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Published on: September 18, 2017
Carvedilol ameliorates endothelial dysfunction in streptozotocin-induced diabetic rats
Guo-Sheng Fu1, He Huang, Fei Chen
1Department of Cardiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, 3 East Qingchun Road, Hangzhou, 310016, China.
Insights
Carvedilol treatment improved blood vessel function in diabetic rats by increasing nitric oxide and enhancing the expression and activity of nitric oxide synthase 3 (NOS3). This suggests carvedilol can combat diabetic endothelial dysfunction.
Area of Science:
- Pharmacology
- Cardiovascular Research
- Diabetology
Background:
- Carvedilol, a beta-blocker, exhibits endothelium-dependent vasodilating properties.
- The effect of carvedilol on endothelial function in diabetes and its mechanism remain unclear.
- Diabetic complications often involve impaired endothelial function.
Purpose of the Study:
- To investigate carvedilol's effect on aortic endothelial response in a diabetic rat model.
- To elucidate the underlying mechanism of carvedilol's action on endothelial function in diabetes.
Main Methods:
- Measurement of acetylcholine-induced relaxation and sodium nitroprusside (SNP)-induced relaxation in rat aortas.
- Quantification of nitric oxide synthase 3 (NOS3) mRNA and protein expression, and NOS3 phosphorylation.
- Assessment of serum nitric oxide (NO) levels after 5 weeks of carvedilol administration (1 or 10 mg/kg/day) in diabetic and non-diabetic rats.
Main Results:
- Diabetic rat aortas showed reduced endothelium-dependent relaxation and lower serum NO levels.
- Carvedilol treatment prevented the decline in endothelium-dependent relaxation and serum NO levels in diabetic rats.
- Carvedilol significantly increased NOS3 mRNA expression, protein levels, and Ser1177 phosphorylation in both healthy and diabetic aortas.
Conclusions:
- Chronic carvedilol administration ameliorates endothelial dysfunction in diabetic rat aortas.
- Increased nitric oxide levels and up-regulation of NOS3 expression and phosphorylation are key mechanisms involved.
- Carvedilol shows therapeutic potential for managing diabetic vascular complications.
Abstract:
The beta-blocker, carvedilol has an additional endothelium-dependent vasodilating properties in patients with hypertension or heart failure. Whether carvedilol can improve endothelium-dependent relaxation in a diabetic animal model and its mechanism of action are unknown. The aim of this study was to investigate the effect of carvedilol on the endothelial-response of aortas from diabetic rats and the underlying mechanism. Acetylcholine-induced endothelium-dependent relaxation, sodium nitroprusside (SNP)-induced endothelium-independent relaxation, and expression of nitric oxide synthase 3 (NOS3) mRNA were measured in aortas isolated from both non-diabetic and streptozotocin-induced diabetic rats. The level of NO in serum was also measured 5 weeks after carvedilol administration (1 or 10 mg/kg/day). Endothelium-dependent relaxation declined along with the decrease of serum NO level in aortas from diabetic rats. Treatment with carvedilol for 5 weeks prevented the inhibition of endothelium-dependent relaxation and the decrease of serum NO levels caused by diabetes. The expression of NOS3 mRNA, protein expression and NOS3 phosphorylation at Ser1177 in diabetic rat aorta was very low in untreated diabetic aortas compared with the healthy group. Administration of carvedilol not only significantly increased the expression of NOS3 mRNA but also protein expression and NOS3 phosphorylation at Ser1177 in the healthy and diabetic groups. In conclusion, chronic carvedilol administration significantly ameliorated the endothelial dysfunction in diabetic rat aortas, in which increased NO level, up-regulated NOS3 mRNA and phosphorylation at Ser1177 may be involved.
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