Objectives
We investigated the effect of suppressing plasma angiotensin II (ANG II) levels on arteriolar relaxation in the hamster cheek pouch.
Methods
Arteriolar diameters were measured via television microscopy during short-term (3–6 days) high salt (HS; 4% NaCl) diet and angiotensin converting enzyme (ACE) inhibition with captopril (100 mg/kg/day).
Results
ACE inhibition and/or HS diet eliminated endothelium-dependent arteriolar dilation to acetylcholine, endothelium-independent dilation to the NO donor sodium nitroprusside, the prostacyclin analogues carbacyclin and iloprost, and the KATP channel opener cromakalim; and eliminated arteriolar constriction during KATP channel blockade with glibenclamide. Scavenging of superoxide radicals and low dose ANG II infusion (25 ng/kg/min, subcutaneous) reduced oxidant stress and restored arteriolar dilation in arterioles of HS-fed hamsters. Vasoconstriction to topically-applied ANG II was unaffected by HS diet while arteriolar responses to elevation of superfusion solution PO2 were unaffected (5% O2, 10% O2) or reduced (21% O2) by HS diet.
Conclusions
These findings indicate that sustained exposure to low levels of circulating ANG II leads to widespread dysfunction in endothelium-dependent and independent vascular relaxation mechanisms in cheek pouch arterioles by increasing vascular oxidant stress, but does not potentiate O2- or ANG II-induced constriction of arterioles in the distal microcirculation of normotensive hamsters.
Hyperglycemia may contribute to defective endothelium-dependent relaxation in diabetes via an attenuated increase in Ca2+i signal transduction for the release of nitric oxide by endothelial cells. This defect possibly arises as a consequence of hydroxyl radicals formed intracellularly.
Diabetic complications are believed to arise, in part, through an increase in oxidative stress. We characterized antioxidant status in vascular tissue in untreated diabetic rats and in diabetic rats rendered euglycemic by pancreatic islet transplantation. Three key endogenous antioxidant enzymes (e.g., superoxide dismutase, catalase, and glutathione peroxidase) were measured. Sprague-Dawley rats with streptozotocin-induced diabetes were killed after 8 weeks of untreated hyperglycemia and compared with age-matched controls. Eight weeks of untreated diabetes resulted in a significant increase of tissue catalase in aorta, iliac artery, and femoral artery as compared with controls. No significant changes in either superoxide dismutase or glutathione peroxidase were observed in aorta, iliac artery, or femoral artery of diabetic animals. This increase in catalase in diabetic vascular tissue suggests increased oxidative stress due to chronic exposure to H2O2 in vivo. To assess the impact of islet transplantation on oxidative stress in vascular tissue, inbred Lewis strain rats were rendered diabetic with streptozotocin. After 8 weeks of untreated diabetes, rats received an intraportal islet isograft and were monitored for 4 subsequent weeks of euglycemia. Islet transplantation improved weight gain and normalized blood glucose and total glycosylated hemoglobin. While catalase was significantly increased in aorta and iliac artery at 8 and 12 weeks of diabetes, vascular catalase was restored to normal by islet transplantation. These data suggest that islet transplantation is an effective treatment strategy to minimize increased oxidative stress in diabetic vasculature.
Endothelium-dependent relaxation is impaired in diabetes [1±4]. It is probable that chronic exposure of blood vessels to elevated glucose concentrations contribute to impaired endothelium-dependent relaxation in diabetes mellitus since restoration of glycaemic control by islet [5] or whole pancreas [6] transplantation restores relaxation to normal. This hypothesis is strengthened by studies showing that exposure of normal arteries to elevated glucose concen-Release of agonist-stimulated NO from the vascular endothelium which contributes to endotheliumdependent relaxation is regulated by increases in intracellular calcium concentration [Ca While defective endothelium-dependent relaxation after exposure of intact blood vessels to elevated glucose concentration is believed to be mediated via oxygen-derived free radicals, the role of oxygenderived free radicals contributing to impaired Ca 2+ i signalling and NO production in isolated endothelial cells exposed to elevated glucose concentration has yet to be ascertained. In the present study, we evaluated the efficacy of PDTC, an antioxidant and metal chelator [14,15], in preventing glucose-induced defects in Ca 2+ i signalling in bovine aortic endothelial Diabetologia (1998) Summary Previous studies from our laboratory suggest that reactive oxygen contributes to diminished bradykinin-stimulated calcium accumulation in endothelial cells exposed to elevated glucose concentrations. In this study, we evaluated the efficacy of the antioxidant pyrrolidine dithiocarbamate (PDTC), in preventing defects in intracellular calcium signalling and nitric oxide (NO) activity in endothelial cells exposed to elevated glucose concentration. We show that PDTC prevented the elevated glucose-induced impairment in bradykinin-stimulated calcium accumulation without changing the normal calcium accumulation in response to ionomycin. Furthermore, the impaired cyclic GMP in RFL-6 detector cells (an index of NO activity) generated by bradykinin-stimulation of high glucose-exposed endothelial cells was restored to normal by pretreatment with PDTC. These studies support a role of reactive oxygen in elevated glucose-induced defects in calcium signalling and NO activity by endothelial cells and that antioxidants may be useful in preventing this defect. [Diabetologia (1998) 41: 806±812]
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