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Updated: May 7, 2026

En Face Detection of Nitric Oxide and Superoxide in Endothelial Layer of Intact Arteries
Published on: February 25, 2016
New roles for old pathways? A circuitous relationship between reactive oxygen species and cyclo-oxygenase in
Raquel Hernanz1, Ana M Briones, Mercedes Salaices
1*Departamento de Bioquímica, Fisiología y Genética Molecular, Universidad Rey Juan Carlos, Alcorcón, Spain.
Insights
Hypertension involves cyclo-oxygenase (COX) enzymes and reactive oxygen species (ROS). These pathways interact, creating a cycle that worsens vascular dysfunction and hypertension development.
Area of Science:
- Cardiovascular Research
- Oxidative Stress Biology
- Vascular Physiology
Background:
- Elevated prostanoid production by cyclo-oxygenases (COX-1 and COX-2) is linked to vascular changes in cardiovascular diseases like hypertension.
- Reactive oxygen species (ROS) significantly contribute to impaired vascular responses and mechanics in hypertension.
- Cross-talk between NADPH oxidase and mitochondria, key ROS sources in hypertension, forms a feed-forward cycle of ROS production.
Purpose of the Study:
- To review the current understanding of oxidative stress and COX-derived prostanoids in hypertension-related vascular alterations.
- To highlight emerging evidence on the synergistic role of ROS and COX pathways in vascular dysfunction.
Main Methods:
- Literature review of experimental evidence on ROS and COX pathways in hypertension.
- Analysis of the interplay between ROS and COX-derived products.
- Discussion of the COX-ROS axis in vascular pathophysiology.
Main Results:
- ROS can activate COX enzymes, and COX/prostaglandin (PG) synthase pathways can induce ROS production.
- The COX-ROS axis may form a self-perpetuating cycle of vasoactive products.
- These pathways act in concert to promote vascular dysfunction in hypertension.
Conclusions:
- Oxidative stress and COX-derived prostanoids are key contributors to vascular dysfunction in hypertension.
- The synergistic interaction between COX and ROS pathways represents a critical mechanism in hypertension development.
- Targeting the COX-ROS axis may offer therapeutic strategies for hypertension.
Abstract:
Elevated production of prostanoids from the constitutive (COX-1) or inducible (COX-2) cyclo-oxygenases has been involved in the alterations in vascular function, structure and mechanical properties observed in cardiovascular diseases, including hypertension. In addition, it is well known that production of ROS (reactive oxygen species) plays an important role in the impaired contractile and vasodilator responses, vascular remodelling and altered vascular mechanics of hypertension. Of particular interest is the cross-talk between NADPH oxidase and mitochondria, the main ROS sources in hypertension, which may represent a vicious feed-forward cycle of ROS production. In recent years, there is experimental evidence showing a relationship between ROS and COX-derived products. Thus ROS can activate COX and the COX/PG (prostaglandin) synthase pathways can induce ROS production through effects on different ROS generating enzymes. Additionally, recent evidence suggests that the COX-ROS axis might constitute a vicious circle of self-perpetuating vasoactive products that have a pathophysiological role in altered vascular contractile and dilator responses and hypertension development. The present review discusses the current knowledge on the role of oxidative stress and COX-derived prostanoids in the vascular alterations observed in hypertension, highlighting new findings indicating that these two pathways act in concert to induce vascular dysfunction.
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