首页> 美国卫生研究院文献>The Journal of Physiology >Is sympathetic neural vasoconstriction blunted in the vascular bed of exercising human muscle?
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Is sympathetic neural vasoconstriction blunted in the vascular bed of exercising human muscle?

机译:运动肌肉的血管床中交感神经血管收缩是否变钝?

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摘要

Sympathetic vasoconstriction of muscle vascular beds is important in the regulation of systemic blood pressure. However, vasoconstriction during exercise can also compromise blood flow support of muscle metabolism. This study tested the hypothesis that local factors in exercising muscle blunt vessel responsiveness to sympathetic vasoconstriction. We performed selective infusions of three doses of tyramine into the brachial artery (n = 8) to evoke endogenous release of noradrenaline (norepinephrine) at rest and during moderate and heavy rhythmic handgrip exercise. In separate experiments, tyramine was administered during two doses of adenosine infusion (n = 7) and two doses of sodium nitroprusside (SNP) infusion (n = 8). Vasoconstrictor effectiveness across conditions was assessed as the percentage reduction in forearm vascular conductance (FVC), calculated from invasive blood pressure and non-invasive Doppler ultrasound blood flow measurements at the brachial artery. Tyramine evoked a similar dose-dependent vasoconstriction at rest in all three groups, with the highest dose resulting in a 42-46 % reduction in FVC. This vasoconstriction was blunted with increasing exercise intensity (e.g. tyramine high dose percentage reduction in FVC; rest −43.4 ± 3.7 %, moderate exercise −27.5 ± 2.3 %, heavy exercise −16.7 ± 3.6 %; P < 0.05). In contrast, tyramine infusion resulted in a greater percentage reduction in FVC during both doses of adenosine vs. rest (P < 0.05). Finally, percentage change in FVC was greater during low dose SNP infusion vs. rest (P < 0.05), but not different from rest at the high dose of SNP infusion (P = 0.507). A blunted percentage reduction in FVC during endogenous noradrenaline release in exercise but not vasodilator infusion indicates that sympathetic vasoconstriction is blunted in exercising muscle. This blunting appears to be exercise intensity-dependent.
机译:肌肉血管床的交感性血管收缩在调节全身血压中很重要。但是,运动过程中的血管收缩也会损害肌肉代谢的血流支持。这项研究检验了以下假设,即锻炼肌肉钝性血管对交感性血管收缩反应的局部因素。我们在肱动脉(n = 8)中选择性输注三剂酪胺,以引起静止和中度有节奏的有规律握力运动中去甲肾上腺素(去甲肾上腺素)的内源性释放。在单独的实验中,在两次剂量的腺苷输注(n = 7)和两次剂量的硝普钠(SNP)输注(n = 8)期间给予酪胺。血管收缩剂在各种情况下的有效性均以前臂血管传导率(FVC)的降低百分比进行评估,该值是根据肱动脉的有创血压和非多普勒超声血流测量结果计算得出的。酪胺在所有三个组中均引起相似的剂量依赖性血管收缩,最高剂量导致FVC降低42-46%。这种血管收缩随着运动强度的增加而减弱(例如酪胺高剂量FVC降低;休息-43.4±3.7%,中度运动-27.5±2.3%,剧烈运动-16.7±3.6%; P <0.05)。相反,在两次剂量的腺苷和静息状态下,酪胺输注导致FVC的百分比降低更大(P <0.05)。最后,低剂量SNP输注时FVC的变化百分比大于静息(P <0.05),但与高剂量SNP输注时的静息变化无差异(P = 0.507)。运动中内源性去甲肾上腺素释放过程中FVC的百分数降低,但输注血管扩张剂的过程中FVC降低,表明交感性血管收缩在运动肌肉中减弱。这种钝化似乎与运动强度有关。

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