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J Appl Physiol 102: 1839-1843, 2007. First published February 1, 2007; doi:10.1152/japplphysiol.01181.2006
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Does local heating-induced nitric oxide production attenuate vasoconstrictor responsiveness to lower body negative pressure in human skin?

David A. Low,1 Manabu Shibasaki,1 Scott L. Davis,2 David M. Keller,2 and Craig G. Crandall1,2

1Institute for Exercise and Environmental Medicine, Presbyterian Hospital of Dallas, Dallas; and 2Department of Internal Medicine, University of Texas Southwestern Medical Center at Dallas, Dallas, Texas

Submitted 19 October 2006 ; accepted in final form 28 January 2007

We tested the hypothesis that local heating-induced nitric oxide (NO) production attenuates cutaneous vasoconstrictor responsiveness. Eleven subjects (6 men, 5 women) had four microdialysis membranes placed in forearm skin. Two membranes were perfused with 10 mM of NG-nitro-L-arginine (L-NAME) and two with Ringer solution (control), and all sites were locally heated to 34°C. Subjects then underwent 5 min of 60-mmHg lower body negative pressure (LBNP). Two sites (a control and an L-NAME site) were then heated to 39°C, while the other two sites were heated to 42°C. At the L-NAME sites, skin blood flow was elevated using 0.75–2 mg/ml of adenosine in the perfusate solution (Adn + L-NAME) to a similar level relative to control sites. Subjects then underwent another 5 min of 60-mmHg LBNP. At 34°C, cutaneous vascular conductance (CVC) decreased ({Delta}) similarly at both control and L-NAME sites during LBNP ({Delta}7.9 ± 3.0 and {Delta}3.4 ± 0.8% maximum, respectively; P > 0.05). The reduction in CVC to LBNP was also similar between control and Adn + L-NAME sites at 39°C (control {Delta}11.4 ± 2.5 vs. Adn + L-NAME {Delta}7.9 ± 2.0% maximum; P > 0.05) and 42°C (control {Delta}1.9 ± 2.7 vs. Adn + L-NAME {Delta} 4.2 ± 2.7% maximum; P > 0.05). However, the decrease in CVC at 42°C, regardless of site, was smaller than at 39°C (P < 0.05). These results do not support the hypothesis that local heating-induced NO production attenuates cutaneous vasoconstrictor responsiveness during high levels of LBNP. However, elevated local temperature, per se, attenuates cutaneous vasoconstrictor responsiveness to LBNP, presumably through non-nitric oxide mechanisms.

skin blood flow; nitric oxide; orthostatic stress; cutaneous microdialysis



Address for reprint requests and other correspondence: C. Crandall, Institute for Exercise and Environmental Medicine, Presbyterian Hospital of Dallas, 7232 Greenville Ave., Dallas, TX 75231 (e-mail: craigcrandall{at}texashealth.org)




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J. E. Wingo, D. A. Low, D. M. Keller, R. M. Brothers, M. Shibasaki, and C. G. Crandall
Effect of elevated local temperature on cutaneous vasoconstrictor responsiveness in humans
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M. Shibasaki, D. A. Low, S. L. Davis, and C. G. Crandall
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J Appl Physiol, November 1, 2008; 105(5): 1504 - 1508.
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