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. 2012 May 13;69(14):2409–2427. doi: 10.1007/s00018-012-1015-4

Table 3.

NOX2 inhibition promotes healthy microglial function and neuroprotection

NOX2 inhibitor Disease model Effect References
Alzheimer’s disease
 Ibuprophin B6-R1.40 mice Enhanced Aβ clearance and reduced ROS [222]
 Apocynin hAPP(751)(SL) mice Reduced plaque size and microglial number [240]
 Nicotine fAβ (1-42), in vitro Reduced microglial NOX2 activation [241]
 Melatonin fAβ (1-42), in vitro Inhibits p47PHOX phosphorylation [242]
 Simvastatin and lovastatin fAβ (1-42), in vitro Inhibits NOX2 activation via Rac1 inhibition [215]
Parkinson’s disease
 Apocynin MPTP, MPP+, in vitro Anti-inflammatory and neuroprotective [156]
 Diphenyliodonium (DPI) LPS, in vitro Inhibited microglial activation; neuoroprtective [194]
 Interleukin-10 LPS, in vitro Anti-inflammatory and neuroprotective [243]
 Transforming growth factor β1 LPS and MPP+, in vitro Anti-inflammatory and neuroprotective [228]
 Morphine LPS and MPP+, in vitro Anti-inflammatory and neuroprotective [195]
 PACAP LPS and MPP+, in vitro Anti-inflammatory and neuroprotective [200]
 Leucine enkephalin LPS, in vitro Anti-inflammatory and neuroprotective [199]
 Dynorphin LPS, in vitro Anti-inflammatory and neuroprotective [101, 244]
 Dextromethorphin LPS and MPP+, in vitro, and MPTP, in vitvo Anti-inflammatory and neuroprotective [198, 245]
 Naloxone LPS, in vitro Binds NOX2; anti-inflammatory and neuroprotective [244]
 Sinomenine LPS and MPP+, in vitro Anti-inflammatory and neuroprotective [196]
 Glyceryl nonivamide 6-hydroxydopamine, in vitro Anti-inflammatory, neuoprotective [246]
 Resveratrol LPS, in vitro Reduced microglial NOX2 activation; attenuated microglia-mediated neurotoxicity [224]
 FLZ LPS and MPP+, in vitro Anti-inflammatory and neuroprotective [28]
 Minocycline Nigral thrombin injection, mice NOX2 inhibition, anti-inflammatory and neuroprotective [247]
 Fluoxetine (antidepressant) MPTP, in vitro Only protective in presence of microglia; anti-inflammatory and neuroprotective [159]
 Verapamil LPS, in vitro Binds to NOX2; anti-inflammatory and neuroprotective [201]
 Paroxetine MPTP, mice Reduced NOX2 activation, loss of nigrostriatal DA neurons, and glial activation [248]
 Nimodipine LPS and MPTP, in vitro Decreased pro-inflammatory cytokines and ROS production; neuroprotective [249]
Ischemia
 LY367385 (mGluR1 antagonist) Transient focal ischemia, rat Deceased NOX2 activation, decreased expression of the NOX2 complex subunits [250]
 Andrographolide Hypoxia, mice Reduced NOX2 activation, Anti-inflammatory and neuroprotective [251]
 Apocynin Cerebral Ischemia, mice Blocked IL-1β potentiation of pial venule permeability [252]
 Apocynin Cerebral Ischemia, mice 50 % less brain infarction and 70 % less cleaved spectrin [253]
 Atorvastatin (statin) Transient focal ischemia, rat Anti-inflammatory and neuroprotective [254]
Other
 Aripiprazole (atypical antipsychotic) PMA, in vitro Anti-inflammatory and neuroprotective [255]
 (RS)-2-chloro-5-hydroxyphenylglycine LPS, in vitro Reduced microglial NOX2 activation and expression [256]
 Cannabidiol (non-psychoactive cannabinoid) LPS, retinal microglia cultures Reduced NOX2-derived ROS and lowered production of pro-inflammatory factors [257]

At present, highly specific NOX2 inhibitors that regulate microglial activation of confer neuroprotection are unavailable. The compounds listed here are potential inhibitors that have not confirmed direct interaction with NOX2 enzyme components. These molecules have demonstrated the ability to impact NOX2 function, which was determined by loss of function in the presence of other NOX2 inhibitors, NOX2 genetic ablation, or demonstration of the ability to impair assembly of the NOX2 complex. Notably, microglia have the ability to produce ROS through other mechanisms, and all ROS-inhibiting compounds were not included. Further, the compounds listed may have many neuroprotective effects outside of what is noted in this table, which only focuses on NOX2-dependent effects

PACAP pituitary adenylate cyclase-activating polypeptide, LPS lipopolysaccharide, ROS reactive oxygen species, MPTP 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine, MPP + 1-methyl-4-phenylpyridinium, beta amyloid, FLZ N-[2-(4-hydroxy-phenyl)-ethyl]-2-(2,5-dimethoxy-phenyl)-3-(3-methoxy-4-hydroxy-phenyl)-acrylamide