Enzyme (Hydrolase; EC 3.2.2.5), Glycosylase, Bacterial toxin (in Streptococcus pyogenes and other pathogens), Membrane-associated protein (GPI-anchored in some eukaryotes; transmembrane in CD38)
01
Overview
Nicotinamide adenine dinucleotide glycohydrolase (NADase) is an enzyme that catalyzes the hydrolysis of NAD+ to ADP-ribose and nicotinamide. In mammalian cells, CD38 is the principal NAD glycohydrolase, playing essential roles in controlling NAD+ levels, calcium signaling via degradation products, cell adhesion, and immune function. In pathogens such as Streptococcus pyogenes, NAD glycohydrolase acts as an intracellular toxin, depleting host cell NAD+ and promoting pathogen survival. NADase can be membrane-bound (GPI-anchored or transmembrane) and sometimes features additional functional domains. Its activity is implicated in aging, metabolic regulation, infection, cancer progression, and immune responses, making it a significant therapeutic target both for inhibition (in infectious and age-related diseases) and for targeted cell elimination (e.g., CD38-targeting antibodies in cancer).
CD38 antibodies: block NAD glycohydrolase activity, prevent NAD+ depletion, induce cell death in cancer cells expressing CD38. NADase inhibitors: prevent cleavage of NAD+, preserve NAD+ pools, protect host cells, and potentially reduce pathogen survival. Neutralization of bacterial NADase: inhibits pathogen-induced cell death in infectious disease.
03
Biological functions
NAD hydrolysis (catalyzes the cleavage of NAD+ to ADP-ribose and nicotinamide)Regulation of cellular NAD+ levelsCalcium signaling (via downstream ADPR or cADPR metabolites, important for Ca²⁺ mobilization, especially for CD38)Cell death/apoptosis (promotes cell death by depleting NAD+ in infected or targeted cells)Immune cell signaling (functions in cell adhesion, migration (particularly for CD38))Erythropoiesis regulation (modulates hematopoietic stem cell differentiation)Intracellular toxin (enhances pathogen survival in host cells during infection (mainly bacterial))
04
Disease associations
Cancer (CD38 expression and activity relevant in hematologic malignancies and solid tumors)Aging (NAD+ depletion contributes to age-related functional decline)Infection (pathogenic NAD glycohydrolase acts as a virulence factor; depletes host NAD+ and damages host cells)Immunological disorders (alters immune responses and inflammatory signaling)Other (Renal, bone, and metabolic diseases through effects on calcium signaling and NAD+ metabolism)
05
Safety considerations
Immunosuppression/risk of infection (potential risk if NADase activity is broadly inhibited, leading to impaired immune cell function)Autoimmunity and inflammation (CD38 modulation can affect cytokine profiles and immune cell trafficking)Metabolic disturbance (disruption of NAD+ homeostasis could impair energy metabolism)Off-target effects (especially for antibody therapies against CD38 in non-cancerous tissues)
06
Interacting drugs
Daratumumab
5 more in the full profile.
07
Biomarkers
CD38 expression (tumor cell surface CD38 is a biomarker for patient selection and monitoring in hematological cancers)NAD+ levels (reduced NAD+ is a pharmacodynamic biomarker to assess efficacy of NADase inhibition)Circulating cADPR or ADPR (may serve as metabolic markers in certain settings)
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