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. 2026 Jul 28;18(7):e113549. doi: 10.7759/cureus.113549

Table 2. Exploratory ranking of NMN-nominated KEGG pathways and leading disease-level signals.

The table emphasizes exploratory ranking rather than confirmed enrichment. The composite score was calculated as Inline graphic. The score is descriptive and does not replace permutation, Wilcoxon, or FDR testing. “Meta-level permutation/Wilcoxon/FDR survival” indicates whether the listed disease-level combination passed the reported meta-level checks; no listed combination did so.

NMN: nicotinamide mononucleotide; KEGG: Kyoto Encyclopedia of Genes and Genomes; TWAS: transcriptome-wide association study; MDD: major depressive disorder; ALS: amyotrophic lateral sclerosis; Z: Stouffer combined Z-statistic; FDR: false discovery rate

Rank Gene set NMN-linked seed / mechanistic lead Leading disease Composite score Z Coverage Permutation p Meta-level permutation/Wilcoxon/FDR survival
1 KEGG_SYNAPTIC_VESICLE_CYCLE APBA2 MDD 2.224 3.41 65% 0.1222 No
2 KEGG_RAS_SIGNALING_PATHWAY MAP2K2 MDD 1.225 −1.74 66% 0.4245 No
3 KEGG_AUTOPHAGY_ANIMAL TRP53INP2 MDD 0.960 −1.26 75% 0.5679 No
4 KEGG_NEUROACTIVE_LIGAND_RECEPTOR_INTERACTION GALR1 ALS 0.816 1.07 60% 0.5257 No
5 KEGG_MAPK_SIGNALING_PATHWAY MAP2K2 ALS 0.745 0.93 66% 0.5904 No
6 KEGG_REGULATION_OF_ACTIN_CYTOSKELETON MYO15 MDD 0.735 0.90 70% 0.6815 No
7 KEGG_FATTY_ACID_DEGRADATION CPT2 MDD 0.674 −0.77 79% 0.7244 No
8 KEGG_ENDOCYTOSIS RAB11A ALS 0.498 0.48 76% 0.7852 No
9 KEGG_CITRATE_CYCLE_TCA_CYCLE SLC13A5 MDD 0.411 0.31 83% 0.8864 No
10 KEGG_PPAR_SIGNALING_PATHWAY CPT2 ALS 0.402 −0.35 71% 0.8367 No