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(6R)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide
(6S)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide
(6R)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide phosphate
(6S)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide phosphate
(6S)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide
(6R)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide
(6S)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide phosphate
(6R)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide phosphate
(R)-NADH-hydrate
(S)-NADH-hydrate
(R)-NADPH-hydrate
(S)-NADPH-hydrate
(6R)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide

(6S)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide
Substrates: i.e. NADHX
Products: -
r
(6R)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide
(6S)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide
Substrates: -
Products: -
r
(6R)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide
(6S)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide
Substrates: i.e. NADHX
Products: -
r
(6R)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide
(6S)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide
Substrates: i.e. NADHX
Products: -
r
(6R)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide phosphate

(6S)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide phosphate
Substrates: i.e. NADPHX
Products: -
r
(6R)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide phosphate
(6S)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide phosphate
Substrates: -
Products: -
r
(6R)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide phosphate
(6S)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide phosphate
Substrates: i.e. NADPHX
Products: -
r
(6R)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide phosphate
(6S)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide phosphate
Substrates: i.e. NADPHX
Products: -
r
(6S)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide

(6R)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide
Substrates: i.e. NADHX
Products: -
r
(6S)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide
(6R)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide
-
Substrates: i.e. NADHX
Products: -
r
(6S)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide phosphate

(6R)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide phosphate
Substrates: i.e. NADPHX
Products: -
r
(6S)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide phosphate
(6R)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide phosphate
-
Substrates: i.e. NADPHX
Products: -
r
(R)-NADH-hydrate

(S)-NADH-hydrate
-
Substrates: -
Products: -
?
(R)-NADH-hydrate
(S)-NADH-hydrate
-
Substrates: -
Products: -
?
(R)-NADPH-hydrate

(S)-NADPH-hydrate
-
Substrates: higher catalytic efficiency with (R)-NADPH-hydrate compared to(R)-NADH-hydrate
Products: -
?
(R)-NADPH-hydrate
(S)-NADPH-hydrate
-
Substrates: -
Products: -
?
Please wait a moment until the data is sorted. This message will disappear when the data is sorted.
(6R)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide
(6S)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide
(6R)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide phosphate
(6S)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide phosphate
(6S)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide
(6R)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide
(6S)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide phosphate
(6R)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide phosphate
(6R)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide

(6S)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide
Substrates: i.e. NADHX
Products: -
r
(6R)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide
(6S)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide
Substrates: -
Products: -
r
(6R)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide
(6S)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide
Substrates: i.e. NADHX
Products: -
r
(6R)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide
(6S)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide
Substrates: i.e. NADHX
Products: -
r
(6R)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide phosphate

(6S)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide phosphate
Substrates: i.e. NADPHX
Products: -
r
(6R)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide phosphate
(6S)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide phosphate
Substrates: -
Products: -
r
(6R)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide phosphate
(6S)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide phosphate
Substrates: i.e. NADPHX
Products: -
r
(6R)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide phosphate
(6S)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide phosphate
Substrates: i.e. NADPHX
Products: -
r
(6S)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide

(6R)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide
Substrates: i.e. NADHX
Products: -
r
(6S)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide
(6R)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide
-
Substrates: i.e. NADHX
Products: -
r
(6S)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide phosphate

