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Prado JP, Castro AE, Carvalho J, Pereira D, Faccioli LH, Sorgi C, Novaes R, Silva S, Galdino G. Investigation of the involvement of platelet-activating factor in the control of hypertension by aerobic training. A randomized controlled trial. Biol Sport 2024; 41:163-174. [PMID: 38524817 PMCID: PMC10955738 DOI: 10.5114/biolsport.2024.131819] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Revised: 07/03/2023] [Accepted: 09/18/2023] [Indexed: 03/26/2024] Open
Abstract
Although studies have demonstrated the effectiveness of exercise in controlling systemic arterial hypertension (SAH), the mechanisms involved in this effect are still poorly understood. Thus, this study investigated the impact of aerobic training on the relationship between platelet-activating factor (PAF) circulating levels and blood pressure in hypertensives. Seventy-seven hypertensive subjects were enrolled in this randomized controlled trial (age 66.51 ± 7.53 years, body mass 76.17 ± 14.19 kg). Participants were randomized to two groups: the intervention group (IG, n = 36), composed of hypertensive individuals submitted to an aerobic training protocol, and the control group (CG, n = 41), composed of non-exercised hypertensives. Body mass index, arterial blood pressure, quality of life, respiratory muscle strength, and functional capacity were assessed before and after 12 weeks. PAF and plasma cytokine levels were also evaluated respectively by liquid chromatography coupled with mass spectrometry and enzyme-linked immunosorbent assay. Aerobic training promoted a significant reduction in blood pressure while functional capacity, expiratory muscle strength, and quality of life, PAFC16:0 and PAFC18:1 plasma levels were increased in comparison to the CG (p < 0.05). In addition, multiple correlation analysis indicated a positive correlation [F (3.19) = 6.322; p = 0.001; R2adjusted = 0.499] between PAFC16:0 levels and expiratory muscle strength after aerobic training. Taken together, our findings indicate that PAF may be involved in the indirect mechanisms that control SAH, being mainly associated with increased respiratory muscle strength in hypertensive subjects undergoing aerobic training.
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Affiliation(s)
- João Paulo Prado
- Institute of Motricity of Sciences, Federal University of Alfenas, 2600 Jovino Fernandes Sales Ave, Alfenas, MG 37133-550, Brazil
| | - Ana Emilia Castro
- Institute of Motricity of Sciences, Federal University of Alfenas, 2600 Jovino Fernandes Sales Ave, Alfenas, MG 37133-550, Brazil
| | - Jonatan Carvalho
- Department of Chemistry, Faculty of Philosophy, Sciences, and Letters of Ribeirao Preto, Univer-sity of Sao Paulo, Ribeirao Preto, Brazil
| | - Daniele Pereira
- Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Lúcia Helena Faccioli
- Faculty of Pharmaceutical Sciences of Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, Brazil
| | - Carlos Sorgi
- Department of Chemistry, Faculty of Philosophy, Sciences, and Letters of Ribeirao Preto, Univer-sity of Sao Paulo, Ribeirao Preto, Brazil
| | - Rômulo Novaes
- Department of Structural Biology, Institute of Biomedical Sciences, Federal University of Alfenas, 700 Gabriel Monteiro Silva St, Alfenas, MG 37130-001, Brazil
| | - Silvia Silva
- Faculty of Medicine, Federal University of Juiz de Fora, MG, Brazil
| | - Giovane Galdino
- Institute of Motricity of Sciences, Federal University of Alfenas, 2600 Jovino Fernandes Sales Ave, Alfenas, MG 37133-550, Brazil
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2
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Rodrigues GD, Lima LS, da Silva NCS, Telles PGL, da Mota Silva Rocha TM, de Aragão Porto VQ, Cardoso VV, da Silva Soares PP. Are home-based exercises effective to reduce blood pressure in hypertensive adults? A systematic review. Clin Hypertens 2022; 28:28. [PMID: 36104807 PMCID: PMC9474275 DOI: 10.1186/s40885-022-00211-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2021] [Accepted: 05/31/2022] [Indexed: 11/12/2022] Open
Abstract
Sedentarism and chronic non-communicable diseases have been a worldwide health problem that is drastically exacerbated by the COVID-19 pandemic social impacts. Home-based exercises are widely encouraged during social isolation to counterbalance the physical inactive impacts. Although, in the context of hypertension, are home-based exercises effective in blood pressure controlling? Our objective is to conduct a systematic review of high-quality controlled trials comparing the possible effects of different types of home-based exercises in hypertensive patients. The literature search was carried out in three scientific databases: Medline, Europe PMC, and Lilacs. Articles were included following three criteria: analyzing the effect of home-based exercise programs on blood pressure in treated and untreated hypertensive patients; exercises must perform at home and on the frequency, intensity, time, and type (FITT) principle, and the articles were published in English. From the qualitative analysis of 27 original trials screened through 451 identified studies, the main results are the following: 1) both endurance, isometric strength, and respiratory home-based exercise programs were efficient to decrease blood pressure in hypertensive patients; 2) differences in methodological approaches regarding FITT components, distinct blood pressure values at baseline and specific underlying mechanisms must be considered as a potential bias of each home-based interventions. In conclusion, endurance, isometric strength, and breathing home-based programs seems to be effective to reduce blood pressure in hypertensive patients. However, further randomized controlled trials and mechanistic studies must be performing to guide evidence-based recommendations of home-based exercises as antihypertensive therapy.
