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.

Abstract

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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