New Insights on NOX Enzymes in the Central Nervous System
Open accessAbstract
SIGNIFICANCE: There is increasing evidence that the generation of reactive oxygen species (ROS) in the central nervous system (CNS) involves the NOX family of nicotinamide adenine dinucleotide phosphate oxidases. Controlled ROS generation appears necessary for optimal functioning of the CNS through fine-tuning of redox-sensitive signaling pathways, while overshooting ROS generation will lead to oxidative stress and CNS disease. RECENT ADVANCES: NOX enzymes are not only restricted to microglia (i.e. brain phagocytes) but also expressed in neurons, astrocytes, and the neurovascular system. NOX enzymes are involved in CNS development, neural stem cell biology, and the function of mature neurons. While NOX2 appears to be a major source of pathological oxidative stress in the CNS, other NOX isoforms might also be of importance, for example, NOX4 in stroke. Globally speaking, there is now convincing evidence for a role of NOX enzymes in various neurodegenerative diseases, cerebrovascular diseases, and psychosis-related disorders. CRITICAL ISSUES: The relative importance of specific ROS sources (e.g., NOX enzymes vs. mitochondria; NOX2 vs. NOX4) in different pathological processes needs further investigation. The absence of specific inhibitors limits the possibility to investigate specific therapeutic strategies. The uncritical use of non-specific inhibitors (e.g., apocynin, diphenylene iodonium) and poorly validated antibodies may lead to misleading conclusions. FUTURE DIRECTIONS: Physiological and pathophysiological studies with cell-type-specific knock-out mice will be necessary to delineate the precise functions of NOX enzymes and their implications in pathomechanisms. The development of CNS-permeant, specific NOX inhibitors will be necessary to advance toward therapeutic applications.
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Among NOX isoforms, NOX4 is a major isoform in astrocytes.
“Among NOX isoforms, NOX4 is a major isoform in astrocytes [36].”
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Yang, J. (2018) · Microvascular Research · doi:10.1016/j.mvr.2018.12.005 · Cited by 57 · see citing works
Oxidative stress response and NRF2 signaling pathway in autism spectrum disorder
Davinelli, S., Medoro, A., Siracusano, M., Savino, R., Saso, L., Scapagnini, G., & Mazzone, L. (2025) · Redox Biology · doi:10.1016/j.redox.2025.103661 · Cited by 56 · see citing works
Nox Inhibitors & Therapies: Rational Design of Peptidic and Small Molecule Inhibitors
Cifuentes-Pagano, E., Meijles, D. N., & Pagano, P. J. (2015) · Current Pharmaceutical Design · doi:10.2174/1381612821666151029112013 · Cited by 55 · see citing works
NADPH Oxidases: Redox Regulators of Stem Cell Fate and Function
Maraldi, T., Angeloni, C., Prata, C., & Hrelia, S. (2021) · Antioxidants · doi:10.3390/antiox10060973 · Cited by 55 · see citing works
Li, Y., Zhang, D., Li, L., Han, Y., Dong, X., Liu, Y., Li, X., Li, W., & Li, W. (2021) · Molecular Medicine Reports · doi:10.3892/mmr.2021.12441 · Cited by 53 · see citing works
Jiang, L., Li, X., Mortadza, S. A. S., Lovatt, M., & Yang, W. (2018) · Ageing Research Reviews · doi:10.1016/j.arr.2018.07.002 · Cited by 53 · see citing works
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Nox, Nox, Are You There? The Role of NADPH Oxidases in the Peripheral Nervous System
Eid, S., Savelieff, M. G., Eid, A. A., & Feldman, E. L. (2021) · Antioxidants and Redox Signaling · doi:10.1089/ars.2021.0135 · Cited by 50 · see citing works
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- Authors
- Nayernia, Z., Jaquet, V., & Krause, K.-H.
- Affiliations
- University of Geneva (CH)
- Corresponding author
- Krause, Karl-Heinz
- Venue
- Antioxidants & Redox Signaling
- Publisher
- SAGE Publications
- Published
- 2014-06
- Volume
- 20
- Issue
- 17
- Pages
- 2815-2837
- ISSN
- 1523-0864 (ISSN-L)
- 1557-7716
- PMC
- PMC4026375
- OpenAlex
- W2061260053
- Cited by
- 279
- References
- 194
- Citations by year
- 2026: 13 · 2025: 17 · 2024: 18 · 2023: 19 · 2022: 21 · 2021: 24 · 2020: 31 · 2019: 20 · 2018: 23 · 2017: 30 · 2016: 34 · 2015: 18 · 2014: 9 · 2012: 1
- FWCI
- 1.91
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Antioxidants and Redox Signaling (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Science Foundation (FP7/2007-2013)
- European Commission (278611)
- Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (FP7/2007-2013, 141182, 310030B)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Redox biology and oxidative stress
- Health Sciences › Medicine › Physiology › Nitric Oxide and Endothelin Effects
- Life Sciences › Immunology and Microbiology › Immunology › Neutrophil, Myeloperoxidase and Oxidative Mechanisms
- Keywords
- NADPH oxidase, reactive oxygen species, central nervous system, oxidative stress, NOX2, NOX4, microglia, neurons, astrocytes, neurovascular system, neurodegenerative diseases, cerebrovascular disease, psychosis, stroke, redox signaling, NOX inhibitors
- MeSH terms
- Animals, Central Nervous System, Enzyme Inhibitors, Humans, Signal Transduction, Reactive Oxygen Species, Oxidative Stress, NADPH Oxidases, Neurodegenerative Diseases, Mice
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