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Contribution of adenosine to compensatory dilation in hypoperfused contracting human muscles is independent of nitric oxide
Journal article   Open access   Peer reviewed

Contribution of adenosine to compensatory dilation in hypoperfused contracting human muscles is independent of nitric oxide

Darren P Casey and Michael J Joyner
Journal of applied physiology (1985), Vol.110(5), pp.1181-1189
05/2011
DOI: 10.1152/japplphysiol.00836.2010
PMCID: PMC3098657
PMID: 21292838
url
https://doi.org/10.1152/japplphysiol.00836.2010View
Published (Version of record) Open Access

Abstract

We previously demonstrated that nitric oxide (NO) contributes to compensatory vasodilation in the contracting human forearm subjected to acute hypoperfusion. We examined the potential role of an adenosine-NO interaction to this response in 17 male subjects (25 ± 2 yr). In separate protocols subjects performed rhythmic forearm exercise (20% of maximum) while hypoperfusion was evoked by balloon inflation in the brachial artery above the elbow. Each trial included exercise before inflation, exercise with inflation, and exercise after deflation (3 min each). Forearm blood flow (FBF; ultrasound) and local [brachial artery catheter pressure (BAP)] and systemic [mean arterial pressure (MAP); Finometer] arterial pressure were measured. In protocol 1 (n = 10), exercise was repeated during nitric oxide synthase inhibition [N(G)-monomethyl-L-arginine (L-NMMA)] alone and during L-NMMA-aminophylline (adenosine receptor blockade) administration. In protocol 2, exercise was repeated during aminophylline alone and during aminophylline-L-NMMA. Forearm vascular conductance (FVC; ml·min(-1)·100 mmHg(-1)) was calculated from blood flow (ml/min) and BAP (mmHg). Percent recovery in FVC during inflation was calculated as (steady-state inflation + exercise value - nadir)/[steady-state exercise (control) value - nadir]. In protocol 1, percent recovery in FVC was 108 ± 8% during the control (no drug) trial. Percent recovery in FVC was attenuated with inhibition of NO formation alone (78 ± 9%; P < 0.01 vs. control) and was attenuated further with combined inhibition of NO and adenosine (58 ± 9%; P < 0.01 vs. L-NMMA). In protocol 2, percent recovery was reduced with adenosine receptor blockade (74 ± 11% vs. 113 ± 6%, P < 0.01) compared with control drug trials. Percent recovery in FVC was attenuated further with combined inhibition of adenosine and NO (48 ± 11%; P < 0.05 vs. aminophylline). Our data indicate that adenosine contributes to compensatory vasodilation in an NO-independent manner during exercise with acute hypoperfusion.
Muscle Contraction Physical Exertion - physiology Humans Adaptation, Physiological - physiology Adenosine - metabolism Adult Male Muscle, Skeletal - physiology Vasodilation - physiology Nitric Oxide - metabolism Blood Flow Velocity - physiology

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