Roles of NAD<sup>+</sup> in Acute and Chronic Kidney Diseases

Nicotinamide adenine dinucleotide (oxidized form, NAD<sup>+</sup>) is a critical coenzyme, with functions ranging from redox reactions and energy metabolism in mitochondrial respiration and oxidative phosphorylation to being a central player in multiple cellular signaling pathways, organ...

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Main Authors: Marya Morevati, Evandro Fei Fang, Maria L. Mace, Mehmet Kanbay, Eva Gravesen, Anders Nordholm, Søren Egstrand, Mads Hornum
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/1/137
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author Marya Morevati
Evandro Fei Fang
Maria L. Mace
Mehmet Kanbay
Eva Gravesen
Anders Nordholm
Søren Egstrand
Mads Hornum
author_facet Marya Morevati
Evandro Fei Fang
Maria L. Mace
Mehmet Kanbay
Eva Gravesen
Anders Nordholm
Søren Egstrand
Mads Hornum
author_sort Marya Morevati
collection DOAJ
description Nicotinamide adenine dinucleotide (oxidized form, NAD<sup>+</sup>) is a critical coenzyme, with functions ranging from redox reactions and energy metabolism in mitochondrial respiration and oxidative phosphorylation to being a central player in multiple cellular signaling pathways, organ resilience, health, and longevity. Many of its cellular functions are executed via serving as a co-substrate for sirtuins (SIRTs), poly (ADP-ribose) polymerases (PARPs), and CD38. Kidney damage and diseases are common in the general population, especially in elderly persons and diabetic patients. While NAD<sup>+</sup> is reduced in acute kidney injury (AKI) and chronic kidney disease (CKD), mounting evidence indicates that NAD<sup>+</sup> augmentation is beneficial to AKI, although conflicting results exist for cases of CKD. Here, we review recent progress in the field of NAD<sup>+</sup>, mainly focusing on compromised NAD<sup>+</sup> levels in AKI and its effect on essential cellular pathways, such as mitochondrial dysfunction, compromised autophagy, and low expression of the aging biomarker αKlotho (Klotho) in the kidney. We also review the compromised NAD<sup>+</sup> levels in renal fibrosis and senescence cells in the case of CKD. As there is an urgent need for more effective treatments for patients with injured kidneys, further studies on NAD<sup>+</sup> in relation to AKI/CKD may shed light on novel therapeutics.
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spelling doaj.art-eb8bcb81d0564ca0ae4e8a74793de37b2023-11-16T15:29:56ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672022-12-0124113710.3390/ijms24010137Roles of NAD<sup>+</sup> in Acute and Chronic Kidney DiseasesMarya Morevati0Evandro Fei Fang1Maria L. Mace2Mehmet Kanbay3Eva Gravesen4Anders Nordholm5Søren Egstrand6Mads Hornum7Department of Nephrology, Rigshospitalet, University of Copenhagen, 2100 Copenhagen, DenmarkDepartment of Clinical Molecular Biology, University of Oslo and Akershus University Hospital, 1478 Lørenskog, NorwayDepartment of Nephrology, Rigshospitalet, University of Copenhagen, 2100 Copenhagen, DenmarkDivision of Nephrology, Department of Medicine, Koç University School of Medicine, Istanbul 34010, TurkeyDepartment of Pathology, Herlev Hospital, University of Copenhagen, 2730 Copenhagen, DenmarkDepartment of Nephrology, Rigshospitalet, University of Copenhagen, 2100 Copenhagen, DenmarkDepartment of Nephrology, Rigshospitalet, University of Copenhagen, 2100 Copenhagen, DenmarkDepartment of Nephrology, Rigshospitalet, University of Copenhagen, 2100 Copenhagen, DenmarkNicotinamide adenine dinucleotide (oxidized form, NAD<sup>+</sup>) is a critical coenzyme, with functions ranging from redox reactions and energy metabolism in mitochondrial respiration and oxidative phosphorylation to being a central player in multiple cellular signaling pathways, organ resilience, health, and longevity. Many of its cellular functions are executed via serving as a co-substrate for sirtuins (SIRTs), poly (ADP-ribose) polymerases (PARPs), and CD38. Kidney damage and diseases are common in the general population, especially in elderly persons and diabetic patients. While NAD<sup>+</sup> is reduced in acute kidney injury (AKI) and chronic kidney disease (CKD), mounting evidence indicates that NAD<sup>+</sup> augmentation is beneficial to AKI, although conflicting results exist for cases of CKD. Here, we review recent progress in the field of NAD<sup>+</sup>, mainly focusing on compromised NAD<sup>+</sup> levels in AKI and its effect on essential cellular pathways, such as mitochondrial dysfunction, compromised autophagy, and low expression of the aging biomarker αKlotho (Klotho) in the kidney. We also review the compromised NAD<sup>+</sup> levels in renal fibrosis and senescence cells in the case of CKD. As there is an urgent need for more effective treatments for patients with injured kidneys, further studies on NAD<sup>+</sup> in relation to AKI/CKD may shed light on novel therapeutics.https://www.mdpi.com/1422-0067/24/1/137NAD<sup>+</sup>mitochondriaautophagyacute kidney injuryKlothochronic kidney disease
spellingShingle Marya Morevati
Evandro Fei Fang
Maria L. Mace
Mehmet Kanbay
Eva Gravesen
Anders Nordholm
Søren Egstrand
Mads Hornum
Roles of NAD<sup>+</sup> in Acute and Chronic Kidney Diseases
International Journal of Molecular Sciences
NAD<sup>+</sup>
mitochondria
autophagy
acute kidney injury
Klotho
chronic kidney disease
title Roles of NAD<sup>+</sup> in Acute and Chronic Kidney Diseases
title_full Roles of NAD<sup>+</sup> in Acute and Chronic Kidney Diseases
title_fullStr Roles of NAD<sup>+</sup> in Acute and Chronic Kidney Diseases
title_full_unstemmed Roles of NAD<sup>+</sup> in Acute and Chronic Kidney Diseases
title_short Roles of NAD<sup>+</sup> in Acute and Chronic Kidney Diseases
title_sort roles of nad sup sup in acute and chronic kidney diseases
topic NAD<sup>+</sup>
mitochondria
autophagy
acute kidney injury
Klotho
chronic kidney disease
url https://www.mdpi.com/1422-0067/24/1/137
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