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Department of Physiology, Medical College of Wisconsin, Milwaukee, Wisconsin 53226
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ABSTRACT |
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This study
determined alterations to hypoxic dilation of isolated skeletal muscle
resistance arteries (gracilis arteries; viewed via television
microscopy) from obese Zucker rats (OZR) compared with lean Zucker rats
(LZR). Hypoxic dilation was reduced in OZR compared with LZR.
Endothelium removal and cyclooxygenase inhibition (indomethacin)
severely reduced this response in both groups, although nitric oxide
synthase inhibition
(N
-nitro-L-arginine methyl ester)
reduced dilation in LZR only. Treatment of vessels with a
PGH2-thromboxane A2 receptor antagonist had no
effect on hypoxic dilation in either group. Arterial dilation to
arachidonic acid, iloprost, acetylcholine, and sodium nitroprusside was
reduced in OZR versus LZR, although dilation to forskolin and aprikalim
was unaltered. Treatment of arteries from OZR with oxidative radical
scavengers increased dilation to hypoxia and agonists, with no effect
on responses in LZR. The restored hypoxic dilation in OZR was abolished
by indomethacin. These results suggest that hypoxic dilation of
skeletal muscle microvessels from LZR represents the summated effects
of prostanoid and nitric oxide release, whereas the impaired response
of vessels in OZR may reflect scavenging of PGI2 by
superoxide anion.
skeletal muscle microvessel; type 2 diabetes; hypertension; Zucker rat; hypoxia; superoxide
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INTRODUCTION |
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DIABETES MELLITUS is a widespread pathology impacting ~11 million Americans, and while a leading cause of blindness, kidney failure, and limb amputation, it is also a potent risk factor for the development of peripheral vascular disease, a debilitating condition impacting ~60 million Americans (2). A recent study (27) has indicated that type 2 diabetes is a public health challenge of increasing consequence, because, over the last 10 years, the incidence of type 2 diabetes has increased by ~70% in 30- to 39-year-old Americans and has become increasingly common among American children. The obese Zucker rat (OZR) provides a valuable model for examining the effects of type 2 diabetes mellitus. Owing to a nonfunctional leptin receptor gene (10) and increased food consumption, OZR rapidly develop numerous clinically relevant pathological conditions including, in addition to type 2 diabetes, hypertension and obesity (14, 29, 33). Although the progression of these phenotypes has been well documented, the effects of these pathologies, developing concurrently, on peripheral vascular function remain largely uncharacterized.
The small resistance arteries supplying skeletal muscle lie immediately proximal to downstream arterioles and exchange vessels. The ability of these microvessels to alter their active tone is of vital importance in that they are critical regulators of the delivery of blood to downstream microvessel networks. In OZR, previous studies have indicated that intestinal and mesenteric arteriolar dilation to endothelium-dependent agonists and stimuli was reduced compared with responses in control rats (13, 35, 37), an observation that may have been related to an altered tissue sensitivity to nitric oxide (NO) (36) or an increased oxidant stress in tissues of OZR compared with lean Zucker rats (LZR) (3, 17). However, there has been no attempt to determine the reactivity of skeletal muscle microvessels of OZR to the physiological dilator stimulus of hypoxia. The purposes of the present study were to determine whether alterations to the dilator reactivity of skeletal muscle resistance arteries of OZR to reduced PO2 exist and to determine which mechanisms contribute to alterations in this response between LZR and OZR.
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MATERIALS AND METHODS |
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Animals. All experiments used 13- to 15-wk-old male LZR and OZR. Animals were fed standard chow and drank tap water ad libitum. Rats were housed in an animal care facility at the Medical College of Wisconsin approved by the American Association for the Accreditation of Laboratory Animal Care, and all protocols were approved by the institutional Animal Care and Use Committee at the Medical College of Wisconsin. Rats were anesthetized with an injection of pentobarbital sodium (60 mg/kg ip), and a carotid artery was cannulated for determination of arterial pressure. In addition to being heavier than LZR [347 ± 10 g body wt; mean arterial pressure (MAP), 119 ± 3.2 mmHg; blood [glucose], 138 ± 15 mg/dl], OZR (613 ± 18 g body wt; MAP, 165 ± 6.4 mmHg; blood [glucose], 486 ± 48 mg/dl) demonstrated significant hypertension and hyperglycemia.
