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Updated: May 18, 2026

Activation of Apoptosis by Cytoplasmic Microinjection of Cytochrome c
Published on: June 29, 2011
NOX1/NADPH oxidase is involved in endotoxin-induced cardiomyocyte apoptosis
Kuniharu Matsuno1, Kazumi Iwata, Misaki Matsumoto
1Department of Pharmacology, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Insights
Reactive oxygen species (ROS) from NOX1/NADPH oxidase drive septic heart damage and mortality. Mice lacking NOX1 show improved cardiac function and survival during sepsis, highlighting NOX1
Area of Science:
- Cardiovascular Biology
- Molecular Medicine
- Inflammation Research
Background:
- The role of NOX1/NADPH oxidase in cardiac function during sepsis remains largely unexplored due to its typically low expression.
- Systemic inflammation, such as sepsis, can lead to significant cardiac dysfunction and increased mortality.
- Reactive oxygen species (ROS) are implicated in various pathological processes, including sepsis-induced organ damage.
Purpose of the Study:
- To investigate the functional significance of NOX1/NADPH oxidase in the heart during sepsis.
- To elucidate the molecular mechanisms by which NOX1 contributes to septic cardiomyopathy.
- To assess the therapeutic potential of targeting NOX1 in sepsis.
Main Methods:
- Utilized Nox1 gene-deficient (Nox1(-/Y)) and wild-type (Nox1(+/Y)) mice.
- Induced sepsis using lipopolysaccharide (LPS) administration and cecal ligation and puncture (CLP) surgery.
- Assessed cardiac function, survival rates, cardiomyocyte apoptosis, caspase-3 activation, and Akt signaling pathways, including phosphorylation and interaction with protein phosphatase 2A (PP2A).
Main Results:
- Sepsis induced a marked elevation of NOX1 mRNA and ROS production in cardiac tissue.
- Nox1(-/Y) mice exhibited significantly improved cardiac function and survival compared to wild-type mice following LPS challenge.
- LPS-induced cardiomyocyte apoptosis, caspase-3 activation, and Akt dephosphorylation were significantly attenuated in Nox1(-/Y) mice.
- Increased oxidation of Akt and enhanced Akt-PP2A interaction in response to LPS were observed in wild-type but not Nox1(-/Y) mice.
Conclusions:
- ROS derived from NOX1/NADPH oxidase play a critical role in endotoxin-induced cardiomyocyte apoptosis and cardiac dysfunction during sepsis.
- NOX1 contributes to sepsis-induced cardiac injury by promoting Akt oxidation and subsequent dephosphorylation via PP2A.
- Up-regulation of NOX1 during systemic inflammation may be a significant risk factor for mortality in sepsis.
Abstract:
The functional significance of NOX1/NADPH oxidase in the heart has not been explored due to its low expression relative to other NOX homologs identified so far. We aimed to clarify the role of NOX1/NADPH oxidase in the septic heart by utilizing mice deficient in the Nox1 gene (Nox1(-/Y)). Sepsis was induced by intraperitoneal administration of lipopolysaccharides (LPS: 25mg/kg) or cecal ligation and puncture (CLP) surgery. A marked elevation of NOX1 mRNA was demonstrated in cardiac tissue, which was accompanied by increased production of reactive oxygen species (ROS). In Nox1(-/Y) treated with LPS, cardiac dysfunction and survival were significantly improved compared with wild-type mice (Nox1(+/Y)) treated with LPS. Concomitantly, LPS-induced cardiomyocyte apoptosis and activation of caspase-3 were alleviated in Nox1(-/Y). The level of phosphorylated Akt in cardiac tissue was significantly lowered in Nox1(+/Y) but not in Nox1(-/Y) treated with LPS or that underwent CLP surgery. Increased oxidation of cysteine residues of Akt and enhanced interaction of Akt with protein phosphatase 2A (PP2A), a major phosphatase implicated in the dephosphorylation of Akt, were demonstrated in LPS-treated Nox1(+/Y). These responses to LPS were significantly attenuated in Nox1(-/Y). Taken together, ROS derived from NOX1/NADPH oxidase play a pivotal role in endotoxin-induced cardiomyocyte apoptosis by increasing oxidation of Akt and subsequent dephosphorylation by PP2A. Marked up-regulation of NOX1 may affect the risk of mortality under systemic inflammatory conditions.
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