in part of the
lactate dehydrogenase of
Cryptosporidium parvum, showing NAD in red, beta sheets in yellow, and alpha helices in purple Nicotinamide adenine dinucleotide has several essential roles in
metabolism. It acts as a
coenzyme in
redox reactions, as a donor of ADP-ribose moieties in
ADP-ribosylation reactions, as a precursor of the
second messenger molecule
cyclic ADP-ribose, as well as acting as a substrate for bacterial
DNA ligases and a group of enzymes called
sirtuins that use NAD to remove
acetyl groups from proteins. In addition to these metabolic functions, NAD+ emerges as an adenine nucleotide that can be released from cells spontaneously and by regulated mechanisms, and can therefore have important
extracellular roles. However, these enzymes are also referred to as
dehydrogenases or
reductases, with NADH-ubiquinone oxidoreductase commonly being called
NADH dehydrogenase or sometimes
coenzyme Q reductase. There are many different superfamilies of enzymes that bind NAD / NADH. One of the most common superfamilies includes a
structural motif known as the
Rossmann fold. The motif is named after
Michael Rossmann, who was the first scientist to notice how common this structure is within nucleotide-binding proteins. An example of a NAD-binding bacterial enzyme involved in
amino acid metabolism that does not have the Rossmann fold is found in
Pseudomonas syringae pv. tomato (; ). residues in the two types of coenzyme-binding pocket. For instance, in the active site of NADP-dependent enzymes, an
ionic bond is formed between a basic amino acid side-chain and the acidic phosphate group of NADP. On the converse, in NAD-dependent enzymes the charge in this pocket is reversed, preventing NADP from binding. However, there are a few exceptions to this general rule, and enzymes such as
aldose reductase,
glucose-6-phosphate dehydrogenase, and
methylenetetrahydrofolate reductase can use both coenzymes in some species.
Role in redox metabolism , showing how NAD and NADH link the
citric acid cycle and
oxidative phosphorylation The redox reactions catalyzed by oxidoreductases are vital in all parts of metabolism, but one particularly important area where these reactions occur is in the release of energy from nutrients. Here, reduced compounds such as
glucose and
fatty acids are oxidized, thereby releasing energy. This energy is transferred to NAD by reduction to NADH, as part of
beta oxidation,
glycolysis, and the
citric acid cycle. In
eukaryotes the electrons carried by the NADH that is produced in the
cytoplasm are transferred into the
mitochondrion (to reduce mitochondrial NAD) by
mitochondrial shuttles, such as the
malate-aspartate shuttle. The mitochondrial NADH is then oxidized in turn by the
electron transport chain, which pumps protons across a membrane and generates ATP through
oxidative phosphorylation. These shuttle systems also have the same transport function in
chloroplasts. Since both the oxidized and reduced forms of nicotinamide adenine dinucleotide are used in these linked sets of reactions, the cell maintains significant concentrations of both NAD and NADH, with the high NAD/NADH ratio allowing this coenzyme to act as both an oxidizing and a reducing agent. In contrast, the main function of NADPH is as a reducing agent in
anabolism, with this coenzyme being involved in pathways such as
fatty acid synthesis and
photosynthesis. Since NADPH is needed to drive redox reactions as a strong reducing agent, the NADP/NADPH ratio is kept very low. This need for NADH in anabolism poses a problem for prokaryotes growing on nutrients that release only a small amount of energy. For example,
nitrifying bacteria such as
Nitrobacter oxidize nitrite to nitrate, which releases sufficient energy to pump protons and generate ATP, but not enough to produce NADH directly. As NADH is still needed for anabolic reactions, these bacteria use a
nitrite oxidoreductase to produce enough
proton-motive force to run part of the electron transport chain in reverse, generating NADH.
Non-redox roles The coenzyme NAD is also consumed in ADP-ribose transfer reactions. For example, enzymes called
ADP-ribosyltransferases add the ADP-ribose moiety of this molecule to proteins, in a
posttranslational modification called
ADP-ribosylation. ADP-ribosylation involves either the addition of a single ADP-ribose moiety, in
mono-ADP-ribosylation, or the transferral of ADP-ribose to proteins in long branched chains, which is called
poly(ADP-ribosyl)ation. Mono-ADP-ribosylation was first identified as the mechanism of a group of bacterial
toxins, notably
cholera toxin, but it is also involved in normal
cell signaling. Poly(ADP-ribosyl)ation is carried out by the
poly(ADP-ribose) polymerases. The poly(ADP-ribose) structure is involved in the regulation of several cellular events and is most important in the
cell nucleus, in processes such as
DNA repair and
telomere maintenance. NAD may also be added onto cellular
RNA as a 5'-terminal modification. Another function of this coenzyme in cell signaling is as a precursor of
cyclic ADP-ribose, which is produced from NAD by ADP-ribosyl cyclases, as part of a
second messenger system. This molecule acts in
calcium signaling by releasing calcium from intracellular stores. It does this by binding to and opening a class of calcium channels called
ryanodine receptors, which are located in the membranes of
organelles, such as the
endoplasmic reticulum, and inducing the activation of the
transcription factor NAFC3 NAD is also consumed by different NAD+-consuming enzymes, such as
CD38,
CD157,
PARPs and the NAD-dependent
deacetylases (
sirtuins, such as
Sir2.). These enzymes act by transferring an
acetyl group from their substrate protein to the ADP-ribose moiety of NAD; this cleaves the coenzyme and releases nicotinamide and O-acetyl-ADP-ribose. The sirtuins mainly seem to be involved in regulating
transcription through deacetylating histones and altering
nucleosome structure. However, non-histone proteins can be deacetylated by sirtuins as well. These activities of sirtuins are particularly interesting because of their importance in the regulation of
aging. Other NAD-dependent enzymes include bacterial
DNA ligases, which join two DNA ends by using NAD as a substrate to donate an
adenosine monophosphate (AMP) moiety to the 5' phosphate of one DNA end. This intermediate is then attacked by the 3' hydroxyl group of the other DNA end, forming a new
phosphodiester bond. This contrasts with
eukaryotic DNA ligases, which use ATP to form the DNA-AMP intermediate. Li et al. have found that NAD directly regulates protein-protein interactions. They also show that one of the causes of age-related decline in DNA repair may be increased binding of the protein
DBC1 (Deleted in Breast Cancer 1) to
PARP1 (poly[ADP–ribose] polymerase 1) as NAD levels decline during aging. Thus, the modulation of NAD may protect against cancer, radiation, and aging. NAD+ is released from
neurons in
blood vessels,
large intestine, from neurosecretory cells, and from brain
synaptosomes, and is proposed to be a novel
neurotransmitter that transmits information from
nerves to effector cells in
smooth muscle organs. Further studies are needed to determine the underlying mechanisms of its extracellular actions and their importance for human health and life processes in other organisms. ==Clinical significance==