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3
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Sabbahi A, Ellythy A, Hwang CL, Phillips SA. Differential responses of resistance arterioles to elevated intraluminal pressure in blacks and whites. Am J Physiol Heart Circ Physiol 2021; 321:H29-H37. [PMID: 34018853 DOI: 10.1152/ajpheart.01023.2020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
Black Americans have an earlier onset, higher average blood pressure, and higher rates of hypertension-related mortality and morbidity, compared to whites. The racial difference may be related to microvasculature, the major regulatory site of blood pressure. The goal of this study was to compare the response of resistance vessels to high intraluminal pressure between black and white participants. A total of 38 vessels were obtained from human fat samples [21 black, 17 white; mean age 32 ± 12 yr and body mass index (BMI) 26.9 ± 4.9; between-group P ≥ 0.05] and included in this study. Internal diameter was measured in response to the flow induced by various pressure gradients (Δ10, Δ20, Δ40, Δ60, and Δ100 cmH2O), and flow-induced dilation (FID) was calculated before and after high intraluminal pressure (150 cmH2O). Before high intraluminal pressure, FID was not different between blacks and whites (P = 0.112). After exposure to high intraluminal pressure, FID was reduced at every pressure gradient in vessels from blacks (P < 0.001), whereas FID did not change in white participants except at Δ100 cmH2O. When incubated with the hydrogen peroxide (H2O2) scavenger polyethylene glycol-catalase (PEG-catalase), the FID response in vessels from black, but not white, individuals was significantly reduced and the magnitude was higher at normal pressure relative to high pressure. Our findings suggest that the vessels from self-identified black individuals are more susceptible to microvascular dysfunction following transient periods of high intraluminal pressure compared to whites and show greater dependence on H2O2 as a main contributor to FID at normal pressures.NEW & NOTEWORTHY Microvascular function regulates blood pressure and may contribute to racial differences in the incidence and prevalence of hypertension and other cardiovascular diseases. Here, we show that using an ex vivo model of resistance arterioles isolated from human gluteal fat tissue, flow-induced dilation is not different between black and white participants. However, when exposed to transient increases in intraluminal pressure, the flow-induced dilation in resistance arterioles from black participants demonstrated greater reductions relative to their white counterparts, indicating a higher sensitivity to pressure change in the microvasculature.
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Affiliation(s)
- Ahmad Sabbahi
- Department of Physical Therapy, College of Applied Health Sciences, University of Illinois at Chicago, Chicago, Illinois.,School of Physical Therapy, South College, Knoxville, Tennessee
| | - Assem Ellythy
- Department of Physical Therapy, College of Applied Health Sciences, University of Illinois at Chicago, Chicago, Illinois
| | - Chueh-Lung Hwang
- Department of Physical Therapy, College of Applied Health Sciences, University of Illinois at Chicago, Chicago, Illinois
| | - Shane A Phillips
- Department of Physical Therapy, College of Applied Health Sciences, University of Illinois at Chicago, Chicago, Illinois
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4
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Hughes WE, Zinkevich N, Gutterman DD, Beyer AM. Hypertension preserves the magnitude of microvascular flow-mediated dilation following transient elevation in intraluminal pressure. Physiol Rep 2021; 9:e14507. [PMID: 33587335 PMCID: PMC7883808 DOI: 10.14814/phy2.14507] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2020] [Revised: 06/15/2020] [Accepted: 06/16/2020] [Indexed: 12/31/2022] Open
Abstract
OBJECTIVE The objective of this study was to measure flow-mediated dilation (FMD) prior to and following transient increases in intraluminal pressure (IILP) in resistance arterioles isolated from subjects with and without coronary artery disease (CAD) (CAD and non-CAD) and non-CAD subjects with hypertension. METHODS Arterioles were isolated from discarded surgical tissues (adipose and atrial) from patients without coronary artery disease (non-CAD; ≤1 risk factor, excluding hypertension), with CAD, and non-CAD patients with hypertension (hypertension as the only risk factor). To simulate transient hypertension, increased IILP was generated (150 mmHg, 30 min) by gravity. Arterioles were constricted with endothelin-1, followed by FMD and endothelial-independent dilation prior to and following exposure to IILP. RESULTS IILP reduced FMD in non-CAD and CAD arterioles relative to pre-IILP (p <.05 at 100 cmH2 O). In contrast, arterioles from non-CAD hypertensive subjects exhibited no reduction in maximal FMD following IILP (p = .84 at 100 cmH2 O). FMD was reduced by L-NAME prior to IILP in non-CAD hypertensive patients (p < .05 at 100 cmH2 O); however, following IILP, FMD was inhibited by peg-cat (p < .05 at 100 cmH2 O), indicating a switch from NO to H2 O2 as the mechanism of dilation. CONCLUSIONS Acute exposure (30 min) to IILP (150 mmHg) attenuates the magnitude of FMD in non-CAD and CAD resistance arterioles. The presence of clinically diagnosed hypertension in non-CAD resistance arterioles preserves the magnitude of FMD following IILP as a result of a compensatory switch from NO to H2 O2 as the mechanism of dilation.