Preparation of isolated vessels. Gracilis arteries were surgically dissected from the anesthetized rat as described previously (8). Arteries were placed in a heated (37°C) chamber that allowed the lumen and exterior of the vessel to be perfused and superfused, respectively, with physiological salt solution (PSS) from separate reservoirs. The PSS used in these experiments was equilibrated with 21% O2-5% CO2-74% N2 and had the following composition (in mM): 119 NaCl, 4.7 KCl, 1.17 MgSO4, 1.6 CaCl2, 1.18 NaH2PO4, 24 NaHCO3, 0.026 EDTA, and 5.5 glucose. Vessels were cannulated at both ends with glass micropipettes (tip diameter, ~100 µm) and secured to the inflow and outflow pipettes using 10-0 nylon sutures. Any side branches were ligated with a single strand teased from a 6-0 silk suture. The inflow pipette was connected to a reservoir perfusion system that allowed the intraluminal pressure and luminal gas concentrations to be controlled. Vessel diameter was measured using television microscopy and an on-screen video micrometer.
Arteries were extended to their in vivo length and equilibrated at 80% of the animal's MAP to approximate the perfusion pressure encountered in vivo (21). Any vessel that did not demonstrate active tone at rest was discarded. Active tone at the equilibration pressure was calculated as follows: (
D/Dmax) × 100, where
D is the diameter increase from rest in response to
Ca2+-free PSS and Dmax is the
maximum diameter measured at the equilibration pressure in
Ca2+-free PSS.
Removal of the vascular endothelium.
The microvessel endothelium was removed via air bolus perfusion
(8, 22). Subsequently, PSS perfusion through the lumen was
restored, and the artery was allowed to reequilibrate for 30 min.
Endothelium denudation procedures were deemed successful when vessel
dilator reactivity to 10
6 M acetylcholine was eliminated
and when the reactivity of the vessel to the endothelium-independent
agonist forskolin (10
7M) was not altered from responses
determined in intact vessels.
Inhibition of cytochrome P-450 4A enzymes.
To assess the role of cytochrome P-450 4A-derived
arachidonic acid
-hydroxylation (producing
20-hydroxyeicosatetraenoic acid) and epoxidation (producing
epoxyeicosatrienoic acids) in contributing to hypoxic relaxation of
arteries, these enzymes were inhibited with 10
5 M
17-octadecynoic acid (17-ODYA) (1, 8).
Inhibition of prostanoid and NO production.
To assess the role of prostanoid or NO release from the microvessel
endothelium in regulating hypoxic dilation of isolated arteries, the
cyclooxygenase inhibitor indomethacin (10
6 M) or the NO
synthase inhibitor
N
-nitro-L-arginine methyl ester
(L-NAME; 10
4 M) was added to the vessel bath
to inhibit the production of prostanoids and NO, respectively (7,
8).
Blockade of PGH2-thromboxane A2
receptors.
To determine the contribution of activation of
PGH2-thromboxane A2 (TxA2)
receptors in contributing to altered hypoxic dilation of microvessels
from OZR versus LZR, dilator responses of microvessels from both groups
were assessed in response to hypoxia and to iloprost (10
9
g/ml) under control conditions and after application of the
PGH2-TxA2 receptor antagonist SQ-29548
(10
5 M) (15).
Dilator agonists and hypoxia.
In a separate series of experiments, dilator responses of isolated
gracilis arteries from LZR and OZR were assessed in response to
challenge with 1) the PGI2 analog iloprost
(10
15-10
9 g/ml), 2)
arachidonic acid (10
8-10
5 M),
3) acetylcholine (10
9-10
6
M), 4) the adenylate cyclase activator forskolin
(10
13-10
7 M), 5) the
endothelium-independent NO donor sodium nitroprusside (10
9-10
6 M), 6) the
ATP-sensitive K+ channel agonist aprikalim
(10
9-10
6 M), and 7)
Ca2+-free PSS containing 10
3 M adenosine to
produce maximal dilation and determine the maximum diameter of the microvessel.
Scavenging of oxidative free radicals. Previous studies (3, 17) have demonstrated that with the development of obesity, hypertension, and diabetes, oxidant stress levels in tissues of OZR are increased. With the use of the established dihydroethidine microfluorography assay (5, 11, 25), Frisbee and Stepp (9) demonstrated that vascular oxidant stress levels are substantially increased in arteries of OZR versus LZR. Results from this study also demonstrated that this increased oxidant tone can be normalized to levels that are not distinguishable from those in LZR after treatment of vessels with polyethylene glycol-superoxide dismutase (PEG-SOD) and catalase (9). To determine the extent to which increased oxidant stress levels might contribute to alterations in hypoxic dilation of skeletal muscle microvessels between LZR and OZR, vessels from both groups were treated with the free radical scavengers PEG-SOD (200 U/ml, Sigma) and catalase (80 U/ml, Sigma). Treatment of tissues with these substances has been previously demonstrated to significantly lower oxidant stress levels (12, 20).
