Pyridine nucleotide regulation of hepatic endoplasmic reticulum calcium uptake

Abstract Pyridine nucleotides serve an array of intracellular metabolic functions such as, to name a few, shuttling electrons in enzymatic reactions, safeguarding the redox state against reactive oxygen species, cytochrome P450 (CYP) enzyme detoxification pathways and, relevant to this study, the regulation of ion fluxes. In particular, the maintenance of a steep calcium gradient between the cytosol and endoplasmic reticulum (ER), without which apoptosis ensues, is achieved by an elaborate combination of energy–requiring ER membrane pumps and efflux channels. In liver microsomes, net calcium uptake was inhibited by physiological concentrations of NADP. In the presence of 1 mmol/L NADP, calcium uptake was attenuated by nearly 80%, additionally, this inhibitory effect was blunted by concomitant addition of NADPH. No other nicotinamide containing compounds ‐save a slight inhibition by NAADP‐hindered calcium uptake; thus, only oxidized pyridine nucleotides, or related compounds with a phosphate moiety, had an imposing effect. Moreover, the NADP inhibition was evident even after selectively blocking ER calcium efflux channels. Given the fundamental role of endoplasmic calcium homeostasis, it is plausible that changes in cytosolic NADP concentration, for example, during anabolic processes, could regulate net ER calcium uptake.


Introduction
The coupled redox pyridine nucleotides, NAD + /NADH and their phosphorylated congeners NADP + /NADPH, oversee manifold biochemical functions in eukaryotic cells. When reduced, pyridine nucleotides serve as universal electron donors in enzymatic reactions. These ubiquitous cofactors can shuttle two electrons in oxidoreductase reactions, and are fundamental in the anabolic reductive synthesis of fatty acids, phospholipids, steroids, and some amino acids. Other eminent roles for these cofactors include defending against reactive oxidative species, cytochrome P450 enzymatic detoxification, and the modulation of signal transduction.
Insofar as the maintenance of intracellular calcium gradients in several organelles is a requisite for cell viability, it is plausible that pyridine nucleotides also regulate calcium fluxes (Zima et al. 2004;Vangheluwe et al. 2005;Kilfoil et al. 2013;Raffaello et al. 2016). Relative to the cytosol, high ER calcium concentrations are indispensable for cell differentiation and proliferation, the synthesis and chaperone-assisted folding of proteins, activity of oxidoreductases, and possibly gene transcription. Dysregulation of intracellular calcium homeostasis begets ER stress and apoptosis.
In the liver, the endoplasmic reticulum (ER) is the major calcium reservoir, and the concentration therein is regulated by the integration of antithetical fluxes across the membrane. P 2 -ATPase ion transporters uphold the steep calcium concentrations in the ER. Influx from the cytosol to the ER occurs via a family of P 2 -ATPase ion transporters, and efflux through discrete ion channels. Considering the ER luminal free calcium concentration of 400 lmol/L, which is a 1000-fold over that found in the cytosol, this steep gradient consumes considerable ATP energy. A family of membrane anchored sarco/endoplasmic calcium ATPase (SERCA) pumps sustain the gradient. Serca2b is the isoform present in hepatic microsomes (Anger et al. 1994;Vangheluwe et al. 2005;Vandecaetsbeek et al. 2011).
In addition to a direct pyridine nucleotide effect on calcium channels, their metabolic derivatives may have similar actions. For instance, two derivatives of the nicotinamide NADP, namely, NAADP and ADPR, stimulate calcium efflux from cell organelles, including liver ER (Galione and Ruas 2005;Mandi et al. 2006). Consequently, insofar as NADP inhibits net ER calcium uptake, it is conceivable that the effect could be a result of increased calcium egress, not ingress, resulting from the production of the two aforementioned metabolites.
In vitro experimental approaches must approximate extant eukaryotic pyridine nucleotide concentrations, and their ratios, in disparate tissue organelles. Contingent on the subcellular pool (for example, cytosol, mitochondria, or ER), the phosphorylated or nonphosphorylated pyridine redox ratios can differ logarithmically (>10 4 ) (Somogyi et al. 2016). And, accordingly, the ratios therein dictate the subcellular metabolic processes in each domain (Hosios and van der Heiden 2018). To illustrate, cytosolic glycolysis versus ER protein folding and ER cortisol production transpire under considerable differences in pyridine redox ratios. Estimates of the hepatic concentrations, and ratios, of the nucleotides within the intracellular compartments varydiscussed at length in (Goodman et al. 2018)-but reportedly the phosphorylated nucleotide NADP + / NADPH ratio(.001-.01) is reduced in both the ER and the cytosol. Paradoxically, this reduced ER ratio somehow coexists with an otherwise luminal oxidized milieu (Margittai et al. 2015). Antithetically, the nonphosphorylated NAD + /NADH ratio in the cytosol is purportedly well above 500, favoring carbon flux through glycolysis.
