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Am J Physiol Regul Integr Comp Physiol 277: R332-R336, 1999;
0363-6119/99 $5.00
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Vol. 277, Issue 1, R332-R336, July 1999

RAPID COMMUNICATION
ACE inhibition and glucose transport in insulinresistant muscle: roles of bradykinin and nitric oxide

Erik J. Henriksen1, Stephan Jacob2, Tyson R. Kinnick1, Erik B. Youngblood1, Melanie B. Schmit1, and Guenther J. Dietze2

1 Muscle Metabolism Laboratory, Department of Physiology, University of Arizona College of Medicine, Tucson, Arizona 85721-0093; and 2 Hypertension and Diabetes Research Unit, Max-Grundig-Klinik, 77815 Bühl, Germany

Acute administration of the angiotensin-converting enzyme (ACE) inhibitor captopril enhances insulin-stimulated glucose transport activity in skeletal muscle of the insulin-resistant obese Zucker rat. The present study was designed to assess whether this effect is mediated by an increase in the nonapeptide bradykinin (BK), by a decrease in action of ANG II, or both. Obese Zucker rats (8-9 wk old) were treated for 2 h with either captopril (50 mg/kg orally), bradykinin (200 µg/kg ip), or the ANG II receptor (AT1 subtype) antagonist eprosartan (20 mg/kg orally). Captopril treatment enhanced in vitro insulin-stimulated (2 mU/ml) 2-deoxyglucose uptake in the epitrochlearis muscle by 22% (251 ± 7 vs. 205 ± 9 pmol · mg-1 · 20 min-1; P < 0.05), whereas BK treatment enhanced this variable by 18% (249 ± 15 vs. 215 ± 7 pmol · mg-1 · 20 min-1; P < 0.05). Eprosartan did not significantly modify insulin action. The BK-mediated increase in insulin action was completely abolished by pretreatment with either the specific BK-B2 receptor antagonist HOE 140 (200 µg/kg ip) or the nitric oxide synthase inhibitor Nomega -nitro-L-arginine methyl ester (50 mg/kg ip). Collectively, these results indicate that the modulation of insulin action by BK likely underlies the metabolic effects of ACE inhibitors in the insulin-resistant obese Zucker rat. Moreover, this modulation of insulin action by BK is likely mediated through B2 receptors and by an increase in nitric oxide production and/or action in skeletal muscle tissue.

obese Zucker rat; epitrochlearis muscle; 2-deoxyglucose uptake


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