Experiment protocols. In the present study, arterial responses to hypoxia were determined at the equilibration pressure for each microvessel (95 ± 5 mmHg for LZR and 131 ± 6 mmHg for OZR). For each vessel, the O2 content of the equilibration gas for the PSS was varied between 21% and 0% O2 (5% CO2-balance N2 for each). In the present experiments, this would cause a reduction in PSS PO2 from ~140 mmHg (under 21% O2) to ~35 mmHg (under 0% O2) (7).
Determination of mediators of hypoxic dilation of skeletal muscle resistance arteries. Initial experiments determined whether a difference in hypoxic dilation of isolated microvessels exists between LZR and OZR and the relative contribution of vascular endothelium-dependent and -independent processes regulating this response. Hypoxia-induced alterations in vascular tone were assessed in vessels under four conditions: control, after application of 17-ODYA, after endothelium removal, and after imposition of both treatments.
The second series of experiments determined the contribution of endothelium-derived vasoactive metabolites, specifically, NO, prostanoids, and cytochrome P-450 metabolites of arachidonic acid (i.e., epoxyeicosatrienoic acid) in regulating the dilation of skeletal muscle microvessels to reduced PO2. After the response of vessels to hypoxia was determined, arteries were treated with L-NAME, indomethacin, or 17-ODYA. Vessels were also subjected to combinations of the inhibitors to more accurately elucidate the contribution of the individual pathways to hypoxic dilation of gracilis arteries of LZR and OZR.Determination of vascular responses to dilator agonists. Subsequent experiments determined vascular responses to dilator agonists associated with the pathways of hypoxic dilation determined in the above experiments. After the hypoxic dilation of vessels was determined, microvessel reactivity was evaluated after application of arachidonic acid, acetylcholine, iloprost, forskolin, sodium nitroprusside, and aprikalim, as described above.
Determination of vascular responses to agonists and hypoxia after treatment with PEG-SOD and catalase. For these experiments, the response of isolated microvessels from LZR and OZR to arachidonic acid, acetylcholine, iloprost, sodium nitroprusside, and hypoxia was determined before and after treatment of the vessel with the oxidative free radical scavengers PEG-SOD and catalase or catalase alone, as described above.
Role of intralumenal pressure in mediating dilator responses.
Given that the evaluation of the dilator reactivity of gracilis
arteries from LZR and OZR was performed at different intralumenal equilibration pressures, additional data were collected to address the
possibility that the elevated intralumenal pressure employed for OZR
may have contributed to alterations in dilator reactivity in these
vessels. For these experiments, the dilator reactivity of isolated
vessels of OZR in response to 10
6 M acetylcholine,
10
6 M sodium nitroprusside, and hypoxia was evaluated at
the intraluminal equilibration pressure employed for both LZR (95 mmHg)
and OZR (131 mmHg).
Data and statistical analyses.
For all concentration-response curves, vascular reactivity data were
fit with the following regression equation
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(1) |
is an
intercept term, and [x] is the agonist concentration. For
all regression equations, r2 > 0.85. For
this analysis, the
(slope) coefficient represents the change in
microvessel diameter for a logarithmic change in agonist concentration.
All data are presented as means ± SE. Differences in
-coefficients and in the responses of isolated vessels to hypoxia
were determined using ANOVA, with Tukey's post hoc test and Student's t-test where appropriate. For all analyses,
P < 0.05 was considered to be statistically significant.
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RESULTS |
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Under control conditions, resting diameter and active tone of
isolated microvessels from LZR and OZR were not different. However, the
maximum microvessel diameter, determined during superfusion with
Ca2+-free PSS, was significantly lower in OZR versus LZR
(Table 1).
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Mediators of hypoxic dilation.
Data describing hypoxic dilation of microvessels from LZR and OZR and
the effects of endothelium denudation are presented in Fig.
1. Gracilis arteries from OZR
demonstrated a significant impairment in vessel dilation to reduced
PO2 compared with responses in LZR. Removal of
the microvessel endothelium with air bolus perfusion abolished the
dilator reactivity of vessels of LZR to hypoxia, whereas this response
was severely inhibited in vessels of OZR.
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0.3 ± 0.3 µm).
