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The Journal of Neuroscience, 2000, 20:RC53:1-5
RAPID COMMUNICATION
NADPH Oxidase Contributes Directly to Oxidative Stress and
Apoptosis in Nerve Growth Factor-Deprived Sympathetic
Neurons
Steven P.
Tammariello1,
Mark T.
Quinn2, and
Steven
Estus1
1 Department of Physiology, Sanders-Brown Center on
Aging, University of Kentucky, Lexington, Kentucky 40536, 2 Department of Veterinary Molecular Biology, Montana State
University, Bozeman, Montana 59717
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ABSTRACT |
Reactive oxygen species (ROS) are necessary for programmed cell
death (PCD) in neurons, but the underlying ROS-producing enzymes have
not been identified. NADPH oxidase produces ROS, although the
expression of its five subunits are thought to be restricted largely to
non-neuronal cells. Here, we show that NADPH oxidase subunits are
present in neurons. Moreover, both an NADPH oxidase inhibitor,
diphenyleneiodonium, and NAPDH oxidase genetic deficiency inhibit
apoptosis in a classic model of PCD, i.e., NGF-deprived sympathetic
neurons. Overall, these results indicate that NADPH oxidase is
unexpectedly present in neurons and can contribute to neuronal apoptosis.
Key words:
apoptosis; sympathetic neuron; oxidative stress; reactive
oxygen species; NADPH oxidase; programmed cell death
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INTRODUCTION |
Depriving
neonatal sympathetic neurons of NGF in vitro leads to
neuronal apoptosis in a process that recapitulates the naturally occurring death of these neurons during nervous system maturation (Oppenheim, 1991 ; Deckwerth and Johnson, 1993 ; Edwards and Tolkovsky, 1994 ). Reactive oxygen species (ROS) appear a necessary "trigger" in this apoptotic process, because a burst of oxidative stress is
detected 4 hr after NGF withdrawal, and superoxide dismutase (SOD)
overexpression inhibits apoptosis (Greenlund et al., 1995 ; Jordan et
al., 1995 ). This ROS is not sufficient to induce apoptosis, because
apoptosis is blocked if sympathetic neurons are exposed after ROS
generation to NGF, cAMP, K+
depolarization, or inhibitors of RNA or protein synthesis (Deckwerth and Johnson, 1993 ; Edwards and Tolkovsky, 1994 ; Franklin et al., 1995 ).
The source of ROS in NGF-deprived sympathetic neurons has not yet been identified.
NADPH oxidase is a five-subunit enzyme that transfers electrons from
NADPH to molecular oxygen to produce superoxide radicals and is a key
source of microbicidal oxidants in the immune response (DeLeo and
Quinn, 1996 ). Although expression of the NADPH oxidase subunits was
thought to be confined to cells of hematopoietic origin, other studies
have suggested that NADPH oxidase subunits may also be present in
additional cell types (Youngson et al., 1991 ; Jones et al., 1994 ). That
NADPH oxidase may contribute to neuronal apoptosis has been suggested
by findings that NADPH oxidase-deficient mice exhibit reduced injury
after stroke (Walder et al., 1997 ) and that Rac1, known to be required
for maximal NADPH oxidase activation (reviewed in Bokoch, 1995 ), has
been implicated in sympathetic neuron apoptosis after NGF deprivation
(Bazenet et al., 1998 ).
Here, we report that NADPH oxidase is present in neurons. Moreover, by
using a combination of pharmacological and genetic approaches, we
implicate NADPH oxidase as contributing to oxidative stress and
apoptosis in a well characterized model of developmentally appropriate
neuronal loss, i.e., sympathetic neurons undergoing NGF
deprivation-induced apoptosis. Overall, these results provide compelling evidence that NADPH oxidase plays a heretofore unsuspected role early in neuronal programmed cell death.
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MATERIALS AND METHODS |
Neuronal cultures and treatments. Primary rodent
sympathetic neuron cultures were plated onto laminin-coated tissue
culture dishes in NGF-containing medium as described (Estus et al.,
1994 ). Murine littermates from mice hemizygous or heterozygous for
gp91-phox were genotyped for the presence of intact gp91-phox (Pollock
et al., 1995 ). After 3-4 d in culture, NGF deprivation was performed by replacing the NGF-containing medium with an identical medium, except
that NGF was replaced with an NGF-neutralizing antibody (Sigma, St.
