RT Journal Article SR Electronic T1 Autophagy promotes cell and organismal survival by maintaining NAD(H) pools JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.01.31.928424 DO 10.1101/2020.01.31.928424 A1 Lucia Sedlackova A1 Elsje G. Otten A1 Filippo Scialo A1 David Shapira A1 Tetsushi Kataura A1 Bernadette Carroll A1 Elena Seranova A1 Yoana Rabanal-Ruiz A1 George Kelly A1 Rhoda Stefanatos A1 Glyn Nelson A1 Francesca Urselli A1 Animesh Acharjee A1 Niall Kenneth A1 Sergey Trushin A1 Tong Zhang A1 Charles C. Bascom A1 Ryan Tasseff A1 Robert J. Isfort A1 John E. Oblong A1 Eugenia Trushina A1 Masaya Imoto A1 Shinji Saiki A1 Michael Lazarou A1 Manolis Papamichos Chronakis A1 Oliver D.K. Maddocks A1 Sovan Sarkar A1 Alberto Sanz A1 Viktor I. Korolchuk YR 2020 UL http://biorxiv.org/content/early/2020/02/17/2020.01.31.928424.abstract AB Autophagy is an essential catabolic process that promotes clearance of surplus or damaged intracellular components1. As a recycling process, autophagy is also important for the maintenance of cellular metabolites during periods of starvation2. Loss of autophagy is sufficient to cause cell death in animal models and is likely to contribute to tissue degeneration in a number of human diseases including neurodegenerative and lysosomal storage disorders3–7. However, it remains unclear which of the many cellular functions of autophagy primarily underlies its role in cell survival. Here we have identified a critical role of autophagy in the maintenance of nicotinamide adenine dinucleotide (NAD+/NADH) levels. In respiring cells, loss of autophagy caused NAD(H) depletion resulting in mitochondrial membrane depolarisation and cell death. We also found that maintenance of NAD(H) is an evolutionary conserved function of autophagy from yeast to human cells. Importantly, cell death and reduced viability of autophagy-deficient animal models can be partially reversed by supplementation with an NAD(H) precursor. Our study provides a mechanistic link between autophagy and NAD(H) metabolism and suggests that boosting NAD(H) levels may be an effective intervention strategy to prevent cell death and tissue degeneration in human diseases associated with autophagy dysfunction.