NADPH oxidase contributes to vascular inflammation, insulin resistance, and remodeling in the transgenic (mRen2) rat

Yongzhong Wei1, Adam T Whaley-Connell, Kemin Chen

  • 1University of Missouri-Columbia, Harry S. Truman VA Medical Center, Columbia, MO, USA.

Insights

Elevated angiotensin II in rats worsens vascular insulin resistance and inflammation. Blocking the angiotensin type 1 receptor or using antioxidants improved insulin signaling and reduced vascular damage, highlighting a key pathway in metabolic dysfunction.

Area of Science:

  • Vascular Biology
  • Endocrinology
  • Cardiovascular Research

Background:

  • Reduced insulin sensitivity is linked to type 2 diabetes and hypertension.
  • Angiotensin II impairs insulin actions in blood vessels, causing inflammation and dysfunction.
  • Insulin normally promotes vasodilation and reduces inflammation.

Purpose of the Study:

  • To investigate how angiotensin II affects insulin signaling, oxidative stress, and vascular health.
  • To determine the role of NADPH oxidase and reactive oxygen species in angiotensin II-induced vascular damage.
  • To evaluate the therapeutic potential of angiotensin type 1 receptor blockade and antioxidants.

Main Methods:

  • Utilized transgenic Ren2 rats with elevated tissue angiotensin II levels.
  • Administered angiotensin type 1 receptor blocker (valsartan) and antioxidant (tempol) in vivo.
  • Assessed vascular inflammation, apoptosis, oxidative stress, and insulin signaling markers (Akt, eNOS).
  • Examined insulin-induced Akt activation in vascular smooth muscle cells.

Main Results:

  • Ren2 rats showed increased vascular oxidative stress, inflammation, apoptosis, and reduced insulin signaling.
  • Valsartan and tempol attenuated these detrimental effects in Ren2 rats.
  • Valsartan, but not tempol, reduced blood pressure in Ren2 rats.
  • Angiotensin II impaired insulin signaling and increased inflammation in vascular cells, effects reversed by valsartan and N-acetylcysteine.

Conclusions:

  • Increased angiotensin II signaling via the angiotensin type 1 receptor promotes vascular insulin resistance and inflammation.
  • NADPH oxidase-derived reactive oxygen species are key mediators of this damage.
  • Targeting the angiotensin type 1 receptor or oxidative stress may offer therapeutic strategies for vascular complications associated with insulin resistance.

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