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Sorce S, Stocker R, Seredenina T, Holmdahl R, Aguzzi A, Chio A, Depaulis A, Heitz F, Olofsson P, Olsson T, Duveau V, Sanoudou D, Skosgater S, Vlahou A, Wasquel D, Krause KH, Jaquet V. NADPH oxidases as drug targets and biomarkers in neurodegenerative diseases: What is the evidence? Free Radic Biol Med 2017; 112:387-396. [PMID: 28811143 DOI: 10.1016/j.freeradbiomed.2017.08.006] [Citation(s) in RCA: 75] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/30/2017] [Revised: 08/04/2017] [Accepted: 08/06/2017] [Indexed: 11/25/2022]
Abstract
Neurodegenerative disease are frequently characterized by microglia activation and/or leukocyte infiltration in the parenchyma of the central nervous system and at the molecular level by increased oxidative modifications of proteins, lipids and nucleic acids. NADPH oxidases (NOX) emerged as a novel promising class of pharmacological targets for the treatment of neurodegeneration due to their role in oxidant generation and presumably in regulating microglia activation. The unique function of NOX is the generation of superoxide anion (O2•-) and hydrogen peroxide (H2O2). However in the context of neuroinflammation, they present paradoxical features since O2•-/H2O2 generated by NOX and/or secondary reactive oxygen species (ROS) derived from O2•-/H2O2 can either lead to neuronal oxidative damage or resolution of inflammation. The role of NOX enzymes has been investigated in many models of neurodegenerative diseases by using either genetic or pharmacological approaches. In the present review we provide a critical assessment of recent findings related to the role of NOX in the CNS as well as how the field has advanced over the last 5 years. In particular, we focus on the data derived from the work of a consortium (Neurinox) funded by the European Commission's Programme 7 (FP7). We discuss the evidence gathered from animal models and human samples linking NOX expression/activity with neuroinflammation in neurodegenerative diseases, such as amyotrophic lateral sclerosis (ALS) and Creutzfeldt-Jakob disease as well as autoimmune demyelinating diseases like multiple sclerosis (MS) and chronic inflammatory demyelinating polyneuropathy (CIDP). We address the possibility to use measurement of the activity of the NOX2 isoform in blood samples as biomarker of disease severity and treatment efficacy in neurodegenerative disease. Finally we clarify key controversial aspects in the field of NOX, such as NOX cellular expression in the brain, measurement of NOX activity, impact of genetic deletion of NOX in animal models of neurodegeneration and specificity of NOX inhibitors.
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Affiliation(s)
- Silvia Sorce
- Neuropathology Institute, University of Zürich, Switzerland
| | - Roland Stocker
- Victor Chang Cardiac Research Institute, and School of Medical Sciences, University of New South Wales, Australia
| | - Tamara Seredenina
- Department of Pathology and Immunology, Faculty of Medicine, University of Geneva, Switzerland
| | - Rikard Holmdahl
- Section for Medical Inflammation research, Department of Medical Biochemistry and Biophysics, Karolinska Institute, Sweden
| | - Adriano Aguzzi
- Neuropathology Institute, University of Zürich, Switzerland
| | - Adriano Chio
- Department of Neuroscience, University of Torino, Italy
| | - Antoine Depaulis
- Grenoble Institut des Neurosciences, Inserm U1216 and Univ, Grenoble Alpes, F-38000 Grenoble, France
| | | | - Peter Olofsson
- Redoxis AB, Medicon Village, Lund, Sweden; Pronoxis AB, Medicon Village, Lund, Sweden
| | - Tomas Olsson
- Department of Medical Biochemistry and Biophysics, Karolinska Institute, Sweden
| | | | - Despina Sanoudou
- Clinical Genomics and Pharmacogenomics Unit, 4th Department of Internal Medicine, Attikon Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - Sara Skosgater
- Arttic, 58A rue du Dessous des Berges, F-75013 Paris, France
| | - Antonia Vlahou
- Biomedical Research Foundation, Academy of Athens, Athens, Greece
| | | | - Karl-Heinz Krause
- Department of Pathology and Immunology, Faculty of Medicine, University of Geneva, Switzerland
| | - Vincent Jaquet
- Department of Pathology and Immunology, Faculty of Medicine, University of Geneva, Switzerland.
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Abstract
To clarify the role of prostaglandins in peripheral nerve demyelination, we examined the expression of cyclooxygenase-2 (COX-2) using selected nerve specimens from patients with chronic inflammatory demyelinating polyneuropathy. COX-2 protein was up-regulated in macrophages causing active demyelination. In situ hybridization revealed that COX-2 mRNA signals were strongly expressed on macrophages adhering to the demyelinating nerve fibers at the endoneurium. This observation may provide a rationale for application of neuroprotective strategies employing COX-2 inhibitors in inflammatory demyelinating neuropathies.
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MESH Headings
- Adolescent
- Adult
- Aged
- Antigens, CD/analysis
- Antigens, Differentiation, Myelomonocytic/analysis
- Child
- Cyclooxygenase 2
- Female
- Humans
- Isoenzymes/genetics
- Isoenzymes/metabolism
- Macrophages/metabolism
- Macrophages/pathology
- Macrophages/ultrastructure
- Male
- Membrane Proteins
- Middle Aged
- Nerve Fibers, Myelinated/metabolism
- Nerve Fibers, Myelinated/pathology
- Nerve Fibers, Myelinated/ultrastructure
- Peripheral Nerves/enzymology
- Peripheral Nerves/pathology
- Peripheral Nerves/ultrastructure
- Polyradiculoneuropathy, Chronic Inflammatory Demyelinating/drug therapy
- Polyradiculoneuropathy, Chronic Inflammatory Demyelinating/enzymology
- Polyradiculoneuropathy, Chronic Inflammatory Demyelinating/pathology
- Prostaglandin-Endoperoxide Synthases/genetics
- Prostaglandin-Endoperoxide Synthases/metabolism
- RNA, Messenger/metabolism
- Up-Regulation/genetics
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Affiliation(s)
- T Kawasaki
- Department of Neurology, Graduate School of Medicine, Kyoto University, Japan
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