Nicotinamide adenine dinucleotide (NAD
+) is an essential metabolite involved in various cellular processes. The cellular NAD
+ pool is maintained by three biosynthesis pathways, which are largely conserved from bacteria to human. NAD
+ metabolism is an emerging therapeutic target for
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Nicotinamide adenine dinucleotide (NAD
+) is an essential metabolite involved in various cellular processes. The cellular NAD
+ pool is maintained by three biosynthesis pathways, which are largely conserved from bacteria to human. NAD
+ metabolism is an emerging therapeutic target for several human disorders including diabetes, cancer, and neuron degeneration. Factors regulating NAD
+ homeostasis have remained incompletely understood due to the dynamic nature and complexity of NAD
+ metabolism. Recent studies using the genetically tractable budding yeast
Saccharomyces cerevisiae have identified novel NAD
+ homeostasis factors. These findings help provide a molecular basis for how may NAD
+ and NAD
+ homeostasis factors contribute to the maintenance and regulation of cellular function. Here we summarize major NAD
+ biosynthesis pathways, selected cellular processes that closely connect with and contribute to NAD
+ homeostasis, and regulation of NAD
+ metabolism by nutrient-sensing signaling pathways. We also extend the discussions to include possible implications of NAD
+ homeostasis factors in human disorders. Understanding the cross-regulation and interconnections of NAD
+ precursors and associated cellular pathways will help elucidate the mechanisms of the complex regulation of NAD
+ homeostasis. These studies may also contribute to the development of effective NAD
+-based therapeutic strategies specific for different types of NAD
+ deficiency related disorders.
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