Abstract
Perivascular adipose tissue (PVAT) is the layer of fat surrounding the outside of blood vessels and contributes to the control of vascular tone through the release of relaxing factors that exhibit anticontractile effects under physiological conditions. In this thesis study, the anticontractile effect of PVAT was functionally characterized in the isolated thoracic aorta of rats. In the isolated thoracic aorta of young rats aged 10-12 weeks, contractions induced by norepinephrine (10-10 – 10-4 M) were reduced in the presence of PVAT, demonstrating the anticontractile effect of PVAT. The fact that these responses did not change in endothelium-denuded rings and in the presence of L-NAME (10-4 M) indicated that the anticontractile response of PVAT is endothelium-independent and mediated by a relaxing factor other than nitric oxide (NO). When examining the age-related changes in the anticontractile response of PVAT in 52-week-old adult rats, there was a slight but significant increase in norepinephrine-induced contraction sensitivity in tissues without PVAT. This increase was inhibited in the presence of PVAT, similar to young rats, indicating that the anticontractile function of PVAT persists in older rat and limits vascular contraction with its tonic inhibitory effect. However, when endothelium-dependent relaxations were examined, relaxations induced by acetylcholine (10-9 – 10-5 M) were reduced in both PVAT-removed and PVAT-intact tissues of older rats, unlike the young group. The protective role of PVAT on vascular reactivity was also examined in the presence of high fructose both in vitro and in vivo. The anticontractile function of PVAT persisted in arteries incubated with 40 mM fructose for 1 hour in the bath media and in isolated arteries from hypertensive rats induced by 10% fructose for 12 weeks. While acetylcholine-induced relaxations remained unchanged in the in vitro high fructose and mannitol groups, they significantly decreased in the presence of PVAT of the control group of fructose-induced rats, whereas they were prevented in the hypertensive group. According to these findings, the anticontractile effect of PVAT on contractions is maintained in older rats and in a fructose-related metabolic environment. However, it can be suggested that the regulatory role of PVAT on endothelial relaxations might be decreased with aging. Nevertheless, PVAT is potentiated possibly by altered adipocyte metabolism during the early stage of fructose-related metabolic disturbances, and different adipocyte-derived relaxing factors released by PVAT partially protect vascular function.
xmlui.mirage2.itemSummaryView.Collections
xmlui.dri2xhtml.METS-1.0.item-citation
1. Soltis EE, Cassis LA. Influence of perivascular adipose tissue on rat aortic
smooth muscle responsiveness. Clin Exp Hypertens A. 1991;13(2):277-296.
2. Cornier MA, Dabelea D, Hernandez TL, Lindstrom RC, Steig AJ, Stob NR, Van Pelt RE, Wang H, Eckel RH. The metabolic syndrome. Endocr. Rev. 2008; 29:777–822.
3. Moore JX, Chaudhary N, Akinyemiju T. Metabolic Syndrome Prevalence by Race/Ethnicity and Sex in the United States, National Health and Nutrition Examination Survey, 1988–2012. Prev. Chronic Dis. 2017;14: E24.
4. Leung AKC, Wong AH, Hon KL. Childhood Obesity: An Updated Review. Curr. Pediatr. Rev. 2022;18.
5. Tengilimoğlu Metin M, Melekoğlu E. Üniversite öğrencilerinin stres durumları ile fruktoz ve işlenmiş besin tüketimi arasındaki ilişki. Çukurova Tarım ve Gıda Bilimleri Dergisi. 2021;36(2):263-274.
6. Pickering TG. America the fat: Fast food and fructose. J. Clin. Hypertens. 2003;5:298–299.
7. Moreno JA, Hong E. A single oral dose of fructose induces some features of metabolic syndrome in rats: role of oxidative stress. Nutr Metab Cardiovasc Dis. 2013;23(6):536-542.
8. Pinnick, KE, Hodson, L. Challenging metabolic tissues with fructose: tissue- specific and sex-specific responses. The Journal of physiology. 2019;597(14), 3527-3537.
9. Varma V, Boros LG, Nolen GT, Chang CW, Wabitsch M, Beger RD, Kaput J. Metabolic fate of fructose in human adipocytes: a targeted 13C tracer fate association study. Metabolomics: Official journal of the Metabolomic Society. 2015;11(3), 529-544.
10.
11. Berenyiova A, Golas S, Drobna M, Cebova M, Cacanyiova S. Fructose Intake Impairs the Synergistic Vasomotor Manifestation of Nitric Oxide and Hydrogen Sulfide in Rat Aorta. Int J Mol Sci. 2021;30;22(9):4749-4766.
