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. 2018 Sep 19;9:394. doi: 10.3389/fgene.2018.00394

FIGURE 4.

FIGURE 4

Metabolism of NAD+. Sirtuins consume NAD+ and produce nicotinamide (NAM). NAM is recycled to produce NAD+ by the NAD+ salvage pathway. In the NAD+ salvage pathway, NAM is converted to nicotinamide mononucleotide (NMN) by nicotinamide phosphoribosyltransferase (NAMPT), and NMN is then converted to NAD+ by nicotinamide mononucleotide adenylyltransferases (NMNATs). AMPK is required for NAMPT expression and thus controls intracellular NAD+. NAM, nicotinamide; NAMPT, nicotinamide phosphoribosyltransferase; NMNATs, nicotinamide mononucleotide adenylyltransferases; PRPP, phosphoribosyl pyrophosphate.