Nicotinamide mononucleotide adenylyltransferase (NMNAT), a member of the nucleotidyltransferase ␣/-phosphodiesterases superfamily, catalyzes a universal step (NMN ؉ ATP ؍ NAD ؉ PP i ) in NAD biosynthesis. Localized within the nucleus, the activity of the human enzyme is greatly altered in tumor cells, rendering it a promising target for cancer chemotherapy. By using a combination of single isomorphous replacement and density modification techniques, the human NMNAT structure was solved by x-ray crystallography to a 2.5-Å resolution, revealing a hexamer that is composed of ␣/-topology subunits. The active site topology of the enzyme, analyzed through homology modeling and structural comparison with other NMNATs, yielded convincing evidence for a substrate-induced conformational change. We also observed remarkable structural conservation in the ATP-recognition motifs GXXXPX-(T/H)XXH and SXTXXR, which we take to be the universal signature for NMNATs. Structural comparison of human and prokaryotic NMNATs may also lead to the rational design of highly selective antimicrobial drugs.Beyond its pivotal role as a redox cofactor in energy transduction and cellular metabolism, NAD is also intimately involved in signaling pathways. The NAD(P) derivatives nicotinic acid adenine dinucleotide phosphate and cyclic ADP-ribose are likewise among the most potent calcium-mobilizing agents (1, 2). NAD is the substrate for poly(ADP-ribosyl)ation, a vitally important post-translation modification occurring within the nuclei of higher eukaryotes by poly(ADP-ribose) polymerase (3). NAD is also the substrate for mono-ADP-ribosyltransferase, an enzyme that transfers a single ADP-ribose unit from NAD onto target proteins in both mammalian and prokaryotic cells (4). Most recently, high levels of NAD were shown to extend yeast cell life-span, a phenomenon linked to the action of NAD-dependent catalysis of protein deacetylation (5, 6).Like ATP and GTP, NAD performs multiple tasks in both energy and signaling transduction, indicating why NAD homeostasis must be tightly regulated in all living organisms. Any impairment in NAD synthesis seriously impairs cellular metabolism, eventually resulting in cell death (7). The biosynthesis of this key redox coenzyme is accomplished either through a de novo pathway or through NAD-recycling salvage routes with notable differences between prokaryotes and eukaryotes (8). All the known biochemical pathways converge to the reaction catalyzed by NMN adenylyltransferase (EC 2.7.7.1), abbreviated NMNAT 1 (8). This transferase catalyzes the nucleophilic attack by the 5Ј phosphate NMN or nicotinic acid mononucleotide on the ␣-phosphoryl of ATP, releasing PP i and NAD or nicotinic acid adenine dinucleotide (9). Although the eukaryotic enzyme forms NAD and nicotinic acid adenine dinucleotide at similar rates, its prokaryotic counterpart prefers the deamidated substrate (nicotinic acid mononucleotide) (8). Because the reaction is fully reversible, NAD can also be reconverted to ATP (10).Human NMNAT, the only NAD/n...