Nitric oxide differentially affects ERK and Akt in type 1 and type 2 diabetic rats

Monica P Rodriguez1, Zachary M Emond1, Vinit N Varu1

  • 1Division of Vascular Surgery and Institute for BioNanotechnology in Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

Abstract

Insights

Nitric oxide (NO) differentially affects ERK and Akt pathways in type 1 versus type 2 diabetes. The ERK/Akt ratio may predict NO efficacy in inhibiting neointimal hyperplasia.

Area of Science:

  • Vascular biology
  • Diabetology
  • Pharmacology

Background:

  • Nitric oxide (NO) effectively inhibits neointimal hyperplasia in type 2 diabetic rats but not in type 1 diabetic rats.
  • Insulin signaling involves ERK and Akt pathways, suggesting NO's differential effects in diabetes types.
  • Hypothesis: NO differentially impacts ERK and Akt activity in type 1 vs. type 2 diabetic models.

Purpose of the Study:

  • To investigate the differential effects of nitric oxide (NO) on ERK and Akt pathways in type 1 and type 2 diabetic rat models.
  • To explore the relationship between NO, insulin signaling pathways, and neointimal hyperplasia inhibition.
  • To identify potential biomarkers for predicting NO efficacy in diabetic vascular disease.

Main Methods:

  • Type 2 diabetes induced in Zucker diabetic fatty (ZDF) rats; type 1 diabetes induced in Sprague-Dawley rats using streptozotocin (STZ).
  • Carotid artery injury model established in both diabetic models.
  • Animals treated with PROLI/NO (20 mg/kg) or vehicle post-injury; pERK and pAkt levels assessed.

Main Results:

  • NO reduced pERK and pAkt levels in non-diabetic and type 1 diabetic rats (STZ), but increased pAkt in type 2 diabetic rats (ZDF).
  • NO increased total pERK and pAkt in ZDF rats, while decreasing pAkt in non-diabetic and STZ rats at 14 days.
  • The pERK:pAkt ratio increased with NO in non-diabetic and STZ rats, but decreased in ZDF rats.

Conclusions:

  • Nitric oxide (NO) exhibits differential effects on ERK and Akt expression in type 1 versus type 2 diabetic rats.
  • The pERK:pAkt ratio serves as a potential surrogate marker to predict the efficacy of NO in inhibiting neointimal hyperplasia.
  • Findings highlight distinct molecular mechanisms underlying NO's action in different diabetic contexts.