A obesidade desencadeia mudanças funcionais no tecido adiposo perivascular (PVAT), favorecendo a liberação de fatores vasoconstritores e consequente ativação de mecanismos contráteis em células vasculares. A sinalização da interleucina 33 (IL-33) via receptor ST2 é essencial para o desenvolvimento e manutenção de células T reguladoras (Tregs) no tecido adiposo visceral. Na obesidade a função das Tregs é comprometida, resultando em estresse oxidativo e inflamação do tecido adiposo. No presente estudo testamos a hipótese que dieta rica em gordura diminui os níveis e a função da IL-33 no PVAT, levando à diminuição do número e função de Tregs, estresse oxidativo e inflamação neste tecido. Camundongos deficientes para o receptor ST2 (ST2 KO) e seus respectivos controles (Balb/C) receberam dieta controle ou hiperlipídica (HFD, high fat diet) durante 18 semanas. A função vascular foi avaliada em anéis de artérias mesentéricas, em presença ou ausência de PVAT, realizando-se curvas concentração-efeito para fenilefrina. Os seguintes grupos experimentais foram analisados: Controle PVAT (-), Controle PVAT (+), HFD PVAT (-) e HFD PVAT (+). Em artérias de camundongos Balb/C que receberam dieta controle, o PVAT diminuiu a resposta contrátil a fenilefrina. No entanto, HFD promoveu perda parcial do efeito anticontrátil promovido por este tecido. Em camundongos ST2 KO que receberam dieta controle, o PVAT diminuiu a resposta contrátil a fenilefrina. No entanto, a ausência de receptores ST2 em camundongos que receberam HFD levou à perda completa do efeito anticontrátil do PVAT. Houve diminuição do número de Tregs e aumento do número de neutrófilos no PVAT de camundongos alimentados com HFD. A incubação com IL-33 recombinante não reverteu a perda do efeito anticontrátil do PVAT promovido pela HFD. Aumento nos níveis séricos e teciduais de IL-6, bem como redução nos níveis de IL-10, foram observados em animais ST2 KO. Houve aumento nos níveis de ânion superóxido no PVAT de camundongos Balb/C alimentados com HFD e a ausência do receptor ST2 potencializou este efeito. Estes dados, analisados em conjunto, indicam que HFD compromete o papel modulador do PVAT e que IL-33 via receptor ST2 tem fundamental importância para a função do PVAT nesta condição experimental. / Obesity triggers functional changes in the perivascular adipose tissue (PVAT), favoring the release of vasoconstrictor factors. Interleukin-33 (IL-33) signaling, via ST2 receptor, is essential for the development and maintenance of regulatory T cells (Tregs) in the visceral adipose tissue. In obesity, Tregs function is compromised, resulting in adipose tissue inflammation. We hypothesized that high fat diet (HFD) decreases the number and function of Tregs and increases inflammation in the PVAT. Mice deficient for the ST2 receptor (ST2 KO) and their respective controls (Balb/C mice) were fed a control diet or a HFD for 18 weeks. Vascular function was evaluated in mesenteric resistance arteries, by performing concentration-effect curves to phenylephrine (PE). In Balb/C mice fed the control diet, PVAT decreased vascular PE contractions. However, a partial loss of PVAT anticontractile effect occurred in arteries from HFD-fed Balb/C mice. In arteries from ST2 KO mice fed the control diet, PVAT decreased PE contractions. However, a complete loss of PVAT anticontractile effects was observed in HFD-fed ST2 KO mice. There was a decrease in the number of Tregs and an increase in the number of neutrophils in the PVAT of mice fed the HFD. The absence of the IL-33 receptor increased IL-6 and reduced IL-10 in HFD-fed mice. There was an increase in superoxide anion levels in the PVAT of Balb/C mice fed HFD and the absence of the ST2 receptor potentiated this effect. These data show that HFD promotes PVAT dysfunction and IL-33 is fundamental to counteract HFD-induced PVAT dysfunction.

