Zhang Wei, Fu Fang, Tie Ru, Liang Xiangyan, Tian Fei, Xing Wenjuan, Li Jia, Ji Lele, Xing Jinliang, Sun Xin, Zhang Haifeng
Department of Cardiology, Tangdu Hospital, Fourth Military Medical University, Xian, China.
Vasa. 2013 Nov;42(6):421-8. doi: 10.1024/0301-1526/a000311.
Endothelial dysfunction is an important factor in the pathogenesis of diabetes related vascular complications, and acute alpha-linolenic acid (ALA) intake can increase flow-mediated dilation of the diabetic artery at 4 h postprandially. However, whether chronic ALA supplementation may prevent endothelial dysfunction in the process of diabetes and underlying mechanisms remains largely unknown.
The high-fat diet-fed streptozotocin (HFD-STZ) rats provided an animal model for T2DM. Age-matched normal and HFD-STZ rats randomly received normal diet or ALA (500 mg/kg per day). After 5 weeks of feeding, endothelial function was determined.
Diabetes caused significant endothelial dysfunction (maximal vasorelaxation responses to ACh) in aortic segments, and ALA intake alleviated endothelial dysfunction. Superoxide production and peroxynitrite (ONOO-) formation were reduced with ALA supplement in diabetic vascular segments. Interestingly, ALA intake enhanced eNOS but inhibited iNOS activity in diabetic vessels. Moreover, ALA intake significantly increased eNOS phosphorylation. On the other hand, gp91phox and iNOS overexpression were reduced moderately with ALA intake in diabetic vessels.
We concluded that ALA prevents diabetes-induced endothelial dysfunction by enhancing eNOS activity and attenuates oxidative/nitrative stress by inhibiting iNOS and NADPH oxidase expression and ONOO- production.
内皮功能障碍是糖尿病相关血管并发症发病机制中的一个重要因素,急性摄入α-亚麻酸(ALA)可在餐后4小时增加糖尿病动脉的血流介导的血管舒张。然而,长期补充ALA是否可以预防糖尿病过程中的内皮功能障碍及其潜在机制在很大程度上仍然未知。
高脂饮食喂养链脲佐菌素(HFD-STZ)大鼠提供了2型糖尿病的动物模型。年龄匹配的正常大鼠和HFD-STZ大鼠随机接受正常饮食或ALA(每天500mg/kg)。喂养5周后,测定内皮功能。
糖尿病导致主动脉段出现显著的内皮功能障碍(对乙酰胆碱的最大血管舒张反应),而摄入ALA可减轻内皮功能障碍。在糖尿病血管段中,补充ALA可减少超氧化物生成和过氧亚硝酸根(ONOO-)形成。有趣的是,摄入ALA可增强糖尿病血管中的内皮型一氧化氮合酶(eNOS)活性,但抑制诱导型一氧化氮合酶(iNOS)活性。此外,摄入ALA可显著增加eNOS磷酸化。另一方面,在糖尿病血管中,摄入ALA可适度降低gp91phox和iNOS的过表达。
我们得出结论,ALA通过增强eNOS活性预防糖尿病诱导的内皮功能障碍,并通过抑制iNOS和NADPH氧化酶表达以及ONOO-生成减轻氧化/硝化应激。