Symons J David, McMillin Shawna L, Riehle Christian, Tanner Jason, Palionyte Milda, Hillas Elaine, Jones Deborah, Cooksey Robert C, Birnbaum Morris J, McClain Donald A, Zhang Quan-Jiang, Gale Derrick, Wilson Lloyd J, Abel E Dale
College of Health, University of Utah School of Medicine, 30 N 2030 E, Salt Lake City, UT 84132, USA.
Circ Res. 2009 May 8;104(9):1085-94. doi: 10.1161/CIRCRESAHA.108.189316. Epub 2009 Apr 2.
Impaired insulin signaling via phosphatidylinositol 3-kinase/Akt to endothelial nitric oxide synthase (eNOS) in the vasculature has been postulated to lead to arterial dysfunction and hypertension in obesity and other insulin resistant states. To investigate this, we compared insulin signaling in the vasculature, endothelial function, and systemic blood pressure in mice fed a high-fat (HF) diet to mice with genetic ablation of insulin receptors in all vascular tissues (TTr-IR(-/-)) or mice with genetic ablation of Akt1 (Akt1-/-). HF mice developed obesity, impaired glucose tolerance, and elevated free fatty acids that was associated with endothelial dysfunction and hypertension. Basal and insulin-mediated phosphorylation of extracellular signal-regulated kinase 1/2 and Akt in the vasculature was preserved, but basal and insulin-stimulated eNOS phosphorylation was abolished in vessels from HF versus lean mice. In contrast, basal vascular eNOS phosphorylation, endothelial function, and blood pressure were normal despite absent insulin-mediated eNOS phosphorylation in TTr-IR(-/-) mice and absent insulin-mediated eNOS phosphorylation via Akt1 in Akt1-/- mice. In cultured endothelial cells, 6 hours of incubation with palmitate attenuated basal and insulin-stimulated eNOS phosphorylation and NO production despite normal activation of extracellular signal-regulated kinase 1/2 and Akt. Moreover, incubation of isolated arteries with palmitate impaired endothelium-dependent but not vascular smooth muscle function. Collectively, these results indicate that lower arterial eNOS phosphorylation, hypertension, and vascular dysfunction following HF feeding do not result from defective upstream signaling via Akt, but from free fatty acid-mediated impairment of eNOS phosphorylation.
血管系统中通过磷脂酰肌醇3激酶/蛋白激酶B(Akt)至内皮型一氧化氮合酶(eNOS)的胰岛素信号受损,被认为会导致肥胖和其他胰岛素抵抗状态下的动脉功能障碍和高血压。为了对此进行研究,我们比较了高脂(HF)饮食喂养的小鼠与所有血管组织中胰岛素受体基因敲除的小鼠(TTr-IR(-/-))或Akt1基因敲除的小鼠(Akt1-/-)在血管系统中的胰岛素信号、内皮功能和全身血压。HF小鼠出现肥胖、糖耐量受损和游离脂肪酸升高,这与内皮功能障碍和高血压相关。血管系统中细胞外信号调节激酶1/2和Akt的基础及胰岛素介导的磷酸化得以保留,但与瘦小鼠相比,HF小鼠血管中基础及胰岛素刺激的eNOS磷酸化被消除。相比之下,尽管TTr-IR(-/-)小鼠中不存在胰岛素介导的eNOS磷酸化,Akt1-/-小鼠中不存在通过Akt1的胰岛素介导的eNOS磷酸化,但基础血管eNOS磷酸化、内皮功能和血压正常。在培养的内皮细胞中,尽管细胞外信号调节激酶1/2和Akt正常激活,但与棕榈酸孵育6小时会减弱基础及胰岛素刺激的eNOS磷酸化和一氧化氮生成。此外,用棕榈酸孵育分离的动脉会损害内皮依赖性但不损害血管平滑肌功能。总体而言,这些结果表明,HF喂养后动脉eNOS磷酸化降低、高血压和血管功能障碍并非源于Akt上游信号缺陷,而是源于游离脂肪酸介导的eNOS磷酸化受损。