The
CYBB gene encode cytochrome b-245, beta chain. This protein is subunit of a group of proteins that forms an enzyme complex called NADPH oxidase, which plays an essential role in the immune system. Within this complex, the cytochrome b-245, beta chain has an alpha chain partner (produced from the
CYBA gene). Both alpha and beta chains are required for either to function and the NADPH oxidase complex requires both chains in order to be functional. It has been proposed as a primary component of the
microbicidal oxidase system of
phagocytes. Nox2 is the catalytic, membrane-bound subunit of
NADPH oxidase. It is inactive until it binds to the membrane-anchored
p22phox, forming the heterodimer known as flavocytochrome b558. After activation, the regulatory subunits
p67phox,
p47phox,
p40phox and a
GTPase, typically Rac, are recruited to the complex to form NADPH oxidase on the plasma membrane or phagosomal membrane. Nox2 itself is composed of an N-terminal transmembrane domain that binds two
heme groups, and a C-terminal domain that is able to bind to
FAD and
NADPH. Evidence has shown that it plays an important role in
atherosclerotic lesion development in the
aortic arch,
thoracic, and
abdominal aorta. It has also been shown to play a part in determining the size of a
myocardial infarction due to its connection to ROS, which play a role in myocardial reperfusion injury. This was a result of the relation between Nox2 and signaling necessary for
neutrophil recruitment. Furthermore, it increases global post-reperfusion
oxidative stress, likely due to decreased
STAT3 and
Erk phosphorylation. Endothelial Nox2 limits NF-κB activation and TLR4 expression, which in turn attenuates the severity of hypotension and systemic inflammation induced by lipopolysaccharides (LPS). It seems that Nox2 also plays an important role in
angiotensin II-mediated inward remodelling in cerebral arterioles due to the emittance of superoxides from Nox2-containing
NADPH oxidases. == Clinical significance ==