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July 17, 2001Circulation536 citationsOpen Access

Insulin Resistance, Hyperlipidemia, and Hypertension in Mice Lacking Endothelial Nitric Oxide Synthase

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HDHervé DuplainRBRémy BurcelinCSCláudio Sartori

Key Result

Mice lacking endothelial nitric oxide synthase (eNOS-/-) exhibited hypertension, fasting hyperinsulinemia, hyperlipidemia, and a 40% lower insulin-stimulated glucose uptake than control mice.

Structured PICO

Does eNOS deficiency cause insulin resistance, hyperlipidemia, and hypertension in mice?

P
Population
Conscious mice with disruption of the gene encoding for eNOS compared to control mice and 1-kidney/1-clip mice.
E
Exposure
eNOS gene disruption (eNOS deficiency)
C
Comparator
Control mice and equally hypertensive 1-kidney/1-clip mice
O
Outcome
Insulin sensitivity (insulin-stimulated glucose uptake), fasting insulin, lipid levels, and arterial pressuresurrogate

eNOS deficiency in mice causes hypertension, hyperlipidemia, and insulin resistance, suggesting a mechanistic link between metabolic and cardiovascular diseases.

Main Result

Effect estimate: 40% lower

Abstract

BACKGROUND: Insulin resistance and arterial hypertension are related, but the underlying mechanism is unknown. Endothelial nitric oxide synthase (eNOS) is expressed in skeletal muscle, where it may govern metabolic processes, and in the vascular endothelium, where it regulates arterial pressure. METHODS AND RESULTS: To study the role of eNOS in the control of the metabolic action of insulin, we assessed insulin sensitivity in conscious mice with disruption of the gene encoding for eNOS. eNOS(-/-) mice were hypertensive and had fasting hyperinsulinemia, hyperlipidemia, and a 40% lower insulin-stimulated glucose uptake than control mice. Insulin resistance in eNOS(-/-) mice was related specifically to impaired NO synthesis, because in equally hypertensive 1-kidney/1-clip mice (a model of renovascular hypertension), insulin-stimulated glucose uptake was normal. CONCLUSIONS: These results indicate that eNOS is important for the control not only of arterial pressure but also of glucose and lipid homeostasis. A single gene defect, eNOS deficiency, may represent the link between metabolic and cardiovascular disease.

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Cite This Study

Duplain et al. (2001) studied Insulin resistance and arterial hypertension. eNOS gene disruption (eNOS-/-) vs. Control mice and 1-kidney/1-clip mice was evaluated on Insulin-stimulated glucose uptake (40% lower). Mice lacking endothelial nitric oxide synthase (eNOS-/-) exhibited hypertension, fasting hyperinsulinemia, hyperlipidemia, and a 40% lower insulin-stimulated glucose uptake than control mice.

synapsesocial.com/papers/6a21b6d7db71e1dfcf8b8620https://doi.org/10.1161/01.cir.104.3.342
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