5-Amino-1MQ: Mechanism of Action
1. Primary Target — NNMT Enzyme
The molecular target of 5-Amino 1MQ is the cytosolic enzyme nicotinamide N-methyltransferase (NNMT), a metabolic regulator highly expressed in adipose tissue, liver, and skeletal muscle — particularly in obesity and type 2 diabetes. [2]
Binding Mechanism: 5-Amino 1MQ is a substrate-competitive inhibitor. It competes with nicotinamide (NAM) for the active binding site of NNMT, preventing the enzyme from catalyzing the transfer of a methyl group from SAM to NAM. This blockade prevents formation of 1-methylnicotinamide (1-MNA) and S-adenosyl-L-homocysteine (SAH). [3]
Potency:
- IC₅₀: ~1.0–1.2 µM for NNMT inhibition [1]
- EC₅₀: 2.3 ± 1.1 µM (reduction of intracellular 1-MNA levels) [1]
- Lipogenesis Inhibition: 30 µM reduced lipogenesis by 50%; 60 µM by 70%
2. Downstream Cascade A — NAD+ Salvage and SIRT1 Activation
NNMT normally acts as a “sink” for nicotinamide, permanently removing it from the NAD+ salvage pathway by methylating it into 1-MNA (which is then excreted). By inhibiting NNMT, 5-Amino 1MQ preserves the intracellular NAM pool, shunting it back into the NAD+ salvage pathway and significantly increasing intracellular NAD+ levels. [4]
Elevated NAD+ acts as a co-substrate for sirtuins, specifically activating SIRT1 — often called the “longevity gene.” SIRT1 activation drives increased mitochondrial biogenesis and metabolic rate. [8]
3. Downstream Cascade B — Methionine-SAM Cycle and Epigenetic Regulation
NNMT consumes SAM (the universal methyl donor) during NAM methylation. 5-Amino 1MQ prevents this consumption, increasing intracellular SAM levels and reducing SAH (a methylation inhibitor). This alters the cell’s epigenetic methylation potential, influencing histone and DNA methylation states that regulate gene expression for adipogenesis and metabolism. [4] [9]
4. Downstream Cascade C — Exercise Mimicry (Muscle-Specific)
In skeletal muscle, 5-Amino 1MQ triggers unique signaling: [10]
- Ribosomal Biogenesis: Upregulates proteins involved in ribosomal RNA biogenesis and aminoacyl-tRNA ligase activity, mimicking the protein translation signaling normally induced by exercise.
- Transsulfuration Pathway: Uniquely upregulates the transsulfuration pathway (via cystathionine β-synthase), enhancing protection against reactive oxygen species (ROS) via glutathione synthesis.
- AMPK Activation: Shifts the metabolome of sedentary muscle toward an exercised state via increased AMP, driving AMPK activation — a critical energy sensor promoting muscle hypertrophy and protein translation.
5. Receptor Selectivity
5-Amino 1MQ demonstrates high selectivity for NNMT, avoiding off-target effects: [3]
- Does NOT inhibit structurally related SAM-dependent methyltransferases: DNMT1, PRMT3, COMT
- Does NOT inhibit NAD+ pathway enzymes: NAMPT, SIRT1
This confirms that NAD+ and SAM increases result solely from preventing their degradation by NNMT, not from interfering with their synthesis or utilization enzymes.
6. Cellular and Tissue-Level Effects
Adipose Tissue (White Fat):
- Suppresses lipogenesis (fat creation) in adipocytes [1]
- Reduces white adipocyte size by >30% and WAT mass by ~35% [2]
- Produces a unique metabolomic signature (increased ketogenic amino acids)
- No alteration in food intake [2]
Skeletal Muscle:
- Activates senescent muscle stem cells (MuSCs), promoting proliferation and myofiber repair [11]
- Nearly 2-fold increase in myofiber cross-sectional area; ~70% increase in peak torque
- Sustained running capacity without fatigue taper [10]
Liver:
- Reverses hepatic steatosis (fatty liver) and normalizes ALT/AST [12]
- Reduces total plasma cholesterol by ~30% [2]
7. Pharmacokinetics
| Parameter | Rat (Oral) | Rat (IV) |
|---|---|---|
| Oral Bioavailability | 38.4% | — |
| Half-Life (T½) | 6.9 ± 1.2 h | 3.8 ± 1.1 h |
| Cmax | 2,252 ng/mL | — |
| Membrane Permeability | High (passive + active transport) | |
| Tissue Distribution | Adipose, muscle, liver; no 24h accumulation in heart/kidney/brain | |
Source: Awosemo/Neelakantan et al., J. Pharm. Biomed. Anal., 2021 [7]
References
- Neelakantan H, Wang HY, Vance V, et al. Structure-Activity Relationship for Small Molecule Inhibitors of Nicotinamide N-Methyltransferase. J Med Chem, 60(12), 5015–5028, 2017.
