Why the study?
The mechanisms underlying reduced NO bioavailability in obesity-linked endothelial dysfunction and fenofibrate's influence on vascular function remain unclear.
Does fenofibrate improve endothelial function and NO production in high-fat diet-induced obese mice?
Does fenofibrate improve endothelial function and NO production in high-fat diet-induced obese mice?
Fenofibrate improves endothelial function and NO production in obese mice, likely via the LKB1/AMPK/Akt pathway and suppression of hepatic GRK2 activity.
Fenofibrate may restore endothelial NO signaling in obese mice via LKB1/AMPK/Akt; leaves open translation to human cardiometabolic therapy.
Background: Obesity is often linked to endothelial dysfunction, a key factor in the development of cardiovascular and metabolic diseases. Reduced nitric oxide (NO) bioavailability is a defining feature of this condition, yet its underlying mechanisms and possible therapeutic targets remain unclear. Fenofibrate, a peroxisome proliferator-activated receptor-α (PPARα) agonist, is widely used to regulate lipid metabolism; however, its influence on vascular function and associated molecular pathways is not fully established. This study examined the effects of fenofibrate on vascular reactivity in high-fat diet (HFD)-induced obese mice, focusing on endothelial NO production and its upstream regulators. Methods: Male Institute of Cancer Research mice were fed either a standard diet (SD) or an HFD for 12 weeks. Two weeks before the end of the feeding period, mice were treated with fenofibrate (25 mg/kg/day) or vehicle, forming four groups: SD, SD with fenofibrate (SD-FF), HFD, and HFD with fenofibrate (HFD-FF). Lipid profiles, aortic vascular function, and NO production were evaluated. Phosphorylation levels of liver kinase B1 (LKB1), AMP-activated protein kinase (AMPK), and Akt were analyzed, along with G protein-coupled receptor kinase 2 (GRK2) expression and activity in the aorta and liver. Results: HFD-FF mice showed markedly lower hepatic and plasma triglyceride levels than HFD mice, indicating improved lipid metabolism. Endothelial-dependent relaxation, which was impaired in HFD mice, was markedly restored in HFD-FF mice, accompanied by increased basal NO production. Aortic phosphorylation of LKB1, AMPK, and Akt was enhanced in HFD-FF mice relative to HFD mice, whereas aortic GRK2 activity remained unchanged. In the liver, GRK2 expression was elevated in HFD and HFD-FF groups compared with SD mice, but GRK2 activity was markedly increased in HFD mice and notably reduced in HFD-FF mice. Conclusion: Fenofibrate improves endothelial-dependent relaxation and NO production in HFD-induced obese mice, likely through activation of the LKB1/AMPK/Akt pathway. The suppression of hepatic GRK2 activity by fenofibrate may contribute to better lipid metabolism, thereby promoting the recovery of vascular function.
No takes yet. Share an insight, caveat, or question.
Taguchi et al. (2026) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: