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Published on: December 2, 2014
Involvement of NADPH oxidases in cardiac remodelling and heart failure
Alexander Sirker1, Min Zhang, Colin Murdoch
1Cardiovascular Division, Department of Cardiology, King's College London School of Medicine, London, UK.
Insights
NADPH oxidases (Nox) contribute to adverse cardiac remodelling and heart failure development by increasing oxidative stress. Targeting Nox enzymes may offer new therapeutic strategies for preventing heart failure.
Area of Science:
- Cardiovascular biology
- Molecular medicine
- Redox signaling
Background:
- Cardiac remodelling, characterized by hypertrophy, fibrosis, and dysfunction, precedes heart failure.
- Oxidative stress is increasingly recognized as a key driver of adverse cardiac remodelling.
- NADPH oxidase (Nox) enzymes generate reactive oxygen species (ROS) involved in cellular signaling.
Purpose of the Study:
- To review the evidence linking NADPH oxidases to various aspects of detrimental cardiac remodelling.
- To explore the role of Nox enzymes in the molecular mechanisms underlying heart failure development.
Main Methods:
- Literature review of studies investigating NADPH oxidase involvement in cardiac remodelling.
- Analysis of research on ROS generation and redox signaling in cardiovascular stress responses.
Main Results:
- NADPH oxidases are significant sources of ROS implicated in pathological cardiac remodelling.
- Evidence suggests Nox enzymes contribute to hypertrophy, fibrosis, and contractile dysfunction in the heart.
- Nox-derived ROS play a critical role in redox signaling pathways activated by cardiac stress.
Conclusions:
- NADPH oxidases are key players in the development of adverse cardiac remodelling.
- Understanding Nox enzyme function offers potential for novel heart failure therapeutic targets.
- Targeting Nox-mediated oxidative stress may prevent or mitigate heart failure progression.
Abstract:
Cardiac remodelling occurs in response to stress, such as chronic hypertension or myocardial infarction, and forms the substrate for subsequent development of heart failure. Key pathophysiological features include ventricular hypertrophy, interstitial fibrosis, contractile dysfunction, and chamber dilatation. Although the molecular mechanisms are complex and not fully defined, substantial evidence now implicates increased oxidative stress as being important. The NADPH oxidase ('Nox') enzymes are a particularly important source of reactive oxygen species that are implicated in redox signalling. This article reviews the evidence for an involvement of NADPH oxidases in different aspects of adverse cardiac remodelling. A better understanding of the roles of this complex enzyme family may define novel therapeutic targets for the prevention of heart failure.
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