There were significant changes in the morphology of mesenteric PVAT but not small vessels. These findings indicate that perimesenteric fatty lesions may occur earlier than small arteries in obese rats. Masson staining results of mesenteric slices showed that collagen fibres were increased in obese rats; BBR and MET reversed the changes of adipose tissue and collagen fibres with early intervention. It has been reported that collagen fibres not only played a supporting role in structure, but also were related to the material transport in function [
25]. In obese, adipose tissue fibrosis has become an important marker of metabolic disorder in white adipose tissue, and that can damage the plasticity of adipocytes [
26,
27]. Luo et al. reported that MET inhibited the excessive deposition of extracellular matrix in white adipose tissue of ob/ob mice and diet induced obese mice; after treated with MET, collagen deposition around adipocytes was reduced; white adipose tissue fibrosis was inhibited, and then improved insulin resistance [
28].
The AFM results indicated that vasodilation was increased in obese rats, suggesting changes in systolic and diastolic functions in mesenteric small arteries. Moreover, both BBR and MET reversed this overvasodilation. Our previous studies using the same obesity model showed that there was no significant difference in blood pressure and heart rate between obese and normal rats [
29]. Under the same pulse pressure difference, the change in the small vascular diameter becomes the main condition used to determine blood flow. NO also acts as a vasodilator to regulate blood vessel function [
30]. The results of network pharmacology showed that eNOS and iNOS are two targets that are highly correlated with obesity and BBR, which supports further exploration of the changes in NO in PVAT.
The organ bath results showed that in mesenteric vasculature with PVAT, NO release was increased, and NA release was significantly decreased in obese rats. However, BBR and MET reversed these changes in NO and NA release. For the assay of NO release, NO might be derived from the endothelium of the mesenteric vasculature, PVAT or the nitrergic nerve in PVAT. However, in our experiment, there was no significant change in NO release before and after EFS, indicating that EFS induced little or no neurogenic NO release. We used a fluorescent probe to measure the amount of NO in different groups of PVAT, and the results showed that PVAT was the main source of NO. Additionally, Gil-Ortega et al. [
7] reported that the NO release from mesenteric vascular endothelial cells showed no significant changes in rats with high-fat diet-induced obesity compared with that in control rats. However, the production of NO in PVAT was increased. Reza et al. [
31] studied subcutaneous small arteries and found that PVAT modulates vascular contractile tone by releasing vasodilatory mediators, including NO and adiponectin, to have an “anticontractile” effect. In our experiment, the expression of iNOS in blood vessels and PVAT was low; however, the expression of eNOS was much higher. Furthermore, eNOS expression was significantly increased in obese rats. Our results are supported by results found in obese patients. It has been reported [
32] that eNOS expression in adipose tissue was ten times greater than that of iNOS, and the PVAT of the mesentery can release NO, which is mainly related to eNOS. There was a report [
1] that PVAT was responsible for the increased production of NO by a direct mechanism, and the eNOS isoform was also present in PVAT. NO was directly produced and released, affecting vasculature. NO, as a kind of ROS, is closely related to chronic inflammation in obesity. When NO production is excess, a large number of free radicals, such as reactive nitrogen or ROS, are produced, which can cause tissue damage. In addition, NO also promotes glucose uptake in white adipose tissue [
33]. In BBR- and MET-treated rats, the expression of eNOS in PVAT was significantly decreased. Therefore, we think that BBR and MET reduce the expression of eNOS in PVAT, reduce NO production, and improve vascular function. A previous study indicated that BBR restores diabetic endothelial dysfunction through enhanced NO bioavailability by upregulating eNOS expression and downregulating NADPH oxidase expression [
34]. However, there have been few reports on the effects of BBR on eNOS expression in obesity models. The mechanism leading to the change in NA needs to be further studied. Many studies support the sympathetic innervation of white adipose tissue (WAT). Bartness and Bamshad [
35] proposed that sympathetic nerves may mainly regulate fat mobilization in white adipose tissue. They also proposed that sympathetic nerve stimulation can promote browning of white fat and promote its thermogenesis and fat decomposition. Furthermore, denervation produced significant increases in WAT mass and fat cell number [
36]. This may support our results that indicate that NA was decreased in the mesenteric PVAT of obese rats because mesenteric PVAT was thought to be WAT. Ayala-Lopez et al. [
37] found that PVAT components that are independent of sympathetic nerves can release NA in a tyramine-sensitive manner, resulting in arterial contraction. This might also explain why there was no change in NA release before and after EFS in our experiment because EFS usually stimulates vascular peripheral nerve fibres, inducing the release of NA.
It is worth noting that in our experiments, the two major factors affecting vascular function changed: NO release increased, and NA release decreased. Therefore, how the two factors influence each other needs further in-depth research. NO is an oxide, and its overproduction will cause tissue damage [
38,
39]. We speculate that the increase in NO in adipose tissue leads to damage to sympathetic nerve fibres in PVAT and a decrease in NA synthesis. However, the decrease in NA leads to a decrease in adipose tissue consumption, the promotion of visceral fat accumulation, and the aggravation of chronic inflammatory reactions. BBR and MET can reduce the expression of eNOS and the production of NO. It can then repair the tissue damage caused by excessive NO, improve the synthesis of NA in nerve fibres, and restore the function of adrenergic nerves. The role of NO and ROS (and their potential interaction) in the pathological role of PVAT still require further investigation since antioxidant approaches as therapeutic options have failed to improve PVAT actions in cardiovascular diseases [
40].
BBR has played a role in protecting small blood vessels by regulating PVAT. And small blood vessels are spreading throughout the body; its lesions have not received enough attention like large blood vessels and capillaries. In addition, the function of the mesentery directly affects the intestinal tract, and the changes in intestinal function are essential for many diseases such as obesity and diabetes. Therefore, this study has added another confirmation to the multi—target regulation effects of BBR in the aspect of metabolic diseases.