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Rights and permissions This article is published under license to BioMed Central Ltd

Given the important central role of this cofactor and its relevance to mitochondrial function, this review will provide an extensive summary of the NAD + homeostasis and modulation approaches, of the various mechanisms of NAD + -mediated mitochondrial regulation, and how the functional link between NAD + and mitochondria has been investigated in the context of preclinical and clinical settings of aging and disease