Xing Jihong, Lu Jian, Liu Jiahao, Li Jianhua
Pennsylvania State Heart and Vascular Institute, The Pennsylvania State University College of Medicine, Hershey, PA, United States.
Department of Emergency Medicine, The First Hospital of Jilin University, Changchun, China.
Front Physiol. 2018 Feb 2;9:39. doi: 10.3389/fphys.2018.00039. eCollection 2018.
The exercise pressor reflex is amplified in patients with peripheral artery disease (PAD) and in an experimental PAD model of rats induced by femoral artery occlusion. Heightened blood pressure worsens the restricted blood flow directed to the limbs in this disease. The purpose of this study was to determine the role played by muscle oxidative stress in regulating the augmented pressor response to static exercise in PAD. We hypothesized that limb ischemia impairs muscle superoxide dismutase (SOD) thereby leading to abnormal autonomic responsiveness observed in PAD animals, and a chronic compensation of SOD for anti-oxidation improves the exaggerated exercise pressor reflex. Our data show that femoral occlusion decreased the protein levels of SOD in ischemic muscle as compared with control muscle. Downregulation of SOD appeared to a greater degree in the oxidative (red) muscle than in the glycolytic (white) muscle under the condition of muscle ischemia. In addition, the exercise pressor response was assessed during electrically induced static contraction. The data demonstrates that the enhancement of the exercise pressor reflex was significantly attenuated after tempol (a mimetic of SOD, 30 mg over a period of 72 h) was administered into the occluded hindlimb. In the occluded rats, mean arterial pressure (MAP) response was 26 ± 3 mmHg with no tempol and 12 ± 2 mmHg with tempol application ( < 0.05 vs. group with no tempol; = 6 in each group). There were no differences in muscle tension development (time-tension index: 12.1 ± 1.2 kgs with no tempol and 13.5 ± 1.1 kgs with tempol; > 0.05 between groups). In conclusion, SOD is lessened in the ischemic muscles and supplement of SOD improves the amplified exercise pressor reflex, which is likely beneficial to the restricted blood flow to the limbs in PAD.
运动升压反射在周围动脉疾病(PAD)患者以及由股动脉闭塞诱导的大鼠实验性PAD模型中会被放大。血压升高会使该疾病中流向四肢的受限血流情况恶化。本研究的目的是确定肌肉氧化应激在调节PAD中对静态运动增强的升压反应中所起的作用。我们假设肢体缺血会损害肌肉超氧化物歧化酶(SOD),从而导致在PAD动物中观察到的自主神经反应异常,并且SOD的慢性抗氧化补偿可改善过度的运动升压反射。我们的数据表明,与对照肌肉相比,股动脉闭塞使缺血肌肉中SOD的蛋白质水平降低。在肌肉缺血的情况下,氧化(红色)肌肉中SOD的下调程度似乎比糖酵解(白色)肌肉中更大。此外,在电诱导的静态收缩过程中评估运动升压反应。数据表明,在向闭塞的后肢注射tempol(一种SOD模拟物,72小时内30毫克)后,运动升压反射的增强明显减弱。在闭塞的大鼠中,未注射tempol时平均动脉压(MAP)反应为26±3 mmHg,注射tempol时为12±2 mmHg(与未注射tempol的组相比,<0.05;每组n = 6)。各组之间肌肉张力发展没有差异(时间 - 张力指数:未注射tempol时为12.1±1.2千克,注射tempol时为13.5±1.1千克;组间>0.05)。总之,缺血肌肉中的SOD减少,补充SOD可改善放大的运动升压反射,这可能有利于改善PAD患者四肢的血流受限情况。