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Received April 2, 2004
Revised May 4, 2004
Accepted after revision May 28, 2004
1 Penn State University
2 Noll Physiological Research Center
* To whom correspondence should be addressed. E-mail: w7k{at}psu.edu.
Cutaneous vasoconstriction (VC) in response to cooling is attenuated in older humans; however, mechanisms underlying this functional decline remain unclear. The present study tested the hypothesis that the contributions of noradrenaline (NA) and sympathetic cotransmitters to reflex-mediated cutaneous VC are altered with age. In eleven young (18-26 yr) and 11 older (61-77 yr) men and women, forearm skin blood flow was monitored at three sites using laser Doppler flowmetry (LDF) while mean skin temperature was lowered from 34°C to 30.5°C using a water-perfused suit. Cutaneous vascular conductance (CVC; LDF/mean arterial pressure) was expressed as percent change from baseline (%
CVCbase). Solutions of yohimbine + propranolol (Y+P), bretylium tosylate (BT), and lactated Ringer's were infused via intradermal microdialysis at each LDF site to antagonise
- and
-adrenoceptors, block sympathetic release of NA and cotransmitters, and act as control, respectively. During cooling, VC was attenuated at the control site in older subjects compared to young subjects (-16±3 vs. -34±4%
CVCbase, P<0.001). Y+P attenuated VC in young subjects (-13±8%
CVCbase, P<0.001 vs. control) and abolished VC in older subjects (0±3%
CVCbase, P>0.9 vs. baseline). BT completely blocked VC in both age groups. Cutaneous VC in young subjects is mediated by both NA and sympathetic cotransmitter(s); however, reflex VC in aged skin is attenuated compared to young and appears to be mediated solely by NA.
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