Abstract 1041: Endovascular Injury Affects Adipocytokine Profile Of The Periadventitial Adipose Tissue
Background: Adipose tissue secretes not only proinflammatory cytokines but also anti-inflammatory cytokines such as adiponectin. Arteries are surrounded by abundant periadventitial fat tissues, which have been suggested to play a role in maintenance of vascular homeostasis. Here, we investigated whether endovascular injury affects the profile of adipocytokines expressed by perivascular adipose tissue (PAT).
Methods and Results: First, the femoral artery of C57BL/6 mice was overstretched by insertion of a large wire. Real-time PCR analysis revealed that wire injury markedly down-regulated adiponectin expression (0.64±0.09 fold, p<0.01) and up-regulated expression of proinflammatory cytokines, TNF alpha, IL-6, PAI-1, and MCP-1 (p<0.01) 1 day after overstretch within PAT. Neutrophils and macrophages accumulated in the adventitia surrounding the injury site at 1 day after the injury. Inflammation was associated temporally with the expression of mRNAs encoding inflammatory adipocytokines. Second, the iliac artery of Wistar rats was dilated percutaneously with a balloon for 1 minute. There were up-regulation of proinflammatory cytokines and down-regulation of adiponectin 1 and 3days after endovascular injury within PAT (p<0.05). Third, abdominal aortas removed from Wistar rat with PAT were dilated with a balloon PTCA catheter for 1 minute ex vivo. After stretching, aortas with PAT were cultured for 6 hours, and we observed increased synthesis of proinflammatory cytokines and decreased synthesis of adiponectin within PAT (p<0.05). Fourth, the stimulation of TNF alpha, which markedly increased in injured arteries, caused significant down-regulation of adiponectin expression and up-regulation of IL-6, PAI-1, and MCP-1 in 3T3L1-derived adipocytes (p<0.01).
Conclusions: Angioplasty may induce the changes of perivascular cytokines expression. The accumulation of neutrophils and macrophages at PAT in injured arteries and/or increased proinflammatory expression of injured vascular arteries may reflect these proinflammatory activities of PAT. Increased proinflammatory cytokines and decreased anti-inflammatory cytokine adiponectin in PAT possibly may have a role in vascular remodeling following PTCA-mediated vascular injury.