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Am J Physiol Regul Integr Comp Physiol 285: R277-R297, 2003; doi:10.1152/ajpregu.00758.2002
0363-6119/03 $5.00
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INVITED REVIEW

Vascular NAD(P)H oxidases: specific features, expression, and regulation

Bernard Lassègue and Roza E. Clempus

Emory University School of Medicine, Division of Cardiology, Atlanta, Georgia 30322

The importance of reactive oxygen species (ROS) in vascular physiology and pathology is becoming increasingly evident. All cell types in the vascular wall produce ROS derived from superoxide-generating protein complexes similar to the leukocyte NADPH oxidase. Specific features of the vascular enzymes include constitutive and inducible activities, substrate specificity, and intracellular superoxide production. Most phagocyte enzyme subunits are found in vascular cells, including the catalytic gp91phox (aka, nox2), which was the earliest member of the newly discovered nox family. However, smooth muscle frequently expresses nox1 rather than gp91phox, and nox4 is additionally present in all cell types. In cell culture, agonists increase ROS production by activating multiple signals, including protein kinase C and Rac, and by upregulating oxidase subunits. The oxidases are also upregulated in vascular disease and are involved in the development of atherosclerosis and a significant part of angiotensin II-induced hypertension, possibly via nox1 and nox4. Likewise, enhanced vascular oxidase activity is associated with diabetes. Therefore, members of this enzyme family appear to be important in vascular biology and disease and constitute promising targets for future therapeutic interventions.

NAPDH oxidase; superoxide; blood vessels; atherosclerosis; hypertension



Address for reprint requests and other correspondence: B. Lassègue, Emory Univ., Cardiology, 1639 Pierce Dr., WMB 319, Atlanta, GA 30322 (E-mail: medbpl{at}emory.edu).




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Cardiovasc ResHome page
H. ten Freyhaus, M. Huntgeburth, K. Wingler, J. Schnitker, A. T. Baumer, M. Vantler, M. M. Bekhite, M. Wartenberg, H. Sauer, and S. Rosenkranz
Novel Nox inhibitor VAS2870 attenuates PDGF-dependent smooth muscle cell chemotaxis, but not proliferation
Cardiovasc Res, July 15, 2006; 71(2): 331 - 341.
[Abstract] [Full Text] [PDF]


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CirculationHome page
S. Miriyala, M. C. Gongora Nieto, C. Mingone, D. Smith, S. Dikalov, D. G. Harrison, and H. Jo
Bone Morphogenic Protein-4 Induces Hypertension in Mice: Role of Noggin, Vascular NADPH Oxidases, and Impaired Vasorelaxation
Circulation, June 20, 2006; 113(24): 2818 - 2825.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
M. Weaver, J. Liu, D. Pimentel, D. J. Reddy, P. Harding, E. L. Peterson, and P. J. Pagano
Adventitial delivery of dominant-negative p67phox attenuates neointimal hyperplasia of the rat carotid artery
Am J Physiol Heart Circ Physiol, May 1, 2006; 290(5): H1933 - H1941.
[Abstract] [Full Text] [PDF]


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Am. J. Pathol.Home page
N. Watanabe, J. W. Zmijewski, W. Takabe, M. Umezu-Goto, C. L. Goffe, A. Sekine, A. Landar, A. Watanabe, J. Aoki, H. Arai, et al.
Activation of Mitogen-Activated Protein Kinases by Lysophosphatidylcholine-Induced Mitochondrial Reactive Oxygen Species Generation in Endothelial Cells
Am. J. Pathol., May 1, 2006; 168(5): 1737 - 1748.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Gastrointest. Liver Physiol.Home page
R. B. Dorman, C. Wunder, H. Saba, J. L. Shoemaker, L. A. MacMillan-Crow, and R. W. Brock
NAD(P)H oxidase contributes to the progression of remote hepatic parenchymal injury and endothelial dysfunction, but not microvascular perfusion deficits
Am J Physiol Gastrointest Liver Physiol, May 1, 2006; 290(5): G1025 - G1032.
[Abstract] [Full Text] [PDF]


