Endothelin-1-mediated vasoconstriction at rest and during dynamic exercise in healthy humans

Am J Physiol Heart Circ Physiol. 2007 Oct;293(4):H2550-6. doi: 10.1152/ajpheart.00867.2007. Epub 2007 Aug 10.

Abstract

It is now generally accepted that alpha-adrenoreceptor-mediated vasoconstriction is attenuated during exercise, but the efficacy of nonadrenergic vasoconstrictor pathways during exercise remains unclear. Thus, in eight young (23 +/- 1 yr), healthy volunteers, we contrasted changes in leg blood flow (ultrasound Doppler) before and during intra-arterial infusion of the alpha(1)-adrenoreceptor agonist phenylephrine (PE) with that of the nonadrenergic endothelin A (ET(A))/ET(B) receptor agonist ET-1. Heart rate, arterial blood pressure, common femoral artery diameter, and mean blood velocity were measured at rest and during knee-extensor exercise at 20%, 40%, and 60% of maximal work rate (WR(max)). Drug infusion rates were adjusted for blood flow to maintain comparable doses across all subjects and conditions. At rest, PE infusion (8 ng x ml(-1) x min(-1)) provoked a rapid and significant decrease in leg blood flow (-51 +/- 3%) within 2.5 min. Resting ET-1 infusion (40 pg x ml(-1) x min(-1)) significantly decreased leg blood flow within 5 min, reaching a maximal vasoconstriction (-34 +/- 3%) after 25-30 min of continuous infusion. Compared with rest, an exercise intensity-dependent attenuation to PE-mediated vasoconstriction was observed (-18 +/- 5%, -7 +/- 2%, and -1 +/- 3% change in leg blood flow at 20%, 40%, and 60% of WR(max), respectively). Vasoconstriction in response to ET-1 was also blunted in an exercise intensity-dependent manner (-13 +/- 3%, -7 +/- 4%, and 2 +/- 3% change in leg blood flow at 20%, 40%, and 60% of WR(max), respectively). These findings support a significant contribution of ET-1 and alpha-adrenergic receptors in the regulation of skeletal muscle blood flow in the human leg at rest and suggest a similar, intensity-dependent "lysis" of peripheral ET and alpha-adrenergic vasoconstriction during dynamic exercise.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adrenergic alpha-1 Receptor Agonists
  • Adrenergic alpha-Agonists / administration & dosage
  • Adrenergic alpha-Agonists / pharmacology*
  • Adult
  • Blood Flow Velocity / drug effects
  • Blood Pressure / drug effects
  • Endothelin-1 / administration & dosage
  • Endothelin-1 / metabolism*
  • Exercise / physiology*
  • Female
  • Femoral Artery* / drug effects
  • Femoral Artery* / metabolism
  • Heart Rate / drug effects
  • Humans
  • Infusions, Intra-Arterial
  • Laser-Doppler Flowmetry
  • Leg
  • Male
  • Muscle, Skeletal / blood supply*
  • Phenylephrine / administration & dosage
  • Phenylephrine / pharmacology*
  • Receptors, Adrenergic, alpha-1 / metabolism
  • Receptors, Endothelin / agonists
  • Receptors, Endothelin / metabolism
  • Time Factors
  • Vasoconstriction / drug effects*
  • Vasoconstrictor Agents* / administration & dosage
  • Vasoconstrictor Agents* / metabolism
  • Vasoconstrictor Agents* / pharmacology

Substances

  • Adrenergic alpha-1 Receptor Agonists
  • Adrenergic alpha-Agonists
  • Endothelin-1
  • Receptors, Adrenergic, alpha-1
  • Receptors, Endothelin
  • Vasoconstrictor Agents
  • Phenylephrine