eactive oxygen species (ROS) originate from many sources, including the Nox family of NADPH oxidases, xanthine oxidase, and mitochondria, in which superoxide radicals are the byproducts of oxidative energy production. Superoxide radicals are dismutated by superoxide dismutase (SOD), to produce hydrogen peroxides, which in turn are degraded into water and molecular oxygen by glutathione peroxidase and peroxiredoxin. Hydroxyl radicals (OH•), which are the most potent ROS, are formed from hydrogen peroxides through the Fenton reaction. There are no endogenous enzymes to eliminate these radicals. In healthy mitochondria, mitochondrial ROS are adequately scavenged by antioxidant enzymes, but in damaged mitochondria, energy production is decreased and ROS production is disproportionally increased, surpassing the endogenous antioxidant capacity. Mitochondrial oxidative stress is implicated in the pathogenesis of a variety of heart diseases. 1 The acute production of excess ROS during ischemia-reperfusion injury triggers myocardial cell death. In addition, the continuous increase in ROS production and impaired energy production contribute to the development and progression of maladaptive cardiac remodeling and heart failure. 2 Furthermore, lifelong exposure of mitochondria to oxidative stress leads to cardiac senescence. Thus, mitochondrion-protective antioxidants are powerful agents for the prevention and treatment of oxidative stress-associated heart diseases.
Article p 2125EUK-8, which is a synthetic SOD/catalase mimetic, accesses the mitochondrial matrix and effectively scavenges mitochondrial ROS. 3 Previous studies have shown that EUK-8 prevents IR injury 4 and post-ischemic reperfusion arrythmias, 5 attenuates pathologic hypertrophic growth, 6 and ameliorates pressure-overload-induced heart failure. 7 In the present issue of the Journal, Kawakami et al 8 demonstrate that EUK-8 blunts the development of dilated cardiomyopathy (DCM), and also potently reverses established DCM in the hearts of muscle-specific SOD2 knockout (H/M-Sod2 −/− ) mice. In this transgenic mouse, the lack of cardiac mitochondrial SOD activity induces excessive generation of mitochondrial ROS, resulting in the accumulation of oxidative macromolecular damage, including oxidative damage to nuclear DNA. As a consequence, systolic dysfunction becomes apparent in these mice as early as 4 weeks of age, and maladaptive left ventricular (LV) remodeling (ie, chamber dilatation and increased heart weight to body weight ratio) is progressively exacerbated.The authors treated the H/M-Sod2 −/− mice with EUK-8 using 2 different protocols (Figure). When EUK-8 was administered before the onset of obvious pathologic remodeling (ie, preventive administration), LV dilatation and the decline in LV fractional shortening were significantly suppressed, as compared with saline-treated H/M-Sod2 −/− mice. These outcomes were associated with the suppression of excessive ROS generation and oxidative DNA damage, and the restoration of cardiac ATP levels. When EUK-8 was ad...