeutic target in aging and metabolic disease is a more recent development in longevity science. This shift highlights the importance of the entire enzymatic cascade that converts precursors into the active coenzyme.
Mechanism
NAD+ is synthesized primarily through two routes: the salvage pathway, which recycles breakdown products like nicotinamide, and the de novo pathway, which starts from tryptophan. Key rate-limiting enzymes, such as Nicotinamide Phosphoribosyltransferase (NAMPT) in the salvage pathway, govern the speed of this production. Clinical interventions often involve supplementing with precursors like Nicotinamide Riboside (NR) or Nicotinamide Mononucleotide (NMN) to bypass potential bottlenecks and increase the substrate available for these critical biosynthetic enzymes.
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