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Targeting NAD+ metabolism: dual roles in cancer treatment.


ABSTRACT: Nicotinamide adenine dinucleotide (NAD+) is indispensable for various oxidation-reduction reactions in mammalian cells, particularly during energy production. Malignant cells increase the expression levels of NAD+ biosynthesis enzymes for rapid proliferation and biomass production. Furthermore, mounting proof has indicated that NAD-degrading enzymes (NADases) play a role in creating the immunosuppressive tumor microenvironment (TME). Interestingly, both inhibiting NAD+ synthesis and targeting NADase have positive implications for cancer treatment. Here we summarize the detrimental outcomes of increased NAD+ production, the functions of NAD+ metabolic enzymes in creating an immunosuppressive TME, and discuss the progress and clinical translational potential of inhibitors for NAD+ synthesis and therapies targeting NADase.

SUBMITTER: Yong J 

PROVIDER: S-EPMC10728650 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature

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Targeting NAD<sup>+</sup> metabolism: dual roles in cancer treatment.

Yong Jiaxin J   Cai Songqing S   Zeng Zhaolei Z  

Frontiers in immunology 20231205


Nicotinamide adenine dinucleotide (NAD<sup>+</sup>) is indispensable for various oxidation-reduction reactions in mammalian cells, particularly during energy production. Malignant cells increase the expression levels of NAD<sup>+</sup> biosynthesis enzymes for rapid proliferation and biomass production. Furthermore, mounting proof has indicated that NAD-degrading enzymes (NADases) play a role in creating the immunosuppressive tumor microenvironment (TME). Interestingly, both inhibiting NAD<sup>+  ...[more]

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