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Published on: October 19, 2013
Regulation of myocardial growth and death by NADPH oxidase
Yasuhiro Maejima1, Junya Kuroda, Shouji Matsushima
1Department of Cell Biology and Molecular Medicine, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, NJ 07103, USA.
Abstract:
The NADPH oxidases (Nox) are transmembrane proteins dedicated to producing reactive oxygen species (ROS), including superoxide and hydrogen peroxide, by transferring electrons from NAD(P)H to molecular oxygen. Nox2 and Nox4 are expressed in the heart and play an important role in mediating oxidative stress at baseline and under stress. Nox2 is primarily localized on the plasma membrane, whereas Nox4 is found primarily on intracellular membranes, on mitochondria, the endoplasmic reticulum or the nucleus. Although Nox2 plays an important role in mediating angiotensin II-induced cardiac hypertrophy, Nox4 mediates cardiac hypertrophy and heart failure in response to pressure overload. Expression of Nox4 is upregulated by hypertrophic stimuli, and Nox4 in mitochondria plays an essential role in mediating oxidative stress during pressure overload-induced cardiac hypertrophy. Upregulation of Nox4 induces oxidation of mitochondrial proteins, including aconitase, thereby causing mitochondrial dysfunction and myocardial cell death. On the other hand, Noxs also appear to mediate physiological functions, such as erythropoiesis and angiogenesis. In this review, we discuss the role of Noxs in mediating oxidative stress and both pathological and physiological functions of Noxs in the heart.
Insights
NADPH oxidases (Nox) produce reactive oxygen species (ROS) in the heart. Nox4, particularly in mitochondria, drives pressure overload-induced cardiac hypertrophy and failure by increasing oxidative stress.
Area of Science:
- Cardiovascular Biology
- Oxidative Stress Research
- Molecular Cardiology
Background:
- NADPH oxidases (Nox) are key enzymes generating reactive oxygen species (ROS).
- Nox2 and Nox4 isoforms are present in the heart, contributing to oxidative stress.
- Differential localization of Nox2 (plasma membrane) and Nox4 (intracellular membranes) suggests distinct roles.
Purpose of the Study:
- To review the roles of Nox enzymes in cardiac oxidative stress.
- To differentiate the pathological and physiological functions of Nox isoforms in the heart.
- To highlight the specific contribution of Nox4 to cardiac hypertrophy and heart failure.
Main Methods:
- Review of existing literature on Nox enzymes in cardiovascular systems.
- Analysis of studies investigating Nox expression and localization in cardiac tissue.
- Examination of research linking Nox activity to cardiac pathologies and physiological processes.
Main Results:
- Nox4 upregulation by hypertrophic stimuli is crucial in pressure overload-induced cardiac hypertrophy and heart failure.
- Mitochondrial Nox4 contributes to oxidative stress by oxidizing proteins like aconitase, leading to dysfunction and cell death.
- Nox enzymes also mediate physiological functions, including erythropoiesis and angiogenesis.
Conclusions:
- Nox4 plays a critical role in the pathogenesis of cardiac hypertrophy and heart failure under pressure overload.
- Targeting Nox4 may offer therapeutic strategies for cardiac diseases associated with oxidative stress.
- Nox enzymes have dual roles, contributing to both pathology and normal physiological functions in the heart.
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