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Publication : Skeletal muscle NOX4 is required for adaptive responses that prevent insulin resistance.

First Author  Xirouchaki CE Year  2021
Journal  Sci Adv Volume  7
Issue  51 Pages  eabl4988
PubMed ID  34910515 Mgi Jnum  J:351442
Mgi Id  MGI:6842832 Doi  10.1126/sciadv.abl4988
Citation  Xirouchaki CE, et al. (2021) Skeletal muscle NOX4 is required for adaptive responses that prevent insulin resistance. Sci Adv 7(51):eabl4988
abstractText  Reactive oxygen species (ROS) generated during exercise are considered integral for the health-promoting effects of exercise. However, the precise mechanisms by which exercise and ROS promote metabolic health remain unclear. Here, we demonstrate that skeletal muscle NADPH oxidase 4 (NOX4), which is induced after exercise, facilitates ROS-mediated adaptive responses that promote muscle function, maintain redox balance, and prevent the development of insulin resistance. Conversely, reductions in skeletal muscle NOX4 in aging and obesity contribute to the development of insulin resistance. NOX4 deletion in skeletal muscle compromised exercise capacity and antioxidant defense and promoted oxidative stress and insulin resistance in aging and obesity. The abrogated adaptive mechanisms, oxidative stress, and insulin resistance could be corrected by deleting the H(2)O(2)-detoxifying enzyme GPX-1 or by treating mice with an agonist of NFE2L2, the master regulator of antioxidant defense. These findings causally link NOX4-derived ROS in skeletal muscle with adaptive responses that promote muscle function and insulin sensitivity.
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