Nicotinamide mononucleotide adenylyltransferase 3 (NMNAT3) is an enzyme that in humans is encoded by the NMNAT3 gene. [1]
NMNAT3 is the third of three protein isoforms of nicotinamide-nucleotide adenylyltransferase (NMNAT) found in humans. [2] As with the other NMNATs, NMNAT3 is an enzyme that catalyzes nicotinamide adenine dinucleotide (NAD) synthesis. [2] NMNAT3 levels are highest in liver, heart, skeletal muscle, and erythrocytes. [2]
NMNAT3 is localized in mitochondria or cytoplasm, depending upon the cell type. [3] [4] [5] Knockdown of NMNAT3 gene expression in cell culture strongly reduces mitochondrial function. [4] NMNAT3 is essential for maintaining NAD in red blood cells. [4]
The catechin epigallocatechin gallate found in tea can activate NMNAT3 by more than 40%. [5]
Until January 2026, mutations in the NMNAT3 gene had not been associated with any known human disease, [2] although it had been discovered that NMNAT3 deficiency causes hemolytic anemia in mice. [6] In January 2026, researchers at the University Medical Center Utrecht in Utrecht, The Netherlands, were the first to link NMNAT3 deficiency to disease in vivo, in a patient with unexplained hereditary hemolytic anemia. The patient was successfully treated by supplementing NAD. [7]