Louis, MO). Diphenyleneiodonium (DPI; Toronto Research Chemicals, North
York, Ontario, Canada) stock solutions (100 mM) were made
in DMSO and then added to the culture dishes at the indicated final
concentrations. Control cultures were treated with DMSO vehicle only.
RT-PCR. Poly(A+) RNA was
prepared from 2000 neurons and converted to cDNA, and specific cDNAs
were amplified by subjecting 3% of the cDNA to 25 PCR cycles as
described (Estus et al., 1994 ). After amplification, cDNAs were
separated by PAGE and visualized by using SYBR-gold fluorescent
staining (Molecular Probes, Eugene, OR). Primer sequences were
gp91-phox sense primer, 5'-GGTTTATGATGATGGG- CCTAA-3', and
gp91-phox antisense primer, 5'-GCACTGGAACCCC- TGAGAAA-3' (158 bp product); p22-phox sense primer,
5'-CCCCGGGG- AAAGAGGAAAAA-3', and p22-phox antisense
primer, 5'-AGGACAG- CCCGGACGTAGTA-3' (115 bp product);
p67-phox sense primer, 5'-GGGAACCAGCTGATAGACTA-3', and
p67-phox antisense primer, 5'-TCCATTCCTCYTTCTTGGCA-3' (105 bp product); p47-phox sense primer,
5'-CAGCCAGCACTATGTGTACA-3', and p47-phox antisense primer,
5'-GAACTCGTAGATCTCGGTGAA-3' (67 bp product); and p40-phox
sense primer, 5'-TGGCCCAGCAGCTGCG-3', and p40-phox antisense
primer, 5'-CGRTAGCGGCGGTAGATGAG-3' (170 bp product). The identity of
the amplified cDNAs was confirmed by direct sequencing.
Immunofluorescence. Cells were fixed with paraformaldehyde,
permeabilized with 0.5% Triton X-100 in PBS, and then incubated with
blocking buffer (PBS, 5% goat serum, and 0.3% Triton X-100) for 30 min. The cells were then labeled with polyclonal antibodies against
NADPH oxidase components (DeLeo and Quinn, 1996 ) (dilution of 1:500) or
a monoclonal antibody against MAP-2 (Sigma) (dilution of 1:400) in
blocking buffer for 1 hr at 25°C. After PBS washes, primary
antibodies were detected with a Cy-3-conjugated secondary antibody
(Jackson ImmunoResearch, West Grove, PA) and counterstained with
Hoechst 33258 (Molecular Probes).
Cell death counts. To assess the frequency of neuronal
apoptosis, cultures were treated as described and then fixed with 4% paraformaldehyde in PBS for 20 min. After staining with Hoechst 33258 (1 µg/ml in PBS) for 10 min, the frequency of neurons manifesting condensed or punctate chromatin was scored by an observer "blinded" as to the neuron treatments. Each condition was evaluated in at least
duplicate wells, with at least 200 neurons scored in each well.
Differences were analyzed statistically by using a two-tailed Student's t test (Statview; Abacus Concepts, Calabasas, CA).
Oxidative stress measurements. Oxidative stress was assessed
by using the indicator 2',7'-dichlorodihydrofluoroscein diacetate (H2DCFDA; Molecular Probes); this compound is
converted to the fluorescent 2',7'-dichlorofluoroscein (DCF) after
oxidation as well as intracellular esterase cleavage of the acetate
groups. Because changes in cellular pH or other events may modulate DCF fluorescence in an artifactual manner, we also examined the effects of
DPI on the fluorescence observed in cells treated with
5-carboxy-2',7'-dichlorofluoroscein diacetate (DCFDA; Molecular
Probes); cytosolic esterases hydrolyze the acetate groups of DCFDA,
converting it directly to the fluorescent DCF without requiring
oxidation. Neurons were plated onto polyornithine-laminin-coated 96 well tissue culture dishes at a density of ~500 neurons per well.
