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Updated: Jan 19, 2026
Receptor Downregulation in MVBs
Nox1 downregulators: A new class of therapeutics
Matthias Barton1, Matthias R Meyer2, Eric R Prossnitz3
1Molecular Internal Medicine, University of Zürich, Zürich, Switzerland; Andreas Grüntzig Foundation, Zürich, Switzerland.
Abstract:
Chronic non-communicable diseases share the pathomechanism of increased reactive oxygen species (ROS) production by nicotinamide adenine dinucleotide phosphate (NADPH) oxidases, known as Nox. The recent discovery that expression of Nox1, a Nox isoform that has been implicated in the pathogenesis of cardiovascular and kidney disease and cancer is regulated by the expression and activity of G protein-coupled estrogen receptor (GPER) led to the identification of orally active small-molecule GPER blockers as selective Nox1 downregulators (NDRs). Preclinical studies using NDRs have demonstrated beneficial effects in vascular disease, hypertension, and glomerular renal injury. These findings suggest the therapeutic potential of NDRs, which reduce Nox1 protein levels, not only for cardiovascular disease conditions including arterial hypertension, pulmonary hypertension, heart failure with preserved ejection fraction (HFpEF), and chronic renal disease, but also for other non-communicable diseases, such as cerebrovascular disease and vascular dementia, Alzheimer's disease, autoimmune diseases and cancer, in which elevated Nox1-derived ROS production plays a causal role.
Insights
Small molecules targeting the G protein-coupled estrogen receptor (GPER) reduce Nox1 levels, offering potential treatments for cardiovascular, kidney, and other diseases linked to reactive oxygen species (ROS). These Nox1 downregulators (NDRs) show promise in preclinical studies.
Area of Science:
- Biochemistry
- Pharmacology
- Pathophysiology
Background:
- Chronic non-communicable diseases share a common mechanism involving increased reactive oxygen species (ROS) production by nicotinamide adenine dinucleotide phosphate (NADPH) oxidases (Nox).
- Nox1, a specific Nox isoform, is implicated in cardiovascular disease, kidney disease, and cancer pathogenesis.
- G protein-coupled estrogen receptor (GPER) regulates the expression and activity of Nox1.
Purpose of the Study:
- To identify novel therapeutic agents targeting Nox1.
- To explore the potential of GPER blockers as selective Nox1 downregulators (NDRs).
Main Methods:
- Identification of orally active small-molecule GPER blockers.
- Preclinical evaluation of NDRs in disease models.
Main Results:
- NDRs were identified as selective Nox1 downregulators.
- Preclinical studies demonstrated beneficial effects of NDRs in vascular disease, hypertension, and glomerular renal injury.
Conclusions:
- NDRs that reduce Nox1 protein levels hold therapeutic potential for a range of non-communicable diseases.
- Potential applications include cardiovascular conditions (hypertension, HFpEF), chronic renal disease, cerebrovascular disease, and cancer.
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