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口服补充L-酪氨酸可增强老年人对全身冷却的血管收缩反应。

Oral l-tyrosine supplementation augments the vasoconstriction response to whole-body cooling in older adults.

作者信息

Lang James A, Smaller Kevin A

机构信息

Department of Physical Therapy, Des Moines University, Des Moines, IA, 50312, USA.

Department of Neuroscience, Drake University, Des Moines, IA, 50311, USA.

出版信息

Exp Physiol. 2017 Jul 1;102(7):835-844. doi: 10.1113/EP086329. Epub 2017 Jun 1.

Abstract

What is the central question of this study? Ageing is associated with altered sympathetic responses to stress, which are explained in part by reduced noradrenergic function. The impact of supplementation with oral l-tyrosine, the amino acid precursor for catecholamine synthesis, on the effector responses to cold and exercise stress has yet to be examined. What is the main finding and its importance? Oral l-tyrosine ingestion augmented the sympathetically mediated vasoconstriction response to cold exposure in aged skin. This suggests that l-tyrosine supplementation might improve thermoregulatory function in older adults. l-Tyrosine is the primary substrate for noradrenaline biosynthesis within sympathetic axon terminals. In stressful conditions requiring increased catecholamine production, the axonal l-tyrosine concentration may limit the full expression of the sympathetic effector response and this may be particularly evident in older adults. We hypothesize that oral l-tyrosine supplementation will increase the sympathetic response to whole-body cooling and muscle metaboreflex activation. In a randomized, double-blind design, 11 young (Y = 24 ± 1 years) and 11 older participants (O = 68 ± 4 years) ingested either 150 mg kg of l-tyrosine or placebo before commencing 30 min of whole-body cooling to induce a gradual decline in skin temperature from 34 to 30.5°C. Laser Doppler flux (LDF) was measured at the ventral forearm, and cutaneous vascular conductance (CVC) was calculated as CVC = LDF/mean arterial pressure and expressed as a percentage change from baseline (%ΔCVC). Two minutes of static hand-grip exercise (35% maximal voluntary contraction) followed by 3 min of postexercise ischaemia were implemented before and toward the end of the cooling bout. l-Tyrosine supplementation did not affect blood pressure or heart rate responses to exercise or postexercise ischaemia. However, the blunted vasoconstriction response to whole-body cooling in older adults (placebo: Y = 39 ± 5%ΔCVC and O = 16 ± 2 %ΔCVC; P < 0.05) was augmented after l-tyrosine supplementation (l-tyrosine: Y = 40 ± 4%ΔCVC and O = 32 ± 5 %ΔCVC; P < 0.05). These results suggest that l-tyrosine bioavailability might limit thermoregulatory function in an older population.

摘要

本研究的核心问题是什么?衰老与应激时交感神经反应改变有关,这部分可由去甲肾上腺素能功能减退来解释。口服L-酪氨酸(儿茶酚胺合成的氨基酸前体)补充剂对寒冷和运动应激效应反应的影响尚未得到研究。主要发现及其重要性是什么?口服L-酪氨酸可增强老年皮肤对冷暴露的交感神经介导的血管收缩反应。这表明补充L-酪氨酸可能改善老年人的体温调节功能。L-酪氨酸是交感神经轴突终末内去甲肾上腺素生物合成的主要底物。在需要增加儿茶酚胺生成的应激条件下,轴突L-酪氨酸浓度可能会限制交感效应反应的充分表达,这在老年人中可能尤为明显。我们假设口服L-酪氨酸补充剂会增强对全身冷却和肌肉代谢性反射激活的交感反应。在一项随机双盲设计中,11名年轻参与者(Y = 24±1岁)和11名老年参与者(O = 68±4岁)在开始30分钟的全身冷却以诱导皮肤温度从34°C逐渐降至30.5°C之前,分别摄入150mg/kg的L-酪氨酸或安慰剂。在前臂腹侧测量激光多普勒血流(LDF),并计算皮肤血管传导率(CVC),CVC = LDF/平均动脉压,并表示为相对于基线的百分比变化(%ΔCVC)。在冷却过程开始前和接近结束时进行两分钟的静态握力运动(最大自主收缩的35%),随后进行三分钟的运动后缺血。补充L-酪氨酸对运动或运动后缺血的血压或心率反应没有影响。然而,老年人对全身冷却的血管收缩反应减弱(安慰剂组:年轻组Y = 39±5%ΔCVC,老年组O = 16±2 %ΔCVC;P < 0.05),补充L-酪氨酸后得到增强(L-酪氨酸组:年轻组Y = 40±4%ΔCVC,老年组O = 32±5 %ΔCVC;P < 0.05)。这些结果表明,L-酪氨酸的生物利用度可能会限制老年人群的体温调节功能。

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