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Nicotinamide mononucleotide, a key NAD(+) intermediate, treats the pathophysiology of diet- and age-induced diabetes in mice.

Abstract
Type 2 diabetes (T2D) has become epidemic in our modern lifestyle, likely due to calorie-rich diets overwhelming our adaptive metabolic pathways. One such pathway is mediated by nicotinamide phosphoribosyltransferase (NAMPT), the rate-limiting enzyme in mammalian NAD(+) biosynthesis, and the NAD(+)-dependent protein deacetylase SIRT1. Here, we show that NAMPT-mediated NAD(+) biosynthesis is severely compromised in metabolic organs by high-fat diet (HFD). Strikingly, nicotinamide mononucleotide (NMN), a product of the NAMPT reaction and a key NAD(+) intermediate, ameliorates glucose intolerance by restoring NAD(+) levels in HFD-induced T2D mice. NMN also enhances hepatic insulin sensitivity and restores gene expression related to oxidative stress, inflammatory response, and circadian rhythm, partly through SIRT1 activation. Furthermore, NAD(+) and NAMPT levels show significant decreases in multiple organs during aging, and NMN improves glucose intolerance and lipid profiles in age-induced T2D mice. These findings provide critical insights into a potential nutriceutical intervention against diet- and age-induced T2D.
AuthorsJun Yoshino, Kathryn F Mills, Myeong Jin Yoon, Shin-ichiro Imai
JournalCell metabolism (Cell Metab) Vol. 14 Issue 4 Pg. 528-36 (Oct 05 2011) ISSN: 1932-7420 [Electronic] United States
PMID21982712 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
CopyrightCopyright © 2011 Elsevier Inc. All rights reserved.
Chemical References
  • Cytokines
  • Hypoglycemic Agents
  • Insulin
  • NAD
  • Nicotinamide Mononucleotide
  • Nicotinamide Phosphoribosyltransferase
  • nicotinamide phosphoribosyltransferase, mouse
  • Sirt1 protein, mouse
  • Sirtuin 1
  • Glucose
Topics
  • Aging
  • Animals
  • Circadian Rhythm (genetics)
  • Cytokines (metabolism)
  • Diabetes Mellitus, Type 2 (metabolism, physiopathology)
  • Diet, High-Fat
  • Disease Models, Animal
  • Gene Expression Regulation
  • Glucose (metabolism)
  • Hypoglycemic Agents (pharmacology)
  • Insulin (metabolism)
  • Lipid Metabolism
  • Mice
  • NAD (biosynthesis)
  • Nicotinamide Mononucleotide (pharmacology)
  • Nicotinamide Phosphoribosyltransferase (metabolism)
  • Oxidative Stress (genetics)
  • Sirtuin 1 (metabolism)

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