After 5-6 d in culture, the neurons were either maintained or deprived
of NGF in the presence or absence of DPI (0.5 µM) for 3.5 hr. DCF was then added to a final concentration of 1 mM, and the dishes were returned to the 37°C incubator for 30 min. Fluorescence was then measured by excitation at 485 nm and emission at
535 nm by using a Perkin-Elmer (Norwalk, CT) HTS-7000 plate reader.
Because of potential oxidation by the excitation laser, samples were
scanned only once. Assays were performed in pentuplicate.
 |
RESULTS |
NADPH oxidase is present at the mRNA and protein levels
To determine whether NADPH oxidase is expressed in sympathetic
neurons, we examined the expression of NADPH oxidase subunits at the
mRNA and protein levels. The mRNAs encoding each of the five subunits
were detected in RNA isolated from sympathetic neuron preparations
(Fig. 1A). Because
these neuronal preparations are ~5% non-neuronal cells (Schwann
cells and fibroblasts), we repeated this analysis on RNA purified from
PC12 cells, which are a homogeneous cell line with characteristics of
sympathoadrenal precursors. All five mRNAs encoding the NADPH oxidase
subunits were also present in PC12 cells (data not shown). To examine
protein expression, we performed immunofluorescence by using available
antibodies produced against three of the NADPH oxidase subunits (DeLeo
and Quinn, 1996 ). Each of the NADPH oxidase subunits examined, i.e., p67-phox, p47-phox, and p40-phox, were present in sympathetic neurons
at the protein level (Fig. 1B). This work confirms
and dramatically extends that of others that showed that one NADPH oxidase subunit mRNA is expressed in neurons (Mizuki et al., 1998 ).

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Figure 1.
NADPH oxidase subunits are present in neurons at
the mRNA (A) and protein
(B) levels. The expression of each NADPH oxidase
subunit at the mRNA level was detected by performing 25 PCR cycles on
3% of the cDNA generated from RNA isolated from ~2000 neurons
(A). To detect the expression of the indicated
NADPH oxidase subunits at the protein level, neurons were labeled with
antibodies against the three cytosolic subunits; bound antibodies were
then detected with a Cy-3-labeled secondary antibody
(B). Similar results were obtained with
monoclonal antibodies raised against these same phox subunits (data
not shown). Hoechst 33258 staining was performed in parallel as
a counterstain to reveal nuclei. No staining was observed in neurons
stained with the secondary antibody alone.
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DPI inhibits NGF deprivation-induced sympathetic neuron death in a
concentration- and time-dependent manner
To begin to evaluate the NADPH oxidase role in neuronal apoptosis,
we analyzed whether an NADPH oxidase inhibitor, DPI, protected sympathetic neurons from death after NGF deprivation. Neurons were
treated with DPI coincident with NGF withdrawal and apoptosis detected
subsequently by using Hoechst 33258 staining to visualize chromatin
condensation. Sympathetic neurons began to exhibit chromatin condensation 24 hr after NGF withdrawal (Fig.
2A,C,G) (Deckwerth and
Johnson, 1993 ; Edwards and Tolkovsky, 1994 ), which appeared largely
blocked by DPI treatment (Fig. 2E). Indeed, when this effect was quantified, DPI was found to provide concentration-dependent neuroprotection, reducing the frequency of apoptosis to that of neurons
maintained in the presence of NGF at concentrations of 0.5-1
µM (Fig. 2G). The neuroprotective
DPI concentrations are essentially identical to those used by others to
inhibit NADPH oxidase (Lo et al., 1998 ). Neuronal cytoskeletal
integrity was also evaluated indirectly by using immunofluorescence to
visualize MAP-2. Robust MAP-2 staining is observed in NGF-maintained
neurons (Fig. 2B) but was barely detected in neurons
undergoing chromatin condensation (Fig. 2D). DPI
treatment blocked this apoptosis-associated loss in MAP-2 staining
(Fig. 2F).

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Figure 2.
