Journal of Applied Physiology AJP: Advances in Physiology Education
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J Appl Physiol (November 24, 2004). doi:10.1152/japplphysiol.00966.2004
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Submitted on September 3, 2004
Accepted on November 22, 2004

AGONIST-DEPENDENT VARIABLITY OF CONTRIBUTIONS OF NITRIC OXIDE AND PROSTAGLANDINS IN HUMAN SKELETAL MUSCLE

William G Schrage1*, Niki M Dietz1, John H Eisenach1, and Michael J Joyner1

1 Department of Anesthesiology Research and General Clinical Research Center, Mayo Clinic, Rochester, MN, USA

* To whom correspondence should be addressed. E-mail: schrage.william{at}mayo.edu.

The relative contributions of endothelium-dependent dilators (nitric oxide, NO; prostaglandins, PGs; and endothelium-derived hyperpolarizing factor, EDHF) in human limbs are poorly understood. We tested the hypothesis that relative contributions of NO and PGs differ between endothelial agonists acetycholine (ACh, 1, 2, 4 µg/dl/min) and bradykinin (BK, 6.25, 25, 50 ng/dl/min). We measured forearm blood flow (FBF) using venous occlusion plethysmography in 50 healthy volunteers (27±1 years) in response to brachial artery infusion of ACh or BK in the absence and presence of inhibitors of NO synthase (NOS, with L-NMMA) and cyclooxygenase (COX, with ketorolac). Furthermore, we tested the idea that the NOS+COX-independent dilation (in the presence of L-NMMA + ketorolac-presumably EDHF) could be inhibited by exogenous NO administration, as reported in animal studies. FBF increased ~10-fold in the ACh control; L-NMMA reduced baseline FBF and ACh dilation, whereas addition of ketorolac had no further effect. Ketorolac alone did not alter ACh dilation, but addition of L-NMMA reduced ACh dilation significantly. For BK infusion, FBF increased ~10-fold in the control condition; L-NMMA tended to reduce BK dilation (p < 0.1), and addition of ketorolac significantly reduced BK dilation. Similar to ACh, ketorolac alone did not alter BK dilation, but addition of L-NMMA reduced BK dilation. To test the idea that NO can inhibit the NOS+COX-independent portion of dilation, we infused a dose of sodium nitroprusside (NO-clamp technique) during ACh or BK that restored the reduction in baseline blood flow due to L-NMMA. Regardless of treatment order, the NO-clamp restored baseline FBF, but did not reduce the NOS+COX-independent dilation to ACh or BK. We conclude that the contribution of NO and PGs differs between ACh and BK, with ACh being more dependent on NO, and BK being mostly dependent on a NOS+COX-independent mechanism (EDHF) in healthy young adults. The NOS+COX-independent dilation does not appear sensitive to feedback inhibition from NO in the human forearm.




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