(6R)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide phosphate
Substrates: i.e. NADPHX
Products: -
r
(6S)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide phosphate
(6R)-6beta-hydroxy-1,4,5,6-tetrahydronicotinamide-adenine dinucleotide phosphate
-
Substrates: i.e. NADPHX
Products: -
r
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Atherosclerosis
The APOA1bp-SREBF-NOTCH axis is associated with reduced atherosclerosis risk in morbidly obese patients.
Brain Diseases
A novel homozygous missense variant in the NAXE gene in an Iranian family with progressive encephalopathy with brain edema and leukoencephalopathy.
Brain Edema
A novel homozygous missense variant in the NAXE gene in an Iranian family with progressive encephalopathy with brain edema and leukoencephalopathy.
Carcinoma, Hepatocellular
NAD(P)HX epimerase downregulation promotes tumor progression through ROS/HIF-1? signaling in hepatocellular carcinoma.
Dehydration
Homozygous mutation in the APOA1BP is associated with a lethal infantile leukoencephalopathy.
Leukoencephalopathies
A novel homozygous missense variant in the NAXE gene in an Iranian family with progressive encephalopathy with brain edema and leukoencephalopathy.
Leukoencephalopathies
Homozygous mutation in the APOA1BP is associated with a lethal infantile leukoencephalopathy.
Neoplasms
NAD(P)HX epimerase downregulation promotes tumor progression through ROS/HIF-1? signaling in hepatocellular carcinoma.
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metabolism
the central cofactors NAD(P)H are prone to damage by hydration, resulting in formation of redox-inactive derivatives designated NAD(P)HX. The highly conserved enzymes NAD(P)HX dehydratase (NAXD) and NAD(P)HX epimerase (NAXE) function to repair intracellular NAD(P)HX. The ATP-dependent metabolite repair enzyme NAD(P)HX dehydratase (NAXD) acts specifically on the S epimer of NAD(P)HX. The second enzyme, NAD(P)HX epimerase (NAXE), catalyses the interconversion between the S- and R-forms of NAD(P)HX, and essentially supplies the substrate for the stereospecific enzyme NAXD. NAD(P)H damage and NAD(P)HX repair by NAXD and NAXE, overview
malfunction

a truncated form of the Arabidopsis epimerase lacking the PPOX domain is also fully active in the interconversion
malfunction
NAD(P)HX epimerase downregulation promotes tumor progression through ROS/HIF-1alpha signaling in hepatocellular carcinoma
malfunction
pathogenic variants in both the NAXD and NAXE genes are associated with rapid deterioration and death after an otherwise trivial fever, infection, or illness in young patients. As more patients are identified, distinct clinical features are emerging depending on the location of the pathogenic variant. The clinical features of all published NAXD deficiency patients are analyzed and distinct patterns in clinical presentations are found depending on which subcellular compartment is affected by the enzymatic deficiency, overview. Cytosolic NAD(P)HX repair may protect from neurological damage, whereas muscle fibres may be more sensitive to mitochondrial NAD(P)HX damage. Children with NAXE deficiency have an almost identical, nearly always fatal neurodegenerative course. NAXD and NAXE are critical metabolite repair enzymes, and physical or heat stress can damage the central metabolite NAD(P)H to form a toxic compound NAD(P)HX, and it is likely that the fever or illness-induced stress in children triggers a rapid accumulation of NAD(P)HX which cannot be effectively cleared due to a lack of NAXD (or NAXE) enzymes
physiological function

hydration of NAD(P)H to NAD(P)HX, which inhibits several dehydrogenases, is corrected by an ATP-dependent dehydratase and an epimerase recently identified as the products of the vertebrate Carkd (carbohydrate kinase domain) and Aibp (apolipoprotein AI-binding protein) genes, respectively
physiological function
hydration of NAD(P)H to NAD(P)HX, which inhibits several dehydrogenases, is corrected by an ATP-dependent dehydratase and an epimerase recently identified as the products of the vertebrate Carkd (carbohydrate kinase domain) and Aibp (apolipoprotein AI-binding protein) genes, respectively
physiological function
hydration of NAD(P)H to NAD(P)HX, which inhibits several dehydrogenases, is corrected by an ATP-dependent dehydratase and an epimerase recently identified as the products of the vertebrate Carkd (carbohydrate kinase domain) and Aibp (apolipoprotein AI-binding protein) genes, respectively
physiological function
NADH and NADPH undergo spontaneous and enzymatic reactions that produce R and S forms of NAD(P)H hydrates, which are not electron donors and inhibit various dehydrogenases. The highly conserved epimerase repairs the hydrates formed from NADH and NADPH in plants together with a highly conserved dehydratase targeted to multiple compartments
physiological function
-
NADH and NADPH undergo spontaneous and enzymatic reactions that produce R and S forms of NAD(P)H hydrates, which are not electron donors and inhibit various dehydrogenases. The highly conserved epimerase repairs the hydrates formed from NADH and NADPH in plants together with a highly conserved dehydratase targeted to multiple compartments
physiological function
enzyme NAD(P)HX epimerase (NAXE) is an epimerase that allows the repair of damaged forms of antioxidant NADPH, it is a potential cellular ROS scavenger. A tumor suppressor role is found for NAXE in HCC by scavenging excessive ROS and inhibiting tumor-promoting signaling pathways, suggesting a strategy for HCC therapy by targeting redox signaling. NAXE inhibits HIF-1alpha signaling by promoting proteasomal degradation in HCC (by eliminating ROS in HCC). Activated HIF-1alpha signaling is associated with NAXE downregulation-induced HCC migration, invasion, and EMT
physiological function
the central cofactors NAD(P)H are prone to damage by hydration, resulting in formation of redox-inactive derivatives designated NAD(P)HX. The highly conserved enzyme NAD(P)HX epimerase (NAXE) functions to repair intracellular NAD(P)HX. NAD(P)HX epimerase (NAXE) catalyses the interconversion between the S- and R-forms of NAD(P)HX, and essentially supplies the substrate for the stereospecific enzyme NAXD
additional information

