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Targeting NOX enzymes in the central nervous system: therapeutic opportunities
Silvia Sorce1, Karl-Heinz Krause, Vincent Jaquet
1Department of Pathology and Immunology, Geneva Medical Faculty, Geneva University Hospitals Centre Medical Universitaire, Switzerland.
Abstract:
Among the pathogenic mechanisms underlying central nervous system (CNS) diseases, oxidative stress is almost invariably described. For this reason, numerous attempts have been made to decrease reactive oxygen species (ROS) with the administration of antioxidants as potential therapies for CNS disorders. However, such treatments have always failed in clinical trials. Targeting specific sources of reactive oxygen species in the CNS (e.g. NOX enzymes) represents an alternative promising option. Indeed, NOX enzymes are major generators of ROS, which regulate progression of CNS disorders as diverse as amyotrophic lateral sclerosis, schizophrenia, Alzheimer disease, Parkinson disease, and stroke. On the other hand, in autoimmune demyelinating diseases, ROS generated by NOX enzymes are protective, presumably by dampening the specific immune response. In this review, we discuss the possibility of developing therapeutics targeting NADPH oxidase (NOX) enzymes for the treatment of different CNS pathologies. Specific compounds able to modulate the activation of NOX enzymes, and the consequent production of ROS, could fill the need for disease-modifying drugs for many incurable CNS pathologies.
Insights
Targeting specific reactive oxygen species (ROS) sources, like NADPH oxidase (NOX) enzymes, offers a promising therapeutic strategy for central nervous system (CNS) diseases, unlike general antioxidant treatments.
Area of Science:
- Neuroscience
- Biochemistry
- Pharmacology
Background:
- Oxidative stress is a key pathogenic mechanism in central nervous system (CNS) diseases.
- Previous antioxidant therapies targeting reactive oxygen species (ROS) have failed in clinical trials for CNS disorders.
- NADPH oxidase (NOX) enzymes are significant generators of ROS in the CNS.
Purpose of the Study:
- To review the potential of targeting NOX enzymes for treating CNS pathologies.
- To explore NOX enzymes as a therapeutic target for various neurological and psychiatric disorders.
- To discuss the dual role of NOX-generated ROS in CNS diseases and autoimmune conditions.
Main Methods:
- Literature review of studies on oxidative stress, NOX enzymes, and CNS diseases.
- Analysis of the role of NOX enzymes in the pathogenesis of neurodegenerative and psychiatric disorders.
- Examination of the protective effects of NOX-derived ROS in autoimmune demyelinating diseases.
Main Results:
- NOX enzymes contribute to the progression of diverse CNS disorders including neurodegenerative diseases and stroke.
- ROS generated by NOX enzymes can be protective in autoimmune demyelinating diseases by modulating immune responses.
- Targeting specific NOX isoforms may offer a more effective therapeutic approach than broad antioxidant administration.
Conclusions:
- Targeting NOX enzymes represents a promising therapeutic avenue for currently incurable CNS pathologies.
- Development of specific NOX inhibitors or modulators could lead to novel disease-modifying drugs.
- Understanding the specific roles of NOX enzymes is crucial for developing effective CNS disease treatments.
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