Eskurza Iratxe, Monahan Kevin D, Robinson Jed A, Seals Douglas R
Department of Integrative Physiology, University of Colorado-Boulder, Boulder, CO 80309, USA.
Am J Physiol Heart Circ Physiol. 2004 Apr;286(4):H1528-34. doi: 10.1152/ajpheart.00879.2003.
Large elastic artery compliance is reduced and arterial blood pressure (BP) is increased in the central (cardiothoracic) circulation with aging. Reactive oxygen species may tonically modulate central arterial compliance and BP in humans, and oxidative stress may contribute to adverse changes with aging. If so, antioxidant administration may have beneficial effects. Young (Y; 26 +/- 1 yr, mean +/- SE) and older (O; 63 +/- 2 yr, mean +/- SE) healthy men were studied at baseline and during acute (intravenous infusion; Y: n = 13, O: n = 12) and chronic (500 mg/day for 30 days; Y: n = 10, O: n = 10) administration of ascorbic acid (vitamin C). At baseline, peripheral (brachial artery) BP did not differ in the two groups, but carotid artery compliance was 43% lower (1.2 +/- 0.1 vs. 2.1 +/- 0.1 mm(2)/mmHg x 10(-1), P < 0.01) and central (carotid) BP (systolic: 116 +/- 5 vs. 101 +/- 3 mmHg, P < 0.05, and pulse pressure: 43 +/- 4 vs. 36 +/- 3 mmHg, P = 0.16), carotid augmentation index (AIx; 27.8 +/- 7.8 vs. -20.0 +/- 6.6%, P < 0.001), and aortic pulse wave velocity (PWV; 950 +/- 88 vs. 640 +/- 38 cm/s, P < 0.01) were higher in the older men. Plasma ascorbic acid concentrations did not differ at baseline (Y: 71 +/- 5 vs. O: 61 +/- 7 micromol/l, P = 0.23), increased (P < 0.001) to supraphysiological levels during infusion (Y: 1240 +/- 57 and O: 1,056 +/- 83 micromol/l), and were slightly elevated (P < 0.001 vs. baseline) with supplementation (Y: 96 +/- 5 micromol/l vs. O: 85 +/- 6). Neither ascorbic acid infusion nor supplementation affected peripheral BP, heart rate, carotid artery compliance, central BP, carotid AIx, or aortic PWV (all P > 0.26). These results indicate that the adverse changes in large elastic artery compliance and central BP with aging in healthy men are not 1). mediated by ascorbic acid-sensitive oxidative stress (infusion experiments) and 2). affected by short-term, moderate daily ascorbic acid (vitamin C) supplementation.
随着年龄增长,中央(心胸)循环中大型弹性动脉顺应性降低,动脉血压(BP)升高。活性氧可能会对人体中央动脉顺应性和血压进行紧张性调节,氧化应激可能导致衰老过程中的不良变化。如果是这样,给予抗氧化剂可能会产生有益效果。对年轻(Y;26±1岁,均值±标准误)和年长(O;63±2岁,均值±标准误)的健康男性在基线时以及急性(静脉输注;Y组:n = 13,O组:n = 12)和慢性(每天500毫克,持续30天;Y组:n = 10,O组:n = 10)给予抗坏血酸(维生素C)期间进行了研究。基线时,两组的外周(肱动脉)血压无差异,但老年男性的颈动脉顺应性低43%(1.2±0.1对2.1±0.1毫米²/毫米汞柱×10⁻¹,P < 0.01),中央(颈动脉)血压(收缩压:116±5对101±3毫米汞柱,P < 0.05,脉压:43±4对36±3毫米汞柱,P = 0.16)、颈动脉增强指数(AIx;27.8±7.8对 -20.0±6.6%,P < 0.001)和主动脉脉搏波速度(PWV;950±88对640±38厘米/秒,P < 0.01)更高。基线时血浆抗坏血酸浓度无差异(Y组:71±5对O组:61±7微摩尔/升,P = 0.23),输注期间升高(P < 0.001)至超生理水平(Y组: