Telmisartan ameliorates adipoR1 and adipoR2 expression via PPAR-γ activation in the coronary artery and VSMCs

Xuhua Shen1, Hongwei Li1, Weiping Li1

  • 1Department of Cardiology, Beijing Friendship Hospital, Capital Medical University, 95 Yong An Road, West district, Beijing 100050, China.

Insights

Telmisartan treatment improved insulin resistance and reduced inflammation in diabetic rats. It upregulated adiponectin receptors (AdipoRs) in the coronary artery and vascular smooth muscle cells by activating PPAR-γ.

Area of Science:

  • Cardiovascular Pharmacology
  • Metabolic Syndrome Research

Background:

  • Coronary artery disease is a common complication of diabetes, characterized by insulin resistance and inflammation.
  • Adiponectin receptors (AdipoRs) play a crucial role in regulating glucose and lipid metabolism, and their dysregulation is implicated in insulin resistance.

Purpose of the Study:

  • To investigate the effects of telmisartan on insulin resistance and adiponectin receptor expression in a diabetic rat model.
  • To elucidate the underlying mechanisms involving peroxisome proliferator-activated receptor-gamma (PPAR-γ) in the coronary artery and vascular smooth muscle cells.

Main Methods:

  • A diabetic rat model was induced using a high-fat diet and streptozotocin.
  • Primary rat coronary vascular smooth muscle cells (VSMCs) were treated with high glucose.
  • Telmisartan, GW1929 (PPAR-γ agonist), and GW9662 (PPAR-γ antagonist) were administered to assess their effects on insulin resistance, inflammation markers (TNF-α), and AdipoR1/R2 expression.

Main Results:

  • Telmisartan treatment ameliorated insulin resistance, weight gain, hypertension, and hypertriglyceridemia in diabetic rats.
  • Telmisartan increased plasma adiponectin and decreased TNF-α expression in the coronary artery.
  • Telmisartan and GW1929 upregulated AdipoR1 and AdipoR2 expression in VSMCs, an effect blocked by GW9662, indicating PPAR-γ activation.

Conclusions:

  • Telmisartan effectively ameliorates coronary insulin resistance and inflammation in diabetic rats.
  • Telmisartan upregulates AdipoR1 and AdipoR2 expression via PPAR-γ activation in the coronary artery and VSMCs.
  • These findings highlight telmisartan's potential therapeutic role in managing diabetic cardiovascular complications.

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