Abstract

This investigation examined the mechanisms by which perivascular adipose tissue (PVAT) influences coronary vasodilation. Coronary arteries from lean and obese Ossabaw swine were isolated, incubated with or without 0.3 g of PVAT for 30 min and pre‐constricted with U46619 (1 μM). In arteries cleaned of PVAT, vasodilation to adenosine (0.01‐30 μM) was decreased ~25% in obese arteries. However, the presence of PVAT attenuated adenosine relaxation ~30% in both lean and obese arteries. Pre‐constriction with KCl (60 mM) abolished coronary dilation to adenosine, suggesting activation of K+ channels. Inhibition of KCa channels with penitrem A (1 μM) impaired responses to adenosine in lean (p<0.001), but not obese (p=0.53), arteries. Dilation to the KCa channel agonist NS‐1619 (30 μM) was attenuated by PVAT in lean, but not obese, arteries. Inhibition of KV7 channels with linopirdine (10 μM) impaired adenosine dilation ~56% in lean arteries. Relaxation to the KV7 channel agonist L364,373 (10 μM) averaged 91 ± 5% in lean arteries vs. 55 ± 8% in obese arteries. Incubation with PVAT diminished vasodilation to L364,373 by ~22% in lean arteries, but had no effect in obese arteries. These findings indicate that while PVAT attenuates adenosine‐mediated vasodilation to a similar extent in lean and obese hearts, the contribution of KCa and KV7 channels to coronary vasodilator responses is markedly impaired in the setting of obesity.Grant Funding Source: Supported by HL117620 and HL092245

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