Increased nicotinamide adenine dinucleotide pool promotes colon cancer

Collectively, our results suggest that NAMPT mediated upregulation of the NAD(H) pool protects cancer cells against detrimental oxidative stress

Increased nicotinamide adenine dinucleotide pool promotes colon cancer

Increased nicotinamide adenine dinucleotide pool promotes colon cancer progression by suppressing reactive oxygen species level.

Nicotinamide adenine dinucleotide (NAD) exists in an oxidized form (NAD+ ) and a reduced form (NADH). NAD+ plays crucial roles in cancer metabolism, including in cellular signaling, energy production and redox regulation. However, it remains unclear whether NAD(H) pool size (NAD+ and NADH) could be used as biomarker for colon cancer progression. Here, we showed that the NAD(H) pool size and NAD+ /NADH ratio both increased during colorectal cancer (CRC) progression due to activation of the NAD+ salvage pathway mediated by nicotinamide phosphoribosyltransferase (NAMPT). The NAMPT expression was upregulated in adenoma and adenocarcinoma tissues from CRC patients.

The NADH fluorescence intensity measured by two photon excitation fluorescence (TPEF) microscopy was consistently increased in CRC cell lines, azoxymethane/dextran sodium sulfate (AOM/DSS) induced CRC tissues and tumor tissues from CRC patients. The increases in the NAD(H) pool inhibited the accumulation of excessive reactive oxygen species (ROS) levels and FK866, a specific inhibitor of NAMPT, treatment decreased the CRC nodule size by increasing ROS levels in AOM/DSS mice. Collectively, our results suggest that NAMPT mediated upregulation of the NAD(H) pool protects cancer cells against detrimental oxidative stress and that detecting NADH fluorescence by TPEF microscopy could be a potential method for monitoring CRC progression.

Hong SM1, Hwang SW2, Wang T3, Park CW4, Ryu YM5, Jung JH5, Shin JH6, Kim SY5,7, Lee JL8, Kim CW8, Yoon G1, Kim KH3,9, Myung SJ2,5,7, Choi KY3. Cancer Sci. 2019 Feb;110(2):629 638.