Bearing in mind these aforesaid pyridine nucleotide concentrations, their effect on net calcium uptake in liver microsomes was assessed under disparate assay conditions in which either efflux channels were blocked, the redox or pH milieu was altered, or upon adjusting the free calcium concentration.

Materials and Methods
45 CaCl 2 was purchased from American Radiolabeled Chemicals. D9 (thioredoxin reductase inhibitor) was from Bio-Techne corporation. Other compounds and general chemicals were from Sigma-Aldrich.

Preparation of rat liver microsomes
Microsomes were isolated from the liver of Sprague Dawley rats (150-200 g body weight) as previously described (McCormick et al. 2006;Wang et al. 2011). All animal procedures were undertaken with approval and oversight of the Institutional Animal Care and Use Committee (IACUC) at the University of Alabama Birmingham. Tissue samples were homogenized in an ice-bath with 4 vol. of 0.25 mol/L sucrose and 50 mmol/L Tris/HCl, pH 7.3. The homogenate was centrifuged for 10 min at 1000g. The supernatant portion was removed and centrifuged for 20 min at 10,000g. and, thereafter, centrifuged for 60 min at 100,000g. The resulting pellet was washed twice with the same buffer. The microsomes were resuspended at a protein concentration of 15-20 mg/mL (measured using a Bio-Rad protein assay).

Ca 2+ ATPase activity
Total ATPase activity (both Mg 2+ and Ca 2+ in the assay) of liver microsomes was measured with a direct colorimetric assay (Chan et al. 1986). The reaction was initiated by adding 0.1 mg/mL liver microsomes to the assay buffer containing 0.2 mmol/L EGTA, 1 mmol/L Mg 2+ ATP, 5 mmol/L NaN 3 , 2.5 lmol/L ruthenium red, and CaCl 2 to yield 20 lmol/L free calcium in a buffer of 100 mmol/ L KCl and 50 mmol/L imidazole, pH 6.8. In case of any mitochondrial contamination of the microsomal preparation, sodium azide was added to quell calcium uptake by this organelle. After 15 min of incubation at 37°C, 50 lL of this reaction mixture was added to 200 lL assay mix (malachite green), the absorbance of the color complex was measured at 630 nm with a microplate reader (Bio-Rad). Pi quantity was determined from a standard curve prepared with known amounts of KH 2 PO 4 ; the reaction was linear to at least 12.5 nmols P i . The Mg 2+ -ATPase component was determined by subtracting the control value (no calcium added) from the total ATPase activity.

Calcium release
Microsomes were washed once with 6% PEG and diluted to 15 mg/mL with KCl-MOPS buffer containing 100 mmol/L KCl, 20 mmol/L MOPS, 20 mmol/L NaCl, 1 mmol/L MgCl 2 , pH 7.2, preloaded with 1 mmol/L CaCl 2 plus 40 lCi/mL 45 CaCl 2 for 1 h at room temperature. The microsomal suspensions were then diluted 1:100 with the KCl-MOPS buffer to activate the efflux. At different time points, 0.4 mL of suspensions was applied on the 0.45 lm membrane filters and then washed with 3 mL ice-cold buffer containing 0.25 mol/L sucrose, 60 mmol/L Tris-HCl, 1 mmol/L LaCl 3 , pH 7.2. The filters were dried and 45 Ca 2+ was determined using liquid scintillation counter (Scherer and Deamer 1986;Giunti et al. 2007).

Statistical analysis
Data are presented as mean AE SEM (n). The significance of differences between groups was determined using Student's t test and analysis of variance. A P < 0.05 value was the cutoff level to reject the null hypothesis. All statistical analyses were performed with GraphPad Prism software (San Diego, CA, USA). Mean control values were nominally assigned a value of 100%. Figure 1 depicts the time/microsomal protein relationships with calcium uptake in rat liver microsomes. At 0.5 mg microsomal protein, the uptake was linear for 30 min, and up to 40 min at 0.1 mg protein (data not shown for the 0.1 mg protein). Basal calcium uptake rate was 5.42 AE 0.19 nmol/mg protein/ min, similar to previous reports (Brattin et al. 1982;Erickson et al. 1987;Moore et al. 1975;Thastrup et al. 1990;Mandi et al. 2006). In the absence of ATP, the uptake was minimal.

