The molecular mechanisms, as they are currently known, of the development of these vascular lesions during hyperglycemia are complex, involving an increase in Background-Macrovascular complications of diabetes mellitus are a major risk factor for cardiovascular morbidity and mortality. Currently, studies only partially described the molecular pathophysiology of diabetes mellitus-associated effects on vasculature. However, better understanding of systemic effects is essential in unraveling key molecular events in the vascular tissue responsible for disease onset and progression. Methods and Results-Our overall aim was to get an all-encompassing view of diabetes mellitus-induced key molecular changes in the vasculature. An integrative proteomic and bioinformatics analysis of data from aortic vessels in the lowdose streptozotocin-induced diabetic mouse model (10 animals) was performed. We observed pronounced dysregulation of molecules involved in myogenesis, vascularization, hypertension, hypertrophy (associated with thickening of the aortic wall), and a substantial reduction of fatty acid storage. A novel finding is the pronounced downregulation of glycogen synthase kinase-3β (Gsk3β) and upregulation of molecules linked to the tricarboxylic acid cycle (eg, aspartate aminotransferase [Got2] and hydroxyacid-oxoacid transhydrogenase [Adhfe1]). In addition, pathways involving primary alcohols and amino acid breakdown are altered, potentially leading to ketone-body production. A number of these findings were validated immunohistochemically. Collectively, the data support the hypothesis that in this diabetic model, there is an overproduction of ketone-bodies within the vessels using an alternative tricarboxylic acid cycle-associated pathway, ultimately leading to the development of atherosclerosis. Conclusions-Streptozotocin-induced diabetes mellitus in animals leads to a reduction of fatty acid biosynthesis and an upregulation of an alternative ketone-body formation pathway. This working hypothesis could form the basis for the development of novel therapeutic intervention and disease management approaches. proinflammatory signals (eg, activation of nuclear factor-κB, adhesion molecules, tumor necrosis factor-α, interleukin-1β and interleukin-6). 6 Downstream of these proinflammatory factors extracellular signal-regulated protein kinase-1, c-Jun NH2-terminal protein kinase-1 and -2, and p38 are activated.
7A further hallmark in the development of diabetic vascular lesions is the production of reactive oxygen species, resulting in inactivation of nitric oxide and appearance of advanced glycation end-products, further aggravating vascular tissue damage. 8 Several proteins have been proposed as targets for hyperglycemic changes in the vascular smooth muscle cells, including protein kinase C and the inositol trisphosphate-and ryanodine receptors.9 Inositol 1,4,5-trisphosphate-sensitive and ryanodine-sensitive stores are the major contributors to Ca 2+ homeostasis in vascular smooth muscle cell. 10 The complexity of the v...