the epimerase homologue is fused to the vitamin B6 salvage enzyme pyridoxine 5'-phosphate oxidase, PPOX. Plant epimerase homologs have an extra C-terminal domain that belongs to the pyridoxine/pyridoxamine phosphate oxidase (PPOX) family
additional information
-
the epimerase homologue is fused to the vitamin B6 salvage enzyme pyridoxine 5'-phosphate oxidase, PPOX. Plant epimerase homologs have an extra C-terminal domain that belongs to the pyridoxine/pyridoxamine phosphate oxidase (PPOX) family
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Marbaix, A.; Nol, G.; Detroux, A.; Vertommen, D.; Van Schaftingen, E.; Linster, C.
Extremely conserved ATP- or ADP-dependent enzymatic system for nicotinamide nucleotide
J. Biol. Chem.
286
41246-41252
2011
Saccharomyces cerevisiae, Mus musculus
brenda
Marbaix, A.Y.; Tyteca, D.; Niehaus, T.D.; Hanson, A.D.; Linster, C.L.; Van Schaftingen, E.
Occurrence and subcellular distribution of the NAD(P)HX repair system in mammals
Biochem. J.
460
49-58
2014
Mus musculus (Q8K4Z3), Rattus norvegicus (B0BNM1), Homo sapiens (Q8NCW5)
brenda
Niehaus, T.D.; Richardson, L.G.; Gidda, S.K.; Elbadawi-Sidhu, M.; Meissen, J.K.; Mullen, R.T.; Fiehn, O.; Hanson, A.D.
Plants utilize a highly conserved system for repair of NADH and NADPH hydrates
Plant Physiol.
165
52-61
2014
Arabidopsis thaliana (Q9LTX3), Zea mays
brenda
Kremer, L.S.; Danhauser, K.; Herebian, D.; Petkovic Ramadza, D.; Piekutowska-Abramczuk, D.; Seibt, A.; Mueller-Felber, W.; Haack, T.B.; Ploski, R.; Lohmeier, K.; Schneider, D.; Klee, D.; Rokicki, D.; Mayatepek, E.; Strom, T.M.; Meitinger, T.; Klopstock, T.; Pronicka, E.; Mayr, J.A.; Baric, I.; Distelmaier, F.; Prokisch, H.
NAXE mutations disrupt the cellular NAD(P)HX repair system and cause a lethal neurometabolic disorder of early childhood
Am. J. Hum. Genet.
99
894-902
2016
Homo sapiens (Q8NCW5), Homo sapiens
brenda
Niehaus, T.D.; Elbadawi-Sidhu, M.; Huang, L.; Prunetti, L.; Gregory, J.F.; de Crecy-Lagard, V.; Fiehn, O.; Hanson, A.D.
Evidence that the metabolite repair enzyme NAD(P)HX epimerase has a moonlighting function
Biosci. Rep.
38
BSR20180223
2018
Escherichia coli (P31806), Escherichia coli
brenda
Sun, B.; Yu, L.; Xu, C.; Li, Y.M.; Zhao, Y.R.; Cao, M.M.; Yang, L.Y.
NAD(P)HX epimerase downregulation promotes tumor progression through ROS/HIF-1alpha signaling in hepatocellular carcinoma
Cancer Sci.
112
2753-2769
2021
Homo sapiens (A0A7P0Z426)
brenda
Van Bergen, N.J.; Walvekar, A.S.; Patraskaki, M.; Sikora, T.; Linster, C.L.; Christodoulou, J.
Clinical and biochemical distinctions for a metabolite repair disorder caused by NAXD or NAXE deficiency
J. Inherit. Metab. Dis.
45
1028-1038
2022
Homo sapiens (A0A7P0Z426)
brenda