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Received August 29, 2007
Revised September 28, 2007
Accepted after revision November 28, 2007
-adrenergic receptor mediated vasodilatation during hypoxia
1 University of Oregon
2 Mayo Clinic
* To whom correspondence should be addressed. E-mail: bwilkins{at}uoregon.edu.
We previously reported that hypoxia mediated reductions in
-adrenoceptor sensitivity do not explain the augmented vasodilatation during hypoxic exercise, suggesting an enhanced vasodilator signal. We hypothesized that
-adrenoceptor activation contributes to augmented hypoxic exercise vasodilatation. Fourteen subjects (age: 29±2) breathed hypoxic gas to titrate arterial O2 saturation (pulse oximetry) to 80%, while remaining normocapnic via a re-breath 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),
-adrenoceptor inhibition (phentolamine), and combined
- and
-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 (
) in FBF during 10% hypoxic exercise was greater with phentolamine (
306±43ml min-1) vs. saline (
169±30ml min-1) or combined phentolamine / propranolol (
213±25ml min-1; P>0.05 for both). During 20% hypoxic exercise,
FBF was greater with phentalomine (
466±57ml min-1; P>0.05) vs. saline (
346±40ml min-1) but was similar to combined phentolamine / propranolol (
450±43ml min-1). Thus, in the absence of overlying vasoconstriction, the contribution of
-adrenergic mechanisms to the augmented hypoxic vasodilatation is dependent on exercise intensity.
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