The endothelium synthesizes and releases several
vasodilator substances, including
vasodilator prostaglandins, NO, and
EDHF. NO-mediated relaxations are reduced by various risk factors, such as
diabetes mellitus and
hypercholesterolemia. However, it remains to be elucidated whether
EDHF-mediated relaxations also are reduced by those factors and their combination. In this study, we addressed this point in mice. We used small mesenteric arteries from control, diabetic (
streptozotocin-induced),
apolipoprotein-E-deficient (
ApoE-/-), and diabetic
ApoE-/- mice. In control mice, endothelium-dependent relaxations to
acetylcholine were largely mediated by
EDHF. This
EDHF-mediated component was slightly reduced in diabetic mice, preserved in
ApoE-/- mice, and markedly reduced in diabetic
ApoE-/- mice with an increase in NO-mediated component and a negative contribution of
indomethacin-sensitive endothelium-derived contracting factor (EDCF). Endothelium-independent relaxations to
sodium nitroprusside or
NS1619, a direct opener of
calcium-activated K channels, were attenuated in
ApoE-/- and diabetic
ApoE-/- mice. Endothelium-dependent hyperpolarizations were significantly reduced in diabetic mice, preserved in
ApoE-/- mice, and again markedly reduced in diabetic
ApoE-/- mice. These results indicate that
hypercholesterolemia alone minimally affects the
EDHF-mediated relaxations, and
diabetes mellitus significantly attenuated the responses, whereas their combination markedly attenuates the responses with a compensatory involvement of NO and a negative contribution of EDCF.