Uric acid induces endothelial dysfunction by vascular insulin resistance associated with the impairment of nitric oxide synthesis

ABSTRACT Endothelial dysfunction is defined as impairment of the balance between endothelium‐dependent vasodilation and constriction. Despite evidence of uric acid‐induced endothelial dysfunction, a relationship with insulin resistance has not been clearly established. In this study, we investigated...

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Veröffentlicht in:The FASEB journal 2014-07, Vol.28 (7), p.3197-3204
Hauptverfasser: Choi, You‐Jin, Yoon, Yujin, Lee, Kang‐Yo, Hien, Tran Thi, Kang, Keon Wook, Kim, Kyong‐Cheol, Lee, Jeewoo, Lee, Moo‐Yeol, Lee, Seung Mi, Kang, Duk‐Hee, Lee, Byung‐Hoon
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container_issue 7
container_start_page 3197
container_title The FASEB journal
container_volume 28
creator Choi, You‐Jin
Yoon, Yujin
Lee, Kang‐Yo
Hien, Tran Thi
Kang, Keon Wook
Kim, Kyong‐Cheol
Lee, Jeewoo
Lee, Moo‐Yeol
Lee, Seung Mi
Kang, Duk‐Hee
Lee, Byung‐Hoon
description ABSTRACT Endothelial dysfunction is defined as impairment of the balance between endothelium‐dependent vasodilation and constriction. Despite evidence of uric acid‐induced endothelial dysfunction, a relationship with insulin resistance has not been clearly established. In this study, we investigated the role of vascular insulin resistance in uric acid‐induced endothelial dysfunction. Uric acid inhibited insulin‐induced endothelial nitric oxide synthase (eNOS) phosphorylation and NO production more substantially than endothelin‐1 expression in HUVECs, with IC50 of 51.0, 73.6, and 184.2, respectively. Suppression of eNOS phosphorylation and NO production by uric acid was PI3K/Akt‐dependent, as verified by the transfection with p110. Treatment of rats with the uricase inhibitor allantoxanamide induced mild hyperuricemia and increased mean arterial pressure by 25%. While hyperuricemic rats did not show systemic insulin resistance, they showed impaired vasorelaxation induced by insulin by 56%. A compromised insulin response in terms of the Akt/eNOS pathway was observed in the aortic ring of hyperuricemic rats. Coadministration with allopurinol reduced serum uric acid levels and blood pressure and restored the effect of insulin on Akt‐eNOS pathway and vasorelaxation. Taken together, uric acid induced endothelial dysfunction by contributing to vascular insulin resistance in terms of insulin‐induced NO production, potentially leading to the development of hypertension.—Choi, Y.‐J., Yoon, Y., Lee, K.‐Y., Hien, T. T., Kang, K. W., Kim, K.‐C., Lee, J., Lee, M.‐Y., Lee, S. M., Kang, D.‐H., Lee, B.‐H. Uric acid induces endothelial dysfunction by vascular insulin resistance associated with the impairment of nitric oxide synthesis. FASEB J. 28, 3197–3204 (2014). www.fasebj.org
doi_str_mv 10.1096/fj.13-247148
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Despite evidence of uric acid‐induced endothelial dysfunction, a relationship with insulin resistance has not been clearly established. In this study, we investigated the role of vascular insulin resistance in uric acid‐induced endothelial dysfunction. Uric acid inhibited insulin‐induced endothelial nitric oxide synthase (eNOS) phosphorylation and NO production more substantially than endothelin‐1 expression in HUVECs, with IC50 of 51.0, 73.6, and 184.2, respectively. Suppression of eNOS phosphorylation and NO production by uric acid was PI3K/Akt‐dependent, as verified by the transfection with p110. Treatment of rats with the uricase inhibitor allantoxanamide induced mild hyperuricemia and increased mean arterial pressure by 25%. While hyperuricemic rats did not show systemic insulin resistance, they showed impaired vasorelaxation induced by insulin by 56%. A compromised insulin response in terms of the Akt/eNOS pathway was observed in the aortic ring of hyperuricemic rats. Coadministration with allopurinol reduced serum uric acid levels and blood pressure and restored the effect of insulin on Akt‐eNOS pathway and vasorelaxation. Taken together, uric acid induced endothelial dysfunction by contributing to vascular insulin resistance in terms of insulin‐induced NO production, potentially leading to the development of hypertension.—Choi, Y.‐J., Yoon, Y., Lee, K.‐Y., Hien, T. T., Kang, K. W., Kim, K.‐C., Lee, J., Lee, M.‐Y., Lee, S. M., Kang, D.‐H., Lee, B.‐H. Uric acid induces endothelial dysfunction by vascular insulin resistance associated with the impairment of nitric oxide synthesis. FASEB J. 28, 3197–3204 (2014). www.fasebj.org</abstract><cop>United States</cop><pub>Federation of American Societies for Experimental Biology</pub><pmid>24652948</pmid><doi>10.1096/fj.13-247148</doi><tpages>8</tpages></addata></record>
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subjects Animals
Arterial Pressure - physiology
Cells, Cultured
Endothelin-1 - metabolism
Endothelium, Vascular - drug effects
Endothelium, Vascular - metabolism
eNOS
Human Umbilical Vein Endothelial Cells
Humans
hypertension
Hypertension - metabolism
Hypertension - physiopathology
Hyperuricemia - metabolism
Hyperuricemia - physiopathology
Insulin - metabolism
Insulin Resistance - physiology
Male
Nitric Oxide - metabolism
Nitric Oxide Synthase Type III - metabolism
Phosphatidylinositol 3-Kinases - metabolism
Phosphorylation - physiology
Proto-Oncogene Proteins c-akt - metabolism
Rats
Rats, Sprague-Dawley
Uric Acid - pharmacology
Vasodilation - drug effects
Vasodilation - physiology
title Uric acid induces endothelial dysfunction by vascular insulin resistance associated with the impairment of nitric oxide synthesis
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