A obesidade desencadeia mudanças funcionais no tecido adiposo perivascular (PVAT), favorecendo a liberação de fatores vasoconstritores e consequente ativação de mecanismos contráteis em células vasculares. A sinalização da interleucina 33 (IL-33) via receptor ST2 é essencial para o desenvolvimento e manutenção de células T reguladoras (Tregs) no tecido adiposo visceral. Na obesidade a função das Tregs é comprometida, resultando em estresse oxidativo e inflamação do tecido adiposo. No presente estudo testamos a hipótese que dieta rica em gordura diminui os níveis e a função da IL-33 no PVAT, levando à diminuição do número e função de Tregs, estresse oxidativo e inflamação neste tecido. Camundongos deficientes para o receptor ST2 (ST2 KO) e seus respectivos controles (Balb/C) receberam dieta controle ou hiperlipídica (HFD, high fat diet) durante 18 semanas. A função vascular foi avaliada em anéis de artérias mesentéricas, em presença ou ausência de PVAT, realizando-se curvas concentração-efeito para fenilefrina. Os seguintes grupos experimentais foram analisados: Controle PVAT (-), Controle PVAT (+), HFD PVAT (-) e HFD PVAT (+). Em artérias de camundongos Balb/C que receberam dieta controle, o PVAT diminuiu a resposta contrátil a fenilefrina. No entanto, HFD promoveu perda parcial do efeito anticontrátil promovido por este tecido. Em camundongos ST2 KO que receberam dieta controle, o PVAT diminuiu a resposta contrátil a fenilefrina. No entanto, a ausência de receptores ST2 em camundongos que receberam HFD levou à perda completa do efeito anticontrátil do PVAT. Houve diminuição do número de Tregs e aumento do número de neutrófilos no PVAT de camundongos alimentados com HFD. A incubação com IL-33 recombinante não reverteu a perda do efeito anticontrátil do PVAT promovido pela HFD. Aumento nos níveis séricos e teciduais de IL-6, bem como redução nos níveis de IL-10, foram observados em animais ST2 KO. Houve aumento nos níveis de ânion superóxido no PVAT de camundongos Balb/C alimentados com HFD e a ausência do receptor ST2 potencializou este efeito. Estes dados, analisados em conjunto, indicam que HFD compromete o papel modulador do PVAT e que IL-33 via receptor ST2 tem fundamental importância para a função do PVAT nesta condição experimental. / Obesity triggers functional changes in the perivascular adipose tissue (PVAT), favoring the release of vasoconstrictor factors. Interleukin-33 (IL-33) signaling, via ST2 receptor, is essential for the development and maintenance of regulatory T cells (Tregs) in the visceral adipose tissue. In obesity, Tregs function is compromised, resulting in adipose tissue inflammation. We hypothesized that high fat diet (HFD) decreases the number and function of Tregs and increases inflammation in the PVAT. Mice deficient for the ST2 receptor (ST2 KO) and their respective controls (Balb/C mice) were fed a control diet or a HFD for 18 weeks. Vascular function was evaluated in mesenteric resistance arteries, by performing concentration-effect curves to phenylephrine (PE). In Balb/C mice fed the control diet, PVAT decreased vascular PE contractions. However, a partial loss of PVAT anticontractile effect occurred in arteries from HFD-fed Balb/C mice. In arteries from ST2 KO mice fed the control diet, PVAT decreased PE contractions. However, a complete loss of PVAT anticontractile effects was observed in HFD-fed ST2 KO mice. There was a decrease in the number of Tregs and an increase in the number of neutrophils in the PVAT of mice fed the HFD. The absence of the IL-33 receptor increased IL-6 and reduced IL-10 in HFD-fed mice. There was an increase in superoxide anion levels in the PVAT of Balb/C mice fed HFD and the absence of the ST2 receptor potentiated this effect. These data show that HFD promotes PVAT dysfunction and IL-33 is fundamental to counteract HFD-induced PVAT dysfunction.