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StrokeHome page
R. P. Ostrowski, J. Tang, and J. H. Zhang
Hyperbaric Oxygen Suppresses NADPH Oxidase in a Rat Subarachnoid Hemorrhage Model
Stroke, May 1, 2006; 37(5): 1314 - 1318.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
H. Chon, M. C. Verhaar, H. A. Koomans, J. A. Joles, and B. Braam
Role of Circulating Karyocytes in the Initiation and Progression of Atherosclerosis
Hypertension, May 1, 2006; 47(5): 803 - 810.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
R. M. Touyz
Mitochondrial Redox Control of Matrix Metalloproteinase Signaling in Resistance Arteries
Arterioscler Thromb Vasc Biol, April 1, 2006; 26(4): 685 - 688.
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Arterioscler. Thromb. Vasc. Bio.Home page
M. Menshikov, O. Plekhanova, H. Cai, K. Chalupsky, Y. Parfyonova, P. Bashtrikov, V. Tkachuk, and B. C. Berk
Urokinase Plasminogen Activator Stimulates Vascular Smooth Muscle Cell Proliferation Via Redox-Dependent Pathways
Arterioscler Thromb Vasc Biol, April 1, 2006; 26(4): 801 - 807.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Lung Cell. Mol. Physiol.Home page
A. Sturrock, B. Cahill, K. Norman, T. P. Huecksteadt, K. Hill, K. Sanders, S. V. Karwande, J. C. Stringham, D. A. Bull, M. Gleich, et al.
Transforming growth factor-beta1 induces Nox4 NAD(P)H oxidase and reactive oxygen species-dependent proliferation in human pulmonary artery smooth muscle cells
Am J Physiol Lung Cell Mol Physiol, April 1, 2006; 290(4): L661 - L673.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Renal Physiol.Home page
D. Feliers, Y. Gorin, G. Ghosh-Choudhury, H. E. Abboud, and B. S. Kasinath
Angiotensin II stimulation of VEGF mRNA translation requires production of reactive oxygen species
Am J Physiol Renal Physiol, April 1, 2006; 290(4): F927 - F936.
[Abstract] [Full Text] [PDF]


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CirculationHome page
M. Zhang, A. L. Kho, N. Anilkumar, R. Chibber, P. J. Pagano, A. M. Shah, and A. C. Cave
Glycated Proteins Stimulate Reactive Oxygen Species Production in Cardiac Myocytes: Involvement of Nox2 (gp91phox)-Containing NADPH Oxidase
Circulation, March 7, 2006; 113(9): 1235 - 1243.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
P. L. Hordijk
Regulation of NADPH Oxidases: The Role of Rac Proteins
Circ. Res., March 3, 2006; 98(4): 453 - 462.
[Abstract] [Full Text] [PDF]


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Am. J. Respir. Cell Mol. Bio.Home page
J. A. Polikandriotis, H. L. Rupnow, S. C. Elms, R. E. Clempus, D. J. Campbell, R. L. Sutliff, L. A. S. Brown, D. M. Guidot, and C. M. Hart
Chronic Ethanol Ingestion Increases Superoxide Production and NADPH Oxidase Expression in the Lung
Am. J. Respir. Cell Mol. Biol., March 1, 2006; 34(3): 314 - 319.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
X. Dai, X. Cao, and D. L. Kreulen
Superoxide anion is elevated in sympathetic neurons in DOCA-salt hypertension via activation of NADPH oxidase
Am J Physiol Heart Circ Physiol, March 1, 2006; 290(3): H1019 - H1026.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
X.-Y. Yi, V. X. Li, F. Zhang, F. Yi, D. R. Matson, M. T. Jiang, and P.-L. Li
Characteristics and actions of NAD(P)H oxidase on the sarcoplasmic reticulum of coronary artery smooth muscle
Am J Physiol Heart Circ Physiol, March 1, 2006; 290(3): H1136 - H1144.
[Abstract] [Full Text] [PDF]


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Reproductive SciencesHome page
R. Dechend, V. Homuth, G. Wallukat, D. N. Muller, M. Krause, J. Dudenhausen, H. Haller, and F. C. Luft
Agonistic Antibodies Directed at the Angiotensin II, AT1 Receptor in Preeclampsia
Reproductive Sciences, February 1, 2006; 13(2): 79 - 86.
[Abstract] [PDF]


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Am. J. Physiol. Renal Physiol.Home page
L. Xia, H. Wang, H. J. Goldberg, S. Munk, I. G. Fantus, and C. I. Whiteside
Mesangial cell NADPH oxidase upregulation in high glucose is protein kinase C dependent and required for collagen IV expression
Am J Physiol Renal Physiol, February 1, 2006; 290(2): F345 - F356.
[Abstract] [Full Text] [PDF]