DPI inhibits NGF deprivation-induced sympathetic
neuron death. Sympathetic neurons were deprived of NGF in the presence
or absence of DPI (0.5 µM) for 24 hr
(A-F). The neurons were then fixed and stained
with Hoechst 33258 to discern chromatin integrity (A, C,
E) or with an antibody against MAP-2 to assess cytoskeletal
integrity (B, D, F). Chromatin condensation and disappearance of MAP-2 staining
are concomitant (C, D, arrows). These
concentration-dependent neuroprotective effects were quantified by
depriving neurons of NGF in the presence of the indicated
concentrations of DPI for 24 hr. The chromatin integrity of the neurons
was then scored by an observer blinded as to the nature of the cellular
treatments (G). These data represent the
mean ± SD of three experiments each performed in duplicate. To
identify the critical period of DPI actions, neurons were treated with
DPI (0.5 µM) either coincident with NGF deprivation or 4 hr after NGF deprivation. Chromatin integrity was then scored at 24 hr
after NGF deprivation (H). These data
represent the mean ± range of two experiments each performed in
triplicate.
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Because oxidative stress appears confined to the first 4 hr of NGF
deprivation (Greenlund et al., 1995 ), we also evaluated whether the
critical period of DPI neuroprotective action coincides with this
interval. Neurons were treated with DPI either coincident with NGF
deprivation or 4 hr later, and the frequency of apoptosis was scored at
24 hr of deprivation. DPI was neuroprotective only if neurons were
treated coincident with NGF deprivation (Fig. 2H).
Hence, the timing of DPI actions is consistent with DPI acting to
inhibit ROS generation. In addition, these results indicate that DPI is
likely not inhibiting apoptosis by directly inhibiting RNA or protein
synthesis, or caspases, or by increasing
Ca2+ or cAMP, because agents with these
actions block death even if treatments are initiated much later than 4 hr after NGF deprivation (Deckwerth and Johnson, 1993 ; Edwards and
Tolkovsky, 1994 ; Franklin et al., 1995 ; Deshmukh et al., 1997 ). In
summary, DPI treatment protects sympathetic neurons from NGF
deprivation-induced apoptosis in a time- and concentration-dependent manner.
DPI blocks NGF deprivation-induced oxidative stress
To evaluate directly whether DPI inhibited oxidative stress
induced by NGF deprivation, neurons were deprived of NGF in the presence or absence of DPI for 4 hr. During the last 30 min of this
interval, the neurons were loaded with H2DCFDA,
which is converted to the fluorescent DCF by oxidative stress. Changes in DCF fluorescence were then quantified by using a fluorescent microtiter plate reader, which greatly facilitated the assay, as
opposed to using confocal microscopy and quantifying individual neurons, as reported by others previously (Greenlund et al., 1995 ; Dugan et al., 1997 ). NGF deprivation induced an almost twofold increase
in DCF fluorescence, which DPI significantly inhibited (Fig.
3A; p < 0.05, Student's t test). DPI had no effect on DCF values in
NGF-maintained neurons (Fig. 3A). Because changes in cellular pH can modulate DCF fluorescence in an artifactual manner, we
also quantified DPI effects on the fluorescence observed in cells
treated with DCFDA; this compound is converted directly to fluorescent
DCF by cytosolic esterases, independent of oxidation. Neither DPI nor
NGF deprivation altered the fluorescence of neurons loaded with this
dye (Fig. 3B). Hence, DPI blocks the oxidative stress
induced by NGF deprivation. Because oxidative stress is necessary for
apoptosis in this paradigm (Greenlund et al., 1995 ; Jordan et al.,
1995 ), DPI inhibition of oxidative stress may account for DPI
inhibition of apoptosis.

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Figure 3.
DPI blocks NGF deprivation-induced oxidative
stress. Neurons were treated with DPI or NGF deprivation as indicated
for 3.5 hr. They were then loaded for 30 min with either
H2DCFDA, to assess oxidative stress
(A), or DCFDA, to assess whether DCF fluorescence
was altered artifactually by DPI (B). DCF
fluorescence was then quantified by using a fluorescent microtiter
plate reader. The data in A represent the mean ± SE of four separate experiments, whereas the data in B
represent the mean ± range of two separate experiments.
