NAD+ (nicotinamide adenine dinucleotide) is a coenzyme present in every living cell, essential for redox reactions in glycolysis, the TCA cycle, and oxidative phosphorylation. Beyond its metabolic role, NAD+ serves as a substrate for several key regulatory enzymes:
- Sirtuins (SIRT1–7), NAD+-dependent deacylases involved in gene expression, DNA repair, and metabolic regulation; central to many longevity research models
- PARPs (poly-ADP-ribose polymerases), consume NAD+ during DNA damage repair; PARP activation after genotoxic stress can transiently deplete cellular NAD+
- CD38, an NAD+ hydrolase whose expression increases with age, contributing to the age-related decline in NAD+ levels observed in multiple tissues
Cellular NAD+ levels decline significantly with age, studies in rodents and humans report reductions of 40–60% in various tissues by middle age. This decline is hypothesised to contribute to reduced sirtuin activity, impaired DNA repair, mitochondrial dysfunction, and metabolic dysregulation.