Lacunar stroke accounts for one quarter of all ischaemic stroke and in the long term carries a greater risk of death and disability than was previously realised. Much of our current knowledge originated from neuropathological studies in the 1950s and 1960s. In the last thirty years, brain computed tomography (CT) and magnetic resonance imaging (MRI) have revolutionised our understanding of lacunar stroke and associated features of cerebral small vessel disease (SVD), namely white matter lesions (WML), enlarged perivascular spaces (EPVS) and brain microbleeds (BMB). The purpose of the projects which led to the writing of this thesis was to improve understanding of imaging characteristics of cerebral SVD. We aimed to assess (i) clinical and imaging features which might explain misclassification of lacunar infarcts as cortical infarcts and vice versa, (ii) the proportion of symptomatic lacunar infarcts progressing to lacunar cavities and associations of cavitation, (iii) completeness of reporting of lacunar lesions in the lacunar stroke literature, (iv) definitions and detection of lacunar lesions amongst SVD researchers, (v) the relationship between WML and carotid stenosis, (vi) clinical and imaging associations of EPVS and, (vii) observer variability in the assessment of EPVS and BMB, in order to develop visual rating scales. Section one describes neuroimaging of lacunar stroke. To investigate features which might explain clinical stroke subtype misclassification (‘clinical-imaging dissociation’), I used data from a stroke study. The main factor associated with clinical-imaging dissociation was diabetes, and in patients with acute lacunar infarction, proximity of the lacunar infarct to the cortex, age, diabetes and left hemisphere location. To investigate the proportion of symptomatic lacunar infarcts progressing to cavities, I used data from two stroke studies. A fifth of patients with acute lacunar ischaemic stroke showed definite cavitation on follow-up imaging at a median of 227 days; cavitation was associated with increasing time to follow-up. To assess completeness of reporting of lacunar lesions in the lacunar stroke literature, I reviewed 50 articles from three journals with a stroke focus. There was marked variation in terminology and descriptions of imaging definitions of lacunar lesions. To assess lacunar lesion definitions and detection amongst SVD researchers, I used an online survey consisting of case-based and non-case-based questions. There was marked variation in definitions and descriptions. Cavitated lesions were detected with the highest degree of confidence. Section two describes neuroimaging of associated features of cerebral SVD. Using data from two stroke studies, I examined the relationship between WML and ipsilateral carotid artery stenosis. There was no association between carotid stenosis and WML. I tested the association of EPVS with WML and lacunar stroke subtype using data from a stroke study. Total EPVS were associated with age and deep WML; basal ganglia (BG) EPVS were associated with age, centrum semiovale (CS) EPVS, cerebral atrophy and lacunar stroke subtype. Quantification of observer variability in EPVS rating was assessed on 60 MRI scans selected from a stroke study and an ageing cohort. Intrarater agreement was good and interrater agreement was moderate. Main reasons for interrater disagreement included the visualisation of very small EPVS and the presence of concomitant WML and lacunar lesions. Observer variability in BMB rating was quantified using MRI scans from a stroke study. Interrater agreement was moderate but improved following modification of the pilot rating scale (BOMBS; Brain Observer MicroBleed Scale), which had its main effect by differentiating ‘certain’ BMB from ‘uncertain’ BMB and BMB ‘mimics’. In conclusion, neuroimaging, particularly MRI, is a valuable tool for the investigation of lacunar stroke and associated features of cerebral SVD. With recent technological advances in both CT and MRI, neuroimaging will remain central to future SVD studies, hopefully leading to a much improved understanding of this important disease.

