title: Catastrophic NAD+ depletion in activated T lymphocytes through Nampt inhibition reduces demyelination and disability in EAE.
abstract: Nicotinamide phosphoribosyltransferase (Nampt) inhibitors such as FK866 are potent inhibitors of NAD(+) synthesis that show promise for the treatment of different forms of cancer. Based on Nampt upregulation in activated T lymphocytes and on preliminary reports of lymphopenia in FK866 treated patients, we have investigated FK866 for its capacity to interfere with T lymphocyte function and survival. Intracellular pyridine nucleotides, ATP, mitochondrial function, viability, proliferation, activation markers and cytokine secretion were assessed in resting and in activated human T lymphocytes. In addition, we used experimental autoimmune encephalomyelitis (EAE) as a model of T-cell mediated autoimmune disease to assess FK866 efficacy in vivo. We show that activated, but not resting, T lymphocytes undergo massive NAD(+) depletion upon FK866-mediated Nampt inhibition. As a consequence, impaired proliferation, reduced IFN-gamma and TNF-alpha production, and finally autophagic cell demise result. We demonstrate that upregulation of the NAD(+)-degrading enzyme poly-(ADP-ribose)-polymerase (PARP) by activated T cells enhances their susceptibility to NAD(+) depletion. In addition, we relate defective IFN-gamma and TNF-alpha production in response to FK866 to impaired Sirt6 activity. Finally, we show that FK866 strikingly reduces the neurological damage and the clinical manifestations of EAE. In conclusion, Nampt inhibitors (and possibly Sirt6 inhibitors) could be used to modulate T cell-mediated immune responses and thereby be beneficial in immune-mediated disorders.
authors: Department of Experimental Medicine, Section of Biochemistry, University of Genoa, Genoa, Italy.
authors: Santina
authors: S
authors: Bruzzone
authors: Floriana
authors: F
authors: Fruscione
authors: Sara
authors: S
authors: Morando
authors: Tiziana
authors: T
authors: Ferrando
authors: Alessandro
authors: A
authors: Poggi
authors: Anna
authors: A
authors: Garuti
authors: Agustina
authors: A
authors: D'Urso
authors: Martina
authors: M
authors: Selmo
authors: Federica
authors: F
authors: Benvenuto
authors: Michele
authors: M
authors: Cea
authors: Gabriele
authors: G
authors: Zoppoli
authors: Eva
authors: E
authors: Moran
authors: Debora
authors: D
authors: Soncini
authors: Alberto
authors: A
authors: Ballestrero
authors: Bernard
authors: B
authors: Sordat
authors: Franco
authors: F
authors: Patrone
authors: Raul
authors: R
authors: Mostoslavsky
authors: Antonio
authors: A
authors: Uccelli
authors: Alessio
authors: A
authors: Nencioni
mesh_terms: D000178:Acrylamides / Q000494:pharmacology; D000255:Adenosine Triphosphate / Q000737:chemistry; D000818:Animals; D001343:Autophagy; D049109:Cell Proliferation; D016207:Cytokines / Q000378:metabolism*; D004681:Encephalomyelitis, Autoimmune, Experimental / Q000378:metabolism*; D005260:Female; D006801:Humans; D007371:Interferon-gamma / Q000378:metabolism; D019169:Jurkat Cells; D008213:Lymphocyte Activation; D008564:Membrane Potentials; D051379:Mice; D008810:Mice, Inbred C57BL; D009186:Myelin Sheath / Q000737:chemistry*; D009243:NAD / Q000737:chemistry* / Q000378:metabolism; D054409:Nicotinamide Phosphoribosyltransferase / Q000378:metabolism*; D010880:Piperidines / Q000494:pharmacology; D011065:Poly(ADP-ribose) Polymerases / Q000378:metabolism; D013601:T-Lymphocytes / Q000378:metabolism*; D014409:Tumor Necrosis Factor-alpha / Q000378:metabolism
chemical_list: D000178:Acrylamides; D016207:Cytokines; C480543:N-(4-(1-benzoylpiperidin-4-yl)butyl)-3-(pyridin-3-yl)acrylamide; D010880:Piperidines; D014409:Tumor Necrosis Factor-alpha; D009243:NAD; D007371:Interferon-gamma; D000255:Adenosine Triphosphate; D054409:Nicotinamide Phosphoribosyltransferase; C495867:nicotinamide phosphoribosyltransferase, mouse; D011065:Poly(ADP-ribose) Polymerases