Metabolic syndrome is a growing health problem worldwide. It is therefore imperative to develop new strategies to treat this pathology. In the past years, the manipulation of
NAD(+) metabolism has emerged as a plausible strategy to ameliorate
metabolic syndrome. In particular, an increase in cellular
NAD(+) levels has beneficial effects, likely because of the activation of
sirtuins. Previously, we reported that CD38 is the primary
NAD(+)ase in mammals. Moreover, CD38 knockout mice have higher
NAD(+) levels and are protected against
obesity and
metabolic syndrome. Here, we show that CD38 regulates global
protein acetylation through changes in
NAD(+) levels and
sirtuin activity. In addition, we characterize two CD38 inhibitors:
quercetin and
apigenin. We show that pharmacological inhibition of CD38 results in higher intracellular
NAD(+) levels and that treatment of cell cultures with
apigenin decreases global acetylation as well as the acetylation of p53 and RelA-p65. Finally,
apigenin administration to obese mice increases
NAD(+) levels, decreases global
protein acetylation, and improves several aspects of
glucose and
lipid homeostasis. Our results show that CD38 is a novel pharmacological target to treat
metabolic diseases via
NAD(+)-dependent pathways.