1. Ageing and leg postjunctional alpha-adrenergic vasoconstrictor responsiveness in healthy men.
- Author
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Smith EG, Voyles WF, Kirby BS, Markwald RR, and Dinenno FA
- Subjects
- Adult, Aged, Aging metabolism, Blood Flow Velocity drug effects, Dexmedetomidine pharmacology, Dose-Response Relationship, Drug, Femoral Artery innervation, Femoral Artery metabolism, Humans, Laser-Doppler Flowmetry, Male, Middle Aged, Norepinephrine metabolism, Phenylephrine pharmacology, Receptors, Adrenergic, alpha-1 metabolism, Receptors, Adrenergic, alpha-2 metabolism, Reference Values, Research Design, Sympathetic Nervous System drug effects, Sympathetic Nervous System metabolism, Tyramine pharmacology, Adrenergic alpha-1 Receptor Agonists, Adrenergic alpha-2 Receptor Agonists, Adrenergic alpha-Agonists pharmacology, Aging physiology, Femoral Artery drug effects, Leg blood supply, Vasoconstriction drug effects, Vasoconstrictor Agents pharmacology
- Abstract
Muscle sympathetic vasoconstrictor nerve activity increases with advancing age, but does not result in elevated forearm vasoconstrictor tone because of a selective reduction in alpha1-adrenoceptor responsiveness. In contrast, the leg circulation of older adults is under greater tonic sympathetic vasoconstriction, but it is unclear whether alpha-adrenoceptor responsiveness is altered with age. In the present study, we tested the hypothesis that postjunctional alpha-adrenergic vasoconstrictor responsiveness is reduced in the leg circulation with age. We measured femoral blood flow (Doppler ultrasound) and calculated the femoral vascular conductance (FVC) responses to alpha-adrenoceptor stimulation during local blockade of beta-adrenoceptors in 12 young (24 +/- 1 year) and seven healthy older men (62 +/- 2 year). Whole-leg vasoconstrictor responses to local intrafemoral artery infusions of tyramine (evokes noradrenaline (NA) release), phenylephrine (alpha1-agonist) and dexmedetomidine (alpha2-agonist) were assessed. Consistent with previous data, resting femoral blood flow and FVC were approximately 30% lower in older compared with young men (P < 0.05). Maximal vasoconstrictor responses to tyramine (-30 +/- 3 versus -41 +/- 3%), phenylephrine (-25 +/- 4 versus -45 +/- 5%), and dexmedetomidine (-22 +/- 4 versus -44 +/- 3%) were all significantly lower in older compared with young men (all P < 0.05). Our results indicate that human ageing is associated with a reduction in leg postjunctional alpha-adrenoceptor responsiveness to endogenous NA release, and this reduction is evident for both alpha1- and alpha2-adrenoceptors. However, given that basal leg vascular conductance is reduced with age and is primarily mediated by sympathetic vasoconstriction, impaired alpha-adrenoceptor responsiveness does not negate the ability of the sympathetic nervous system to evoke greater tonic vasoconstriction in the leg vasculature of older men.
- Published
- 2007
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