Thesis (MScMedSc)--Stellenbosch University, 2014. / ENGLISH ABSTRACT: Introduction: Nitric oxide (NO) is an important chemical messenger in the cardiovascular system. Despite considerable progress in this field, there remains an on-going need for affordable and user-friendly NO measurement techniques. Therefore, in this study we aimed to develop and characterise NO-detection techniques not previously used in our laboratory, and, in addition, characterise an ex vivo method to measure the functional effects of the endothelium and NO production in the vasculature. Methods: Three different NO-detection techniques were compared: (i) Amperometric NO sensors. Here, NO-increasing effects of known NO synthase (NOS) activators were investigated (insulin, acetylcholine and biosynthetic human insulin). Three different NO sensors were evaluated on cultured endothelial cells and aortic tissue. Putative NOincreasing effects of shear stress were also investigated; (ii) Nitrite (NO2 -) + nitrate (NO3 -) sensors. Here, I aimed to measure NO release from cultured endothelial cells; (iii) Colorimetric NO2 - measurement assay with the Griess reagent. Here, NO2 - production by endothelial cells was measured with a plate reader. In the second part of the study an organ bath - isometric tension technique was established to measure endothelium-dependent function of aortic rings. Functional differences in aortic rings isolated from diet-induced obese rats compared to lean rats were investigated. Ring contraction was induced with phenylephrine and relaxation with acetylcholine. These investigations were further supported by western blot analyses of selected critical proteins. Lastly, the effects of perivascular adipose tissue (PVAT) on contraction and relaxation were investigated in endothelium-containing or denuded aortic ring segments. Results: Although some success was achieved with the amperometric sensors regarding calibration, any experimental results obtained were difficult to repeat due to instability of the sensors. With the NO2 -/NO3 - sensor we were not able to carry out any planned experiments due to failure to properly calibrate and standardise the sensors. Success was achieved with the Griess method. All the drugs used as positive controls (DEA/NO, fenofibrate, oleanolic acid and IL-1ß) proved to be potent inducers of NO2 - release from endothelial cells. Interestingly, the isometric tension studies showed a higher % relaxation in high fat (HF) diet aortic rings compared to those from lean animals. Western blot data showed downregulation of eNOS activation and iNOS expression in obese groups, which was suggestive of endothelial dysfunction. Interestingly, proteins associated with oxidative stress (p22phox and nitrotyrosine) were downregulated in obese groups. The presence of PVAT exerted anti-contractile effects on the rings from HF rats, however in denuded aortic rings, PVAT showed a significant pro-contractile response in both lean and HF groups. PVAT also exerted anti-relaxation effects in aortic rings from both lean and HF rats. Conclusion: We managed to successfully establish two new techniques for our laboratory (Griess method and the organ bath – isometric tension method) which can complement the more established techniques in our laboratory in order to aid us in future vascular research. Finally, the isometric tension technique used in the obese rat studies generated interesting data, which further assisted in characterising the dietinduced obesity rat model in our laboratory. / AFRIKAANSE OPSOMMING: Inleiding: Stikstofoksied (NO) is ‘n belangrike chemiese boodskapper in die kardiovaskulêre sisteem. Ondanks vordering in die veld, bestaan daar ‘n aangaande behoefte aan bekostigbare en gebruikersvriendelike NO-metingstegnieke. Gevolglik het ons in hierdie studie daarna gemik om NO-metingstegnieke wat nie vantevore in ons laboratorium beskikbaar was nie, te ontwikkel en karakteriseer. Verder het ons ten doel gehad om ‘n ex vivo model te karakteriseer om die funksionele effekte van vaskulêre endoteel en NO produksie te meet. Metodes: Drie verskillende NO-metingstegnieke was ondersoek: (i) Amperometriese NO sensors. Hier het ons die verhogende effekte op NO van bekende aktiveerders van NO sintetase (NOS) ondersoek (Insulien, asetielcholien en biosintetiese menslike insulien). Drie verskillende NO-sensors was ge-evalueer in gekultuurde endoteelselle en aortaweefsel. Die vermeende NO verhogende effekte van die wrywingskragte opgewek deur laminere vloei (“shear stress”) is ook ondersoek. (ii) Nitriet (NO2 -) + nitraat (NO3 -) sensors. Hier het ons beplan om NO-vrystelling deur gekultuurde endoteelselle te meet. (iii) Kolorimetriese meting van NO2 - met die Griess reagens. Hier het ons m.b.v. ‘n mikroplaat leser die NO2 - - vrystelling deur endoteelselle gemeet. In die tweede deel van die studie het ons ‘n orgaan bad–isometriese spanningstegniek