NAD+ (nicotinamide adenine dinucleotide) is a crucial coenzyme found in all living cells, playing a vital role in redox reactions and cellular metabolism. Researchers primarily study NAD+ for its involvement in energy production, cellular signaling, and its regulatory functions in various biological processes. Key findings indicate that NAD+ levels are tightly linked to immune responses, with studies suggesting that its depletion can drive inflammatory cell death through mechanisms involving the NLRC5 protein and the formation of PANoptosomes. Additionally, preclinical evidence indicates that NAD+ biosynthesis is critical for maintaining intestinal homeostasis and regulating glucose metabolism, highlighting its importance in metabolic health. Current research continues to explore the multifaceted roles of NAD+ in health and disease, aiming to uncover potential therapeutic targets for various conditions.