Early vascular alterations in the diabetic rat heart

The aim of this study was to evaluate whether there are vascular alterations in diabetes prior to atherosclerotic lesions. Four and 12 weeks after induction of diabetes (streptozotocin, 60 mg/kg b.w.) in rats characterized by low plasma insulin, hyperglycaemia, glucosuria, and loss of body weight, however, without morphological alterations of the cardiac vasculature--local myocardial perfusion parameters were estimated in the epicardium of Langendorff perfused hearts using fluorescence indicator (FITC-dextrane, MG 3kD) washout kinetics after bolus injection. The elution profile was characterized by a fast vascular and a slow transendothelial component. In diabetic hearts, vascular as well as transendothelial washout were prolonged. Concomitantly, the vascular perfusion volume and the amount of indicator exchanged with the interstitium was significantly diminished. Vascular response to bradykinin (5 nmol/l) was moderately attenuated and the limitations in transendothelial indicator exchange could not be affected by bradykinin, although vascular perfusion volume was significantly increased. These findings clearly indicate disturbed local myocardial perfusion early in the development of diabetes.