Engineering and Controls Technology Branch, National Institute for Occupational Safety and Health, 1095 Willowdale Rd, Morgantown, WV 26505, USA.
Ind Health. 2009 Oct;47(5):533-42. doi: 10.2486/indhealth.47.533.
Vibration-induced white finger (VWF) is a disorder seen in workers exposed to hand-transmitted vibration, and is characterized by cold-induced vasospasms and finger blanching. Because overweight people with metabolic syndrome are pre-disposed to developing peripheral vascular disorders, it has been suggested that they also may be at greater risk of developing VWF if exposed to occupational vibration. We used an animal model of metabolic syndrome, the obese Zucker rat, to determine if metabolic syndrome alters vascular responses to vibration. Tails of lean and obese Zucker rats were exposed to vibration (125 Hz, 49 m/s(2) r.m.s.) or control conditions for 4 h/d for 10 d. Ventral tail arteries were collected and assessed for changes in gene expression, levels of reactive oxygen species (ROS) and for responsiveness to vasomodulating factors. Vibration exposure generally reduced the sensitivity of arteries to acetylcholine (ACh)-induced vasodilation. This decrease in sensitivity was most apparent in obese rats. Vibration also induced reductions in vascular nitric oxide concentrations and increases in vascular concentrations of ROS in obese rats. These results indicate that vibration interferes with endothelial-mediated vasodilation, and that metabolic syndrome exacerbates these effects. These findings are consistent with idea that workers with metabolic syndrome have an increased risk of developing VWF.
振动性白指(VWF)是一种在接触手部振动的工人中出现的疾病,其特征是冷诱导的血管痉挛和手指苍白。由于代谢综合征的超重人群更容易发生外周血管疾病,因此有人认为,如果他们接触职业性振动,也可能面临更大的发生 VWF 的风险。我们使用代谢综合征的动物模型——肥胖型 Zucker 大鼠,来确定代谢综合征是否会改变血管对振动的反应。将瘦型和肥胖型 Zucker 大鼠的尾巴暴露于振动(125 Hz,49 m/s² r.m.s.)或对照条件下 4 小时/天,共 10 天。收集腹侧尾巴动脉,评估基因表达、活性氧(ROS)水平以及对血管调节因子的反应性的变化。振动暴露通常会降低动脉对乙酰胆碱(ACh)诱导的血管舒张的敏感性。这种敏感性的降低在肥胖大鼠中最为明显。振动还会导致肥胖大鼠血管中一氧化氮浓度降低和 ROS 浓度升高。这些结果表明,振动会干扰内皮介导的血管舒张,而代谢综合征会加剧这些影响。这些发现与代谢综合征患者发生 VWF 的风险增加的观点一致。