Boosting NAD+ with a small molecule that activates NAMPT

Nat Commun. 2019 Jul 19;10(1):3241. doi: 10.1038/s41467-019-11078-z.

Abstract

Pharmacological strategies that boost intracellular NAD+ are highly coveted for their therapeutic potential. One approach is activation of nicotinamide phosphoribosyltransferase (NAMPT) to increase production of nicotinamide mononucleotide (NMN), the predominant NAD+ precursor in mammalian cells. A high-throughput screen for NAMPT activators and hit-to-lead campaign yielded SBI-797812, a compound that is structurally similar to active-site directed NAMPT inhibitors and blocks binding of these inhibitors to NAMPT. SBI-797812 shifts the NAMPT reaction equilibrium towards NMN formation, increases NAMPT affinity for ATP, stabilizes phosphorylated NAMPT at His247, promotes consumption of the pyrophosphate by-product, and blunts feedback inhibition by NAD+. These effects of SBI-797812 turn NAMPT into a "super catalyst" that more efficiently generates NMN. Treatment of cultured cells with SBI-797812 increases intracellular NMN and NAD+. Dosing of mice with SBI-797812 elevates liver NAD+. Small molecule NAMPT activators such as SBI-797812 are a pioneering approach to raise intracellular NAD+ and realize its associated salutary effects.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • A549 Cells
  • Animals
  • Biocatalysis / drug effects
  • Enzyme Activators / administration & dosage
  • Enzyme Activators / chemistry
  • Enzyme Activators / pharmacology*
  • Humans
  • Intracellular Space / drug effects
  • Intracellular Space / metabolism
  • Liver / drug effects
  • Liver / metabolism
  • Mice
  • Molecular Structure
  • NAD / metabolism*
  • Nicotinamide Mononucleotide / metabolism*
  • Nicotinamide Phosphoribosyltransferase / metabolism*
  • Phosphorylation / drug effects
  • Small Molecule Libraries / administration & dosage
  • Small Molecule Libraries / chemistry
  • Small Molecule Libraries / pharmacology*

Substances

  • Enzyme Activators
  • Small Molecule Libraries
  • NAD
  • Nicotinamide Mononucleotide
  • Nicotinamide Phosphoribosyltransferase