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. Author manuscript; available in PMC: 2011 Sep 15.
Published in final edited form as: Ann Med. 2011 Feb 24;43(3):198–211. doi: 10.3109/07853890.2010.547211

Figure 7.

Figure 7

SIRT1 as an essential element of a feedback loop that links cellular metabolism to circadian clock. The CLOCK-BMAL1 transcript complex directly controls the expression of NAMPT, which encodes the rate-limiting enzyme in NAD+ biosynthesis. NAD+ then regulates SIRT1 activity and modulates CLOCK-BMAL1-mediated transcription. SIRT1 also directly regulates the activity of PER, a negative regulator of CLOCK-BMAL1 transcription, through deacetylation.