Is Flavin Adenine Dinucleotide (FAD) a cofactor or coenzyme?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: May 4, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

From the Guidelines

FAD (Flavin Adenine Dinucleotide) is a coenzyme, not a cofactor. While these terms are sometimes used interchangeably, there is a technical distinction. FAD is specifically a coenzyme because it is an organic, non-protein molecule that binds to enzymes and helps them carry out their catalytic functions, as supported by the espen micronutrient guideline 1.

Key Points

  • FAD is derived from riboflavin (vitamin B2) and plays a crucial role in redox reactions within cells, particularly in the electron transport chain during cellular respiration.
  • It functions by accepting electrons and hydrogen atoms from substrates, converting between its oxidized form (FAD) and reduced form (FADH₂), which is essential for numerous metabolic processes including fatty acid oxidation, the citric acid cycle, and amino acid metabolism, as outlined in the espen micronutrient guideline 1.
  • Unlike simple cofactors which are often inorganic ions, FAD has a complex organic structure and is temporarily bound to its associated enzymes during reactions, such as xanthine oxidase, succinic dehydrogenase, glutathione reductase, methylene-tetrahydrofolate reductase (MTHFR), and pyridoxine phosphate oxidase 1.

Clinical Implications

  • The role of FAD in various metabolic processes highlights its importance in maintaining proper cellular function and overall health.
  • Deficiencies in riboflavin, and subsequently FAD, can lead to impaired metabolic functions, emphasizing the need for a constant dietary supply of riboflavin, as it is not stored in the body in ample amounts 1.

From the Research

Definition of FAD

  • FAD (Flavin Adenine Dinucleotide) is a redox-active coenzyme that regulates several important enzymatic reactions during metabolism 2.
  • It is used in the medicinal and food industries, and FAD supplements have been used to treat some inheritable diseases 2.

Role of FAD in the Body

  • FAD is a vital cofactor for a large number of flavoenzymes involved in energetic metabolism, protein folding, apoptosis, chromatin remodeling, and a number of other cell regulatory processes 3.
  • The cellular and subcellular steady-state concentrations of flavin cofactors, including FAD, depend on carrier-mediated transport processes and on coordinated synthesizing/destroying enzymatic activities 3.

Biosynthesis of FAD

  • FAD can be biosynthesized from flavin mononucleotide (FMN) and adenosine triphosphate (ATP), catalyzed by FAD synthetase (FADS) 2.
  • The gene encoding FADS from the flavinogenic yeast Candida famata can be heterologously expressed in Escherichia coli for the biosynthesis of FAD 2.

Classification of FAD

  • FAD is classified as a coenzyme, which is a non-protein organic compound that is required for the action of some enzymes 4.
  • Coenzymes, including FAD, are essential for the catalytic activity of enzymes and play a crucial role in various metabolic processes 4.

Distinction between Cofactor and Coenzyme

  • While the terms "cofactor" and "coenzyme" are often used interchangeably, a cofactor can be either a non-protein chemical compound or a metallic ion that is required for a enzyme's activity 4.
  • FAD is more specifically classified as a coenzyme, which is a non-protein organic compound that is required for the action of some enzymes 4.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.