opgestel om endoteelafhanklike funksie van aortaringe te meet. Funksionele verskille in aortaringe van vetsugtige rotte is vergelyk met kontrole rotte. Ringkontraksie is met fenielefrien geïnduseer en verslapping met asetielcholien. Hierdie ondersoeke is verder ondersteun deur Western blot analises van sleutelproteïene in die aortaweefsel. Laastens het ons die effekte van perivaskulêre vetweefsel (PVAT) op kontraksie en verslapping in aortaringe met of sonder intakte endoteel ondersoek. Resultate: Alhoewel ‘n mate van sukses behaal was met die kalibrasie van die amperometriese sensors, was eksperimentele resultate moeilik om te herhaal a.g.v. sensor-onstabiliteit. Geen eksperimente kon met die NO2 -/NO3 - sensors uitgevoer word nie weens ‘n onvermoë om ordentlike kalibrasie en standardisering uit te voer. Ons het egter wel sukses behaal met die Griess-metode. Al die middels wat as positiewe kontroles gebruik was (DEA/NO, fenofibraat, oleanoliese suur and IL-1ß) het geblyk kragtige induseerders van NO2 - produksie vanaf endoteelselle te wees. Die isometriese spanningsstudies het ‘n hoer % verslapping getoon in die hoë vet (HF) dieet aortaringe in vergelyking met die kontroles. Western blot data het ‘n afregulering van eNOS en iNOS getoon in die HF diere, wat aanduidend is van endoteel disfunksie, terwyl proteïene geassosieer met oksidatiewe stress (p22phox en nitrotirosien) afgereguleer was in die HF groep. Die aanwesigheid van PVAT het ‘n anti-kontraktiele effek gehad op die ringe van die HF groep. Toe die endoteel egter verwyder was, het PVAT in beide kontrole en HF ringe ‘n beduidende pro-kontraktiele effek gehad. Verder het PVAT ook anti-verslappingseffekte op aortaringe beide kontrole en HF rotte uitgeoefen. Gevolgtrekking: Ons het daarin geslaag om twee nuwe tegnieke vir ons laboratorium suksesvol te vestig (Griess metode en die orgaanbad-isometriese spanningstegniek) wat in die toekoms die meer gevestigde tegnieke in ons laboratorium kan komplementeer. Laastens het die isometriese spanningstegniek wat in die dieetstudies gebruik is, data opgelewer wat ons verder sal help om die vetsug model in ons laboratorium te karakteriseer.

Articular cartilage damage and degeneration is a siginficant clinical problem which no technique has been able to adequately and reliably repair or regenerate. Recent research has investigated the use of cell-based therapies to treat focal cartilage lesions. In clinical practice proliferated autologous chondrocytes are used and clinical trials are investigating the use of mesenchymal stem cells. The aim of this thesis was to assess aspects of current cell-based therapy and to investigate the potential of perivascular stem cells for articular cartilage repair. The phenotype of expanded matrix-applied autologous chondrocytes utilised in current cell therapies was confirmed using immunocytochemistry and polymerase chain reaction (PCR) expression of hyaluronan and proteoglycan link protein 1 (HAPLN1), transcription factor sox-9 (SOX9) and aggrecan (ACAN). Quantitative real-time PCR demonstrated that they were down-regulated for expression of COL2A1, SOX9 and ACAN but up-regulated for COL1A1 compared to unproliferated chondrocytes. Confocal laser-scanning microscopy (CLSM) demonstrated a significant decrease in cell viability and density when the membranes were subjected to levels of trauma similar to those that could be experienced during surgery. Hyperosmolar solutions did not confer a chondroprotective effect. Pericytes and adventitial cells, collectively termed perivascular stem cells (PSCs), from the infra-patellar fat pad were identified using immunohistochemistry and isolated using enzymatic digestion and fluorescence-activated cell sorting (FACS). Cell identity was ascertained using PCR, FACS and mesenchymal differentiation (osteogenesis, adipogenesis and chondrogenesis). Quantitative real-time PCR analysis of micromass cultures indicated that PSCs displayed increased chondrogenic potential compared to mesenchymal stem cells. An ovine model of perivascular stem cells was developed and a pilot study using three sheep was undertaken to confirm the viability of the model. Autologous ovine PSCs were isolated and re-implanted into articular cartilage defects. Green fluorescent protein transfected cells were identified in the cartilage defect four weeks following re-implantation using CLSM. This thesis has examined aspects of matrix-applied autologous chondrocyte implantation for cell based cartilage repair and has identified a new source of prospectively identified and purified stem cells that have demonstrated increased chondrogenic potential compared to mesenchymal stem cells, which are commonly used in clinical research. The methods to identify and purify ovine perivascular stem cells were developed to investigate the use of autologous PSCs and to track the cells following implantation.