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Affiliation(s)
- William E. Hughes
- Department of MedicineMedical College of WisconsinMilwaukeeWIUSA
- Cardiovascular CenterMedical College of WisconsinMilwaukeeWIUSA
| | - Natalya Zinkevich
- Cardiovascular CenterMedical College of WisconsinMilwaukeeWIUSA
- Department of Health and MedicineCarroll UniversityWaukeshaWIUSA
| | - David D. Gutterman
- Department of MedicineMedical College of WisconsinMilwaukeeWIUSA
- Cardiovascular CenterMedical College of WisconsinMilwaukeeWIUSA
- Department of PhysiologyMedical College of WisconsinMilwaukeeWIUSA
| | - Andreas M. Beyer
- Department of MedicineMedical College of WisconsinMilwaukeeWIUSA
- Cardiovascular CenterMedical College of WisconsinMilwaukeeWIUSA
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5
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Young AP, Zhu J, Bagher AM, Denovan-Wright EM, Howlett SE, Kelly MEM. Endothelin B receptor dysfunction mediates elevated myogenic tone in cerebral arteries from aged male Fischer 344 rats. GeroScience 2021; 43:1447-1463. [PMID: 33403617 DOI: 10.1007/s11357-020-00309-7] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2020] [Accepted: 12/01/2020] [Indexed: 02/08/2023] Open
Abstract
The human brain requires adequate cerebral blood flow to meet the high demand for nutrients and to clear waste products. With age, there is a chronic reduction in cerebral blood flow in small resistance arteries that can eventually limit proper brain function. The endothelin system is a key mediator in the regulation of cerebral blood flow, but the contributions of its constituent receptors in the endothelial and vascular smooth muscle layers of cerebral arteries have not been well defined in the context of aging. We isolated posterior cerebral arteries from young and aged Fischer 344 rats, as well as ETB receptor knock-out rats and mounted the vessels in plexiglass pressure myograph chambers to measure myogenic tone in response to increasing pressure and targeted pharmacological treatments. We used an ETA receptor antagonist (BQ-123), an ETB receptor antagonist (BQ-788), endothelin-1, an endothelin-1 synthesis inhibitor (phosphoramidon), and vessel denudation to dissect the roles of each receptor in aging vasculature. Aged rats exhibited a higher myogenic tone than young rats, and the tone was sensitive to the ETA antagonist, BQ-123, but insensitive to the ETB antagonist, BQ-788. By contrast, the tone in the vessels from young rats was raised by BQ-788 but unaffected by BQ-123. When the endothelial layer that is normally enriched with ETB1 receptors was removed from young vessels, myogenic tone increased. However, denudation of the endothelial layer did not influence vessels from aged animals. This indicated that endothelial ETB1 receptors were not functional in the vessels from aged rats. There was also an increase in ETA receptor expression with age, whereas ETB receptor expression remained constant between young and aged animals. These results demonstrate that in young vessels, ETB1 receptors maintain a lower myogenic tone, but in aged vessels, a loss of ETB receptor activity allows ETA receptors in vascular smooth muscle cells to raise myogenic tone. Our findings have potentially important clinical implications for treatments to improve cerebral perfusion in older adults with diseases characterized by reduced cerebral blood flow.
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Affiliation(s)
- Alexander P Young
- Department of Pharmacology, Dalhousie University, Halifax, NS, B3H 4R2, Canada
| | - Jiequan Zhu
- Department of Pharmacology, Dalhousie University, Halifax, NS, B3H 4R2, Canada
| | - Amina M Bagher
- Department of Pharmacology and Toxicology, King Abdulaziz University, Jeddah, Saudi Arabia
| | | | - Susan E Howlett
- Department of Pharmacology, Dalhousie University, Halifax, NS, B3H 4R2, Canada.,Department of Medicine (Geriatric Medicine), Dalhousie University, Halifax, NS, Canada
| | - Melanie E M Kelly
- Department of Pharmacology, Dalhousie University, Halifax, NS, B3H 4R2, Canada. .,Department of Ophthalmology and Visual Sciences, Dalhousie University, Halifax, NS, Canada.
