The enzymatic step
NMN sits immediately upstream of NAD⁺ in the cellular salvage pathway. NMN adenylyltransferase (NMNAT) transfers an adenylyl group from ATP to NMN, forming NAD⁺. The resulting coenzyme participates in cellular energy metabolism and serves enzymes involved in maintenance and signaling. This defined biochemical step is the rationale for studying NMN as an NAD⁺ precursor.