Background: The incidence of coronary heart diseases, including atherosclerosis, increases with ageing. The factors which influence arterial function, and which may be changed with ageing, are multiple but effects of perivascular adipose tissue (PVAT) on large arteries have not previously been considered. A key role for nitric oxide (NO) in mediating the anti-contractile capacity of PVAT has been suggested. Caveolin-1 (Cav-1) modulates the production of NO in vivo by tonic inhibition of eNOS. The influence of aortic PVAT and the contribution of NO to vascular reactivity in ageing C57BL/6 mice, atherosclerotic ApoE knockout mice (ApoE-/-), Cav-1 knockout mice (Cav-1-/-) and atheroprotected ApoECav-1 double knockout mice (ApoE-/-Cav-1-/-) is unknown. Hypothesis: The influence of PVAT on vascular function is modulated by ageing and the development of atherosclerosis via NO bioavailability. Methods: Male mice were used in this study. C57BL/6 mice were obtained at 4 weeks of age and maintained on a normal rodent diet (ND) for 8, 16 or 26 weeks. ApoE-/- and Cav-1-/- mice were bred from in-house colonies and ApoE-/-Cav-1-/- mice were generated by interbreeding ApoE-/- and Cav-1-/- mice. Upon weaning, ApoE-/-, Cav-1-/- and ApoE-/-Cav-1-/- mice were maintained on either a ND or Western-type diet (WD) for 8, 16 or 26 weeks. Vascular reactivity studies on isolated aortic ring preparations were performed in the presence or absence of PVAT. The contribution of NO to the vascular reactivity of aortic PVAT was determined using pharmacological inhibition of NO synthase. Aortic PVAT was assessed for evidence of morphological and/or compositional changes associated with ageing or a WD. Results: NO mediated an anti-contractile effect of aortic PVAT in C57BL/6 mice fed a ND up to 16 weeks. The anti-contractile capacity of aortic PVAT was lost after 26 weeks on a ND and preceded endothelial dysfunction. Loss of the PVAT anti-contractile effect was accompanied by alterations in PVAT morphology and composition. Aortic PVAT from ND-fed ApoE-/- mice was dysfunctional and did not exert an anti-contractile effect. Furthermore, a WD did not alter the influence of PVAT on vascular reactivity in ApoE-/- mice and PVAT morphology and composition was unchanged. NOS inhibition did not alter the contractile responses. The aortic PVAT of ND-fed Cav-1-/- mice did not exert an anti-contractile effect and PVAT composition was unchanged with increasing age. However, after 26 weeks on a WD, aortic PVAT from Cav-1-/- mice potentiated contractions to phenylephrine and white adipocyte hypertrophy was observed. NOS inhibition revealed a pro-contractile effect of aortic PVAT from Cav-1-/- mice. Loss of Cav-1-/- conferred significant protection against the development of atherosclerosis in WD-fed ApoE-/-Cav-1-/- mice despite a proatherogenic lipid profile. Aortic PVAT from ND-fed ApoE-/-Cav-1-/- mice did not exhibit an anti-contractile capacity and PVAT morphology was unchanged with ageing. Additionally, a WD did not influence the effect of PVAT on vascular reactivity in ApoE-/-Cav-1-/- mice although white adipocyte hypertrophy was observed after 26 weeks of high fat feeding. NOS inhibition revealed a pro-contractile effect of aortic PVAT in 8-week ND-fed ApoE-/-Cav-1-/- mice. Conclusions: This work has produced novel insights into the influence of aortic PVAT and NO on vascular reactivity and the morphology of aortic PVAT in ageing C57BL/6 mice, atherosclerotic ApoE-/- mice, Cav-1-/- mice and athero-protected ApoE-/-Cav-1-/- double knockout mice. Ageing to pre-middle age in C57BL/6 mice results in a loss of the anti-contractile effect of PVAT prior to endothelial dysfunction. This is associated with altered NO bioavailability and changes to the morphology and composition of PVAT. This may reveal potential therapeutic targets to restore the anti-contractile capacity of PVAT if comparable age-related PVAT dysfunction is observed in humans. Aortic PVAT of ApoE-/- mice does not exert an anti-contractile effect which may be attributed to decreased basal eNOS activity. A WD does not alter the vascular reactivity of PVAT. In addition, aortic PVAT from Cav-1-/- mice does not exhibit an anti-contractile capacity yet it exerts a pro-contractile effect after 26 weeks on a WD. The aortic PVAT of ApoE-/-Cav-1-/- mice does not modulate vascular reactivity and this is unaltered with feeding of a WD although white adipocyte hypertrophy was observed within the PVAT. The critical role of Cav-1 in the initiation and progression of atherosclerosis is reinforced by the atheroprotected phenotype of the ApoE-/-Cav-1-/- mice even though a severely proatherogenic lipid profile is observed in both the ND and WD-fed mice. Therapeutically targeting LDL transcytosis into the arterial wall could potentially prevent or halt the development of atherosclerosis. Aortic PVAT of ND-fed Cav-1-/- and ApoE-/-Cav-1-/- mice may not be dysfunctional but unable to modulate vascular reactivity due to attenuated vasoconstrictor responses of PVAT-denuded aortic rings as a result of excess NO, although this requires further investigation.