12. Zemančíková A, Török J. Effect of perivascular adipose tissue on arterial adrenergic contractions in normotensive and hypertensive rats with high fructose intake. Physiol Res. 2017;30;66(Suppl 4):S537-S544.
13. Török J, Zemančíková A, Valaskova Z, Balis P. The Role of Perivascular Adipose Tissue in Early Changes in Arterial Function during High-Fat Diet and Its Combination with High-Fructose Intake in Rats. Biomedicines. 2021;9(11), 1552.
14. Peredo HA, Mayer MA, Rodríguez Fermepín M, Grinspon D, Puyó AM. Oral treatment and in vitro incubation with fructose modify vascular prostanoid productionin the rat. Auton Autacoid Pharmacol. 2006;26(1):15-20.
60
Zemančíková A, Török J. Cardiovascular effects of high-fructose intake in rats with nitric oxide deficiency. Interdisciplinary toxicology. 2014;7(3), 159–164.
15. Rosen ED, Spiegelman BM. What we talk about when we talk about fat. Cell. 2014;156:20-44.
16. An SM, Cho SH, Yoon JC. Adipose Tissue and Metabolic Health. Diabetes & metabolism journal. 2023;47(5), 595–611.
17. 18. 19. 20. 21. 22. 23.
24.
Biol. 2020;40
25. 26.
Arterioscler. Thromb. Vasc. Front. Pharmacol. 2021;12
Milutinović A, Šuput D, Zorc-Pleskovič R. Pathogenesis of atherosclerosis in the tunica intima, media, and adventitia of coronary arteries: An updated
61
review. Bosn J Basic Med Sci. 2020;20(1):21-30.
Hillock-Watling C, Gotlieb AI. The pathobiology of perivascular adipose tissue (PVAT), the fourth layer of the blood vessel wall. Cardiovascular
Pathology. 2022;61:107459.
Cruz-López, EO, Uijl E, Danser AHJ. Perivascular Adipose Tissue in Vascular Function: Does Locally Synthesized Angiotensinogen Play a Role? Journal of
cardiovascular pharmacology. 2021;78(Suppl 6), S53–S62.
Siegel-Axel DI, Häring HU. Perivascular adipose tissue: An unique fat compartment relevant for the cardiometabolic syndrome. Rev Endocr Metab
Disord. 2016;17:51–60.
Gil-Ortega M, Somoza B, Huang Y, Gollasch M, Fernández-Alfonso MS. Regional differences in perivascular adipose tissue impacting vascular
homeostasis. Trends Endocrinol. Metab. 2015;26:367–375.
Rajsheker S, Manka D, Blomkalns AL, Chatterjee TK, Stoll LL, Weintraub NL. Crosstalk between perivascular adipose tissue and blood vessels. Curr.
Opin. Pharmacol. 2010;10:191–196.
Margaritis M, Antonopoulos AS, Digby J, Lee R, Reilly S, Coutinho P, Shirodaria C, Sayeed R, Petrou M, De Silva R, et al. Interactions Between Vascular Wall and Perivascular Adipose Tissue Reveal Novel Roles for Adiponectin in the Regulation of Endothelial Nitric Oxide Synthase Function
in Human Vessels. Circulation. 2013;127:2209–2221.
Kim HW, Shi H, Winkler MA, Lee R, Weintraub NL. Perivascular Adipose
Tissue and Vascular Perturbation/Atherosclerosis.
:2569–2576.
Li X, Ma Z, Zhu YZ. Regional Heterogeneity of Perivascular Adipose Tissue:
Morphology, Origin, and Secretome.
27. Hildebrand S, Stümer J, Pfeifer A. PVAT and Its Relation to Brown, Beige, and White Adipose Tissue in Development and Function. Front Physiol. 2018;9:70.
28.
1670.
:697720.
Ketonen J, Shi J, Martonen E, Mervaala E. Periadventitial adipose tissue promotes endothelial dysfunction via oxidative stress in diet‐induced obese
C57Bl/6 mice. Circ. 2010; J 74: 1479–1487.
Greenstein AS, Khavandi K, Withers SB, Sonoyama K, Clancy O, Jeziorska M et al. Local inflammation and hypoxia abolish the protective anticontractile properties of perivascular fat in obese patients. Circulation. 2009;119:1661–
29. 30.
31.
Pellegrinelli V, Carobbio S, Vidal‐Puig A. Adipose tissue plasticity: how fat depots respond differently to pathophysiological cues. Diabetologia. 2016;59:
1075–1088.
