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Published on: March 29, 2024
NADPH-oxidases as potential pharmacological targets for thrombosis and depression comorbidity
Patrizia Amadio1, Leonardo Sandrini1, Marta Zarà1
1Unit of Brain-Heart Axis: Cellular and Molecular Mechanisms, Centro Cardiologico Monzino IRCCS, 20138, Milan, Italy.
Insights
Nicotinamide adenine dinucleotide phosphate oxidase (NOX) activation contributes to cardiovascular diseases and depression. NOX inhibitors show therapeutic potential for treating these interconnected conditions.
Area of Science:
- Neurocardiology
- Oxidative Stress Biology
- Pharmacology
Background:
- Cardiovascular diseases (CVD) and mental disorders frequently co-occur.
- Oxidative stress, driven by reactive oxygen species (ROS), is implicated in the pathophysiology of both brain and cardiovascular conditions.
- Nicotinamide adenine dinucleotide phosphate oxidase (NOX) is a primary enzyme generating superoxide ROS.
Purpose of the Study:
- To review the role of NOX activation in thrombosis and depression.
- To discuss the therapeutic potential of NOX inhibitors for CVD and brain disorders.
- To explore novel therapeutic strategies for the comorbidity of thrombosis and depression.
Main Methods:
- Literature review of recent findings on NOX activation.
- Analysis of NOX inhibitor efficacy in preclinical and clinical studies.
- Synthesis of information on the link between NOX, oxidative stress, and disease pathophysiology.
Main Results:
- NOX activation is a key factor in the development of thrombosis and depression.
- NOX inhibitors demonstrate promising therapeutic effects in models of CVD and neurological disorders.
- Targeting NOX pathways may offer a unified approach to managing comorbid conditions.
Conclusions:
- Understanding NOX-mediated oxidative stress is crucial for addressing the CVD-mental disorder comorbidity.
- NOX inhibitors represent a viable therapeutic avenue for treating thrombosis and depression.
- Further research into NOX inhibition could lead to innovative treatments for these prevalent, interconnected diseases.
Abstract:
There is a complex interrelationship between the nervous system and the cardiovascular system. Comorbidities of cardiovascular diseases (CVD) with mental disorders, and vice versa, are prevalent. Adults with mental disorders such as anxiety and depression have a higher risk of developing CVD, and people with CVD have an increased risk of being diagnosed with mental disorders. Oxidative stress is one of the many pathways associated with the pathophysiology of brain and cardiovascular disease. Nicotinamide adenine dinucleotide phosphate oxidase (NOX) is one of the major generators of reactive oxygen species (ROS) in mammalian cells, as it is the enzyme that specifically produces superoxide. This review summarizes recent findings on the consequences of NOX activation in thrombosis and depression. It also discusses the therapeutic effects and pharmacological strategies of NOX inhibitors in CVD and brain disorders. A better comprehension of these processes could facilitate the development of new therapeutic approaches for the prevention and treatment of the comorbidity of thrombosis and depression.
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