Department of Pediatrics, UPMC Children's Hospital of Pittsburgh at University of Pittsburgh, Pittsburgh, PA, U.S.A.
Center for Pediatrics Research in Obesity and Metabolism (CPROM), UPMC Children's Hospital of Pittsburgh at University of Pittsburgh, Pittsburgh, PA, U.S.A.
Biosci Rep. 2023 Jul 26;43(7). doi: 10.1042/BSR20230672.
BACKGROUND: Obesity is the number one cardiovascular risk factor for both men and women and is a complex condition. Although a sex dimorphism on vascular function has already been noted, the underlying processes remain unclear. The Rho-kinase pathway has a unique role in controlling vascular tone, and in obese male mice, hyperactivation of this system results in worsened vascular constriction. We investigated whether female mice exhibit decreased Rho-kinase activation as a protective mechanism in obesity. METHODS: We exposed male and female mice to a high-fat diet (HFD) for 14 weeks. At the end, energy expenditure, glucose tolerance, adipose tissue inflammation, and vascular function were investigated. RESULTS: Male mice were more sensitive to HFD-induced body weight gain, glucose tolerance, and inflammation than female mice. After establishing obesity, female mice demonstrated increase in energy expenditure, characterized by an increase in heat, whereas male mice did not. Interestingly, obese female mice, but not male, displayed attenuated vascular contractility to different agonists, such difference was blunted by inhibition of Rho-kinase, which was accompanied by a suppressed Rho-kinase activation, measured by Western blot. Finally, aortae from obese male mice displayed an exacerbated inflammation, whereas obese female demonstrated a mild vascular inflammation. CONCLUSION: In obesity, female mice demonstrate a vascular protective mechanism-suppression of vascular Rho-kinase-to minimize the cardiovascular risk associated with obesity, whereas male mice do not generate any adaptive response. Future investigations can help to understand how Rho-kinase becomes suppressed in female during obesity.
背景:肥胖是男性和女性头号心血管风险因素,是一种复杂的病症。尽管血管功能存在性别二态性,但潜在机制仍不清楚。Rho 激酶通路在控制血管张力方面具有独特作用,在肥胖雄性小鼠中,该系统的过度激活会导致血管收缩恶化。我们研究了肥胖女性是否表现出 Rho 激酶激活减少作为一种保护机制。
方法:我们让雄性和雌性小鼠暴露于高脂肪饮食(HFD)14 周。在实验结束时,我们研究了能量消耗、葡萄糖耐量、脂肪组织炎症和血管功能。
结果:与雌性小鼠相比,雄性小鼠对 HFD 诱导的体重增加、葡萄糖耐量和炎症更敏感。在肥胖建立后,雌性小鼠表现出能量消耗增加,表现为热量增加,而雄性小鼠则没有。有趣的是,肥胖的雌性小鼠而非雄性小鼠表现出对不同激动剂的血管收缩性减弱,这种差异可被 Rho 激酶抑制所减弱,Western blot 结果表明 Rho 激酶的激活受到抑制。最后,肥胖雄性小鼠的主动脉显示出炎症加剧,而肥胖雌性小鼠则表现出轻度血管炎症。
结论:在肥胖中,雌性小鼠表现出血管保护机制——抑制血管 Rho 激酶——以最大程度地降低肥胖相关的心血管风险,而雄性小鼠则没有产生任何适应性反应。未来的研究可以帮助我们了解 Rho 激酶在肥胖女性中是如何被抑制的。
Biochem Biophys Res Commun. 2017-10-14
BMJ Open Diabetes Res Care. 2019-10-25
Int J Obes (Lond). 2016-9
J Diabetes Complications. 2021-2
J Am Heart Assoc. 2025-2-4
Am J Physiol Endocrinol Metab. 2024-7-1
Am J Physiol Endocrinol Metab. 2024-5-1
Circ Res. 2020-5-22
Endocrinology. 2019-12-1
Biol Sex Differ. 2019-7-17