[Frontiers in Bioscience, Landmark, 25, 1925-1973, June 1, 2020]

New Insights for nicotinamide: Metabolic disease, autophagy, and mTOR

Kenneth Maiese1

1Cellular and Molecular Signaling, New York, New York 10022


1. Abstract
2. Introduction: The global impact of metabolic disease and diabetes mellitus
    2.1. Non-communicable diseases
    2.2. Metabolic disease and diabetes mellitus
3. Novel avenues to target metabolic Diesease and diabetes mellitus
4. The vitamin nicotinamide
    4.1. Production and metabolism of nicotinamide
    4.2. Nicotinamide, normal physiology, and disease states
5. Nicotinamide and metabolic dysfunction
    5.1. Nicotinamide and diabetes mellitus
    5.2. Nicotinamide and maintenance of mitochondrial function
6. Nicotinamide, pathways of cell death, and autophagy
    6.1. Apoptotic cell death
    6.2. Autophagy
7. Nicotinamide and the mechanisitic target of rapamycin
    7.1. Nicotinamide and mTOR
    7.2. mTOR as a component of mTORC1
    7.3. mTOR as a component of mTORC2
    7.4. mTOR and AMP activated protein kinase
8. Nicotinamide, mTOR, AMPK, and metabolic disorders
    8.1. mTOR and metabolic function
    8.2. Nicotinamide and the downstream pathways of mTOR
    8.3. Nicotinamide and the necessary modulation of autophagy with mTOR
9. Future Perspectives for nicotinamide
10. Acknowledgments
11. References


Metabolic disorders, such as diabetes mellitus (DM), are increasingly becoming significant risk factors for the health of the global population and consume substantial portions of the gross domestic product of all nations. Although conventional therapies that include early diagnosis, nutritional modification of diet, and pharmacological treatments may limit disease progression, tight serum glucose control cannot prevent the onset of future disease complications. With these concerns, novel strategies for the treatment of metabolic disorders that involve the vitamin nicotinamide, the mechanistic target of rapamycin (mTOR), mTOR Complex 1 (mTORC1), mTOR Complex 2 (mTORC2), AMP activated protein kinase (AMPK), and the cellular pathways of autophagy and apoptosis offer exceptional promise to
provide new avenues of treatment. Oversight of these pathways can promote cellular energy homeostasis, maintain mitochondrial function, improve glucose utilization, and preserve pancreatic β-cell function. Yet, the interplay among mTOR, AMPK, and autophagy pathways can be complex and affect desired clinical outcomes, necessitating further investigations to provide efficacious treatment strategies for metabolic dysfunction and DM.


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Abbreviations: AD: Alzheimer's disease, AMPK: AMP activated protein kinase, Atg: Autophagic related genes, Deptor: DEP domain-containing mTOR interacting protein, DM: Diabetes mellitus, EPO: Erythropoietin, 4EBP1: Eukaryotic initiation factor 4E (eIF4E: -binding protein 1, ERKs: Extracellular signal-regulated kinases, TSC1/TSC2: Hamartin (tuberous sclerosis 1: /tuberin (tuberous sclerosis 2: , IRS-1: Insulin receptor substrate 1, mLST8: Mammalian lethal with Sec13 protein 8, termed mLST8, mTOR: Mechanistic target of rapamycin, mTORC1: mTOR Complex 1, mTORC2: mTOR Complex 2, NCDs: Non-communicable diseases, p70S6K: p70 ribosomal S6 kinase, PARP: poly (ADP-ribose) polymerase (PARP), PS: Phosphatidylserine, PDK1: Phosphoinositide-dependent kinase 1, PRAS40: Proline rich Akt substrate 40 kDa, Akt: Protein kinase B, SIRT1: Silent mating type information regulation 2 homolog 1 (Saccharomyces cerevisiae:, US: United States, USD: United States dollars

Key Words: Alzheimer’s disease, AMPK, Apoptosis, Autophagy, Dementia, Diabetes Mellitus, Erythropoietin, Nicotinamide, mTOR, Oxidative Stress, PARP, Rapamycin, Sirtuin, SIRT1, Review

Send correspondence to: Kenneth Maiese, Cellular and Molecular Signaling, New York, New York 10022, E-mail: wntin75@yahoo.com