Aging-related cell surface ECTO-NOX protein, arNOX, a preventive target to reduce atherogenic risk in the elderly





D. James Morré and Dorothy M. Morré

Departments of Medicinal Chemistry & Molecular Pharmacology and Foods & Nutrition, Purdue University, West Lafayette, Indiana 47907, USA



We have identified a family of constitutive cell surface ECTO-NOX proteins capable of oxidizing reduced quinones. Initially described as NADH oxidases, oxidation of external NADH was subsequently determined not to be a physiological substrate but rather a convenient method for measurement of the activity. The presence of these enzymes at the cell surface and the demonstration of an ability to oxidize reduced quinones of the plasma membrane, e.g., ubiquinol, has offered an opportunity to formulate, for the first time, a complete electron transport chain from the cytosol to oxygen at the cell surface with the ECTO-NOX proteins acting as the terminal oxidase. The ECTO-NOX proteins of the cell surface have been postulated as well to link the accumulation of lesions in mitochondrial DNA to cell surface accumulations of reactive oxygen species as one consequence of their role as a terminal oxidase in a plasma membrane electron transport chain. Cells with functionally deficient mitochondria become characterized by an anaerobic metabolism. Then NADH accumulates from the glycolytic production of ATP. An elevated plasma membrane electron transport activity then becomes important to maintain the NAD+/NADH homeostasis essential for survival. Previous findings demonstrate that the hyperactivity of the plasma membrane electron transport system and ultraviolet irradiation results in an NADH oxidase activity capable of cell surface generation of reactive oxygen species. Because of their cell surface location, ECTO-NOX proteins capable of superoxide generation in response to aging would serve to propagate the aging cascade both to adjacent cells and to oxidize circulating lipoproteins. Of the several ECTO-NOX proteins now known, one is a novel cell surface form (arNOX) associated with sera and lymphocytes of patients of age 50 or older and is capable of directly reducing ferricytochrome c through the generation of superoxide. This generation of superoxide associated with aging is inhibited by coenzyme Q. As such, the findings provide a rational basis for the anti-aging activity of circulating coenzyme Q in the prevention of atherosclerosis and other oxidative changes in cell membranes and circulating lipoproteins.




Key words: aging, ECTO-NOX proteins, arNOX, atherogenic, superoxide







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