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Updated: May 8, 2026

Improved Rodent Model of Myocardial Ischemia and Reperfusion Injury
Published on: March 7, 2022
Oxidative stress improves coronary endothelial function through activation of the pro-survival kinase AMPK
Ehtesham Shafique1, Wing C Choy, Yuhong Liu
1Cardiovascular Research Center, Division of Cardiothoracic Surgery, Department of Surgery, Rhode Island Hospital, Providence, RI 02903, USA.
Abstract:
Age-associated decline in cardiovascular function is believed to occur from the deleterious effects of reactive oxygen species (ROS). However, failure of recent clinical trials using antioxidants in patients with cardiovascular disease, and the recent findings showing paradoxical role for NADPH oxidase-derived ROS in endothelial function challenge this long-held notion against ROS. Here, we examine the effects of endothelium-specific conditional increase in ROS on coronary endothelial function. We have generated a novel binary (Tet-ON/OFF) conditional transgenic mouse (Tet-Nox2:VE-Cad-tTA) that induces endothelial cell (EC)-specific overexpression of Nox2/gp91 (NADPH oxidase) and 1.8?0.42-fold increase in EC-ROS upon tetracycline withdrawal (Tet-OFF). We examined ROS effects on EC signaling and function. First, we demonstrate that endothelium-dependent coronary vasodilation was significantly improved in Tet-OFF Nox2 compared to Tet-ON (control) littermates. Using EC isolated from mouse heart, we show that endogenous ROS increased eNOS activation and nitric oxide (NO) synthesis through activation of the survival kinase AMPK. Coronary vasodilation in Tet-OFF Nox2 animals was CaMKK?-AMPK-dependent. Finally, we demonstrate that AMPK activation induced autophagy and thus, protected ECs from oxidant-induced cell death. Together, these findings suggest that increased ROS levels, often associated with cardiovascular conditions in advanced age, play a protective role in endothelial homeostasis by inducing AMPK-eNOS axis.
Insights
Reactive oxygen species (ROS) may protect cardiovascular health. Increased ROS in endothelial cells improved coronary vasodilation and protected against cell death by activating the AMPK-eNOS pathway.
Area of Science:
- Cardiovascular Physiology
- Endothelial Biology
- Oxidative Stress Research
Background:
- The role of reactive oxygen species (ROS) in cardiovascular aging is debated, with clinical trials on antioxidants yielding disappointing results.
- NADPH oxidase-derived ROS paradoxically influence endothelial function, challenging the long-held view of ROS as solely detrimental.
Purpose of the Study:
- To investigate the impact of increased endothelial cell (EC)-specific ROS on coronary endothelial function.
- To elucidate the signaling pathways involved in ROS-mediated endothelial protection.
Main Methods:
- Generation of a novel Tet-ON/OFF conditional transgenic mouse (Tet-Nox2:VE-Cad-tTA) for EC-specific Nox2 (NADPH oxidase) overexpression.
- Assessment of coronary vasodilation, EC signaling (eNOS, AMPK, CaMKKβ), and autophagy in response to increased EC-ROS.
- Evaluation of EC survival under oxidant stress.
Main Results:
- Endothelium-dependent coronary vasodilation was significantly enhanced in mice with increased EC-ROS (Tet-OFF Nox2) compared to controls (Tet-ON).
- Increased ROS activated the CaMKKβ-AMPK pathway, leading to enhanced eNOS activation, nitric oxide (NO) synthesis, and AMPK-dependent vasodilation.
- AMPK activation promoted autophagy, conferring protection against oxidant-induced EC death.
Conclusions:
- Elevated ROS levels in endothelial cells can exert protective effects on endothelial homeostasis.
- The AMPK-eNOS signaling axis mediates the beneficial effects of ROS on coronary vasodilation and EC survival.
- Findings suggest a protective role for increased ROS in aging cardiovascular conditions via endothelial protection.
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