In mammals, NAD+ can be synthesized through two pathways. The de novo pathway uses L-tryptophan as the precursor for NAD+ production in a multi-step pathway. The salvage pathway uses nicotinamide or nicotinic acid (together called niacin or vitamin B3) to make NAD+. In addition, nicotinamide riboside has been identified as a dietary precursor for NAD+ biosynthesis. QPRTase, quinolinic acid phosphoribosyltransferase; NPT, nicotinic acid phosphoribosyltransferase; NMNAT, nicotinamide/nicotinic acid mononucleotide adenylyltransferase; NAMPT, nicotinamide phosphoribosyltransferase; NADS, NAD synthase, NRK, nicotinamide riboside kinase.