Results
With NADP concentrations ranging from 0.01 to 2 mmol/L, there was a concentration-dependent reduction in calcium uptake ( Fig. 2). At 1 mmol/L NADP, calcium uptake was~20% of control, and nearly completely quenched at 2 mmol/L. Moreover, the magnitude of the inhibitory action of NADP on calcium uptake was contingent on the free calcium concentration in the assay (Fig. 3). At a free calcium of 500 lmol/L, any inhibitory effect of 1 mmol/L NADP was indiscernible.
Adding NADPH to the assay, thereby changing the pyridine redox state, significantly reversed the uptake inhibition by 1 mM NADP (Fig. 4) however, even at 5 mmol/L NADPH, calcium uptake did not return to Effect of NADP and NAD on liver microsomal Ca 2+ uptake. Isolated rat liver microsomes were incubated with the indicated concentrations of NADP, and Ca 2+ uptake was then determined as described in the Materials and Methods section.
Results are expressed relative to control (no added NADP) as mean AE SEM, n = 3. Compared to control, statistical analysis was done using one-way ANOVA with Dunnett's post hoc analysis (*P < 0.05; ***P < 0.001). control values (no NADP). In Figure 5, various compounds containing a nicotinamide moiety were tested. With the exception of NAADP, no other nicotinamide compounds altered calcium uptake. Also, because high concentrates of NAADP desensitize its receptor, both high and low concentrations were also tested: at 1 lmol/L, there was no effect on calcium uptake, but at 1 mmol/L there was a 28% reduction (Galione 2011). Nicotinamide alone had no consequence. When microsomes were preloaded with calcium, following which calcium was rapidly removed from the incubation media, there was a rapid outflow of the cation (Fig. 6). There was no difference in the loss of microsomal calcium in the presence/absence of NADP. However, insofar as the calcium uptake methodology requires considerably longer time duration (30 min), studies were also performed in which selective calcium efflux channels were blocked. This set of experiments was conducted to exclude the possibility that, as an alternative explanation, NADP was activating calcium release channels rather than directly stanching ER uptake. Specific channel inhibitors were incubated concomitantly with NADP during the assay (Ozawa 2010). Following channel blockage, the NADP effect on calcium uptake was then determined (Table 1).
Despite blocking ryanodine (RyR), inositol 1, 4, 5triphosphate (IP 3 R), and NAADP receptors with, respectively, ruthenium red and dantrolene, 2APB, and trans-NED-19, the NADP inhibiting effect on uptake was not attenuated (Mitchell et al. 2003;Galione and Ruas 2005). Unexpectedly, NADP inhibition of uptake in the presence of RyR and IP 3 channel blockers was even more distinct. To sum, should NADP have opened an efflux channel, then inhibition of that conduit should have extinguished, or certainly reduced, the inhibitory effect of NADP on calcium uptake; however, with each channel inhibitor, this action was not observed. . Effect of combination of NADP and NADPH on Ca 2+ uptake in rat liver microsomes. Microsomes were incubated with 1 mmol/L NADP combined with 0.01-5 mmol/L NADPH for 5 min. Following which, Ca 2+ uptake was then determined as described in the Materials and Methods. Results are expressed relative to NADP alone (1 mmol/L) as mean AE SEM, n = 3 (**P < 0.01).  Figure 5. Effect of nicotinamide compounds, and combinations thereof, on Ca 2+ uptake in rat liver microsomes. Beneath each bar, the compound(s) added to the uptake assay is listed (all concentrations are in mmol/L). Microsomes were incubated for 5 min with NADP, NAADP, NAD, NAAD, nicotinamide alone, or in combinations, calcium uptake was then determined as described in the Materials and Methods section. Results are expressed as mean AE SEM, n = 3. Statistical analysis was done using paired t test (*P < 0.05; **P < 0.01) versus control (no addition Both SERCA and RyR channels can be altered by NOX /NADPH oxidases, especially isoform NOX4 which is abundant in liver endoplasmic reticulum (Laurindo et al. 2014). Reactive oxygen species (ROS) generated by these oxidases are felt to be released in the ER lumen and, therefore, many ER calcium channels could be affected by oxidative/reductive processes (Gorlach et al. 2015). Thus, to explore the possibility that NADP was altering NADPH oxidase activity by adjusting the redox state, a potent NOX4 inhibitor (compound GKT13783) with an IC 50 of 10.1 lmol/L was added to the uptake mixture ( Fig. 7) (Altenhofer et al. 2015). No effect on the extent of NADP hindrance on uptake was detected.