Orientador: Carlos Alan Candido Dias Junior / Resumo: INTRODUÇÃO: O tecido adiposo perivascular (PVAT) libera sob condições fisiológicas fatores de relaxamento derivados do tecido adiposo (ADRF), que possivelmente desempenham um papel importante na modulação do tônus vascular. Foi demonstrado que a inativação de canais de potássio sensíveis ao ATP (KATP) aboliu o efeito anticontratil do PVAT. Outros estudos mostraram que o sulfeto de hidrogênio (H2S) é produzido pelo PVAT devido a expressão da sua enzima precursora cistationina gamma liase (CSE) e que o H2S atua através ativação dos KATP. Além disso, o PVAT sofre uma disfunção em condições fisiopatológicas como a hipertensão. No entanto, seus efeitos ainda não são bem explorados durante a hipertensão gestacional. Portanto, nosso objetivo foi examinar o envolvimento do H2S derivado do PVAT na modulação do tônus vascular de ratas prenhes hipertensas e normotensas. MÉTODOS: Foram realizadas curvas concentração-resposta induzidas pela fenilefrina na presença e ausência de PVAT e endotélio em ratas prenhes normotensas (Norm- Preg) e hipertensas (HTN-Preg). A pressão arterial materna, os parâmetros fetais e placentários, a angiogenese e os níveis de H2S também foram avaliados. RESULTADOS: A hipertensão gestacional foi associada ao desequilíbrio angiogênico e a restrição do crescimento fetal e placentário e o PVAT não se mostrou disfuncional. Além disso, sob a formação estimulada de H2S pelo PVAT, mas não no endotélio, houve redução nas curvas concentração-resposta à fenilefrina em aor... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: INTRODUCTION: Perivascular adipose tissue (PVAT) releases diffusible adipocyte- derived relaxing factors (ADRFs) under physiological conditions, which possibly play key roles to modulate the vascular tone. It was demonstrated that the inactivation of ATP-sensitive potassium channels (KATP channels) impaired the anticontractile effect of PVAT. Further studies have shown that hydrogen sulfide (H2s) is released by PVAT due to the expression of cystathionine gamma lyase (CSE) and that (H2s) acts through the activation of KATP channels. In addition, PV A T is impaired in pathophysiological situations such as hypertension. However, it is not yet well explorated during hypertension in pregnancy. Therefore, we aimed to examine the involvement of PVAT-derived H2S to modulate the vascular tone in aorta from normotensive and hypertensive pregnant rats. METHODS: Phenylephrine-induced contractions in the presence and absence of PVAT and endothelium in aortas from normotensive pregnant (Norm-Preg) and HTN-Preg rats were investigated. Maternal blood pressure, fetal-placental parameters, angiogenesis and H2S levels were also assessed. RESULTS: Hypertensive pregnancy associated with angiogenic imbalance and fetal- placental growth restrictions revealed that there is no PVAT dysfunction. Moreover, under stimulated H2S formation PVAT, but not endothelium, reduces phenylephrine-induced contractions in aortas from HTN-Preg rats. Also, H2S synthesis inhibitor abolishes anticontractile effects disp... (Complete abstract click electronic access below) / Mestre

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名古屋大学博士学位論文 学位の種類 : 博士(医学)(課程) 学位授与年月日:平成25年1月31日 匠原龍太郎氏の博士論文として提出された

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