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2015 ; 5
(ä): 15857
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Monocyte-derived extracellular Nampt-dependent biosynthesis of NAD(+) protects
the heart against pressure overload
#MMPMID26522369
Yano M
; Akazawa H
; Oka T
; Yabumoto C
; Kudo-Sakamoto Y
; Kamo T
; Shimizu Y
; Yagi H
; Naito AT
; Lee JK
; Suzuki J
; Sakata Y
; Komuro I
Sci Rep
2015[Nov]; 5
(ä): 15857
PMID26522369
show ga
Nicotinamide phosphoribosyltransferase (Nampt) catalyzes the rate-limiting step
in the salvage pathway for nicotinamide adenine dinucleotide (NAD(+))
biosynthesis, and thereby regulates the deacetylase activity of sirtuins. Here we
show accommodative regulation of myocardial NAD(+) by monocyte-derived
extracellular Nampt (eNampt), which is essential for hemodynamic compensation to
pressure overload. Although intracellular Nampt (iNampt) expression was decreased
in pressure-overloaded hearts, myocardial NAD(+) concentration and Sirt1 activity
were preserved. In contrast, iNampt was up-regulated in spleen and monocytes, and
circulating eNampt protein and nicotinamide mononucleotide (NMN), a key precursor
of NAD(+), were significantly increased. Pharmacological inhibition of Nampt by
FK866 or depletion of monocytes/macrophages by clodronate liposomes disrupted the
homeostatic mechanism of myocardial NAD(+) levels and NAD(+)-dependent Sirt1
activity, leading to susceptibility to cardiomyocyte apoptosis and cardiac
decompensation in pressure-overloaded mice. These biochemical and hemodynamic
defects were prevented by systemic administration of NMN. Our studies uncover a
crucial role of monocyte-derived eNampt in myocardial adaptation to pressure
overload, and highlight a potential intervention controlling myocardial NAD(+)
against heart failure.