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Nicotinamide mononucleotide adenylyltransferase (NMNAT)

Target
NMNAT
Molecular classification
Enzyme
01

Overview

Nicotinamide mononucleotide adenylyltransferase (NMNAT) is a family of highly conserved enzymes that catalyze the formation of nicotinamide adenine dinucleotide (NAD) from nicotinamide mononucleotide (NMN) and ATP, a key step in NAD biosynthesis pathways in all living organisms[2][4]. NMNAT exists in multiple isoforms, such as NMNAT1 (nuclear), NMNAT2 (cytoplasmic, especially in neurons), and NMNAT3 (mitochondrial). These enzymes are critical for maintaining cellular NAD levels, supporting energy metabolism, DNA repair, and cell survival. Mutations in NMNAT1 are linked to Leber’s congenital amaurosis (LCA9), a form of inherited retinal degeneration[1]. NMNAT activity also confers neuroprotection, and pharmacological modulation is investigated for cancer, neurodegenerative diseases, and metabolic disorders[2][5]. Drugs like EGCG have been found to enhance NMNAT2 activity[3]. NMNATs are considered important therapeutic targets due to their central metabolic roles and involvement in pathophysiological conditions.

Other names
NMNAT1NMNAT2NMNAT3nicotinamide-nucleotide adenylyltransferasenicotinate-nucleotide adenylyltransferaseNaMN adenylyltransferasePNAT1LCA9SHILCA
02

Mechanism of action

Enzyme inhibition, Enzyme activation, modulation of NAD+ synthesis, neuroprotection

03

Biological functions

NAD biosynthesisregulation of cellular metabolismneuroprotectioncellular survival pathways
04

Disease associations

Neurodegenerative diseaseCancerInflammationRetinal degeneration (Leber’s congenital amaurosis)Aging
05

Safety considerations

Therapeutic modulation may affect cellular energy metabolisminhibition could result in neurodegeneration or metabolic disruptionover-activation may have unknown cytoprotective effects or lifespan impacts
06

Interacting drugs

Epigallocatechin gallate (EGCG; activator of NMNAT2)
07

Biomarkers

NAD+/NADH ratioNMNAT1 mutation status (LCA9)

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