Abstract

Endothelial dysfunction in resistance arteries alters end organ perfusion in type 2 diabetes. Superoxides and cyclooxygenase-2 (COX-2) derivatives have been shown separately to alter endothelium-mediated relaxation in aging and diabetes but their role in the alteration of vascular tone in old diabetic subjects is not clear, especially in resistance arteries. Consequently, we investigated the role of superoxide and COX-2-derivatives on endothelium-dependent relaxation in 3 and 12 month-old Zucker diabetic fatty (ZDF) and lean (LZ) rats. Mesenteric resistance arteries were isolated and vascular tone was investigated using wire-myography. Endothelium (acetylcholine)-dependent relaxation was lower in ZDF than in LZ rats (60 versus 84% maximal relaxation in young rats and 41 versus 69% in old rats). Blocking NO production with L-NAME was less efficient in old than in young rats. L-NAME had no effect in old ZDF rats although eNOS expression level in old ZDF rats was similar to that in old LZ rats. Superoxide level and NADPH-oxidase subunits (p67phox and gp91phox) expression level were greater in ZDF than in LZ rats and were further increased by aging in ZDF rats. In young ZDF rats reducing superoxide level with tempol restored acetylcholine-dependent relaxation to the level of LZ rats. In old ZDF rats tempol improved acetylcholine-dependent relaxation without increasing it to the level of LZ rats. COX-2 (immunolabelling and Western-blot) was present in arteries of ZDF rats and absent in LZ rats. In old ZDF rats arterial COX-2 level was higher than in young ZDF rats. COX-2 blockade with NS398 restored in part acetylcholine-dependent relaxation in arteries of old ZDF rats and the combination of tempol and NS398 fully restored relaxation in control (LZ rats) level. Accordingly, superoxide production and COX-2 derivatives together reduced endothelium-dependent relaxation in old ZDF rats whereas superoxides alone attenuated relaxation in young ZDF or old LZ rats.

Highlights

  • Type 2 diabetes is the most frequently encountered metabolic disorder, currently affecting 5% to 10% of most populations, and the incidence continues to grow among developing countries [1]

  • Using Zucker Diabetic Fatty (ZDF) rats, we found that reactive oxygen species (ROS) and COX-2 vasoconstrictor derivatives reduced endothelium-dependent relaxation in old diabetic rats whereas ROS alone are involved in the decrease in endothelium-dependent relaxation in young Zucker diabetic fatty (ZDF) or in old lean Zucker (LZ) rats

  • Greater in young ZDF rats than in young LZ rats decreased with age in ZDF rats, in agreement with previous studies [33,34]

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Summary

Introduction

Type 2 diabetes is the most frequently encountered metabolic disorder, currently affecting 5% to 10% of most populations, and the incidence continues to grow among developing countries [1]. Associated with obesity, type 2 diabetes is characterized by an insulin resistance inducing metabolic changes such as hyperinsulinemia, hyperglycaemia, dyslipidaemia and hypertension, all leading to increased cardiovascular risk [2]. While the consequences of type 2 diabetes on macrocirculation have been extensively studied [6,7], much less is known about its effects on microcirculation, especially in old subjects. Aging is associated with a rising incidence of hypertension, obesity and type 2 diabetes; the 3 risk factors are usually associated [8,9,10]. The aim of the present study was to investigate the effect of type 2 diabetes on the endothelium in old rats. Type 2 diabetes is usually detected late after developing, usually during a medical checkup or when adverse effects induce alerting disorders such as retinal or kidney disorders. Investigating endothelium-mediated relaxation in older diabetic rats is a key issue

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