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Experimental Gerontology
journal homepage: www.elsevier.com/locate/expgero
Study of insulin vascular sensitivity in aortic rings and endothelial cells from
aged rats subjected to caloric restriction: Role of perivascular adipose tissue
S. Amor
a
, B. Martín-Carro
a
, C. Rubio
b
, J.M. Carrascosa
b
, W. Hu
c
, Y. Huang
c
, A.L. García-Villalón
a
,
M. Granado
a,d,⁎
a
Departamento de Fisiología, Facultad de Medicina, Universidad Autónoma de Madrid, Spain
b
Departamento de Bioquímica y Biología Molecular, Facultad de Ciencias, Universidad Autónoma de Madrid, Spain
c
School of Biomedical Sciences, Institute of Vascular Medicine, Faculty of Medicine, Chinese University of Hong Kong, China
d
CIBER Fisiopatología de la Obesidad y Nutrición, Instituto de Salud Carlos III, Madrid, Spain
ARTICLE INFO
Keywords:
Aging
Insulin
Akt
Perivascular adipose tissue
Aorta
eNOS
ABSTRACT
The prevalence of metabolic syndrome is dramatically increasing among elderly population. Metabolic syn-
drome in aged individuals is associated with hyperinsulinemia and insulin resistance both in metabolic tissues
and in the cardiovascular system, with this fact being associated with the cardiometabolic alterations associated
to this condition. Caloric restriction (CR) improves insulin sensitivity and is one of the dietetic strategies most
commonly used to enlarge life and to prevent aging induced cardiovascular alterations. The aim of this study was
to analyze the possible beneficial effects of CR in aging-induced vascular insulin resistance both in aortic rings
and in primary culture of endothelial cells. In addition, the inflammatory profile of perivascular adipose tissue
(PVAT) and its possible role in the impairment of vascular insulin sensitivity associated with aging was also
assessed. Three experimental groups of male Wistar rats were used: 3 (3 m), 24 (24 m) fed ad libitum and
24 months old rats subjected to 20% CR during their three last months of life (24 m–CR). Aorta rings surrounded
or not by PVAT were mounted in an organ bath and precontracted with phenylephrine (10
-7.5
M). Changes in
isometric tension were recorded in response to cumulative insulin concentrations (10
-8
–10
-5.5
M) in the
presence or absence of L-NAME (10
-4
M). Aortic rings and primary aortic endothelial cells were incubated in
presence/absence of insulin (10
-7
M) and the activation of the PI3K/Akt and MAPK pathways as well as nitrite
and nitrates concentrations and the mRNA levels of eNOS, insulin receptor, and GLUT-4 were assessed. CR
prevented the aging-induced decrease in the vasodilator response to insulin and the aging-induced increase in
the vasoconstrictor response to high insulin concentrations. Changes between 24 m and 24 m–CR aorta rings
were abolished in the presence of L-NAME. CR induced-improvement in insulin vascular sensitivity was related
with activation of the PI3K/Akt both in aortic rings and in aortic endothelial cells in response to insulin. CR
attenuated the overexpression of iNOS, TNF-α and IL-1β in the PVAT of aged rats although aortic rings sur-
rounded by PVAT from 24 m rats showed and increased vasorelaxation in response to insulin compared to aortic
rings from 3 m and 24 m–CR rats. In conclusion, a moderate protocol of CR improves insulin vascular sensitivity
and prevents the aging induced overexpression of pro-inflammatory cytokines in PVAT.
1. Introduction
Aging is the major risk factor for cardiovascular diseases, as nearly
90% of incident CV events occur in adults over 55 years of age (Gu and
Xu, 2013). Aging is associated with several cardiovascular alterations
such as endothelial dysfunction and arterial stiffness that lead to an
impairment on cardiovascular function (Tuomilehto, 2004). Some of
these alterations are linked to metabolic syndrome whose prevalence is
increased among elderly men and women. Indeed, the ratio for
metabolic syndrome among men and women of 65 years old of age and
older is approximately fivefold higher than among those aged
20–34 years old (Park et al., 2003; Schulman et al., 2007).
A large body of evidence demonstrates that aging and metabolic
syndrome share several metabolic alterations that include an altered
distribution, expansion, and endocrine function of adipose tissue
(Bonomini et al., 2015; Haffner, 2000), as well as hyperinsulinaemia
and insulin resistance (Armani et al., 2017). Indeed, the onset of insulin
resistance and type 2 diabetes is a hallmark of aging (Lopez-Lluch and
http://dx.doi.org/10.1016/j.exger.2017.10.017
Received 4 August 2017; Received in revised form 15 October 2017; Accepted 16 October 2017
⁎
Corresponding author at: Department of Physiology, Faculty of Medicine, Universidad Autónoma de Madrid, C/Arzobispo Morcillo no. 2, 28029 Madrid, Spain.
E-mail address: miriam.granado@uam.es (M. Granado).
Experimental Gerontology xxx (xxxx) xxx–xxx
0531-5565/ © 2017 Elsevier Inc. All rights reserved.
Please cite this article as: Amor, S., Experimental Gerontology (2017), http://dx.doi.org/10.1016/j.exger.2017.10.017