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Am J Physiol Endocrinol Metab 293: E1703-E1708, 2007. First published September 25, 2007; doi:10.1152/ajpendo.00462.2007
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Adiponectin improves endothelial function in hyperlipidemic rats by reducing oxidative/nitrative stress and differential regulation of eNOS/iNOS activity

Rong Li,1 Wen-Qing Wang,1 Haifeng Zhang,1 Xinchung Yang,2 Qian Fan,2 Theodore A. Christopher,3 Bernard L. Lopez,3 Ling Tao,3 Barry J. Goldstein,4 Feng Gao,1 and Xin L. Ma3

Department of 1Physiology, The Fourth Military Medical University, Xian; 2Department of Cardiology, Chao-Yang Hospital, Beijing, China; and Departments of 3Emergency Medicine and 4Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania

Submitted 18 July 2007 ; accepted in final form 10 September 2007

Plasma adiponectin level is significantly reduced in patients with metabolic syndrome, and vascular dysfunction is an important pathological event in these patients. However, whether adiponectin may protect endothelial cells and attenuate endothelial dysfunction caused by metabolic disorders remains largely unknown. Adult rats were fed with a regular or a high-fat diet for 14 wk. The aorta was isolated, and vascular segments were incubated with vehicle or the globular domain of adiponectin (gAd; 2 µg/ml) for 4 h. The effect of gAd on endothelial function, nitric oxide (NO) and superoxide production, nitrotyrosine formation, gp91phox expression, and endothelial nitric oxide synthase (eNOS)/inducible NOS (iNOS) activity/expression was determined. Severe endothelial dysfunction (maximal vasorelaxation in response to ACh: 70.3 ± 3.3 vs. 95.2 ± 2.5% in control, P < 0.01) was observed in hyperlipidemic aortic segments, and treatment with gAd significantly improved endothelial function (P < 0.01). Paradoxically, total NO production was significantly increased in hyperlipidemic vessels, and treatment with gAd slightly reduced, rather than increased, total NO production in these vessels. Treatment with gAd reduced (–78%, P < 0.01) superoxide production and peroxynitrite formation in hyperlipidemic vascular segments. Moreover, a moderate attenuation (–30%, P < 0.05) in gp91phox and iNOS overexpression in hyperlipidemic vessels was observed after gAd incubation. Treatment with gAd had no effect on eNOS expression but significantly increased eNOS phosphorylation (P < 0.01). Most noticeably, treatment with gAd significantly enhanced eNOS (+83%) but reduced iNOS (–70%, P < 0.01) activity in hyperlipidemic vessels. Collectively, these results demonstrated that adiponectin protects the endothelium against hyperlipidemic injury by multiple mechanisms, including promoting eNOS activity, inhibiting iNOS activity, preserving bioactive NO, and attenuating oxidative/nitrative stress.

metabolic syndrome; endothelial dysfunction; cytokine; nitric oxide; endothelial nitric oxide synthase; inducible nitric oxide synthase



Address for reprint requests and other correspondence: X. L. Ma, Dept. of Emergency Medicine, 1020 Sansom St., Thompson Bldg., Rm. 239, Philadelphia, PA 19107 (e-mail: Xin.Ma{at}Jefferson.edu)







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