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November 25, 2022Free Radical Biology and MedicineOpen Access

Skeletal muscle Nox4 knockout prevents and Nox2 knockout blunts loss of maximal diaphragm force in mice with heart failure with reduced ejection fraction

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Key result

Skeletal muscle knockout of Nox4 provided full protection against loss of diaphragm maximal force in HFrEF mice (p<0.01), while Nox2 knockout provided partial protection (7% depression, p<0.01).

Why the study?

Diaphragm weakness in HFrEF is linked to excessive reactive oxygen species, but the exact source of ROS and the role of skeletal muscle Nox2 and Nox4 remain unknown.

Does skeletal muscle specific knockout of Nox2 or Nox4 prevent loss of maximal diaphragm force in a mouse model of HFrEF?

Population

Mouse model of HFrEF induced by myocardial infarction

Comparison

Inducible skeletal muscle-specific knockout of Nox2 or Nox4 vs controls

Design

Preclinical animal study using the Cre-Lox system

Authors

RKRavi A. KumarDHDongwoo HahnRKRachel C. Kelley

Discussion

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Overview

Nox4 may mediate diaphragm weakness in experimental HFrEF; leaves open translation to human therapies.

Structured PICO

Does skeletal muscle specific knockout of Nox2 or Nox4 prevent loss of maximal diaphragm force in a mouse model of HFrEF?

P
Population
Mice with heart failure with reduced ejection fraction induced by myocardial infarction.
I
Intervention
Inducible skeletal muscle specific knockouts of Nox2 or Nox4 using the Cre-Lox system
C
Comparator
HFrEF mice without skeletal muscle specific Nox2 or Nox4 knockout
O
Outcome
Diaphragm maximal specific force measured in vitrosurrogate

Main Result

p-value: p=<0.01

Skeletal muscle Nox4 and Nox2 contribute to diaphragm weakness in HFrEF, and their targeted knockout preserves diaphragm force and improves survival in a mouse model.

Cite This Study

Kumar et al. (2022) studied Heart failure with reduced ejection fraction (HFrEF). Skeletal muscle specific knockouts of Nox2 or Nox4 vs. Control mice with HFrEF was evaluated on Diaphragm maximal specific force (p=<0.01). Skeletal muscle knockout of Nox4 provided full protection against loss of diaphragm maximal force in HFrEF mice (p<0.01), while Nox2 knockout provided partial protection (7% depression, p<0.01).

synapsesocial.com/papers/6a6c57ea3e46b6df0af359a0https://doi.org/10.1016/j.freeradbiomed.2022.11.025
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