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Physiol. Rev.Home page
D. Mehta and A. B. Malik
Signaling Mechanisms Regulating Endothelial Permeability
Physiol Rev, January 1, 2006; 86(1): 279 - 367.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
M.-S. Zhou, I. H. Schulman, P. J. Pagano, E. A. Jaimes, and L. Raij
Reduced NAD(P)H Oxidase in Low Renin Hypertension: Link Among Angiotensin II, Atherogenesis, and Blood Pressure
Hypertension, January 1, 2006; 47(1): 81 - 86.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
P. Persson
A look back at a successful year
Am J Physiol Regulatory Integrative Comp Physiol, December 1, 2005; 289(6): R1535 - R1535.
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GENES CELLSHome page
J. Kuroda, K. Nakagawa, T. Yamasaki, K.-i. Nakamura, R. Takeya, F. Kuribayashi, S. Imajoh-Ohmi, K. Igarashi, Y. Shibata, K. Sueishi, et al.
The superoxide-producing NAD(P)H oxidase Nox4 in the nucleus of human vascular endothelial cells
Genes Cells, December 1, 2005; 10(12): 1139 - 1151.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
N. E. Taylor and A. W. Cowley Jr.
Effect of renal medullary H2O2 on salt-induced hypertension and renal injury
Am J Physiol Regulatory Integrative Comp Physiol, December 1, 2005; 289(6): R1573 - R1579.
[Abstract] [Full Text] [PDF]


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J. Appl. Physiol.Home page
J.-Y. Park, R. E. Ferrell, J.-J. Park, J. M. Hagberg, D. A. Phares, J. M. Jones, and M. D. Brown
NADPH oxidase p22phox gene variants are associated with systemic oxidative stress biomarker responses to exercise training
J Appl Physiol, November 1, 2005; 99(5): 1905 - 1911.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Renal Physiol.Home page
N. Li, G. Zhang, F.-X. Yi, A.-P. Zou, and P.-L. Li
Activation of NAD(P)H oxidase by outward movements of H+ ions in renal medullary thick ascending limb of Henle
Am J Physiol Renal Physiol, November 1, 2005; 289(5): F1048 - F1056.
[Abstract] [Full Text] [PDF]


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BloodHome page
A. J. Begonja, S. Gambaryan, J. Geiger, B. Aktas, M. Pozgajova, B. Nieswandt, and U. Walter
Platelet NAD(P)H-oxidase-generated ROS production regulates {alpha}IIb{beta}3-integrin activation independent of the NO/cGMP pathway
Blood, October 15, 2005; 106(8): 2757 - 2760.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
C. S. Wilcox
Oxidative stress and nitric oxide deficiency in the kidney: a critical link to hypertension?
Am J Physiol Regulatory Integrative Comp Physiol, October 1, 2005; 289(4): R913 - R935.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Lung Cell. Mol. Physiol.Home page
M. S. Wolin, M. Ahmad, and S. A. Gupte
Oxidant and redox signaling in vascular oxygen sensing mechanisms: basic concepts, current controversies, and potential importance of cytosolic NADPH
Am J Physiol Lung Cell Mol Physiol, August 1, 2005; 289(2): L159 - L173.
[Abstract] [Full Text] [PDF]


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Exp PhysiolHome page
J. C McGrath, C. Deighan, A. M Briones, M. M. Shafaroudi, M. McBride, J. Adler, S. M Arribas, E. Vila, and C. J Daly
New aspects of vascular remodelling: the involvement of all vascular cell types
Exp Physiol, July 1, 2005; 90(4): 469 - 475.
[Abstract] [Full Text] [PDF]


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Exp PhysiolHome page
R. M Touyz
Intracellular mechanisms involved in vascular remodelling of resistance arteries in hypertension: role of angiotensin II
Exp Physiol, July 1, 2005; 90(4): 449 - 455.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
F. Krotz, B. Engelbrecht, M. A. Buerkle, F. Bassermann, H. Bridell, T. Gloe, J. Duyster, U. Pohl, and H.-Y. Sohn
The Tyrosine Phosphatase, SHP-1, Is a Negative Regulator of Endothelial Superoxide Formation
J. Am. Coll. Cardiol., May 17, 2005; 45(10): 1700 - 1706.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
E. Qamirani, Y. Ren, L. Kuo, and T. W. Hein
C-Reactive Protein Inhibits Endothelium-Dependent NO-Mediated Dilation in Coronary Arterioles by Activating p38 Kinase and NAD(P)H Oxidase
Arterioscler Thromb Vasc Biol, May 1, 2005; 25(5): 995 - 1001.
[Abstract] [Full Text] [PDF]


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StrokeHome page
T. Ago, T. Kitazono, J. Kuroda, Y. Kumai, M. Kamouchi, H. Ooboshi, M. Wakisaka, T. Kawahara, K. Rokutan, S. Ibayashi, et al.
NAD(P)H Oxidases in Rat Basilar Arterial Endothelial Cells
Stroke, May 1, 2005; 36(5): 1040 - 1046.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
L. Gao, W. Wang, Y.-L. Li, H. D. Schultz, D. Liu, K. G. Cornish, and I. H. Zucker
Sympathoexcitation by central ANG II: Roles for AT1 receptor upregulation and NAD(P)H oxidase in RVLM
Am J Physiol Heart Circ Physiol, May 1, 2005; 288(5): H2271 - H2279.
[Abstract] [Full Text] [PDF]




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