NAD kinases have a crucial role in the de novo synthesis of the cofactor NADP+ by phosphorylating NAD+ to yield NADP+. A study by Flickinger et al. uses physiologically relevant cell culture media with low folic acid levels and identifies the cytosolic NAD kinase NADK as essential factor for supporting dihydrofolate reductase (DHFR) activity and folate-dependent nucleotide synthesis in cancer cells.
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References
Faubert, B., Solmonson, A. & DeBerardinis, R. J. Science 368, eaaw5473 (2020).
Bergers, G. & Fendt, S. M. Nat. Rev. Cancer 21, 162–180 (2021).
Luongo, T. S. et al. Nature 588, 174–179 (2020).
Kory, N. et al. Sci. Adv. 6, eabe5310 (2020).
Niu, X. et al. Nat. Chem. Biol. 19, 837–845 (2023).
Tran, D. H. et al. Nat. Metab. 3, 571–585 (2021).
Zhu, J. et al. Science 372, 968–972 (2021).
Meyers, R. M. et al. Nat. Genet. 49, 1779–1784 (2017).
Cantor, J. R. et al. Cell 169, 258–272 (2017).
Vande Voorde, J. et al. Sci. Adv. 5, eaau7314 (2019).
Flickinger, K. M. et al. Nat. Metab. https://doi.org/10.1038/s42255-025-01272-3 (2025).
Zheng, Y. et al. Cell 175, 1546–1560 (2018).
Green, A. C. et al. Nat. Metab. 5, 642–659 (2023).
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Marttila, P., Meiser, J. NAD kinase essentiality in cancer: in real life, it is all about folates. Nat Metab 7, 1103–1105 (2025). https://doi.org/10.1038/s42255-025-01270-5
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DOI: https://doi.org/10.1038/s42255-025-01270-5