Advances in NAD-Lowering Agents for Cancer Treatment

Autor: Alessio Nencioni, Fiammetta Monacelli, Moustafa Ghanem
Jazyk: angličtina
Rok vydání: 2021
Předmět:
0301 basic medicine
DNA Repair
Nicotinamide phosphoribosyltransferase
Preiss–Handler pathway
Review
Nicotinamide adenine dinucleotide
NAPRT
chemistry.chemical_compound
0302 clinical medicine
Neoplasms
Cancer
De novo pathway
Metabolism
NAD
NAMPT inhibitors
Salvage pathway
Vitamin B3
Animals
Antineoplastic Agents
Biosynthetic Pathways
Cell Death
Cell Line
Tumor

Cell Survival
Cytokines
DNA Damage
Humans
Niacin
Niacinamide
Nicotinamide Phosphoribosyltransferase
Oxidative Stress
TX341-641
chemistry.chemical_classification
Tumor
Nutrition and Dietetics
biology
3. Good health
Biochemistry
030220 oncology & carcinogenesis
DNA repair
Cofactor
Cell Line
03 medical and health sciences
cancer
Nicotinamide
Nutrition. Foods and food supply
salvage pathway
030104 developmental biology
Enzyme
chemistry
Cancer cell
biology.protein
NAD+ kinase
metabolism
Food Science
Zdroj: Nutrients, Vol 13, Iss 1665, p 1665 (2021)
Nutrients
ISSN: 2072-6643
Popis: Nicotinamide adenine dinucleotide (NAD) is an essential redox cofactor, but it also acts as a substrate for NAD-consuming enzymes, regulating cellular events such as DNA repair and gene expression. Since such processes are fundamental to support cancer cell survival and proliferation, sustained NAD production is a hallmark of many types of neoplasms. Depleting intratumor NAD levels, mainly through interference with the NAD-biosynthetic machinery, has emerged as a promising anti-cancer strategy. NAD can be generated from tryptophan or nicotinic acid. In addition, the “salvage pathway” of NAD production, which uses nicotinamide, a byproduct of NAD degradation, as a substrate, is also widely active in mammalian cells and appears to be highly exploited by a subset of human cancers. In fact, research has mainly focused on inhibiting the key enzyme of the latter NAD production route, nicotinamide phosphoribosyltransferase (NAMPT), leading to the identification of numerous inhibitors, including FK866 and CHS-828. Unfortunately, the clinical activity of these agents proved limited, suggesting that the approaches for targeting NAD production in tumors need to be refined. In this contribution, we highlight the recent advancements in this field, including an overview of the NAD-lowering compounds that have been reported so far and the related in vitro and in vivo studies. We also describe the key NAD-producing pathways and their regulation in cancer cells. Finally, we summarize the approaches that have been explored to optimize the therapeutic response to NAMPT inhibitors in cancer.
Databáze: OpenAIRE