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Am J Physiol Heart Circ Physiol (August 8, 2008). doi:10.1152/ajpheart.00479.2008 Free Article
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Submitted on May 7, 2008
Revised on July 30, 2008
Accepted on July 31, 2008

LEPTIN INDUCED ENDOTHELIAL DYSFUNCTION IN OBESITY

Mykhaylo Korda1, Ruslan Kubant1, Stephen Patton1, and Tadeusz Malinski1*

1 Ohio University

* To whom correspondence should be addressed. E-mail: malinski{at}ohio.edu.

Hyperleptinemia accompanying obesity affects endothelial nitric oxide (NO) and is a serious factor for vascular disorders. NO, superoxide (O2-), and peroxynitrite (ONOO-) nanosensors were placed near the surface (5 ± 2µm) of a single human umbilical vein endothelial cell (HUVEC) exposed to leptin, or aortic endothelium of obese C57BL/6J mice, and concentrations of calcium ionophore (CaI)-stimulated NO, O2-, ONOO- were recorded. Endothelial nitric oxide synthase (eNOS) expression and L-arginine concentrations in HUVEC and aortic endothelium were measured. Leptin did not directly stimulate NO, O2-, or ONOO- release from HUVEC. However, chronic (12hr) exposure of HUVEC to leptin increased eNOS expression by 250%, and CaI-stimulated NO (625 ± 30 vs. 500 ± 24nmol/L control) and dramatically increased cytotoxic O2- and ONOO- levels. The [NO]/[ONOO-] ratio decreased from 2.2 ± 0.1 in normal to 1.30 ± 0.05 in leptin induced dysfunctional endothelium. In obese mice, 2.5-fold, increase in leptin concentration coincided with 230 ± 15% increase in eNOS and about 30% decrease in intracellular L-arginine. The increased eNOS expression and reduced L-arginine content led to eNOS uncoupling, reduction in bioavailable NO (250 ± 10 vs. 420 ± 12nmol/L control) and about 40% increase in O2- and ONOO- concentration. L-arginine and sepiapterin supplementation reversed eNOS uncoupling and partially restored [NO]/[ONOO-] balance in obese mice. In obesity, leptin increases eNOS expression and decreases intracellular L-arginine, resulting in eNOS uncoupling and depletion of endothelial NO and increase of cytotoxic ONOO-. Hyperleptinemia triggers an endothelial [NO/ONOO-] imbalance characteristic of dysfunctional endothelium observed in other vascular disorders, i.e. atherosclerosis, diabetes.




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