Diabetes mellitus is a syndrome of disordered metabolism, usually due to a combination of hereditary and environmental causes, resulting in abnormally high blood glucose levels. The two most common forms of diabetes are due to either a diminished production of insulin (type 1) or a diminished response to insulin (type 2). Diabetes is a risk factor in the development of both macro-and microvascular diseases. [1][2][3] Indeed, it increases the incidence of ischemic heart disease, cerebral ischemia, and atherosclerosis, conditions in which endothelial dysfunction plays a role in pathogenesis. One of the most important functions of the endothelium is the production of nitric oxide (NO) in response to various hormonal, mechanical, and chemical stimuli. NO has a variety of effects, including the induction of vascular relaxation. In patients with either type 1 or type 2 diabetes, the forearm blood-flow (dilator) responses to acetylcholine (ACh) are reduced, suggesting endothelial dysfunction. 4,5) In streptozotocin (STZ)-induced diabetic rats or mice, which are models of type 1 diabetes, the endothelium-dependent relaxation induced by ACh is impaired, and reactive oxygen species and polyol products have been suggested to be involved in this impairment.6-9) Moreover, there is evidence that endothelial function is impaired in patients with diabetes mellitus 10,11) in a manner similar to that seen in STZ-treated animals. Thus, STZ-induced diabetic rats and mice may provide models for studies of the underlying causes of endothelial-cell damage in diabetes mellitus, and a means of assessing the contribution of diabetes mellitus to cardiovascular disease states.Gender differences in blood pressure 12) and vascular reactivity [13][14][15][16][17] have been reported in rats and mice. Although in the general (non-diabetic) population, cardiovascular diseases are more frequent in men than in premenopausal women, 18,19) diabetes may produce a greater impairment in the female cardiovascular system, with the result that the above difference between men and premenopausal women disappears in diabetic patients. 20) Although some studies have been carried out on the effects of exogenous sex hormones in diabetes, few studies have compared the influence of diabetes on vascular reactivity between males and females.Against this background, we decided to assess whether there are gender differences in the effects of type 1 diabetes on the endothelium-dependent vascular relaxations to various stimuli. For this, we employed aortas isolated from STZ-induced diabetic mice. Although there have been many reports that male diabetic-model mice or rats exhibit endothelial dysfunction, little is known about gender differences in endothelial function in diabetes, particularly in murine models. That was our rationale for investigating gender differences in vascular reactivity in the aorta using STZ-induced type 1 diabetic-model mice.
MATERIALS AND METHODSReagents STZ, clonidine hydrochloride, insulin from porcine pancreas, norepinephrine (NE), and N w -...