Romanko Olga P, Ali M Irfan, Mintz James D, Stepp David W
Vascular Biology Center and Department of Physiology, Medical College of Georgia, Augusta, Georgia 30912, USA.
Microcirculation. 2009 Jul;16(5):414-23. doi: 10.1080/10739680902832795. Epub 2009 Apr 18.
Obesity and diabetes are major risk factors for the development of vascular disease in the lower limbs. Previous studies have demonstrated reduced nitric oxide (NO)-mediated vasodilation, increased adrenergic constriction, and inward, atrophic remodeling in the limb circulation of obese Zucker rats, but the component of the "metabolic syndrome" driving these changes is unclear. Because insulin resistance precedes the state of frank diabetes, the current study hypothesized that insulin resistance independent of obesity induced by fructose feeding would impair microvascular function in the skeletal muscle circulation in lean Zucker rats (LZR). A 66% fructose diet impaired glucose tolerance and induced moderate insulin resistance with no changes in whole-body hemodynamics of anesthetized rats (FF-LZR), compared to control LZR. NO-mediated vasodilation of isolated gracilis arteries, assessed in vitro with acetylcholine and sodium nitroprusside, was reduced approximately 20% in FF-LZR vs. LZR. NO-independent cGMP-mediated vasodilation was unimpaired. Pretreatment of isolated vessels with the superoxide scavenger, tempol, improved responses to both vasodilators. Reactivity to adrenergic stimulation was unaltered in FF-LZR vs. LZR, although constriction to endothelin was increased. Structural and passive mechanical characteristics of isolated gracilis arteries were similar in both LZR and FF-LZR. Taken together, these findings indicate that moderate insulin resistance is sufficient to impair endothelial function in an oxidant-dependent manner in the rat hindlimb circulation. Other aspects of skeletal muscle vascular function documented in obese models, specifically adrenergic tone and inward remodeling, must reflect either severe insulin resistance or other aspects of obesity. The factors accounting for nonendothelial vasculopathies remain unknown.
肥胖和糖尿病是下肢血管疾病发生的主要危险因素。先前的研究表明,肥胖的 Zucker 大鼠肢体循环中一氧化氮(NO)介导的血管舒张功能降低、肾上腺素能收缩增强以及血管向内萎缩重塑,但驱动这些变化的“代谢综合征”成分尚不清楚。由于胰岛素抵抗先于明显糖尿病状态出现,因此本研究假设,果糖喂养诱导的独立于肥胖的胰岛素抵抗会损害瘦 Zucker 大鼠(LZR)骨骼肌循环中的微血管功能。与对照 LZR 相比,66%果糖饮食损害了葡萄糖耐量并诱导了中度胰岛素抵抗,而麻醉大鼠的全身血流动力学无变化(FF-LZR)。在体外使用乙酰胆碱和硝普钠评估,FF-LZR 与 LZR 相比,分离的股薄肌动脉的 NO 介导的血管舒张减少了约 20%。不依赖 NO 的 cGMP 介导的血管舒张未受损。用超氧化物清除剂 tempol 预处理分离的血管可改善对两种血管舒张剂的反应。FF-LZR 与 LZR 相比,对肾上腺素能刺激的反应性未改变,尽管对内皮素的收缩增加。LZR 和 FF-LZR 中分离的股薄肌动脉的结构和被动机械特性相似。综上所述,这些发现表明,中度胰岛素抵抗足以以氧化依赖的方式损害大鼠后肢循环中的内皮功能。肥胖模型中记录的骨骼肌血管功能的其他方面,特别是肾上腺素能张力和向内重塑,必须反映严重的胰岛素抵抗或肥胖的其他方面。导致非内皮血管病变的因素仍然未知。