In response to application of the PGH2-TxA2
receptor antagonist, microvessel dilation to hypoxia or to iloprost was
not altered in either group from values determined under control
conditions. In LZR, microvessels dilated by 18.5 ± 3.9 and
27.5 ± 3.7 µm in response to hypoxia and iloprost,
respectively. After application of SQ-29548, vessels dilated by
16.9 ± 3.1 and 28.2 ± 4.8 µm to these same stimuli. In
OZR, under control conditions, vessels dilated by 11.2 ± 2.5 µm
in response to hypoxia and 13.4 ± 3.6 µm after application of
iloprost. During blockade of PGH2-TxA2 receptors, microvessels of OZR dilated by 9.4 ± 3.4 and 15.4 ± 4.1 µm to hypoxia and iloprost, respectively.
Reactivity to dilator agonists.
Data describing the dilator responses of skeletal muscle microvessels
to the agonists employed in the present study are summarized in Table
2.
(slope) coefficients describing
the dilator reactivity of microvessels from OZR to arachidonic acid,
acetylcholine, sodium nitroprusside, and iloprost were significantly
reduced compared with values determined in LZR, indicating that
skeletal muscle arterial dilation to these agonists was reduced in OZR
versus LZR. In contrast,
-coefficients describing dilator responses of these vessels to forksolin and aprikalim were not different between
groups, indicating a comparable level of dilator reactivity to direct
adenylate cyclase and ATP-sensitive K+ channel activation,
respectively, in skeletal muscle resistance arteries of LZR and OZR. In
vessels of LZR, treatment of isolated arteries with L-NAME
completely abolished the reactivity of the vessels to 10
6
M acetylcholine (control vessel dilation, 21.3 ± 3.5 µm;
L-NAME-treated vessel dilation, 2.5 ± 3.1 µm).
Similarly, the small dilation of vessels of OZR in response to
acetylcholine (6.4 ± 2.5 µm) was abolished after treatment of
vessels with L-NAME (
1.5 ± 1.8 µm).
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-coefficients describing the concentration-response curves of
vessels any to the agonists. In contrast, treatment of vessels of OZR
with PEG-SOD and catalase significantly increased
-coefficients
describing the vessel concentration-response curves to each of the
agonists, indicating a significant increase in the dilator reactivity
of skeletal muscle microvessels to these agonists after treatment with
the oxidative free radical scavengers. In additional studies where
catalase alone was applied to the isolated vessels, the dilator
responses of gracilis arteries from both LZR and OZR to the employed
agonists was not significantly altered from levels determined in
untreated vessels (Table 3).
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DISCUSSION |
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The primary observation of the present study was that hypoxic dilation of gracilis arteries of OZR was impaired relative to LZR (Fig. 1). This impaired reactivity to hypoxia, a novel observation of the present study, is in general agreement with existing observations of impaired endothelium-dependent dilation of intestinal and mesenteric microvessels (13, 35, 37) and skeletal muscle arterioles of OZR (9). Interestingly, in OZR, a significant reactivity of skeletal muscle microvessels to hypoxia was retained. The persistent dilator response to reduced PO2 despite the development of hypertension is in agreement with a recent study (8) by the author investigating the effects of Dahl hypertension but contrasts with a previous study (21) investigating the reduced renal mass model of hypertension. These observations suggest that substantial heterogeneity exists regarding the regulation of microvessel tone with hypoxia across different models of hypertension.
The results of the present study suggest that the release of NO and/or
prostanoids from the vascular endothelium are responsible for hypoxic
dilation of skeletal muscle microvessels from LZR and OZR. While these
data are in agreement with previous studies (7, 8, 16, 24,
30) indicating that hypoxic dilation in normotensive rats is
mediated by the release of these substances, the present results
contrast with a recent study (8) suggesting an
endothelium-independent cytochrome P-450
-hydroxylase-dependent component contributing to this response in
gracilis arteries of hypertensive Dahl rats. The results of the present
study support only a minimal role for cytochrome P-450
enzymes in mediating hypoxic dilation in skeletal muscle microvessels
of Zucker rats. It is important to note, however, that the present
study employed only one level of hypoxia for the isolated vessels.
Additional studies, with more mild or more severe levels of hypoxia,
could elucidate additional contributing mechanisms underlying the
dilation of skeletal muscle microvessels to reduced
PO2.
Hypoxic dilation of skeletal muscle resistance arteries of LZR appeared to be wholly dependent on NO and prostanoid release from the vascular endothelium (Fig. 2A). In contrast, the dilation of gracilis arteries of OZR in response to reduced PO2 was predominantly prostanoid dependent, with a reduced role for NO synthesis and/or release in mediating this response (Fig. 2B). On the basis of data presented in Fig. 2, it is apparent that an impairment of NO or prostanoid signaling pathways or both underlies the compromised dilation of skeletal muscle microvessels of OZR to hypoxia.
