Obesity is associated with perturbations in
incretin production and whole-body
glucose metabolism, but the precise underlying mechanism remains unclear. Here, we tested the hypothesis that
nicotinamide phosphoribosyltransferase (NAMPT), which mediates the biosynthesis of
nicotinamide adenine dinucleotide (
NAD+), a key regulator of cellular energy metabolism, plays a critical role in
obesity-associated intestinal pathophysiology and systemic metabolic complications. To this end, we generated a novel mouse model, namely intestinal epithelial cell-specific Nampt knockout (INKO) mice. INKO mice displayed diminished
glucagon-like peptide-1 (GLP-1) production, at least partly contributing to reduced early-phase insulin secretion and
postprandial hyperglycemia. Mechanistically, loss of NAMPT attenuated the Wnt signaling pathway, resulting in insufficient
GLP-1 production. We also found that diet-induced obese mice had compromised intestinal NAMPT-mediated NAD+ biosynthesis and Wnt signaling pathway, associated with impaired
GLP-1 production and whole-body
glucose metabolism, resembling the INKO mice. Finally, administration of a key NAD+ intermediate,
nicotinamide mononucleotide (NMN), restored intestinal NAD+ levels and
obesity-associated metabolic derangements, manifested by a decrease in ileal
Proglucagon expression and
GLP-1 production as well as
postprandial hyperglycemia in INKO and diet-induced obese mice. Collectively, our study provides mechanistic and therapeutic insights into intestinal NAD+ biology related to
obesity-associated dysregulation of
GLP-1 production and
postprandial hyperglycemia.