NAD+ metabolism-based immunoregulation and therapeutic potential

Cell Biosci. 2023 May 10;13(1):81. doi: 10.1186/s13578-023-01031-5.

Abstract

Nicotinamide adenine dinucleotide (NAD+) is a critical metabolite that acts as a cofactor in energy metabolism, and serves as a cosubstrate for non-redox NAD+-dependent enzymes, including sirtuins, CD38 and poly(ADP-ribose) polymerases. NAD+ metabolism can regulate functionality attributes of innate and adaptive immune cells and contribute to inflammatory responses. Thus, the manipulation of NAD+ bioavailability can reshape the courses of immunological diseases. Here, we review the basics of NAD+ biochemistry and its roles in the immune response, and discuss current challenges and the future translational potential of NAD+ research in the development of therapeutics for inflammatory diseases, such as COVID-19.

Keywords: Disease therapy; Immunoregulation; Metabolic homeostasis; Nicotinamide adenine dinucleotide (NAD+); Plasticity.

Publication types

  • Review