Objective
The objectives of this study were to determine the impact of
in vivo reactive oxygen species (ROS) on microvascular
endothelial function in obese human subjects and to determine the efficacy
of an aerobic exercise intervention on alleviating obesity-associated
dysfunctionality.
Approach and Results
Young, sedentary men and women were divided into lean (BMI
18–25; n=14), intermediate (BMI 28–32.5;
n=13), and obese (BMI 33–40; n=15) groups. A novel
microdialysis technique was utilized to detect elevated interstitial
hydrogen peroxide (H2O2) and superoxide levels in the
vastus lateralis of obese compared to both lean and intermediate subjects.
Nutritive blood flow was monitored in the vastus lateralis via the
microdialysis-ethanol technique. A decrement in acetylcholine-stimulated
blood flow revealed impaired microvascular endothelial function in the obese
subjects. Perfusion of apocynin, an NADPH oxidase (Nox) inhibitor, lowered
(normalized) H2O2 and superoxide levels and reversed
microvascular endothelial dysfunction in obese subjects. Following 8-weeks
of exercise, H2O2 levels were decreased in the obese
subjects and microvascular endothelial function in these subjects was
restored to levels similar to lean subjects. Skeletal muscle protein
expression of the Nox subunits p22phox, p47phox, and
p67phox were increased in obese relative to lean subjects,
where p22phox and p67phox expression was attenuated by
exercise training in obese subjects.
Conclusions
This study implicates Nox as a source of excessive ROS production in
skeletal muscle of obese individuals, and links excessive Nox derived ROS to
microvascular endothelial dysfunction in obesity. Furthermore, aerobic
exercise training proved to be an effective strategy for alleviating these
maladies.