“…Although an accumulating body of evidence indicates that endothelium-dependent relaxation is weaker both in a type I diabetic model, namely the streptozotocin (STZ)-induced rat (Oyama et al, 1986;Kamata et al, 1989aKamata et al, , b, 1996aKamata et al, ,b,c, 1997Abiru et al, 1990a, b;Miyata et al, 1992a,b;Tomlinson et al, 1992;Poston and Taylor, 1995;Pieper, 1998;De Vriese et al, 2000;Makino et al, 2000Makino et al, , 2002Matsumoto et al, 2003Matsumoto et al, , 2004Kobayashi et al, 2004c), and in type II diabetic rats (Sakamoto et al, 1998;Walker et al, 1999;Kagota et al, 2000;Sandu et al, 2000;Kim et al, 2002;Witte et al, 2002;Matsumoto et al, 2004;Kobayashi et al, 2004c), we and others have noted an augmented or unaltered endothelium-dependent relaxation at an early stage in STZdiabetes (Brands and Fitzgerald, 1998;Pieper, 1999, Kobayashi and Kamata, 1999a, Kobayashi et al, 2005b. Moreover, there is some clinical and experimental evidence of augmented blood flow at early stages of diabetes (Jaap and Tooke, 1995;Cipolla et al, 1996; Abbreviations: ACh, acetylcholine; Ang II, angiotensin II; L-Arg, L-arginine; BH4, tetrahydrobiopterin; DOCA, deoxycorticosterone acetate; eNOS, endothelial NO synthase; ET-1, endothelin-1; GSK, glycogen synthase kinase; HDL, high density lipoprotein; HSP, heat-shock protein; IGF-1, insulin-like growth factor 1; IP3, inositol 1,4,5,-triphosphate; IRS-1, insulin receptor substrate-1; LDL, low density lipoprotein; NE, norepinephrine; NO, nitric oxide; NOS, NO synthase; PDK, PI-dependent kinase; PI3-K, phosphatidylinositol 3-kinase; PIP3, phosphatidylinositol-3,4,5-trisphosphate; PTEN, phosphatase and tensin homolog; STZ, streptozotocin; VEGF, vascular endothelial growth factor.…”