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J Physiol Volume 586, Number 4, 1195-1205, February 15, 2008 DOI: 10.1113/jphysiol.2007.144113
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INTEGRATIVE

Exercise intensity-dependent contribution of β-adrenergic receptor-mediated vasodilatation in hypoxic humans

Brad W. Wilkins1, Tasha L. Pike2, Elizabeth A. Martin2, Timothy B. Curry2, Maile L. Ceridon2 and Michael J. Joyner2

1 Department of Human Physiology, University of Oregon, Eugene, OR, USA
2 Department of Anaesthesiology, Mayo Clinic, Rochester, MN, USA

We previously reported that hypoxia-mediated reductions in {alpha}-adrenoceptor sensitivity do not explain the augmented vasodilatation during hypoxic exercise, suggesting an enhanced vasodilator signal. We hypothesized that β-adrenoceptor activation contributes to augmented hypoxic exercise vasodilatation. Fourteen subjects (age: 29 ± 2 years) breathed hypoxic gas to titrate arterial O2 saturation (pulse oximetry) to 80%, while remaining normocapnic via a rebreath system. Brachial artery and antecubital vein catheters were placed in the exercising arm. Under normoxic and hypoxic conditions, baseline and incremental forearm exercise (10% and 20% of maximum) was performed during control (saline), {alpha}-adrenoceptor inhibition (phentolamine), and combined {alpha}- and β-adrenoceptor inhibition (phentolomine/propranolol). Forearm blood flow (FBF), heart rate, blood pressure, minute ventilation, and end-tidal CO2 were determined. Hypoxia increased heart rate (P < 0.05) and minute ventilation (P < 0.05) at rest and exercise under all drug infusions, whereas mean arterial pressure was unchanged. Arterial adrenaline (P < 0.05) and venous noradrenaline (P < 0.05) were higher with hypoxia during all drug infusions. The change ({Delta}) in FBF during 10% hypoxic exercise was greater with phentolamine ({Delta}306 ± 43 ml min–1) vs. saline ({Delta}169 ± 30 ml min–1) or combined phentolamine/propranolol ({Delta}213 ± 25 ml min–1; P < 0.05 for both). During 20% hypoxic exercise, {Delta}FBF was greater with phentalomine ({Delta}466 ± 57 ml min–1; P < 0.05) vs. saline ({Delta}346 ± 40 ml min–1) but was similar to combined phentolamine/propranolol ({Delta}450 ± 43 ml min–1). Thus, in the absence of overlying vasoconstriction, the contribution of β-adrenergic mechanisms to the augmented hypoxic vasodilatation is dependent on exercise intensity.

(Received 29 August 2007; accepted after revision 28 November 2007; first published online 29 November 2007)
Corresponding author B. W. Wilkins: Department of Human Physiology, 122 Esslinger Hall, 1240 University of Oregon, Eugene, OR 97403-1240, USA. Email: bwilkins{at}uoregon.edu







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