Previous studies have suggested that an impaired hypoxic dilation of vessels from hypertensive animals could be due to either a release of vasoconstrictor metabolites via cyclooxygenase in addition to release of PGI2 (i.e., PGH2 and TxA2, see Refs. 4 and 31) or to an inappropriate activation of PGH2-TxA2 receptors by PGI2 (23). Furthermore, a recent study (32) has indicated that blockade of PGH2-TxA2 receptors in the cheek pouch of spontaneously hypertensive hamsters restores microvessel dilator reactivity to acetylcholine and vasoactive intestinal peptide. However, the results of the present study suggest that these processes do not contribute to the impaired hypoxic dilation of gracilis arteries of OZR, because application of the PGH2-TxA2 receptor antagonist SQ-29548 did not alter hypoxia- or iloprost-induced responses of vessels from LZR or OZR.
It has been suggested that tissue oxidant stress levels are elevated in OZR, compromising dilator responses of microvessels to NO-dependent stimuli (3, 17). Furthermore, the author (9) has previously demonstrated that vascular superoxide anion levels were increased in OZR versus LZR and that treatment of vessels with PEG-SOD and catalase reduces vascular oxidant stress in OZR to levels that are not distinguishable from LZR. As presented in Table 3, vascular oxidant stress levels in OZR were correlated with dilator reactivity of skeletal muscle microvessels to NO- and PGI2-dependent dilator agonists. When compared with the agonist-induced dilator responses of vessels from LZR, these data suggest that reduced vascular smooth muscle reactivity to NO and PGI2 in OZR may reflect increased scavenging of these signaling molecules by oxidative radicals and their conversion to peroxynitrate (34) and isoprostanes (6, 17-19, 28), respectively. However, the results of the present study suggest that the primary source of the oxidant stress-induced impairment in dilator reactivity in OZR was due to superoxide anion and not hydrogen peroxide, because treatment of vessels from OZR with catalase alone had no significant effect on the dilation of vessels from these rats to either reduced PO2 or to the employed agonists.
After normalization of vascular oxidant stress in OZR, hypoxic dilation of skeletal muscle microvessels was increased compared with responses determined under control conditions (Fig. 3). Subsequent application of L-NAME to vessels of OZR treated with PEG-SOD and catalase did not alter hypoxic dilation, although application of indomethacin to these vessels abolished this response. These data suggest that, despite normalization of vascular oxidant stress and restoration of dilator reactivity of these vessels to NO-dependent pharmacological agents (Table 3), the ability of skeletal muscle microvessels to produce and/or release NO in response to hypoxia may be compromised in OZR.
Interestingly, restoration of the prostanoid-dependent component of hypoxic dilation of gracilis arteries of OZR after application of PEG-SOD and catalase suggests that degradation of PGI2 by superoxide anion may represent a primary mechanism underlying the impaired dilation of skeletal muscle microvessels to reduced PO2. However, it is important to note that results from the present study do not rule out the possibility that an elevated vascular oxidant stress level might contribute to impaired endothelial release of PGI2, degradation of prostacyclin receptors, or interference at additional sites in the signal transduction pathways associated with PGI2 that were alleviated after treatment of the isolated gracilis artery of OZR with free radical scavengers.
Summary and conclusions. The results of the present study indicate that hypoxic dilation of skeletal muscle microvessels from OZR is impaired compared with responses in microvessels from LZR. In LZR, hypoxic dilation is mediated by the combined effects of NO and prostanoid release from the vascular endothelium, whereas in OZR, microvessel dilation to reduced PO2 is largely dependent on endothelium-dependent prostanoid release. Normalization of tissue oxidant stress improves dilator responses of microvessels from OZR to NO- and PGI2-dependent dilator agonists and restores the prostanoid-dependent component of hypoxic dilation. These data may represent the first observations suggesting impairment of a PGI2-dependent vasodilator response due to an inactivation of endothelium-derived prostacyclin by superoxide anion.
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ACKNOWLEDGEMENTS |
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The author expresses thanks to Dr. D. W. Stepp for assistance in performing the dihydroethidine fluorescence assay and Dr. J. H. Lombard for helpful suggestions during the preparation of this manuscript. The author also thanks Berlex Laboratories for the generous donation of the iloprost used in these studies.
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FOOTNOTES |
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This work was supported by National Heart, Lung, and Blood Institute Grants HL-29587 and HL-37374 and by the Research Affairs Committee at the Medical College of Wisconsin.
Address for reprint requests and other correspondence: J. C. Frisbee, Dept. of Physiology, Medical College of Wisconsin, 8701 Watertown Plank Rd., Milwaukee, WI 53226 (E-mail: jfrisbee{at}mcw.edu).
The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
Received 9 March 2001; accepted in final form 26 June 2001.
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