Olver T Dylan, Grunewald Zachary I, Jurrissen Thomas J, MacPherson Rebecca E K, LeBlanc Paul J, Schnurbusch Teagan R, Czajkowski Alana M, Laughlin M Harold, Rector R Scott, Bender Shawn B, Walters Eric M, Emter Craig A, Padilla Jaume
Department of Biomedical Sciences, University of Missouri , Columbia, Missouri.
Department of Nutrition and Exercise Physiology, University of Missouri , Columbia, Missouri.
Am J Physiol Regul Integr Comp Physiol. 2018 Feb 1;314(2):R252-R264. doi: 10.1152/ajpregu.00213.2017. Epub 2017 Dec 4.
Impaired microvascular insulin signaling may develop before overt indices of microvascular endothelial dysfunction and represent an early pathological feature of adolescent obesity. Using a translational porcine model of juvenile obesity, we tested the hypotheses that in the early stages of obesity development, impaired insulin signaling manifests in skeletal muscle (triceps), brain (prefrontal cortex), and corresponding vasculatures, and that depressed insulin-induced vasodilation is reversible with acute inhibition of protein kinase Cβ (PKCβ). Juvenile Ossabaw miniature swine (3.5 mo of age) were divided into two groups: lean control ( n = 6) and obese ( n = 6). Obesity was induced by feeding the animals a high-fat/high-fructose corn syrup/high-cholesterol diet for 10 wk. Juvenile obesity was characterized by excess body mass, hyperglycemia, physical inactivity (accelerometer), and marked lipid accumulation in the skeletal muscle, with no evidence of overt atherosclerotic lesions in athero-prone regions, such as the abdominal aorta. Endothelium-dependent (bradykinin) and -independent (sodium nitroprusside) vasomotor responses in the brachial and carotid arteries (wire myography), as well as in the skeletal muscle resistance and 2A pial arterioles (pressure myography) were unaltered, but insulin-induced microvascular vasodilation was impaired in the obese group. Blunted insulin-stimulated vasodilation, which was reversed with acute PKCβ inhibition (LY333-531), occurred alongside decreased tissue perfusion, as well as reduced insulin-stimulated Akt signaling in the prefrontal cortex, but not the triceps. In the early stages of juvenile obesity development, the microvasculature and prefrontal cortex exhibit impaired insulin signaling. Such adaptations may underscore vascular and neurological derangements associated with juvenile obesity.
微血管胰岛素信号受损可能在微血管内皮功能障碍的明显指标出现之前就已发生,并且是青少年肥胖的早期病理特征。我们使用幼年肥胖的转化猪模型,检验了以下假设:在肥胖发展的早期阶段,胰岛素信号受损表现在骨骼肌(肱三头肌)、大脑(前额叶皮质)及相应血管中,并且急性抑制蛋白激酶Cβ(PKCβ)可逆转胰岛素诱导的血管舒张功能降低。将幼年奥萨巴小型猪(3.5月龄)分为两组:瘦对照组(n = 6)和肥胖组(n = 6)。通过给动物喂食高脂/高果糖玉米糖浆/高胆固醇饮食10周来诱导肥胖。幼年肥胖的特征包括体重超标、高血糖、身体活动不足(加速度计测量)以及骨骼肌中明显的脂质蓄积,在易发生动脉粥样硬化的区域(如腹主动脉)未发现明显的动脉粥样硬化病变迹象。肱动脉和颈动脉(线式肌动描记法)以及骨骼肌阻力血管和软脑膜2A小动脉(压力肌动描记法)的内皮依赖性(缓激肽)和非内皮依赖性(硝普钠)血管舒缩反应未改变,但肥胖组中胰岛素诱导的微血管舒张功能受损。胰岛素刺激的血管舒张功能减弱,同时组织灌注减少,前额叶皮质而非肱三头肌中胰岛素刺激的Akt信号传导降低,急性PKCβ抑制(LY333 - 531)可使其逆转。在幼年肥胖发展的早期阶段,微血管和前额叶皮质表现出胰岛素信号受损。这些适应性变化可能突出了与幼年肥胖相关的血管和神经紊乱。