NAD <sup>+</sup> restores proteostasis through splicing-dependent autophagy

Autophagy preserves neuronal integrity by clearing damaged proteins and organelles, but its efficiency declines with aging and neurodegeneration. Depletion of the oxidized form of nicotinamide adenine dinucleotide (NAD<sup>+</sup>) is a hallmark of this decline, yet how metabolic restoration enhances autophagic control has remained obscure. Meanwhile, alternative RNA splicing errors accumulate in aging brains, compromising proteostasis. Here, we identify a metabolic - transcriptional mechanism linking NAD<sup>+</sup> metabolism to autophagic proteostasis through the NAD<sup>+</sup> -EVA1C axis. Cross-species analyses in <i>C. elegans</i>, mice, and human samples reveal that NAD<sup>+</sup> supplementation corrects hundreds of age- or Alzheimer-associated splicing errors, notably restoring balanced expression of EVA1C isoforms. Loss of EVA1C impairs the memory and proteostatic benefits of NAD<sup>+</sup>, underscoring its essential role in neuronal resilience. Mechanistically, NAD<sup>+</sup> rebalances EVA1C isoforms that interact with chaperones BAG1 and HSPA/HSP70, reinforcing their network to facilitate chaperone-assisted selective macroautophagy and proteasomal degradation of misfolded proteins such as MAPT/tau. Thus, NAD<sup>+</sup> restoration coordinates RNA splicing fidelity with downstream proteostatic systems, establishing a metabolic - transcriptional checkpoint for neuronal quality control. This finding expands the paradigm of autophagy regulation, positioning metabolic splice-switching as a crucial mechanism to maintain proteostasis and suggesting new strategies to combat aging-related neurodegenerative diseases.

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Publication Details

Journal
Autophagy
Published
2025-11-28
DOI
https://doi.org/10.1080/15548627.2025.2596679
Primary Topic
Autophagy in Disease and Therapy
Type
article
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article

NAD + restores proteostasis through splicing-dependent autophagy

Ruixue Ai, Evandro Fei Fang
Autophagy
Autophagy in Disease and Therapy
article

NAD + restores proteostasis through splicing-dependent autophagy

Ruixue Ai, Evandro Fei Fang
article en

Abstract

Autophagy preserves neuronal integrity by clearing damaged proteins and organelles, but its efficiency declines with aging and neurodegeneration. Depletion of the oxidized form of nicotinamide adenine dinucleotide (NAD<sup>+</sup>) is a hallmark of this decline, yet how metabolic restoration enhances autophagic control has remained obscure. Meanwhile, alternative RNA splicing errors accumulate in aging brains, compromising proteostasis. Here, we identify a metabolic - transcriptional mechanism linking NAD<sup>+</sup> metabolism to autophagic proteostasis through the NAD<sup>+</sup> -EVA1C axis. Cross-species analyses in <i>C. elegans</i>, mice, and human samples reveal that NAD<sup>+</sup> supplementation corrects hundreds of age- or Alzheimer-associated splicing errors, notably restoring balanced expression of EVA1C isoforms. Loss of EVA1C impairs the memory and proteostatic benefits of NAD<sup>+</sup>, underscoring its essential role in neuronal resilience. Mechanistically, NAD<sup>+</sup> rebalances EVA1C isoforms that interact with chaperones BAG1 and HSPA/HSP70, reinforcing their network to facilitate chaperone-assisted selective macroautophagy and proteasomal degradation of misfolded proteins such as MAPT/tau. Thus, NAD<sup>+</sup> restoration coordinates RNA splicing fidelity with downstream proteostatic systems, establishing a metabolic - transcriptional checkpoint for neuronal quality control. This finding expands the paradigm of autophagy regulation, positioning metabolic splice-switching as a crucial mechanism to maintain proteostasis and suggesting new strategies to combat aging-related neurodegenerative diseases.

AutophagyVol. 22(2)
University of Oslo (NO), Akershus University Hospital (NO), NORCE Research AS (NO)
Openalex Percentile: Top 51%
Autophagy in Disease and Therapy
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