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6
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Durand MJ, Hader SN, Derayunan A, Zinkevich N, McIntosh JJ, Beyer AM. BCR-ABL tyrosine kinase inhibitors promote pathological changes in dilator phenotype in the human microvasculature. Microcirculation 2020; 27:e12625. [PMID: 32395853 DOI: 10.1111/micc.12625] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2020] [Revised: 04/09/2020] [Accepted: 05/04/2020] [Indexed: 01/07/2023]
Abstract
OBJECTIVE Treatment with BCR-ABL tyrosine kinase inhibitors (TKIs) is the standard of care for patients with chronic myeloid leukemia, however evidence indicates these compounds may have cardiovascular side-effects. This study sought to determine if ex vivo exposure of human adipose arterioles to the BCR-ABL TKIs imatinib and nilotinib causes endothelial dysfunction. METHODS Human adipose arterioles were incubated overnight in cell culture media containing vehicle (PBS), imatinib (10 µmol/L) or nilotinib (100 µmol/L). Arterioles were cannulated onto glass pipettes and flow mediated dilation (FMD) was assessed via video microscopy. To determine the mechanism of vasodilation, FMD was re-assessed in the presence of either the nitric oxide synthase inhibitor L-NAME (100 µmol/L) or the H2 O2 scavenger PEG-Catalase (500 U/mL). RESULTS Neither imatinib nor nilotinib affected the magnitude of FMD (max dilation = 78±17% vehicle, 80 ± 24% nilotinib, 73 ± 13% imatinib). FMD was decreased by L-NAME in vehicle-treated arterioles (max dilation = 47±29%). Conversely, L-NAME had no effect on FMD in imatinib- or nilotinib-treated vessels (max dilation = 79±14% and 80 ± 24%, respectively), rather FMD was inhibited by PEG-Catalase (max dilation = 29±11% and 29 ± 14%, respectively). CONCLUSION Incubating human arterioles with imatinib or nilotinib switches the mediator of FMD from vasoprotective nitric oxide to pro-inflammatory H2 O2 .
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Affiliation(s)
- Matthew J Durand
- Department of Physical Medicine and Rehabilitation, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.,Cardiovascular Center, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
| | - Shelby N Hader
- Cardiovascular Center, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.,Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
| | - Alexa Derayunan
- Cardiovascular Center, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.,Department of Obstetrics and Gynecology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
| | - Natalya Zinkevich
- Cardiovascular Center, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.,Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
| | - Jennifer J McIntosh
- Cardiovascular Center, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.,Department of Obstetrics and Gynecology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
| | - Andreas M Beyer
- Cardiovascular Center, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.,Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.,Department of Physiology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.,Redox Biology Program, Cardiovascular Center and Cancer Center, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
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7
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Hwang CL, Bian JT, Thur LA, Peters TA, Piano MR, Phillips SA. Tetrahydrobiopterin Restores Microvascular Dysfunction in Young Adult Binge Drinkers. Alcohol Clin Exp Res 2020; 44:407-414. [PMID: 31782159 PMCID: PMC10284099 DOI: 10.1111/acer.14254] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2019] [Accepted: 11/19/2019] [Indexed: 12/31/2022]
Abstract
BACKGROUND Repeated binge drinking is associated with reduced microvascular function. However, microvascular responses to pathophysiological stimulus such as high pressure as well as potential mechanisms that underlie binge-induced microvascular dysfunction are unknown. Therefore, using an ex vivo experimental model, we examined microvascular responses following a brief period of high intraluminal pressure in isolated arterioles from young adults who have a history of repeated binge drinking. In addition, we examined whether the application of the endothelial nitric oxide synthase cofactor, tetrahydrobiopterin, would restore microvascular function in response to flow and high intraluminal pressure in young adult binge drinkers. METHODS Isolated subcutaneous adipose arterioles were obtained from young adult binge drinkers (BD; n = 14), moderate drinkers (MODs; n = 10), and alcohol abstainers (ABs; n = 12; mean age: 23.7 ± 0.5 years; and body mass index: 23.4 ± 0.4 kg/m2 ). Arteriolar flow-induced dilation (FID, pressure gradient: ∆10 to 100 cm H2 O) was measured before and after acute high intraluminal pressure with and without tetrahydrobiopterin. RESULTS Before high pressure, FID at Δ60 and Δ100 cm H2 O pressure gradient in BDs was 14% lower and 18% lower, respectively, than ABs (p < 0.05), while MODs and ABs had similar FID across all pressure gradients (p ≥ 0.2). After high pressure, FID in BDs was further reduced by 10% (p < 0.0005) and this impairment was ameliorated by the treatment of tetrahydrobiopterin (4 to 26% higher, p < 0.005). In contrast, FID after high pressure did not change in MODs and ABs (p ≥ 0.5). CONCLUSIONS Microvascular dysfunction in young adult binge drinkers may be exacerbated with acute pathophysiological stimulus. These binge-induced dysfunctions may be reversed by tetrahydrobiopterin, which suggests a role of oxidative stress and/or uncoupled endothelial nitric oxide synthase in binge drinking.