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Apoptosis is decreased in neurons lacking NADPH
oxidase activity
Although DPI is known to inhibit NADPH oxidase, DPI is also
capable of inhibiting additional flavin-dependent enzymes, including nitric oxide synthase, NADPH-cytochrome P450 reductase, and
NADH-ubiquinone oxireductase (Stuehr et al., 1991 ; Li and Trush, 1998 ;
McGuire et al., 1998 ). Therefore, to more rigorously evaluate the role of NADPH oxidase in neuronal death, we chose a nonpharmacological means
to inhibit NADPH oxidase in neuronal death, i.e., genetic deletion. We
obtained mice deficient in gp91-phox, one of the catalytic NADPH
oxidase subunits necessary for superoxide production (Pollock et al.,
1995 ). Sympathetic neuronal cultures were established from neonatal
littermates that were wild-type or deficient with respect to gp91-phox
and subjected to NGF deprivation in parallel. Although neurons from
wild-type mice died at rates comparable with those of rat neurons, the
frequency of apoptosis in neurons isolated from gp91-phox-deficient
mice was equivalent to that of NGF-maintained neurons (Fig.
4). Hence, two separate means of
inhibiting NADPH oxidase both implicate this enzyme as contributing to
NGF deprivation-induced neuronal apoptosis.

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Figure 4.
NADPH oxidase-deficient neurons are resistant to
NGF deprivation-induced apoptosis. Neurons from wild-type or NADPH
oxidase-deficient neonatal littermates were prepared and maintained
in vitro for 3 d. They were then deprived of NGF
for 24 hr, and the frequency of apoptotic neurons was determined by
blinded scoring of Hoechst 33258 staining. These results represent the
mean ± SE of four separate experiments.
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DISCUSSION |
The significance of the results reported here are twofold. First,
NADPH oxidase subunits appear present in neurons at the mRNA and
protein levels. Because NADPH oxidase contributes to oxidative stress
in other tissues, these results identify NADPH oxidase as a previously
unconsidered source of neuronal oxidative stress. Second, this report
provides compelling evidence that NADPH oxidase contributes to the ROS
and apoptosis that are induced in a classic programmed cell death
model, i.e., NGF-deprived sympathetic neurons. Because oxidative stress
appears to play an important role in many cell death paradigms
associated with neurodegenerative diseases, such as Alzheimer's
disease, amyotrophic lateral sclerosis, and stroke (for review, see
Cotman, 1998 ; Facchinetti et al., 1998 ; Sun and Chen, 1998 ; Lee et al.,
1999 ), that NADPH oxidase is present in neural tissue and contributes
to neuronal death may have implications beyond the sympathetic neuron model.
The mechanisms leading to NADPH oxidase activation in neurons are
unclear, but results from other cell types provide some insights. In
resting lymphocytes, NADPH oxidase subunits are segregated into a
three-member cytosolic component (p40-phox, p47-phox, and p67-phox) and
a two-member plasma membrane component (p22-phox and gp91-phox) (DeLeo
and Quinn, 1996 ). NADPH oxidase is activated when the cytosolic
subunits translocate to the membrane where multiple binding
interactions occur among the five subunits (DeLeo and Quinn, 1996 ).
Translocation and assembly requires p47-phox phosphorylation, although
the relevant kinases have not yet been identified (Johnson et al.,
1998 ). Maximal NADPH oxidase activation is dependent on a low molecular
weight GTP-binding protein, Rac1, joining the complex (Bokoch, 1995 ).
Interestingly, Bazenet et al. (1998) recently reported that
overexpression of constitutively active Rac1 as well as the related
CDC42 induces apoptosis in NGF-maintained sympathetic neurons and that
overexpression of a Rac1 or CDC42 dominant negative gene blocks
apoptosis in NGF-deprived neurons. Hence, NADPH oxidase activation
after NGF deprivation may be regulated in part by Rac1 and/or CDC42 as
well as unknown kinase(s).
Several lines of evidence suggest that NADPH oxidase may be a useful
therapeutic target, especially in relatively acute situations of
neuronal loss. For example, Walder et al. (1997) showed that mice
lacking NADPH oxidase are resistant to neuronal loss after ischemia.
