Department of Molecular and Cellular Biology, School of Natural Sciences, University of California Merced, Merced, California;
Am J Physiol Heart Circ Physiol. 2013 Aug 15;305(4):H599-607. doi: 10.1152/ajpheart.00101.2013. Epub 2013 Jun 14.
Activation of angiotensin receptor type 1 (AT1) contributes to NADPH oxidase (Nox)-derived oxidative stress during metabolic syndrome. However, the specific role of AT1 in modulating redox signaling, mitochondrial function, and oxidative stress in the heart remains more elusive. To test the hypothesis that AT1 activation increases oxidative stress while impairing redox signaling and mitochondrial function in the heart during diet-induced insulin resistance in obese animals, Otsuka Long Evans Tokushima Fatty (OLETF) rats (n = 8/group) were treated with the AT1 blocker (ARB) olmesartan for 6 wk. Cardiac Nox2 protein expression increased 40% in OLETF compared with age-matched, lean, strain-control Long Evans Tokushima Otsuka (LETO) rats, while mRNA and protein expression of the H₂O₂-producing Nox4 increased 40-100%. ARB treatment prevented the increase in Nox2 without altering Nox4. ARB treatment also normalized the increased levels of protein and lipid oxidation (nitrotyrosine, 4-hydroxynonenal) and increased the redox-sensitive transcription factor Nrf2 by 30% and the activity of antioxidant enzymes (SOD, catalase, GPx) by 50-70%. Citrate synthase (CS) and succinate dehydrogenase (SDH) activities decreased 60-70%, whereas cardiac succinate levels decreased 35% in OLETF compared with LETO, suggesting that mitochondrial function in the heart is impaired during obesity-induced insulin resistance. ARB treatment normalized CS and SDH activities, as well as succinate levels, while increasing AMPK and normalizing Akt, suggesting that AT1 activation also impairs cellular metabolism in the diabetic heart. These data suggest that the cardiovascular complications associated with metabolic syndrome may result from AT1 receptor-mediated Nox2 activation leading to impaired redox signaling, mitochondrial activity, and dysregulation of cellular metabolism in the heart.
血管紧张素受体 1(AT1)的激活导致代谢综合征期间 NADPH 氧化酶(Nox)衍生的氧化应激。然而,AT1 调节氧化还原信号、线粒体功能和心脏氧化应激的确切作用仍然更加难以捉摸。为了测试以下假说,即在肥胖动物的胰岛素抵抗期间,AT1 激活增加氧化应激,同时损害心脏中的氧化还原信号和线粒体功能,对 Otsuka Long Evans Tokushima Fatty(OLETF)大鼠(每组 8 只)用 AT1 阻滞剂(ARB)奥美沙坦治疗 6 周。与年龄匹配的瘦、对照品系 Long Evans Tokushima Otsuka(LETO)大鼠相比,OLETF 大鼠的心脏 Nox2 蛋白表达增加了 40%,而产生 H₂O₂的 Nox4 的 mRNA 和蛋白表达增加了 40-100%。ARB 治疗防止了 Nox2 的增加,而不改变 Nox4。ARB 治疗还使氧化应激标志物蛋白和脂质氧化(硝基酪氨酸、4-羟基壬烯醛)增加和氧化还原敏感转录因子 Nrf2 增加 30%以及抗氧化酶(SOD、过氧化氢酶、GPx)的活性增加 50-70%正常化。柠檬酸合酶(CS)和琥珀酸脱氢酶(SDH)活性降低 60-70%,而心脏琥珀酸水平降低 35%,与 LETO 相比,提示肥胖诱导的胰岛素抵抗期间心脏的线粒体功能受损。ARB 治疗使 CS 和 SDH 活性以及琥珀酸水平正常化,同时增加 AMPK 并使 Akt 正常化,提示 AT1 激活也损害糖尿病心脏的细胞代谢。这些数据表明,与代谢综合征相关的心血管并发症可能是由于 AT1 受体介导的 Nox2 激活导致氧化还原信号、线粒体活性和心脏细胞代谢失调所致。