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Liver-Kidney NAD Pathway Discovery Reveals New Longevity Target

Scientists discover how liver and kidneys work together to maintain NAD levels throughout the body using nicotinic acid riboside.

Friday, April 10, 2026 0 views
Published in Cell Metab
a detailed anatomical illustration showing the liver and kidneys connected by blood vessels with small molecular structures flowing between them

Summary

Researchers have uncovered a previously unknown pathway where the liver produces nicotinic acid riboside (NAR), a precursor to NAD, and transports it to the kidneys. This discovery reveals that kidneys can both receive and donate NAD precursors, challenging previous understanding of how the body maintains NAD levels. The finding emerged from studies where scientists knocked out the Nmnat1 gene in liver tissue, exposing this critical inter-organ communication system that helps maintain cellular energy production throughout the body.

Detailed Summary

This research reveals a groundbreaking discovery about how our bodies maintain NAD (nicotinamide adenine dinucleotide) levels, a crucial molecule for cellular energy production and longevity. NAD decline is associated with aging and age-related diseases, making this finding particularly significant for longevity research.

Scientists investigated nicotinic acid riboside (NAR), one of two nucleoside precursors that cells use to produce NAD. By selectively knocking out the Nmnat1 gene in liver tissue, researchers uncovered an unexpected communication pathway between organs.

The key discovery is that the liver produces NAR and transports it to the kidneys through the bloodstream. Even more surprising, the research revealed that kidneys function as both receivers and donors of NAD precursors, not just passive recipients as previously thought. This bidirectional exchange suggests a sophisticated whole-body system for maintaining optimal NAD levels.

This finding has significant implications for longevity interventions. Understanding how organs coordinate NAD homeostasis could lead to more targeted approaches for maintaining cellular energy as we age. It also suggests that supporting liver and kidney function may be crucial for NAD-based anti-aging strategies.

The research provides new insights into why NAD precursor supplementation shows promise for healthy aging and could inform the development of more effective longevity interventions targeting this critical metabolic pathway.

Key Findings

  • Liver produces and transports nicotinic acid riboside (NAR) to kidneys via bloodstream
  • Kidneys function as both receivers and donors of NAD precursors, not just recipients
  • Inter-organ NAD communication system maintains whole-body cellular energy levels
  • Liver-kidney pathway represents new target for longevity interventions

Methodology

Researchers used genetic knockout techniques, specifically eliminating the Nmnat1 gene in liver tissue to study NAD precursor pathways. The study design allowed investigators to trace how NAD precursors move between organs in living systems.

Study Limitations

This summary is based on the abstract only, limiting detailed analysis of methodology and results. The specific experimental conditions, sample sizes, and quantitative results are not available for review.

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