Chang L, Villacorta L, Li R, Hamblin M, Xu W, Dou C, et al. Loss of perivascular adipose tissue on peroxisome proliferator‐activated receptor‐γ deletion in smooth muscle cells impairs intravascular thermoregulation and
enhances atherosclerosis. Circulation. 2012;126: 1067–1078.
Arbor A, Chang L, Chen YE, Brown NK, Zhou Z, Zhang J, Zeng R, Wu J, Eitzman DT. Perivascular adipose tissue in vascular function and disease: a
review of current research and animal models.
and vascular biology. 2014;34:8
, 1621-30.
32. Saxton SN, Ryding KE, Aldous RG, Withers SB, J Ohanian AM. Heagerty Role of sympathetic nerves and adipocyte catecholamine uptake in the vasorelaxant function of perivascular adipose tissue. Arterioscler Thromb Vasc Biol. 2018;38:880-891.
33.
34. Ahmad MF, Ferland D, Ayala-Lopez N, Contreras GA, Darios E, Thompson J. Perivascular adipocytes store norepinephrine by vesicular transport. Arterioscler Thromb Vasc Biol, 2019;39:188-199,
35. 36.
1063.
37. 38.
39.
40. 41.
Arteriosclerosis, thrombosis,
62
Bussey CE, Withers SB, Saxton SN, Bodagh N, Aldous RG, Heagerty AM. β3 -Adrenoceptor stimulation of perivascular adipocytes leads to increased fat cell-derived NO and vascular relaxation in small arteries. British journal of
pharmacology. 2018;175(18), 3685–3698.
Gao YJ, Lu C, Su LY, Sharma AM, Lee RM. Modulation of vascular function by perivascular adipose tissue: The role of endothelium and hydrogen
peroxide. Br. J. Pharmacol. 2007;151:323–331.
Löhn M, Dubrovska G, Lauterbach B, Luft FC, Gollasch M, Sharma AM. Periadventitial fat releases a vascular relaxing factor. FASEB J. 2002;16:1057–
Ahmed A, Bibi A, Valoti M, Fusi F. Perivascular Adipose Tissue and Vascular
Smooth Muscle Tone: Friends or Foes? Cells. 2023;12(8), 1196.
Aalbaek F, Bonde L, Kim S, Boedtkjer E. Perivascular tissue inhibits rho‐ kinase‐dependent smooth muscle Ca2+ sensitivity and endothelium‐dependent
H2S signalling in rat coronary arteries. J Physiol. 2015;593: 4747–4764.
Owen MK, Witzmann FA, McKenney ML, Lai X, Berwick ZC, Moberly SP, Alloosh M, Sturek M, Tune JD. Perivascular adipose tissue potentiates contraction of coronary vascular smooth muscle: Influence of
obesity. Circulation. 2013;128:9–18.
Zhao Y, Vanhoutte PM, Leung SWS. Vascular nitric oxide: Beyond eNOS. J.
Pharmacol. Sci. 2015;129:83–94.
Saxton SN, Withers SB, Heagerty AM. Perivascular Adipose Tissue Anticontractile Function Is Mediated by Both Endothelial and Neuronal Nitric
Oxide Synthase Isoforms. J. Vasc. Res. 2022;59:288–302.
Aghamohammadzadeh R, Unwin RD, Greenstein AS, Heagerty AM. Effects of Obesity on Perivascular Adipose Tissue Vasorelaxant Function: Nitric Oxide, Inflammation and Elevated Systemic Blood Pressure. J. Vasc. Res.
42.
43. 44. 45.
46.
47. Sena CM, Pereira A, Fernandes R, Letra L, Seiça RM. Adiponectin improves endothelial function in mesenteric arteries of rats fed a high-fat diet: Role of perivascular adipose tissue. J. Cereb. Blood Flow Metab. 2017;174:3514– 3526.
48.
49. 50.
51. 52.
53.
54.
63
2015;52:299–305.
Man AWC, Zhou Y, Xia N, Li H. Endothelial Nitric Oxide Synthase in the
Perivascular Adipose Tissue. Biomedicines. 2022;10:1754.
Barp CG, Bonaventura D, Assreuy J. NO, ROS, RAS, and PVAT: More Than
a Soup of Letters. Front. Physiol. 2021;12:640021.
Victorio JA, Fontes MT, Rossoni LV, Davel AP. Different Anti-Contractile Function and Nitric Oxide Production of Thoracic and Abdominal Perivascular
Adipose Tissues. Front. Physiol. 2016;7:295.
Withers SB, Bussey CE, Saxton SN, Melrose HM, Watkins AE, Heagerty AM. Mechanisms of adiponectin-associated perivascular function in vascular
disease. Arterioscler. Thromb. Vasc. Biol. 2014;34:1637–1642.
