Abstract
Consumption of a high-fat, high-sugar diet and sedentary lifestyle are correlated with bulk arterial stiffening. While measurements of bulk arterial stiffening are used to assess cardiovascular health clinically, they cannot account for changes to the tissue occurring on the cellular scale. The compliance of the subendothelial matrix in the intima mediates vascular permeability, an initiating step in atherosclerosis. High-fat, high-sugar diet consumption and a sedentary lifestyle both cause micro-scale subendothelial matrix stiffening, but the impact of these factors in concert remains unknown. In this study, mice on a high-fat, high-sugar diet were treated with aerobic exercise or returned to a normal diet. We measured bulk arterial stiffness through pulse wave velocity and subendothelial matrix stiffness ex vivo through atomic force microscopy. Our data indicate that while diet reversal mitigates high-fat, high-sugar diet-induced macro- and micro-scale stiffening, exercise only significantly decreases micro-scale stiffness and not macro-scale stiffness, during the time-scale studied. These data underscore the need for both healthy diet and exercise to maintain vascular health. These data also indicate that exercise may serve as a key lifestyle modification to partially reverse the deleterious impacts of high-fat, high-sugar diet consumption, even while macro-scale stiffness indicators do not change.
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Acknowledgments
This work was supported by a grant from the National Science Foundation (award number 1738345) to C.A.R. Support was also provided by the Graduate Research Fellowship Program to J.C.K. (2013165170) under Cornell University National Science Foundation Grant DGE-1144153. This work made use of the Cornell Center for Materials Research Shared Facilities which are supported through the National Science Foundation MRSEC program (DMR-1120296) for atomic force microscopy data collection. Imaging data was acquired in the Cornell Biotechnology Resource Center-Imaging Facility using the shared, National Institutes of Health-funded (S10OD016191) VisualSonics Vevo-2100 ultrasound.
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Authors J.C.K., J.A., F.S. and C.A.R.-K. declare that they have no conflict of interest.
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Associate Editors Hanjoong Jo and Ajit P. Yoganathan oversaw the review of this article.
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Kohn, J.C., Azar, J., Seta, F. et al. High-Fat, High-Sugar Diet-Induced Subendothelial Matrix Stiffening is Mitigated by Exercise. Cardiovasc Eng Tech 9, 84–93 (2018). https://doi.org/10.1007/s13239-017-0335-9
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DOI: https://doi.org/10.1007/s13239-017-0335-9