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Affiliation(s)
- Chueh-Lung Hwang
- Department of Physical Therapy, University of Illinois at Chicago, Chicago, IL
| | - Jing-Tan Bian
- Department of Biobehavioral Health Science, University of Illinois at Chicago, Chicago, IL
| | - Laurel A. Thur
- Center for Research Development and Scholarship, Vanderbilt University School of Nursing, Nashville, TN
| | - Tara A. Peters
- Department of Biobehavioral Health Science, University of Illinois at Chicago, Chicago, IL
| | - Mariann R. Piano
- Center for Research Development and Scholarship, Vanderbilt University School of Nursing, Nashville, TN
| | - Shane A. Phillips
- Department of Physical Therapy, University of Illinois at Chicago, Chicago, IL
- Integrative Physiology Laboratory, College of Applied Health Sciences, University of Illinois at Chicago, Chicago, IL
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8
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Farb MG, Park SY, Karki S, Gokce N. Assessment of Human Adipose Tissue Microvascular Function Using Videomicroscopy. J Vis Exp 2017. [PMID: 28994775 DOI: 10.3791/56079] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
Abstract
While obesity is closely linked to the development of metabolic and cardiovascular disease, little is known about mechanisms that govern these processes. It is hypothesized that pro-atherogenic mediators released from fat tissues particularly in association with central/visceral adiposity may promote pathogenic vascular changes locally and systemically, and the notion that cardiovascular disease may be the consequence of adipose tissue dysfunction continues to evolve. Here, we describe a unique method of videomicroscopy that involves analysis of vasodilator and vasoconstrictor responses of intact small human arterioles removed from the adipose depot of living human subjects. Videomicroscopy is used to examine functional properties of isolated microvessels in response to pharmacological or physiological stimuli using a pressured system that mimics in vivo conditions. The technique is a useful approach to gain understanding of the pathophysiology and molecular mechanisms that contribute to vascular dysfunction locally within the adipose tissue milieu. Moreover, abnormalities in the adipose tissue microvasculature have also been linked with systemic diseases. We applied this technique to examine depot-specific vascular responses in obese subjects. We assessed endothelium-dependent vasodilation to both increased flow and acetylcholine in adipose arterioles (50 - 350 µm internal diameter, 2 - 3 mm in length) isolated from two different adipose depots during bariatric surgery from the same individual. We demonstrated that arterioles from visceral fat exhibit impaired endothelium-dependent vasodilation compared to vessels isolated from the subcutaneous depot. The findings suggest that the visceral microenvironment is associated with vascular endothelial dysfunction which may be relevant to clinical observation linking increased visceral adiposity to systemic disease mechanisms. The videomicroscopy technique can be used to examine vascular phenotypes from different fat depots as well as compare findings across individuals with different degrees of obesity and metabolic dysfunction. The method can also be used to examine vascular responses longitudinally in response to clinical interventions.
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Affiliation(s)
- Melissa G Farb
- Department of Medicine and Whitaker Cardiovascular Institute, Boston University School of Medicine
| | - Song-Young Park
- Department of Medicine and Whitaker Cardiovascular Institute, Boston University School of Medicine
| | - Shakun Karki
- Department of Medicine and Whitaker Cardiovascular Institute, Boston University School of Medicine
| | - Noyan Gokce
- Department of Medicine and Whitaker Cardiovascular Institute, Boston University School of Medicine;
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9
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Improved arterial flow-mediated dilation after exertion involves hydrogen peroxide in overweight and obese adults following aerobic exercise training. J Hypertens 2017; 34:1309-16. [PMID: 27137176 DOI: 10.1097/hjh.0000000000000946] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE Acute strenuous physical exertion impairs arterial function in sedentary adults. We investigated the effects of 8 weeks of regular aerobic exercise training on acute physical exertion-induced arterial dysfunction in sedentary, overweight, and obese adults. METHODS Twenty-five overweight and obese adults (BMI 30.5 ± 7.2 years) were assigned to 8 weeks of aerobic training or to a control group. Brachial artery flow-mediated dilation (FMD) was assessed before and after acute leg press exercise at weeks 0 and 8. Gluteal adipose biopsies were performed at rest and post acute leg press to measure microvessel FMD with and without nitric oxide synthase inhibition via L-nitroarginine methyl ester or hydrogen peroxide (H2O2) scavenging with Catalase. Microvessel nitric oxide and H2O2 production were assessed via fluorescence microscopy. RESULTS Brachial artery dilation was reduced post acute leg press at week 0 in the aerobic exercise and control groups, but was preserved in the aerobic-exercise group post acute leg press at week 8 (P < 0.05). Post acute leg press microvessel FMD was preserved in the aerobic exercise group but impaired in the control group at week 8 (P < 0.05). Preserved dilation in the aerobic exercise group was more sensitive to H2O2 scavenging than inhibition of nitric oxide, and post acute leg press microvessel H2O2 production was increased compared with at rest (P < 0.05). CONCLUSION Aerobic exercise prevents acute exertion-induced arterial dysfunction in overweight and obese adults via a phenotypic switch from nitric oxide-mediated dilation at rest to a predominately H2O2-mediated dilation after acute physical exertion.
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10
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Abstract
The heart is uniquely responsible for providing its own blood supply through the coronary circulation. Regulation of coronary blood flow is quite complex and, after over 100 years of dedicated research, is understood to be dictated through multiple mechanisms that include extravascular compressive forces (tissue pressure), coronary perfusion pressure, myogenic, local metabolic, endothelial as well as neural and hormonal influences. While each of these determinants can have profound influence over myocardial perfusion, largely through effects on end-effector ion channels, these mechanisms collectively modulate coronary vascular resistance and act to ensure that the myocardial requirements for oxygen and substrates are adequately provided by the coronary circulation. The purpose of this series of Comprehensive Physiology is to highlight current knowledge regarding the physiologic regulation of coronary blood flow, with emphasis on functional anatomy and the interplay between the physical and biological determinants of myocardial oxygen delivery. © 2017 American Physiological Society. Compr Physiol 7:321-382, 2017.