Weston AH, Egner I, Dong Y, Porter EL, Heagerty AM, Edwards G. Stimulated release of a hyperpolarizing factor (ADHF) from mesenteric artery perivascular adipose tissue: Involvement of myocyte BKCa channels and
adiponectin. Br. J. Pharmacol. 2013;169:1500–1509.
Xia N, Li H. The role of perivascular adipose tissue in obesity-induced vascular
dysfunction. Br. J. Pharmacol. 2017;174:3425–3442.
Gil-Ortega M, Stucchi P, Guzmán-Ruiz R, Cano V, Arribas S, González MC, Ruiz-Gayo M, Fernandez-Alfonso MS, Somoza B. Adaptative nitric oxide overproduction in perivascular adipose tissue during early diet-induced
obesity. Endocrinology. 2010;151:3299–3306.
Queiroz M, Sena CM. Perivascular adipose tissue in age-related vascular
disease. Ageing research reviews. 2020;59:101040.
Cacanyiova S, Majzunova M, Golas S, Berenyiova A. The role of perivascular adipose tissue and endogenous hydrogen sulfide in vasoactive responses of isolated mesenteric arteries in normotensive and spontaneously hypertensive
rats. J. Physiol. Pharmacol. 2019;70:20.
Reis Costa DEF, Silveira ALM, Campos GP, Nóbrega NRC, de Araújo NF, de Figueiredo Borges L, dos Capettini LSA, Ferreira AVM, Bonaventura D. High-Carbohydrate Diet Enhanced the Anticontractile Effect of Perivascular Adipose Tissue Through Activation of Renin-Angiotensin System. Front.
Physiol. 2021;11:628101.
Lee RM, Lu C, Su LY, Werstuck G, Gao YJ. Effects of hyperglycemia on the modulation of vascular function by perivascular adipose tissue.J.
Hypertens. 2009;27:118–131.
55.
56.
57. 58. 59.
60. 61.
62. Dekker MJ, Su Q, Baker C, Rutledge AC, Adeli K. Fructose: a highly lipogenic nutrient implicated in insulin resistance, hepatic steatosis, and the metabolic syndrome. Am J Physiol Endocrinol Metab. 2010;299: E685-E694.
63. Tappy L, Le KA. Metabolic effects of fructose and the worldwide increase in obesity. Physiol Rev. 2010;90:23-46.
64. Patel C, Douard V, Yu S, Tharabenjasin P, Gao N, Ferraris RP. Fructose- induced increases in expression of intestinal fructolytic and gluconeogenic genes are regulated by GLUT5 and KHK. Am. J. Physiol. Regul. Integr. Comp. Physiol. 2015;309:R499–509.
65. Tappy L, Lê KA, Tran C, Paquot N. Fructose and metabolic diseases: New findings, new questions. Nutrition. 2010;26:1044–1049.
66. Malakul W, Pengnet S, Kumchoom C, Tunsophon S. Naringin ameliorates endothelial dysfunction in fructose-fed rats. Experimental and therapeutic medicine. 2018;15(3), 3140–3146.
67. Jin J, Liu J, Luo Y, et al. High fructose induces dysfunctional vasodilatation via PP2A-mediated eNOS Ser1177 dephosphorylation. Nutr Metab (Lond). 2022;19(1):24.
da Costa RM, Silva JFd, Alves JV, Dias TB, Rassi DM, Garcia LV, Lobato NDS, Tostes RC. Increased O-GlcNAcylation of Endothelial Nitric Oxide Synthase Compromises the Anti-contractile Properties of Perivascular Adipose
Tissue in Metabolic Syndrome. Front. Physiol. 2018;9:341.
64
Huang F, Lezama MA, Ontiveros JA, Bravo G, Villafaña S, del-Rio-Navarro BE, Hong E. Effect of losartan on vascular function in fructose-fed rats: the role of perivascular adipose tissue. Clinical and experimental hypertension.
2010;32(2), 98–104.
Lakatta EG, Levy D. Arterial and cardiac aging: major shareholders in cardiovascular disease enterprises: part I: aging arteries: a “set up” for vascular
disease. Circulation. 2003;107:139-146.
Fleenor BS, Eng JS, Sindler AL, Pham BT, Kloor JD, Seals DR. Superoxide signaling in perivascular adipose tissue promotes age‐related artery stiffness.
Aging Cell. 2014;13:576-578.
