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Nicotinamide adenine dinucleotide (NAD+) is a crucial coenzyme found in all living cells that plays a fundamental role in cellular metabolism and various biological processes. It consists of two nucleotides joined through their phosphate groups and exists in oxidized (NAD+) and reduced (NADH) forms, allowing it to participate in redox reactions. NAD+ is primarily involved in catabolic reactions, acting as an electron carrier for ATP production. It also functions in ADP-ribosylation, as a precursor for cyclic ADP-ribose, and as a substrate for enzymes like sirtuins and bacterial DNA ligases. Beyond intracellular roles, NAD+ acts as an extracellular signaling molecule, proposed as a neurotransmitter and involved in plant immunity. NAD+ is synthesized through de novo and salvage pathways. Age-related decline in NAD+ levels is linked to aging and diseases, suggesting potential therapeutic modulation.
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