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J Appl Physiol 95: 2370-2374, 2003. First published August 15, 2003; doi:10.1152/japplphysiol.00634.2003
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Exogenous NO administration and {alpha}-adrenergic vasoconstriction in human limbs

Jaya B. Rosenmeier, Sandy J. Fritzlar, Frank A. Dinenno, and Michael J. Joyner

Department of Anesthesiology and General Clinical Research Center, Mayo Clinic and Foundation, Rochester, Minnesota 55905

Submitted 18 June 2003 ; accepted in final form 11 August 2003

Nitric oxide (NO) is capable of blunting {alpha}-adrenergic vasoconstriction in contracting skeletal muscles of experimental animals (functional sympatholysis). We therefore tested the hypothesis that exogenous NO administration can blunt {alpha}-adrenergic vasoconstriction in resting human limbs by measuring forearm blood flow (FBF; Doppler ultrasound) and blood pressure in eight healthy males during brachial artery infusions of three {alpha}-adrenergic constrictors (tyramine, which evokes endogenous norepinephrine release; phenylephrine, an {alpha}1-agonist; and clonidine, an {alpha}2-agonist). To simulate exercise hyperemia, the vasoconstriction caused by the {alpha}-agonists was compared during adenosine-mediated (>50% NO independent) and sodium nitroprusside-mediated (SNP; NO donor) vasodilation of the forearm. Both adenosine and SNP increased FBF from ~35–40 to ~200–250 ml/min. All three {alpha}-adrenergic constrictor drugs caused marked reductions in FBF and calculated forearm vascular conductance (P < 0.05). The relative reductions in forearm vascular conductance caused by the {alpha}-adrenergic constrictors during SNP infusion were similar (tyramine, –74 ± 3 vs. –65 ± 2%; clonidine, –44 ± 6 vs. –44 ± 6%; P > 0.05) or slightly greater (phenylephrine, –47 ± 6 vs. –33 ± 6%; P < 0.05) compared with the responses during adenosine. In conclusion, these results indicate that exogenous NO sufficient to raise blood flow to levels simulating those seen during exercise does not blunt {alpha}-adrenergic vasoconstriction in the resting human forearm.

functional sympatholysis; sympathetic nervous system; sympathetic modulation; nitric oxide



Address for reprint requests and other correspondence: M. J. Joyner, Dept. of Anesthesiology, Mayo Clinic, 200 First St. SW, Rochester, MN 55905 (E-mail: joyner.michael{at}mayo.edu).




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