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Affiliation(s)
- Adam G Goodwill
- Department of Cellular and Integrative Physiology, Indiana University School of Medicine, Indianapolis, IN
| | - Gregory M Dick
- California Medical Innovations Institute, 872 Towne Center Drive, Pomona, CA
| | - Alexander M Kiel
- Department of Cellular and Integrative Physiology, Indiana University School of Medicine, Indianapolis, IN
- Weldon School of Biomedical Engineering, Purdue University, 206 S Martin Jischke Drive, Lafayette, IN
| | - Johnathan D Tune
- Department of Cellular and Integrative Physiology, Indiana University School of Medicine, Indianapolis, IN
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11
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Robinson AT, Fancher IS, Sudhahar V, Bian JT, Cook MD, Mahmoud AM, Ali MM, Ushio-Fukai M, Brown MD, Fukai T, Phillips SA. Short-term regular aerobic exercise reduces oxidative stress produced by acute in the adipose microvasculature. Am J Physiol Heart Circ Physiol 2017; 312:H896-H906. [PMID: 28235790 DOI: 10.1152/ajpheart.00684.2016] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/11/2016] [Revised: 02/01/2017] [Accepted: 02/17/2017] [Indexed: 01/04/2023]
Abstract
High blood pressure has been shown to elicit impaired dilation in the vasculature. The purpose of this investigation was to elucidate the mechanisms through which high pressure may elicit vascular dysfunction and determine the mechanisms through which regular aerobic exercise protects arteries against high pressure. Male C57BL/6J mice were subjected to 2 wk of voluntary running (~6 km/day) for comparison with sedentary controls. Hindlimb adipose resistance arteries were dissected from mice for measurements of flow-induced dilation (FID; with or without high intraluminal pressure exposure) or protein expression of NADPH oxidase II (NOX II) and superoxide dismutase (SOD). Microvascular endothelial cells were subjected to high physiological laminar shear stress (20 dyn/cm2) or static condition and treated with ANG II + pharmacological inhibitors. Cells were analyzed for the detection of ROS or collected for Western blot determination of NOX II and SOD. Resistance arteries from exercised mice demonstrated preserved FID after high pressure exposure, whereas FID was impaired in control mouse arteries. Inhibition of ANG II or NOX II restored impaired FID in control mouse arteries. High pressure increased superoxide levels in control mouse arteries but not in exercise mouse arteries, which exhibited greater ability to convert superoxide to H2O2 Arteries from exercised mice exhibited less NOX II protein expression, more SOD isoform expression, and less sensitivity to ANG II. Endothelial cells subjected to laminar shear stress exhibited less NOX II subunit expression. In conclusion, aerobic exercise prevents high pressure-induced vascular dysfunction through an improved redox environment in the adipose microvasculature.NEW & NOTEWORTHY We describe potential mechanisms contributing to aerobic exercise-conferred protection against high intravascular pressure. Subcutaneous adipose microvessels from exercise mice express less NADPH oxidase (NOX) II and more superoxide dismutase (SOD) and demonstrate less sensitivity to ANG II. In microvascular endothelial cells, shear stress reduced NOX II but did not influence SOD expression.
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Affiliation(s)
- Austin T Robinson
- Department of Physical Therapy, University of Illinois at Chicago, Chicago, Illinois; .,Department of Kinesiology and Nutrition, University of Illinois at Chicago, Chicago, Illinois.,Integrative Physiology Laboratory, University of Illinois at Chicago, Chicago, Illinois
| | - Ibra S Fancher
- Department of Physical Therapy, University of Illinois at Chicago, Chicago, Illinois.,Division of Pulmonary, Critical Care, Sleep, and Allergy, Department of Medicine, University of Illinois at Chicago, Chicago, Illinois
| | - Varadarajan Sudhahar
- Departments of Medicine (Section of Cardiology) and Pharmacology, Center for Cardiovascular Research, University of Illinois at Chicago, Chicago, Illinois.,Jesse Brown Veterans Affairs Medical Center, Chicago, Illinois
| | - Jing Tan Bian
- Department of Physical Therapy, University of Illinois at Chicago, Chicago, Illinois
| | - Marc D Cook
- Department of Kinesiology and Nutrition, University of Illinois at Chicago, Chicago, Illinois.,Integrative Physiology Laboratory, University of Illinois at Chicago, Chicago, Illinois
| | - Abeer M Mahmoud
- Department of Physical Therapy, University of Illinois at Chicago, Chicago, Illinois.,Department of Kinesiology and Nutrition, University of Illinois at Chicago, Chicago, Illinois.,Integrative Physiology Laboratory, University of Illinois at Chicago, Chicago, Illinois
| | - Mohamed M Ali
- Department of Physical Therapy, University of Illinois at Chicago, Chicago, Illinois.,Integrative Physiology Laboratory, University of Illinois at Chicago, Chicago, Illinois
| | - Masuko Ushio-Fukai
- Departments of Medicine (Section of Cardiology) and Pharmacology, Center for Cardiovascular Research, University of Illinois at Chicago, Chicago, Illinois