- Neelakantan H, Brightwell CR, Graber TG, et al. Selective and membrane-permeable small molecule inhibitors of nicotinamide N-methyltransferase reverse high fat diet-induced obesity in mice. Biochem Pharmacol, 147, 141–152, 2018.
- Neelakantan H, Vance V, Wetzel MD, et al. Structure-Activity Relationship for Small Molecule Inhibitors of Nicotinamide N-Methyltransferase. J Med Chem, 60(12), 5015-5028, 2017.
- Sun WD, Zhu GY, Li J, et al. Nicotinamide N-methyltransferase (NNMT): a novel experimental target for metabolic syndrome. Front Pharmacol, 15, 1410479, 2024.
- World Anti-Doping Agency (WADA). The World Anti-Doping Code International Standard: Prohibited List 2025. S0: Non-Approved Substances.
- Watowich SJ. SBIR Award: NNMT Inhibitor Development. National Institute on Aging (NIA), 2021.
- Awosemo O, Neelakantan H, Watowich SJ, et al. Development & Validation of LC–MS/MS Assay for 5-Amino-1-Methyl Quinolinium in Rat Plasma. J Pharm Biomed Anal, 204, 114255, 2021.
- Liu JR, Deng ZH, Zhu XJ, et al. Roles of Nicotinamide N-Methyltransferase in Obesity and Type 2 Diabetes. BioMed Res Int, 2021, 9924314, 2021.
- Sampson CM, Dimet AL, Neelakantan H, et al. Combined nicotinamide N-methyltransferase inhibition and reduced-calorie diet normalizes body composition in obese mice. Sci Rep, 11(1), 5637, 2021.
- Dimet-Wiley AL, Latham CM, Brightwell CR, et al. Nicotinamide N-methyltransferase inhibition mimics and boosts exercise-mediated improvements in muscle function in aged mice. Sci Rep, 14(1), 15554, 2024.
- Neelakantan H, Vance V, Wang HYL, et al. Small molecule nicotinamide N-methyltransferase inhibitor activates senescent muscle stem cells and improves regenerative capacity of aged skeletal muscle. Biochem Pharmacol, 163, 481–492, 2019.
- Babula J, Dimet-Wiley AL, Seyoum B, et al. Nicotinamide N-methyltransferase inhibition mitigates obesity-related metabolic dysfunction. Diabetes Obes Metab, 26(11), 5272–5282, 2024.
- Li XY, Pi YN, Chen Y, et al. Nicotinamide N-Methyltransferase: A Promising Biomarker and Target for Human Cancer Therapy. Front Oncol, 12, 894744, 2022.
- Moody TW, Nuche-Berenguer B, Jensen RT. Cancer and NNMT overexpression in aggressive tumors. Curr Opin Endocrinol Diabetes Obes, 2022.
- Dimet-Wiley A, Sampson CM, Neelakantan H, et al. Reduced calorie diet combined with NNMT inhibition establishes a distinct microbiome in DIO mice. Sci Rep, 12(1), 484, 2022.
- Dong G, Latham CM, Brightwell CR, et al. Nicotinamide N-methyltransferase inhibition improves limb function in experimental peripheral artery disease. Acta Physiol, 2025.
- Watowich S, Neelakantan H, McHardy SF. Quinoline derived small molecule inhibitors of nicotinamide N-methyltransferase (NNMT) and uses thereof. U.S. Patent No. 12,071,409, August 27, 2024.
- Watowich S, Neelakantan H, McHardy SF. Quinoline derived small molecule inhibitors of nicotinamide N-methyltransferase (NNMT) and uses thereof. U.S. Patent No. 11,401,243, August 2, 2022.
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