1 Division of Cardiology, Pulmonology and Vascular Medicine, Medical Faculty, University Duesseldorf, Germany.
2 Department of Clinical and Experimental Medicine, Faculty of Health and Medical Science, University of Surrey, UK.
Eur J Prev Cardiol. 2018 Nov;25(17):1875-1883. doi: 10.1177/2047487318800072. Epub 2018 Sep 10.
Previous studies have shown that ultraviolet light can lead to the release of nitric oxide from the skin and decrease blood pressure. In contrast to visible light the local application of ultraviolet light bears a cancerogenic risk. Here, we investigated whether whole body exposure to visible blue light can also decrease blood pressure and increase endothelial function in healthy subjects.
In a randomised crossover study, 14 healthy male subjects were exposed on 2 days to monochromatic blue light or blue light with a filter foil (control light) over 30 minutes. We measured blood pressure (primary endpoint), heart rate, forearm vascular resistance, forearm blood flow, endothelial function (flow-mediated dilation), pulse wave velocity and plasma nitric oxide species, nitrite and nitroso compounds (secondary endpoints) during and up to 2 hours after exposure.
Blue light exposure significantly decreased systolic blood pressure and increased heart rate as compared to control. In parallel, blue light significantly increased forearm blood flow, flow-mediated dilation, circulating nitric oxide species and nitroso compounds while it decreased forearm vascular resistance and pulse wave velocity.
Whole body irradiation with visible blue light at real world doses improves blood pressure, endothelial function and arterial stiffness by nitric oxide released from photolabile intracutanous nitric oxide metabolites into circulating blood.
先前的研究表明,紫外线会导致皮肤释放一氧化氮,从而降低血压。与可见光不同的是,局部应用紫外线会带来致癌风险。在这里,我们研究了全身暴露于可见光蓝光是否也可以降低健康受试者的血压并增加内皮功能。
在一项随机交叉研究中,14 名健康男性受试者在 2 天内分别接受 30 分钟的单色蓝光或带有滤光片的蓝光(对照光)照射。我们在照射期间和照射后 2 小时内测量血压(主要终点)、心率、前臂血管阻力、前臂血流量、内皮功能(血流介导的扩张)、脉搏波速度和血浆一氧化氮物质、亚硝酸盐和亚硝化合物(次要终点)。
与对照相比,蓝光照射显著降低了收缩压并增加了心率。与此同时,蓝光显著增加了前臂血流量、血流介导的扩张、循环一氧化氮物质和亚硝化合物,同时降低了前臂血管阻力和脉搏波速度。
全身照射可见光蓝光会通过光不稳定的皮内一氧化氮代谢物释放到循环血液中的一氧化氮来改善血压、内皮功能和动脉僵硬。