This report summarizes new evidence for a plasmamembrane-associated hydroqu
inone oxidase designated as CNOX (constitutive plasma membrane NADH oxidase
) that functions as a terminal oxidase for a plasma membrane oxidoreductase
(PMOR) electron transport chain to link the accumulation of lesions in mit
ochondrial DNA to cell-surface accumulations of reactive oxygen species. Pr
evious considerations of plasma membrane redox changes during aging have la
cked evidence for a specific terminal oxidase to catalyze a flow of electro
ns from cytosolic NADH to molecular oxygen (or to protein disulfides), Cell
s with functionally deficient mitochondria become characterized by an anaer
obic metabolism, As a result, NADH accumulates from the glycolytic producti
on of ATP, Elevated PMOR activity has been shown to be necessary to maintai
n the NAD(+)/ADH homeostasis essential for survival, Our findings demonstra
te that the hyperactivity of the PMOR system results in an NADH oxidase (NO
X) activity capable of generating reactive oxygen species at the cell surfa
ce. This would serve to propagate the aging cascade both to adjacent cells
and to circulating blood components. The generation of superoxide by NOX fo
rms associated with aging is inhibited by coenzyme Q and provides a rationa
l basis for the anti-aging activity of circulating coenzyme Q.