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Published on: February 25, 2016
Involvement of the nicotinamide adenosine dinucleotide phosphate oxidase isoform Nox2 in cardiac contractile
David J Grieve1, Jonathan A Byrne, Anjana Siva
1King's College London, Cardiovascular Division, Guy's, King's, and St. Thomas' School of Medicine, London, England.
Objectives:
This study sought to examine the role of Nox2 in the contractile dysfunction associated with pressure-overload left ventricular hypertrophy (LVH).
Background:
Reactive oxygen species (ROS) production is implicated in the pathophysiology of LVH. The nicotinamide adenosine dinucleotide phosphate oxidase isoform, Nox2, is pivotally involved in angiotensin II-induced hypertrophy but is not essential for development of pressure-overload LVH. Its possible impact on contractile function is unknown.
Methods:
The effects of aortic banding or sham surgery on cardiac contractile function and interstitial fibrosis were compared in adult Nox2-/- and matched wild-type (WT) mice.
Results:
Banding induced similar increases in left ventricular (LV) mass in both groups. Banded Nox2-/- mice had better LV function than WT by echocardiography (e.g., fractional shortening 33.6 +/- 2.5% vs. 21.4 +/- 2.2%, p < 0.05). Comprehensive LV pressure-volume analyses also showed significant contractile dysfunction in banded WT compared with sham, whereas banded Nox2-/- mice had preserved function (e.g., maximum rate of rise of LV pressure: banded WT, 4,879 +/- 213; vs. banded Nox2-/-, 5,913 +/- 259 mm Hg/s; p < 0.05). Similar preservation of function was observed in isolated cardiomyocytes. The 24-h to 36-h treatment of banded WT mice with N-acetylcysteine resulted in recovery of contractile function. Cardiac interstitial fibrosis was significantly increased in banded WT but not Nox2-/- mice, together with greater increases in procollagen I and III mRNA expression.
Conclusions:
The Nox2 oxidase contributes to the development of cardiac contractile dysfunction and interstitial fibrosis during pressure overload, although it is not essential for development of morphologic hypertrophy per se. These data suggest divergent downstream effects of Nox2 on different components of the overall response to pressure overload.
Insights
The Nox2 enzyme contributes to heart dysfunction and fibrosis in pressure-overload left ventricular hypertrophy (LVH) but is not essential for the condition's development. Its inhibition preserves cardiac function during LVH.
Area of Science:
- Cardiovascular Research
- Molecular Biology
- Physiology
Background:
- Reactive oxygen species (ROS) are key in left ventricular hypertrophy (LVH) pathophysiology.
- Nox2, a ROS-producing enzyme, is involved in angiotensin II-induced hypertrophy but not essential for pressure-overload LVH.
- The specific role of Nox2 in contractile dysfunction during pressure-overload LVH remains unclear.
Purpose of the Study:
- To investigate the role of Nox2 in contractile dysfunction in pressure-overload induced left ventricular hypertrophy (LVH).
- To determine if Nox2 inhibition can mitigate cardiac dysfunction and fibrosis associated with LVH.
Main Methods:
- Comparison of cardiac contractile function and interstitial fibrosis in Nox2 knockout (Nox2-/-) and wild-type (WT) mice subjected to aortic banding or sham surgery.
- Echocardiography and pressure-volume analyses were used to assess left ventricular (LV) function.
- Assessment of interstitial fibrosis and procollagen mRNA expression.
Main Results:
- Aortic banding induced similar increases in LV mass in both Nox2-/- and WT mice.
- Banded Nox2-/- mice exhibited significantly better LV function and preserved contractility compared to banded WT mice.
- Interstitial fibrosis and procollagen expression were elevated in banded WT mice but not in Nox2-/- mice, suggesting Nox2's role in fibrosis development.
Conclusions:
- Nox2 oxidase plays a significant role in cardiac contractile dysfunction and interstitial fibrosis during pressure overload.
- Nox2 is not essential for the development of morphologic hypertrophy itself.
- These findings indicate distinct downstream effects of Nox2 on different aspects of the pressure overload response.
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