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. Author manuscript; available in PMC: 2018 May 1.
Published in final edited form as: Trends Endocrinol Metab. 2017 Mar 11;28(5):340–353. doi: 10.1016/j.tem.2017.02.004

Figure 1. Enzymatic pathway for NAM methylation.

Figure 1

Nicotinamide (NAM) is methylated by nicotinamide N-methyltransferase (NNMT) using the universal methyl donor S-Adenosylmethionine (SAM). The methylated product N1-methylnicotinamide (MNAM) is further oxidized by aldehyde oxidase (Aox) into two related compounds 2py and 4py. All three metabolites are eventually excreted in the urine.