| | - Michael D Brown
- Department of Kinesiology and Nutrition, University of Illinois at Chicago, Chicago, Illinois.,Integrative Physiology Laboratory, University of Illinois at Chicago, Chicago, Illinois
| | - Tohru Fukai
- Departments of Medicine (Section of Cardiology) and Pharmacology, Center for Cardiovascular Research, University of Illinois at Chicago, Chicago, Illinois.,Jesse Brown Veterans Affairs Medical Center, Chicago, Illinois
| | - Shane A Phillips
- Department of Physical Therapy, University of Illinois at Chicago, Chicago, Illinois; .,Integrative Physiology Laboratory, University of Illinois at Chicago, Chicago, Illinois.,Division of Endocrinology, Diabetes, and Metabolism, Department of Medicine, University of Illinois at Chicago, Chicago, Illinois; and
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12
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Transition in the mechanism of flow-mediated dilation with aging and development of coronary artery disease. Basic Res Cardiol 2016; 112:5. [PMID: 27995364 DOI: 10.1007/s00395-016-0594-x] [Citation(s) in RCA: 54] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/09/2016] [Accepted: 12/01/2016] [Indexed: 01/07/2023]
Abstract
In microvessels of patients with coronary artery disease (CAD), flow-mediated dilation (FMD) is largely dependent upon the endothelium-derived hyperpolarizing factor H2O2. The goal of this study is to examine the influence of age and presence or absence of disease on the mechanism of FMD. Human coronary or adipose arterioles (~150 µm diameter) were prepared for videomicroscopy. The effect of inhibiting COX [indomethacin (Indo) or NOS (L-NAME), eliminating H2O2 (polyethylene glycol-catalase (PEG-CAT)] or targeting a reduction in mitochondrial ROS with scavengers/inhibitors [Vitamin E (mtVitamin E); phenylboronic acid (mtPBA)] was determined in children aged 0-18 years; young adults 19-55 years; older adults >55 years without CAD, and similarly aged adults with CAD. Indo eliminated FMD in children and reduced FMD in younger adults. This response was mediated mainly by PGI2, as the prostacyclin-synthase-inhibitor trans-2-phenyl cyclopropylamine reduced FMD in children and young adults. L-NAME attenuated dilation in children and younger adults and eliminated FMD in older adults without CAD, but had no effect on vessels from those with CAD, where mitochondria-derived H2O2 was the primary mediator. The magnitude of dilation was reduced in older compared to younger adults independent of CAD. Exogenous treatment with a sub-dilator dose of NO blocked FMD in vessels from subjects with CAD, while prolonged inhibition of NOS in young adults resulted in a phenotype similar to that observed in disease. The mediator of coronary arteriolar FMD evolves throughout life from prostacyclin in youth, to NO in adulthood. With the onset of CAD, NO-inhibitable release of H2O2 emerges as the exclusive mediator of FMD. These findings have implications for use of pharmacological agents, such as nonsteroidal anti-inflammatory agents in children and the role of microvascular endothelium in cardiovascular health.
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13
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Exercise and Hypertension: Uncovering the Mechanisms of Vascular Control. Prog Cardiovasc Dis 2016; 59:226-234. [PMID: 27697533 DOI: 10.1016/j.pcad.2016.09.006] [Citation(s) in RCA: 47] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/25/2016] [Accepted: 09/25/2016] [Indexed: 12/18/2022]
Abstract
Hypertension (HTN) has recently been determined to be the number one overall risk factor of disease. With direct and indirect costs amounting to $46.4 billion in 2011 and projections of six-fold increases by 2030, the importance of low-cost nonpharmacological interventions can be appreciated. Vascular structural changes, endothelial dysfunction, and sympathetic overstimulation are major contributing factors to the pathophysiology of HTN. Exercise training (ET) for blood pressure (BP) control has been shown to be an effective and integral component of nonpharmacological interventions for BP control. Different ET modalities (aerobic, resistance, and concurrent training) have contributed differently to BP reduction and control, driving scientific discourse regarding the optimum ET prescription (modality, volume, and intensity) for such effects; ET results in a multitude of physiological effects, with vascular and autonomic adaptations providing major contributions to BP control. Despite widespread acceptance of the role and importance of ET for BP reduction, only 15% of US adults have been found to meet ET/physical activity recommendations. The purpose of this review is to explore BP lowering effects of aerobic and resistance ET and the underlying physiological mechanisms that result in such effects. Further research is required to enhance our understanding of the proper ET prescription for BP control across different age groups and racial ethnicities. Furthermore, research into methods of improving awareness and adherence to ET recommendations proves to be equally important.
