Niacin: an old lipid drug in a new NAD+ dress

Niacin, the first antidyslipidemic drug, has been at the center stage of lipid research for many decades before the discovery of statins. However, to date, despite its remarkable effects on lipid profiles, the clinical outcomes of niacin treatment on cardiac events is still debated. In addition to i...

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Main Authors: Mario Romani, Dina Carina Hofer, Elena Katsyuba, Johan Auwerx
Format: Article
Language:English
Published: Elsevier 2019-04-01
Series:Journal of Lipid Research
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0022227520325864
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author Mario Romani
Dina Carina Hofer
Elena Katsyuba
Johan Auwerx
author_facet Mario Romani
Dina Carina Hofer
Elena Katsyuba
Johan Auwerx
author_sort Mario Romani
collection DOAJ
description Niacin, the first antidyslipidemic drug, has been at the center stage of lipid research for many decades before the discovery of statins. However, to date, despite its remarkable effects on lipid profiles, the clinical outcomes of niacin treatment on cardiac events is still debated. In addition to its historically well-defined interactions with central players of lipid metabolism, niacin can be processed by eukaryotic cells to synthesize a crucial cofactor, NAD+. NAD+ acts as a cofactor in key cellular processes, including oxidative phosphorylation, glycolysis, and DNA repair. More recently, evidence has emerged that NAD+ also is an essential cosubstrate for the sirtuin family of protein deacylases and thereby has an impact on a wide range of cellular processes, most notably mitochondrial homeostasis, energy homeostasis, and lipid metabolism. NAD+ achieves these remarkable effects through sirtuin-mediated deacetylation of key transcriptional regulators, such as peroxisome proliferator-activated receptor gamma coactivator 1-α, LXR, and SREBPs, that control these cellular processes. Here, we present an alternative point of view to explain niacin's mechanism of action, with a strong focus on the importance of how this old drug acts as a control switch of NAD+/sirtuin-mediated control of metabolism.
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spelling doaj.art-12f76ed57c1940859fc865c3a5f435052022-12-21T23:13:00ZengElsevierJournal of Lipid Research0022-22752019-04-01604741746Niacin: an old lipid drug in a new NAD+ dressMario Romani0Dina Carina Hofer1Elena Katsyuba2Johan Auwerx3Laboratory of Integrative Systems Physiology, Interfaculty Institute of Bioengineering, École Polytechnique Fédérale de Lausanne, Lausanne, SwitzerlandLaboratory of Integrative Systems Physiology, Interfaculty Institute of Bioengineering, École Polytechnique Fédérale de Lausanne, Lausanne, SwitzerlandLaboratory of Integrative Systems Physiology, Interfaculty Institute of Bioengineering, École Polytechnique Fédérale de Lausanne, Lausanne, SwitzerlandTo whom correspondence should be addressed; Laboratory of Integrative Systems Physiology, Interfaculty Institute of Bioengineering, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland; To whom correspondence should be addressedNiacin, the first antidyslipidemic drug, has been at the center stage of lipid research for many decades before the discovery of statins. However, to date, despite its remarkable effects on lipid profiles, the clinical outcomes of niacin treatment on cardiac events is still debated. In addition to its historically well-defined interactions with central players of lipid metabolism, niacin can be processed by eukaryotic cells to synthesize a crucial cofactor, NAD+. NAD+ acts as a cofactor in key cellular processes, including oxidative phosphorylation, glycolysis, and DNA repair. More recently, evidence has emerged that NAD+ also is an essential cosubstrate for the sirtuin family of protein deacylases and thereby has an impact on a wide range of cellular processes, most notably mitochondrial homeostasis, energy homeostasis, and lipid metabolism. NAD+ achieves these remarkable effects through sirtuin-mediated deacetylation of key transcriptional regulators, such as peroxisome proliferator-activated receptor gamma coactivator 1-α, LXR, and SREBPs, that control these cellular processes. Here, we present an alternative point of view to explain niacin's mechanism of action, with a strong focus on the importance of how this old drug acts as a control switch of NAD+/sirtuin-mediated control of metabolism.http://www.sciencedirect.com/science/article/pii/S0022227520325864nicotinic acidsirtuinsmitochondriacholesteroldyslipidemiaHDL
spellingShingle Mario Romani
Dina Carina Hofer
Elena Katsyuba
Johan Auwerx
Niacin: an old lipid drug in a new NAD+ dress
Journal of Lipid Research
nicotinic acid
sirtuins
mitochondria
cholesterol
dyslipidemia
HDL
title Niacin: an old lipid drug in a new NAD+ dress
title_full Niacin: an old lipid drug in a new NAD+ dress
title_fullStr Niacin: an old lipid drug in a new NAD+ dress
title_full_unstemmed Niacin: an old lipid drug in a new NAD+ dress
title_short Niacin: an old lipid drug in a new NAD+ dress
title_sort niacin an old lipid drug in a new nad dress
topic nicotinic acid
sirtuins
mitochondria
cholesterol
dyslipidemia
HDL
url http://www.sciencedirect.com/science/article/pii/S0022227520325864
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AT elenakatsyuba niacinanoldlipiddruginanewnaddress
AT johanauwerx niacinanoldlipiddruginanewnaddress