As aforesaid, ROS compounds can inhibit SERCA and ER calcium channels (Gorlach et al. 2015). In our microsomal assay, oxidizing compounds (H 2 O 2, glutathione disulfide) reduced calcium uptake, whereas dehydroascorbic acid did not (Fig. 8). As for the latter compound, its reduced form, ascorbate, likewise had no uptake effect. The mild inhibition by NADPH alone is unexplained but could be a direct effect or secondary to the generation of NADP via NADPH oxidases present on microsomes. Notably, however, the NADP restraint of uptake was not counteracted by the concomitant addition of reducing agents (DTT and GSH), inferring that ROS are not contributing to the NADP effect.
Insofar as NADP will alter the assay redox balance, a series of experiments were designed to address the possibility of a recently proposed ER-embedded membrane oxidoreductase which is a pivotal component of the flavoprotein thioredoxin reductase 1 (TNR1) sequence (Poet et al. 2017;Ellgaard et al. 2018). Accordingly, a gold (I) compound which is an irreversible inhibitor of TNR1, namely auranofin, was tested (Fig. 9). This compound alone significantly reduced calcium uptake by nearly 70%, yet another potent, more specific, gold (I) inhibitor (called D9) was ineffective. Inasmuch as auranofin can generate ROS, the addition of reducing agents (DTT, GSH) mitigated its inhibition.
Microsomal Ca 2+ -ATPase activity, as determined by release of phosphate, was inhibited by NADP; however, the magnitude of which did not mirror the results observed in the uptake studies (Fig. 10). At 1 mmol/L NADP, there was a 64% reduction in ATPase activity, appreciably less than the corresponding inhibition on calcium uptake. However, only 14% of the total ATPase activity in liver microsomes is attributable to Ca 2+ -ATPase, the bulk of the liberated phosphate is derived from Mg 2+ -ATPase (i.e., thapsigargin insensitive) (de Moel et al. 1995).

Discussion
The total pyridine nucleotide concentrations used in these experiments were within the physiologic ranges found in assorted tissues. Liver contains submillimolar total(free

release (nmol/mg protein)
No NADP 1 mmol/L NADP Figure 6. Effect of NADP on microsomal calcium release. Liver microsomes were preloaded with 1 mmol/L CaCl 2 and 40 lCi/mL 45 CaCl 2 , and the efflux was determined as described in the Materials and Methods section. Results are expressed relative to control (no added NADP) as mean AE SEM, n = 3. Statistical analysis was done using Student's t test (no differences were apparent). and bound) concentrations of pyridine nucleotides. For example, in hepatocytes, assuming approximately 2 mL of water per g dry weight, the total cellular concentration of NADP + and NADPH in the cell is~0.9 mmol/L (Tischler et al. 1977). As pertains to the corresponding nonphosphorylated nucleotides (NAD + and NADH), the total cellular concentration is~1.5 mmol/L. In liver, the cytosolic NADP concentrations are~0.35 mmol/L based on 173 nmol/g wet weight and 53% of wet weight is  intracellular water (Lindall and Lazarow 1964;Cieslar et al. 1998).
Both the cytosolic and ER redox states can modulate not only ER calcium exit channels, but also uptake via transporter calcium ATPases (e.g. SERCA2b) (Morris and Sulakhe 1997;Xu et al. 1997;Li and Camacho 2004;Zima et al. 2004;Gorlach et al. 2006;Ozawa 2010;Gorlach et al. 2015;Ushioda et al. 2016). Oxidation of protein sulfhydryl groups diminishes Ca 2+ -ATPase activity (Horakova et al. 2013). Several pyridine containing compounds were tested, with or without the antioxidants GSH and DTT (Fig. 8). Not unexpectedly, oxidizing agents (H 2 O 2 or GSSG) attenuated calcium uptake (Scherer and Deamer 1986;Morris and Sulakhe 1997;Xu et al. 1997;Hidalgo et al. 2005;Ozawa 2010;Gorlach et al. 2015;Ushioda et al. 2016). Yet the concomitant addition of reducing compounds (GSH or DTT) failed to prevent the NADP restriction of uptake-this infers that the nucleotide effect on uptake was extraneous to the generation of ROS, thereby inhibiting SERCA. In short, none of the inhibitors alone significantly inhibited or stimulated calcium uptake, nor did they change the NADP inhibition.
