TY - JOUR A1 - Hancock, Matthew A1 - Hafstad, Anne D. A1 - Nabeebaccus, Adam A. A1 - Catibog, Norman A1 - Logan, Angela A1 - Smyrnias, Ioannis A1 - Hansen, Synne S. A1 - Lanner, Johanna A1 - Schröder, Katrin A1 - Murphy, Michael P. A1 - Shah, Ajay M. A1 - Zhang, Min T1 - Myocardial NADPH oxidase-4 regulates the physiological response to acute exercise T2 - eLife N2 - Regular exercise has widespread health benefits. Fundamental to these beneficial effects is the ability of the heart to intermittently and substantially increase its performance without incurring damage, but the underlying homeostatic mechanisms are unclear. We identify the ROS-generating NADPH oxidase-4 (Nox4) as an essential regulator of exercise performance in mice. Myocardial Nox4 levels increase during acute exercise and trigger activation of the transcription factor Nrf2, with the induction of multiple endogenous antioxidants. Cardiomyocyte-specific Nox4-deficient (csNox4KO) mice display a loss of exercise-induced Nrf2 activation, cardiac oxidative stress and reduced exercise performance. Cardiomyocyte-specific Nrf2-deficient (csNrf2KO) mice exhibit similar compromised exercise capacity, with mitochondrial and cardiac dysfunction. Supplementation with an Nrf2 activator or a mitochondria-targeted antioxidant effectively restores cardiac performance and exercise capacity in csNox4KO and csNrf2KO mice respectively. The Nox4/Nrf2 axis therefore drives a hormetic response that is required for optimal cardiac mitochondrial and contractile function during physiological exercise. KW - Research article KW - human biology and medicine KW - exercise KW - Nox4 KW - Nfe2l2 KW - mitochondria KW - reactive oxygen species KW - mouse Y1 - 2018 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/48612 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-486127 SN - 2050-084X N1 - Copyright Hancock et al. This article is distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use and redistribution provided that the original author and source are credited. VL - 7 IS - e41044 SP - 1 EP - 16 PB - eLife Sciences Publications CY - Cambridge ER -