Atherosclerosis 204 (2009) 412–417
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Atherosclerosis
journal homepage: www.elsevier.com/locate/atherosclerosis
Adipose tissue as a source of nicotinamide N-methyltransferase
and homocysteine
Monika Riederer
a,c,∗
, Wolfgang Erwa
b
, Robert Zimmermann
a
, Saˇ sa Frank
c
, Rudolf Zechner
a
a
Institute of Molecular Biosciences, University of Graz, Heinrichstrasse 31A, A-8010 Graz, Austria
b
Clinical Institute of Medical and Chemical Laboratory Diagnosis, Medical University Graz, Austria
c
Institute of Molecular Biology and Biochemistry, Medical University Graz, Austria
article info
Article history:
Received 11 April 2007
Received in revised form
10 September 2008
Accepted 10 September 2008
Available online 27 September 2008
Keywords:
NNMT
Nicotinamide
Methyltransferase
Adipose tissue
Homocysteine
Nicotinic acid
Atherosclerosis
abstract
Nicotinamide N-methyltransferase (NNMT) catalyses the conversion of nicotinamide to 1-
methylnicotinamide and plays an important role in hepatic detoxification reactions. Here we show
that, in addition to the liver, 3T3-L1 adipocytes as well as human and murine adipose tissue explants
express high amounts of enzymatically active NNMT. NNMT mRNA levels and enzyme activity increased
in 3T3-L1 cells in a differentiation-dependent manner. Homocysteine, the atherogenic product of the
NNMT-catalyzed reaction, was secreted from 3T3-L1 cells or adipose tissue cultures. Homocysteine
release increased during 3T3-L1 differentiation and was reduced when adipose tissue was treated with
the NNMT inhibitor 1-methylnicotinamide. Nicotinic acid (NA), a widely used drug to lower elevated
plasma lipid levels, induced NNMT enzyme activity in white adipose tissue of mice. In tissue culture
nicotinamide treatment led to an increase in adipose tissue homocysteine secretion. These data support
the concept that adipose tissue NNMT contributes to the increased plasma homocysteine levels in
patients treated with NA.
© 2008 Elsevier Ireland Ltd. All rights reserved.
1. Introduction
Nicotinamide N-methyltransferase (NNMT) is an important
cytosolic methyltransferase involved in detoxification reactions
of the liver. The enzyme catalyzes the reaction of S-adenosyl-l-
methionine with nicotinamide (and structurally related pyridines)
yielding S-adenosyl-l-homocysteine and 1-methylnicotinamide.
NNMT is structurally and functionally related to thioether S-
methyltransferase and phenylethanolamine N-methyltransferase
[1,2]. Nicotinamide (NAm), the amide of nicotinic acid (NA, vitamin
B3), is the precursor of the coenzyme beta-nicotinamide adenine
dinucleotide (NAD), an essential cofactor for numerous oxido-
reductases.
With S-adenosyl-l-methionine as the methyl group donor, the
NNMT reaction yields two products: 1-methylnicotinamide, which
is excreted into urine, and S-adenosyl-l-homocysteine, which
is converted into homocysteine by S-adenosyl-l-homocysteine
hydrolase [3]. As hyperhomocysteinemia is a suspected risk fac-
∗
Corresponding author at: Institute of Molecular Biology and Biochemistry, Med-
ical University Graz, Harrachgasse 21, A-8010 Graz, Austria. Tel.: +43 316 385 4483;
fax: +43 316 380 9615.
E-mail address: monika.riederer@uni-graz.at (M. Riederer).
tor for atherosclerosis, factors affecting the plasma concentrations
of homocysteine attracted significant clinical interest. To lower
plasma homocysteine levels, enzymes involved in homocysteine
transformation, such as methylenetetrahydrofolate reductase,
cystathionine-beta-synthase, and methionine synthase, have been
targeted for increased activity by folic acid, vitamin B12, and vita-
min B6 supplementation, respectively [4,5]. In a genome-wide
association study, Souto et al. [6] recently identified the NNMT gene
as a potential major genetic determinant of plasma homocysteine
levels.
NNMT is found in the liver [7] catalyzing the biotransforma-
tion of many drugs and xenobiotic compounds [8]. Inter-individual
variation in the level of NNMT activity in the human liver may
contribute to the interindividual variability in drug metabolism,
therapeutic efficacy, and drug toxicity [1,2]. Specifically, due to
its homology to nicotinamide, NNMT may participate in the
metabolism of NA, a widely used drug to lower elevated plasma
lipid levels [9], increase the concentration of plasma HDL choles-
terol [10], and reduce the progression of atherosclerosis [11].
The observation that the initial effects of NA are con-
fined to processes in adipose tissue (e.g., inhibition of
lipolysis [12]) and microarray-based gene expression data
(http://symatlas.gnf.org/SymAtlas/) suggested the presence of
murine NNMT in white adipose tissue (WAT). This prompted us
0021-9150/$ – see front matter © 2008 Elsevier Ireland Ltd. All rights reserved.
doi:10.1016/j.atherosclerosis.2008.09.015