The uptake inhibition due to NADP was apparent even in the presence of specific inhibitors of calcium release channels, such as IP 3 and RyR (but, arguably, liver ER membranes may be devoid of RyR) (Shoshan-Barmatz 1990; Lilly and Gollan 1995;Mitchell et al. 2003;Hidalgo et al. 2004Hidalgo et al. , 2005Giunti et al. 2007;Saleem et al. 2014). This data infers that calcium influx is the site(s) of net uptake inhibition by NADP.
When NADPH was added to adjust the redox ratio, the NADP inhibition was blunted. The relevance of a redox ratio (NADH/NAD) was likewise demonstrated in permeabilized ventricular myocytes by assessing ER calcium egress via the RyR conduit (Zima et al. 2004). Our experiments corroborated the relevance of the pyridine nucleotide redox ratio affecting net ER calcium flux.
Another second messenger that mobilizes stored calcium, especially from acidic vesicles such as lysosomes, is nicotinic acid adenine dinucleotide phosphate (NAADP) (Galione 2011). This compound is a derivative of NADP, generated by ADP -ribozyme cyclase (CD 38), abundant in plasma membranes but also found, but to a lesser degree, in nonskeletal microsomes (Chini et al. 2002;Meszaros and Bak 1992). In the presence of nicotinic acid and low pH, the enzyme converts NADP to NAADP and nicotinamide-in sum, a carboxyl moiety has replaced the NADP amide. Of note, in one relevant study, NADP had no effect on calcium release from sarcoplasmic reticulum (Hohenegger et al. 2002). There was a slight reduction (28%) in uptake at 1 mmol/L NAADP, but this did not modify the inhibitory action of NADP when the two compounds were combined. At 1 mmol/L concentration, NAADP reduced the net uptake by 28%; inhibition was not observed at 1 lmol/L. And although the inhibition by NADP is mitigated by NADPH, this was not the case with NAADP-namely, 1 mmol/L NADPH did not counter the 25-30% inhibition due to NAADP (Fig. 5). Nicotinamide (1 mmol/L) alone did not alter calcium uptake. As a final point, it should be noted that the inhibition by NADP was not secondary to the generation of NAADP. Although this latter nucleotide can be catalytically derived from NADP by a base-exchange reaction via ADP-ribosyl cyclase, in which nicotinic acid is the substrate, the presence of both (enzyme and substrate) in liver microsomal preparation is highly improbable.
Two previous studies concluded that NADPH>NADP slightly inhibited calcium uptake in hepatic microsomes (Prasad et al. 1986;Erickson et al. 1987). In these experiments, NADPH was not directly added to the assay, rather it was generated via the oxidation of G6P by the inclusion of G6P dehydrogenase. This would, in turn, lower the concentration of G6P in the assay, a phosphorylated compound which detains calcium in the ER lumen (possibly by liberating phosphate, forming insoluble salts to thwart backflow) (Wolf et al. 1986;Romani et al. 1988;Fulceri et al. 1990;van Schaftingen and Gerin 2002). Because the ER membrane is permeable to oxalate, this anion serves a calcium-impounding role in nearly all microsomal uptake experiments. Nevertheless, in terms of net calcium sequestration in microsomes, the two compounds (oxalate/G6P) together in our uptake assay are additive (data not shown). Consequently, by consuming G6P to synthesize NADPH, this leads to an attenuation of calcium uptake, not by a direct inhibition of microsomal uptake by NADPH, but rather by decreasing the G6P capacity to sequester ER lumenal calcium. This can lead to a specious conclusion that NADPH per se inhibits calcium uptake.
