NADPH oxidase-4 mediates myofibroblast activation and fibrogenic responses to lung injury
Open accessAbstract
Members of the NADPH oxidase (NOX) family of enzymes, which catalyze the reduction of O(2) to reactive oxygen species, have increased in number during eukaryotic evolution. Seven isoforms of the NOX gene family have been identified in mammals; however, specific roles of NOX enzymes in mammalian physiology and pathophysiology have not been fully elucidated. The best established physiological role of NOX enzymes is in host defense against pathogen invasion in diverse species, including plants. The prototypical member of this family, NOX-2 (gp91(phox)), is expressed in phagocytic cells and mediates microbicidal activities. Here we report a role for the NOX4 isoform in tissue repair functions of myofibroblasts and fibrogenesis. Transforming growth factor-beta1 (TGF-beta1) induces NOX-4 expression in lung mesenchymal cells via SMAD-3, a receptor-regulated protein that modulates gene transcription. NOX-4-dependent generation of hydrogen peroxide (H(2)O(2)) is required for TGF-beta1-induced myofibroblast differentiation, extracellular matrix (ECM) production and contractility. NOX-4 is upregulated in lungs of mice subjected to noninfectious injury and in cases of human idiopathic pulmonary fibrosis (IPF). Genetic or pharmacologic targeting of NOX-4 abrogates fibrogenesis in two murine models of lung injury. These studies support a function for NOX4 in tissue fibrogenesis and provide proof of concept for therapeutic targeting of NOX-4 in recalcitrant fibrotic disorders.
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Although NOX4 activity has been shown to reduce fibrosis in atherosclerosis, it can also promote fibrosis, particularly in the lung, but also in kidney and other tissues.
“In a final note, it should be also considered that although NOX4 activity has been shown to reduce fibrosis in atherosclerosis (230), it can also promote fibrosis, particularly in the lung, but also in kidney and other tissues (110, 201, 416, 596, 820).”
From Sources of Vascular Nitric Oxide and Reactive Oxygen Species and Their Regulation (2019) · cites this paper as [416]
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- Authors
- Hecker, L., Vittal, R., Jones, T., Jagirdar, R., Luckhardt, T. R., Horowitz, J. C., Pennathur, S., Martinez, F. J., & Thannickal, V. J.
- Affiliations
- University of Michigan (US)
- Corresponding author
- Thannickal, Victor J
- ORCID
- Venue
- Nature Medicine
- Published
- 2009-08-23
- Volume
- 15
- Issue
- 9
- Pages
- 1077-1081
- ISSN
- 1078-8956 (ISSN-L)
- 1546-170X
- PMC
- PMC2743335
- OpenAlex
- W1966672647
- Cited by
- 852
- References
- 29
- Citations by year
- 2026: 34 · 2025: 33 · 2024: 38 · 2023: 51 · 2022: 38 · 2021: 59 · 2020: 64 · 2019: 51 · 2018: 44 · 2017: 52 · 2016: 72 · 2015: 56 · 2014: 65 · 2013: 47 · 2012: 59
- FWCI
- 42.10
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature Medicine (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (n01hr46162-13-0-1)
- National Heart, Lung, and Blood Institute (K08HL081059, N01HR046162, R01HL067967)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Redox biology and oxidative stress
- Life Sciences › Immunology and Microbiology › Immunology › Neutrophil, Myeloperoxidase and Oxidative Mechanisms
- Keywords
- NOX4, idiopathic pulmonary fibrosis, myofibroblast activation, fibrogenesis, lung injury, reactive oxygen species, hydrogen peroxide, TGF-β1, Smad3, extracellular matrix synthesis, tissue repair, therapeutic target
- MeSH terms
- NADPH Oxidase 4, Animals, Cell Differentiation, Fibroblasts, Humans, Hydrogen Peroxide, Mice, Inbred C57BL, RNA, Messenger, NADPH Oxidases, RNA, Small Interfering, Mice, Smad3 Protein, Transforming Growth Factor beta1, Idiopathic Pulmonary Fibrosis, Lung Injury
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