Bailey Downs LC, Tucsek Z, Toth P, Sosnowska D, Gautam T, Sonntag WE, Csiszar A, Ungvari Z. Aging exacerbates obesity-induced oxidative stress and inflammation in perivascular adipose tissue in mice: a paracrine mechanism contributing to vascular redox dysregulation and inflammation. J. Gerontol. A
Biol. Sci. Med. Sci., 2012;68:780-792.
He L, S. Babar G, M. Redel J, L. Young S, E. Chagas C, V. Moore W, Yan Y.
Fructose Intake: Metabolism and Role in Diseases. IntechOpen. 2021.
Johnson RJ, Segal MS, Sautin Y, Nakagawa T, Feig DI, Kang DH, et al. Potential role of sugar (fructose) in the epidemic of hypertension, obesity and the metabolic syndrome, diabetes, kidney disease, and cardiovascular
disease. Am J Clin Nutr. 2007;86:899–906.
68. Wu KLH, Wu CW, Chen LW, et al. Dysregulation of mitochondrial dynamics mediated aortic perivascular adipose tissue-associated vascular reactivity impairment under excessive fructose intake. Nutr Metab (Lond). 2024;21(1):4.
69. Rafique Y, AlBader M, Oriowo M. Attenuation of the anti‐contractile effect of cooling in the rat aorta by perivascular adipose tissue. Autonomic and Autacoid Pharmacology. 2017 Sept;37(4):52–60.
70. Zhou ZY, Zhao WR, Shi WT, Xiao Y, Ma ZL, Xue JG, Zhang LQ, Ye Q, Chen XL, Tang JY. Endothelial-Dependent and Independent Vascular Relaxation Effect of Tetrahydropalmatine on Rat Aorta.Frontiers in pharmacology. 2019;10,336.
71. Johnson-Delaney CA. Exotic Companion Medicine Handbook for veterinarians. Lake Worth, Fla: Zoological Education Network; 2008.
72. Hem NA, Phie J, Chilton L, Kinobe R. A volume-pressure tail cuff method for hemodynamic parameters: Comparison of restraint and light isoflurane anesthesia in normotensive male Lewis rats. J Pharmacol Toxicol Methods. 2019;100:106601.
73. Ho CY, Lin YT, Chen HH, Ho WY, Sun GC, Hsiao M, et al. CX3CR1- microglia mediates neuroinflammation and blood pressure regulation in the nucleus tractus solitarii of fructose-induced hypertensive rats. J Neuroinflammation. 2020;17(1):1-12.
74. Padilla J, Jenkins NT, Vieira-Potter VJ, Laughlin MH. Divergent phenotype of rat thoracic and abdominal perivascular adipose tissues. Am J Physiol Regul Integr Comp Physiol. 2013;304(7):R543-R552.
75. Gonzaga NA, Awata WMC, do Vale GT, et al. Perivascular adipose tissue protects against the vascular dysfunction induced by acute ethanol intake: Role of hydrogen peroxide. Vascul Pharmacol. 2018;111:44-53.
76. Lee MHH, Chen SJ, Tsao CM, Wu CC. Perivascular Adipose Tissue Inhibits Endothelial Function of Rat Aortas via Caveolin-1. PLoS One. 2014;9(6).
77. Sengupta P. The Laboratory Rat: Relating Its Age With Human's. Int J Prev Med. 2013;4(6):624-630.
78. Nakladal D, Sijbesma JWA, Visser LM, et al. Perivascular adipose tissue- derived nitric oxide compensates endothelial dysfunction in aged pre- atherosclerotic apolipoprotein E-deficient rats. Vascul Pharmacol. 2022;142:106945.
79. Hwang IS, Ho H, Hoffman BB, Reaven GM. Fructose-induced insulin resistance and hypertension in rats. Hypertension. 1987;10(5):512-516.
80. Klein AV, Kiat H. The mechanisms underlying fructose-induced hypertension: A review. J. Hypertens. 2015;33:912–920.
81.Mahmoud MF, El Bassossy HM. Curcumin attenuates fructose-induced vascular dysfunction of isolated rat thoracic aorta rings.Pharm Biol. 2014;52(8):972-977.
65
82. Almenara CC, Mill JG, Vassallo DV, Baldo MP, Padilha AS. In vitro fructose exposure overactivates NADPH oxidase and causes oxidative stress in the isolated rat aorta. Toxicology in vitro: an international journal published in association with BIBRA. 2015;29(8), 2030–2037.
83. Bursać BN, Vasiljević AD, Nestorović NM, et al. High-fructose diet leads to visceral adiposity and hypothalamic leptin resistance in male rats--do glucocorticoids play a role?. J Nutr Biochem. 2014;25(4):446-455.