Intriguingly, both reductive and oxidizing processes coexist in the ER (Margittai et al. 2015). Inasmuch as the ER lumen is predominantly an oxidized thio-disulfide milieu, precisely how reducing electrons can coexist in this setting is unresolved. For example, a reduction process in the ER involves the conversion of cortisone (inactive) to cortisol (active) via the bidirectional enzyme.11-b hydroxysteroid dehydrogenase. And to correct the noxious disulfide bonds of misfolded proteins in the ER, protein disulfide isomerases require electrons from elements in the cytosol (Poet et al. 2017;Ellgaard et al. 2018). Recent evidence suggests that these cytosolic electrons, derived ultimately from the nutrient G6P, are delivered to the ER lumen via cytosolic thioredoxin reductase 1 (TNR1) and NADPH (Dagnell et al. 2017;Poet et al. 2017;Ellgaard et al. 2018 membrane by a yet unidentified membrane-embedded oxidoreductase (Poet et al. 2017). Therefore, experiments were designed to address the possibility that the cytosolic thioredoxin reductase 1 pathway, by changing the ER redox state, could impact ion fluxes. Admittedly, under the experimental conditions, the existence of aTNR1pathway is unlikely insofar as isolated microsomes are devoid of soluble cytosolic enzymes. Although auranofin per se inhibited calcium uptake, a more specific inhibitor of TNR1 (termed D9) was ineffectual (Saccoccia et al. 2014;Zhang et al. 2014). Hence, calcium uptake inhibition by NADP is not acting through a thioredoxin cascade, and the effect of auranofin in all likelihood is secondary to its capacious and potent inhibition of flavoprotein pyridine oxidoreductases or through ROS production (Vint et al. 1994;Saccoccia et al. 2014;Varghese and Busselberg 2014;Wang et al. 2017).The latter likelihood is supported by the observation that reducing agents (GSH and DTT) tempered the inhibition from auranofin (Fig. 8). Besides the TNR1 system, there exist at least seven selenoproteins in the ER, several of which modulate calcium flux (Appenzeller-Herzog and Simmen 2016; Addinsall et al. 2018). Auranofin, acting nonspecifically, conceivably modifies several of these selenium-containing flavoprotein oxidoreductases (Saccoccia et al. 2014). We found a 64% inhibition of calcium uptake by auranofin.  Nevertheless, auranofin, by binding irreversibly to selenol motifs in enzymes, is promiscuously nonspecific, and may directly interact to unfavorably reduce activity of an array of diverse non selenoenzymes (e.g. adenylyl cyclase), or through the production of ROS (Lazarevic et al. 1992;Vint et al. 1994;Wang et al. 2017). Given that ROS can modify ER release channels, as well as SERCA, a change in the pyridine nucleotide redox ratio could, in turn, regulate NOX NADPH oxidases present in the ER (Laurindo et al. 2014). To ensure that ROS were not generated from NOX NADPH oxidases, in particular, the NOX 4 isoform associated with ER, specific enzyme inhibitors were added to the uptake studies (Altenhofer et al. 2015). Suppressing NOX activity did not modify the NADP effect on calcium uptake, nor did the concomitant addition of compounds which can curb ROS oxidation (Table 1).
Given the low free calcium concentrations in the uptake assay, and the dependence of the % NADP inhibition on free calcium, any physiochemical sequestering of calcium by binding to other compounds should be considered. To wit, a calcium-pyridine nucleotide complex could lower the free calcium concentration in the assay, thereby reducing uptake, and resulting in a spurious conclusion. As it turns out, the association constant for NADPH is twofold greater than NADP; hence, NADPH would be expected to be speciously more "inhibitory" in our uptake assay if a reduction in free calcium was responsible (Burkhard 1982).
In conclusion, NADP inhibits calcium uptake in hepatic microsomes and the site of action ostensibly involves the ingress component of net calcium uptake (Kilfoil et al. 2013). Many classes of ion channels are modulated by pyridine nucleotides and, of note, even fat synthesis can be attenuated by NADP acting directly on fatty acid synthetase (Erickson et al. 1987;Stern and Smith 1987;Tipparaju et al. 2005;Tamsett et al. 2009). Seemingly, for ER calcium uptake inhibition, the phosphate moiety of the pyridine nucleotide is a requisite insofar as neither NAD, nicotinamide, nor NAAD were inhibitory in our assay (Agledal et al. 2010). Presently unknown is whether NADP inhibition involves a cofactor mass action effect on an embedded ER oxidoreductase or, alternatively, that this nucleotide binds to a regulatory site within an ingress channel.
Lastly, as pertains to pathology, disturbed lipid and pyridine nucleotide metabolism, commonly encountered in obesity, impairs endoplasmic calcium uptake which, in so doing, begets ER stress (Luciani et al. 2009;Park et al. 2010;Fu et al. 2011). And, with obesity in mind, the amount of nutrient intake adjusts the intracellular redox state (Fig. 11). Case in point, in rodents that are well fed with a high sucrose diet, versus those that are fasting, the hepatic free (unbound) NADP/ NADPH ratio in the cytosol increases nearly fivefold to eightfold (Veech et al. 1969;Tischler et al. 1977;Laurindo et al. 2014). Hence, it is not inconceivable that the cytosolic accumulation of NADP, due to excess caloric intake, could have similar consequences on ER calcium uptake and stress as does disturbed lipid metabolism.