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.
Authors
- Ruixue Ai
- Evandro Fei Fang (ORCID: https://orcid.org/0000-0003-0355-7202)
Institutions
- University of Oslo (NO)
- Akershus University Hospital (NO)
- NORCE Research AS (NO)
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
- Field-Weighted Citation Impact
- 0.00