The imbalanced redox status in senescent endothelial cells is due to dysregulated Thioredoxin-1 and NADPH oxidase 4
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ROS are increased in stress-induced premature senescence in primary endothelial cells.

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Redox homeostasis is imbalanced by upregulation of NOX4 and degradation of Trx-1.

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“Over-activated” Cathepsin D increases senescence, ROS formation and Trx-1 degradation.

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Trx-1 protein levels also correlate negatively with NOX4 expression in vivo.

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