The superoxide anion reactive oxygen species (ROS) is generated as a by-product of mitochondrial oxidative phosphorylation. Generation of superoxide, particularly as a result of inhibition of OxPhos Complex I (NADH-quinone oxidoreductase), is a pervasive source of toxicity and mitochondrial dysfunction. The enzyme superoxide dismutase (SOD) performs the key function of counteracting excessive levels of superoxide by converting it to less-reactive hydrogen peroxide. Many of the applications of MitoSOX™ Red indicator for specific detection of mitochondrial superoxide in live cells (Figure 1) and tissues discussed in this article revolve around SOD and Complex I, disorders in their expression, structure, and function, and their ultimate consequences in pathologies including amyotrophic lateral sclerosis (ALS), Parkinson’s disease, and Alzheimer’s disease [1,2]. Other applications described here include cardiovascular biology and oxidative damage studies, as well as examples of the probe’s utility in both microscopy and flow cytometry.
![]() | Figure 1. Detecting superoxide in live cells using MitoSOX™ Red superoxide indicator. Live 3T3 fibroblasts were treated with iron porphyrin FeTCPP, a superoxide dismutase (SOD) mimetic (Top), or left untreated (Bottom). Cells were then labeled with MitoSOX™ Red indicator in combination with blue-fluorescent Hoechst 33342 nuclear stain. Knockdown of the mitochondrial fluorescence signal by SOD mimetics such as FeTCPP and the manganese porphyrin MnTBAP provides valuable negative controls in MitoSOX™ Red superoxide detection assays. Useful positive controls (not shown) include treatment with antimycin A, doxorubicin, or high glucose. |
Discriminate Superoxide From Other ROS

Figure 2. Oxidation of MitoSOX™ Red indicator to 2-hydroxy-5-(triphenylphosphonium)hexylethidium by superoxide (O2 –.)
Figure 3. Fluorescence excitation and emission spectra of 2-hydroxyethidium bound to DNA. The excitation peak at ~400 nm that distinguishes 2-hydroxyethidium from ethidium is marked with an arrow. |
Neuroscience Applications
MitoSOX™ Red indicator has proven useful for applications in both neurons and glial cells. In many of these investigations, MitoSOX™ Red indicator is just one of several probes used to provide a correlative assessment of multiple physiological parameters. For example, in mouse cortical neurons expressing caspase-cleaved tau microtubule associated protein, mitochondrial superoxide generation (measured using MitoSOX™ Red indicator) has been correlated with cytosolic and mitochondrial calcium (measured using fluo-3, AM and rhod-2, AM, respectively) and mitochondrial membrane potential (measured using TMRM) [6].
The relationship of mitochondrial superoxide generation to dopamine transporter activity (measured using the aminostyryl dye substrate 4-Di-1-ASP) has been investigated in mouse brain astrocytes [7]. In PTEN-induced kinase 1 (PINK1) knockout mouse neurons, elevations in both mitochondrial and cytosolic superoxide (measured using MitoSOX™ Red indicator and HE, respectively) are associated with impaired glucose uptake (measured using 2-NBDG) and mitochondrial calcium overload (monitored using rhod-FF, AM) [8].
Cardiovascular Biology Applications
Beyond the Microscope: Applications In Flow Cytometry
Oxidative Damage Applications
A common application of MitoSOX™ Red indicator is the correlation of superoxide generation with the accumulation of oxidative damage products such as lipid peroxides and modified DNA bases such as 8-oxodG. Mitochondrial DNA (mtDNA) is located in close proximity to the electron transport chain complexes and is consequently more susceptible to oxidative damage than nuclear DNA. However, superoxide exposure (induced by rotenone inhibition of Complex I and detected by MitoSOX™ Red indicator) does not result in significant mtDNA mutagenesis (assessed by Southern blotting and DNA sequencing), due to enhanced mtDNA degradation that prevents the accumulation of mutagenic lesions [18].
Analysis of mitochondrial superoxide using MitoSOX™ Red indicator and lipid peroxidation using BODIPY® 581/591 C11 has facilitated investigation of oxidative stress generation mechanisms in human spermatozoa [19]. Oxidative damage products may have compounding effects by instigating further ROS generation. Using quantitative imaging of MitoSOX™ Red indicator, researchers from the University of Manitoba found that treatment of vascular endothelial cells with extensively oxidized low-density lipoprotein (LDL) resulted in near doubling of mitochondrial superoxide generation compared to treatment with normal LDL [20].
A Versatile Probe For ROS Studies
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