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Received June 16, 2005
Revised July 6, 2005
Accepted after revision August 27, 2005
1 University of Colorado
* To whom correspondence should be addressed. E-mail: eskurza{at}colorado.edu.
Endothelium-dependent dilation (EDD) is impaired with aging in sedentary, but not regularly exercising adults. We tested the hypotheses that differences in BH4 bioactivity are key mechanisms explaining the impairment in EDD with sedentary aging and the maintenance of EDD with aging in regularly exercising adults. Brachial artery flow-mediated dilation (FMD), normalized for local shear stress, was measured after acute oral placebo or BH4 in young sedentary (YS) (n=10; 22±1 years, mean±SE), older sedentary (OS) (n=9; 62±2), and older habitually aerobically trained (OT) (n=12; 66±1) healthy men. At baseline, FMD was ~50 % lower in OS vs. YS [1.12±0.09 vs. 0.57±0.09 (
mm/(dyne/cm2)) x 10-2 , p<0.001], but was preserved in OT [0.93±0.08 (
mm/(dyne/cm2)) x 10-2]. BH4 administration improved FMD by ~45% in OS [1.00±0.10 (
mm/(dyne/cm2)) x 10-2, p<0.01 vs. baseline], but did not affect FMD in YS or OT. Endothelium-independent dilation neither differed between groups at baseline nor changed with BH4 administration. These results suggest that BH4 bioactivity may be a key mechanism involved in the impairment of conduit artery EDD with sedentary aging and the EDD-preserving effect of habitual exercise.
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