O besity and diabetes mellitus are associated with augmented circulating levels of free fatty acids, low-grade chronic inflammation, 1 and endothelial dysfunction attributable to impaired release of endothelium-derived relaxing and augmented production of endothelium-derived contracting (EDCF) factors.2 Thus, the bioavailability of NO is reduced by obesity and diabetes mellitus, 3 and relaxations attributable to endothelium-derived hyperpolarization (EDH) are impaired at the early stage of diabetes mellitus. 4 Finally, increased release of endothelium-derived vasoconstrictor prostanoids and reactive oxygen species (ROS) also contributes to endothelial dysfunction in obesity and diabetes mellitus. 5 Proinflammatory cytokines (tumor necrosis factor-α [TNF-α], interleukin 6 [IL-6], resistin, and lipocalin-2) link obesity to metabolic and vascular dysfunction.1 Bacterial endotoxin lipopolysaccharide (LPS) and saturated fatty acids share as pattern recognition target toll-like receptors 4 (TLR4), which activate inflammatory pathways, induce cytokine expression in the endothelium, 6,7 and augment the expression of NADPH oxidase in macrophages. 8 The absence of TLR4 protects mice against obesity-induced insulin resistance.
7NADPH oxidase is a major source of endothelial ROS. 9,10 ROS decrease the bioavailability of NO 11 and facilitate the production of EDCF.
12It is unknown whether or not TLR4 signaling contributes to the impaired NO-and EDHF-mediated relaxations and the amplified EDCF-mediated contractions seen in obesity and diabetes mellitus. Therefore, the present experiments tested the hypothesis that TLR4 signaling mediates, at least in part, the deleterious effects of diet-induced and genetic obesity leading to endothelial dysfunction.
Materials and MethodsMaterials and Methods are available in the online-only Supplement.
Results
General CharacteristicsThere were no significant differences in food intake between wild-type (WT) and TLR4 −/− mice ( Figure Objective-To analyze the role of toll-like receptor 4 in modulating metabolism and endothelial function. Approach and Results-Type 2 diabetic mice with mutated toll-like receptor 4 (DWM) were protected from hyperglycemia and hypertension, despite an increased body weight. Isometric tension was measured in arterial rings with endothelium.Relaxations to acetylcholine were blunted in aortae and mesenteric arteries of Lepr db/db mice, but not in DWM mice; the endothelial NO synthase dimer/monomer ratio and endothelial NO synthase phosphorylation levels were higher in DWM preparations. These differences were abolished by apocynin. Contractions to acetylcholine (in the presence of L-NAME) were larger in carotid arteries from Lepr db/db mice than from DWM mice and were inhibited by indomethacin and SC560, demonstrating involvement of cyclooxygenase-1. The release of 6-ketoprostaglandin F 1α was lower in DWM mice arteries, implying lower cyclooxygenase-1 activity. Apocynin, manganese(III) tetrakis(1-methyl-4-pyridyl) porphyrin, catalase, and diethyldithiocarbamat...