Here, we have used a well established paradigm of trophic factor
deprivation to show that NADPH oxidase appears necessary for ROS
generation and apoptosis. Whether NADPH oxidase inhibition may be
applicable in chronic situations is unclear, because DPI treatment or
NADPH oxidase deficiency blocked apoptosis for only 72-96 hr, after
which the neurons did begin to die (data now shown); although these
results are consistent with those of SOD-protected neurons, which also
underwent a delayed apoptosis after NGF deprivation (Greenlund et al.,
1995 ), we interpret these results as suggesting that NADPH
oxidase inhibition may not be useful in chronic neurodegenerative conditions. That NADPH oxidase may be inhibited at least in the short
term without an overly deleterious result is suggested by the
observations that mice or humans deficient in NADPH oxidase develop
normally but with an increased susceptibility to infection (Pollock et
al., 1995 ; Segal, 1996 ). Hence, inhibition of NADPH oxidase may provide
an effective means to inhibit neuronal loss in acute situations.
In summary, we report that NADPH oxidase subunits are present in
neurons. Moreover, both an NADPH oxidase pharmacological inhibitor and
NAPDH oxidase genetic deficiency inhibit the death of NGF-deprived
sympathetic neurons. Overall, we interpret these results as indicating
that NADPH oxidase is unexpectedly present in neurons and can
contribute to neuronal apoptosis.
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FOOTNOTES |
Received May 12, 1999; revised Sept. 28, 1999; accepted Nov. 5, 1999.
This work was supported by National Institutes of Health Grants
T32AG-00242 (S.P.T.), R29 NS-35607 (S.E.), and RO1 AR-42426 (M.T.Q.)
and an American Heart Association Established Investigator Award
(M.T.Q.). We thank H. M. Tucker and E.M. Johnson for helpful discussion.
Correspondence should be addressed to Steven Estus, 800 South
Limestone, Lexington, KY 40536-0230. E-mail:
sestus{at}aging.coa.uky.edu.
Dr. Tammariello's present address: Department of Biological Sciences,
Binghamton University, Science III, Room 142, Binghamton, NY
13902-6000.
This article is published in
The Journal of Neuroscience, Rapid Communications Section,
which publishes brief, peer-reviewed papers online, not in print. Rapid
Communications are posted online approximately one month earlier than
they would appear if printed. They are listed in the Table of Contents
of the next open issue of JNeurosci. Cite this article as:
JNeurosci, 2000, 20:RC53 (1-5). The
publication date is the date of posting online at
www.jneurosci.org.
 |
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C. Hidalgo, G. Sanchez, G. Barrientos, and P. Aracena-Parks
A Transverse Tubule NADPH Oxidase Activity Stimulates Calcium Release from Isolated Triads via Ryanodine Receptor Type 1 S -Glutathionylation
J. Biol. Chem.,
September 8, 2006;
281(36):
26473 - 26482.
[Abstract]
[Full Text]
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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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J. Anrather, G. Racchumi, and C. Iadecola
NF-{kappa}B Regulates Phagocytic NADPH Oxidase by Inducing the Expression of gp91phox
J. Biol. Chem.,
March 3, 2006;
281(9):
5657 - 5667.
[Abstract]
[Full Text]
[PDF]
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J. Li, O. Baud, T. Vartanian, J. J. Volpe, and P. A. Rosenberg
Peroxynitrite generated by inducible nitric oxide synthase and NADPH oxidase mediates microglial toxicity to oligodendrocytes
PNAS,
July 12, 2005;
102(28):
9936 - 9941.
[Abstract]
[Full Text]
[PDF]
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M. C. Zimmerman, R. P. Dunlay, E. Lazartigues, Y. Zhang, R. V. Sharma, J. F. Engelhardt, and R. L. Davisson
Requirement for Rac1-Dependent NADPH Oxidase in the Cardiovascular and Dipsogenic Actions of Angiotensin II in the Brain
Circ. Res.,
September 3, 2004;
95(5):
532 - 539.
[Abstract]
[Full Text]
[PDF]
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D.-C. Wu, P. Teismann, K. Tieu, M. Vila, V. Jackson-Lewis, H. Ischiropoulos, and S. Przedborski
NADPH oxidase mediates oxidative stress in the 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine model of Parkinson's disease
PNAS,
May 13, 2003;
100(10):
6145 - 6150.
[Abstract]
[Full Text]
[PDF]
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