Intestinal Epithelial NAD+ Biosynthesis Regulates GLP-1 Production and Postprandial Glucose Metabolism in Mice.
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
intestinal epithelial cell-specific Nampt knockout (INKO) | decrease | glucagon-like peptide-1 (GLP-1) production | INKO mice | - | displayed diminished | #1 |
intestinal epithelial cell-specific Nampt knockout (INKO) | decrease | early-phase insulin secretion | INKO mice | - | reduced | #2 |
intestinal epithelial cell-specific Nampt knockout (INKO) | decrease | postprandial hyperglycemia | INKO mice | - | reduced | #3 |
loss of NAMPT | decrease | Wnt signaling pathway | - | - | attenuated | #4 |
loss of NAMPT | decrease | GLP-1 production | - | - | resulting in insufficient | #5 |
diet-induced obesity | decrease | intestinal NAMPT-mediated NAD+ biosynthesis | diet-induced obese mice | - | had compromised | #6 |
diet-induced obesity | decrease | Wnt signaling pathway | diet-induced obese mice | - | had compromised | #7 |
diet-induced obesity | decrease | GLP-1 production | diet-induced obese mice | - | associated with impaired | #8 |
diet-induced obesity | decrease | whole-body glucose metabolism | diet-induced obese mice | - | associated with impaired | #9 |
administration of nicotinamide mononucleotide (NMN) | increase | intestinal NAD+ levels | INKO and diet-induced obese mice | - | restored | #10 |
administration of nicotinamide mononucleotide (NMN) | increase | obesity-associated metabolic derangements | INKO and diet-induced obese mice | - | restored | #11 |
administration of nicotinamide mononucleotide (NMN) | decrease | ileal Proglucagon expression | INKO and diet-induced obese mice | - | manifested by a decrease in | #12 |
administration of nicotinamide mononucleotide (NMN) | decrease | GLP-1 production | INKO and diet-induced obese mice | - | manifested by a decrease in | #13 |
administration of nicotinamide mononucleotide (NMN) | decrease | postprandial hyperglycemia | INKO and diet-induced obese mice | - | manifested by a decrease in | #14 |
Obesity is associated with perturbations in incretin production and whole-body glucose metabolism, but the precise underlying mechanism remains unclear. Here, we tested the hypothesis that nicotinamide phosphoribosyltransferase (NAMPT), which mediates the biosynthesis of nicotinamide adenine dinucleotide (NAD+), a key regulator of cellular energy metabolism, plays a critical role in obesity-associated intestinal pathophysiology and systemic metabolic complications. To this end, we generated a novel mouse model, namely intestinal epithelial cell-specific Nampt knockout (INKO) mice. INKO mice displayed diminished glucagon-like peptide-1 (GLP-1) production, at least partly contributing to reduced early-phase insulin secretion and postprandial hyperglycemia. Mechanistically, loss of NAMPT attenuated the Wnt signaling pathway, resulting in insufficient GLP-1 production. We also found that diet-induced obese mice had compromised intestinal NAMPT-mediated NAD+ biosynthesis and Wnt signaling pathway, associated with impaired GLP-1 production and whole-body glucose metabolism, resembling the INKO mice. Finally, administration of a key NAD+ intermediate, nicotinamide mononucleotide (NMN), restored intestinal NAD+ levels and obesity-associated metabolic derangements, manifested by a decrease in ileal Proglucagon expression and GLP-1 production as well as postprandial hyperglycemia in INKO and diet-induced obese mice. Collectively, our study provides mechanistic and therapeutic insights into intestinal NAD+ biology related to obesity-associated dysregulation of GLP-1 production and postprandial hyperglycemia.