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14
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Gutterman DD, Chabowski DS, Kadlec AO, Durand MJ, Freed JK, Ait-Aissa K, Beyer AM. The Human Microcirculation: Regulation of Flow and Beyond. Circ Res 2016; 118:157-72. [PMID: 26837746 DOI: 10.1161/circresaha.115.305364] [Citation(s) in RCA: 184] [Impact Index Per Article: 23.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
The microcirculation is responsible for orchestrating adjustments in vascular tone to match local tissue perfusion with oxygen demand. Beyond this metabolic dilation, the microvasculature plays a critical role in modulating vascular tone by endothelial release of an unusually diverse family of compounds including nitric oxide, other reactive oxygen species, and arachidonic acid metabolites. Animal models have provided excellent insight into mechanisms of vasoregulation in health and disease. However, there are unique aspects of the human microcirculation that serve as the focus of this review. The concept is put forth that vasculoparenchymal communication is multimodal, with vascular release of nitric oxide eliciting dilation and preserving normal parenchymal function by inhibiting inflammation and proliferation. Likewise, in disease or stress, endothelial release of reactive oxygen species mediates both dilation and parenchymal inflammation leading to cellular dysfunction, thrombosis, and fibrosis. Some pathways responsible for this stress-induced shift in mediator of vasodilation are proposed. This paradigm may help explain why microvascular dysfunction is such a powerful predictor of cardiovascular events and help identify new approaches to treatment and prevention.
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Affiliation(s)
- David D Gutterman
- From the Cardiovascular Center (A.M.B., A.O.K., D.D.G., D.S.C., J.K.F., K.A.-A., M.J.D.), Departments of Medicine (A.M.B., A.O.K., D.D.G., D.S.C., J.K.F., K.A.-A.), Pharmacology and Toxicology (D.S.C., J.K.F.), Physiology (A.M.B., A.O.K.), Physical Medicine and Rehabilitation (M.J.D.), and Anesthesiology (J.K.F.), Medical College of Wisconsin, Milwaukee.
| | - Dawid S Chabowski
- From the Cardiovascular Center (A.M.B., A.O.K., D.D.G., D.S.C., J.K.F., K.A.-A., M.J.D.), Departments of Medicine (A.M.B., A.O.K., D.D.G., D.S.C., J.K.F., K.A.-A.), Pharmacology and Toxicology (D.S.C., J.K.F.), Physiology (A.M.B., A.O.K.), Physical Medicine and Rehabilitation (M.J.D.), and Anesthesiology (J.K.F.), Medical College of Wisconsin, Milwaukee
| | - Andrew O Kadlec
- From the Cardiovascular Center (A.M.B., A.O.K., D.D.G., D.S.C., J.K.F., K.A.-A., M.J.D.), Departments of Medicine (A.M.B., A.O.K., D.D.G., D.S.C., J.K.F., K.A.-A.), Pharmacology and Toxicology (D.S.C., J.K.F.), Physiology (A.M.B., A.O.K.), Physical Medicine and Rehabilitation (M.J.D.), and Anesthesiology (J.K.F.), Medical College of Wisconsin, Milwaukee
| | - Matthew J Durand
- From the Cardiovascular Center (A.M.B., A.O.K., D.D.G., D.S.C., J.K.F., K.A.-A., M.J.D.), Departments of Medicine (A.M.B., A.O.K., D.D.G., D.S.C., J.K.F., K.A.-A.), Pharmacology and Toxicology (D.S.C., J.K.F.), Physiology (A.M.B., A.O.K.), Physical Medicine and Rehabilitation (M.J.D.), and Anesthesiology (J.K.F.), Medical College of Wisconsin, Milwaukee
| | - Julie K Freed
- From the Cardiovascular Center (A.M.B., A.O.K., D.D.G., D.S.C., J.K.F., K.A.-A., M.J.D.), Departments of Medicine (A.M.B., A.O.K., D.D.G., D.S.C., J.K.F., K.A.-A.), Pharmacology and Toxicology (D.S.C., J.K.F.), Physiology (A.M.B., A.O.K.), Physical Medicine and Rehabilitation (M.J.D.), and Anesthesiology (J.K.F.), Medical College of Wisconsin, Milwaukee
| | - Karima Ait-Aissa
- From the Cardiovascular Center (A.M.B., A.O.K., D.D.G., D.S.C., J.K.F., K.A.-A., M.J.D.), Departments of Medicine (A.M.B., A.O.K., D.D.G., D.S.C., J.K.F., K.A.-A.), Pharmacology and Toxicology (D.S.C., J.K.F.), Physiology (A.M.B., A.O.K.), Physical Medicine and Rehabilitation (M.J.D.), and Anesthesiology (J.K.F.), Medical College of Wisconsin, Milwaukee
| | - Andreas M Beyer
- From the Cardiovascular Center (A.M.B., A.O.K., D.D.G., D.S.C., J.K.F., K.A.-A., M.J.D.), Departments of Medicine (A.M.B., A.O.K., D.D.G., D.S.C., J.K.F., K.A.-A.), Pharmacology and Toxicology (D.S.C., J.K.F.), Physiology (A.M.B., A.O.K.), Physical Medicine and Rehabilitation (M.J.D.), and Anesthesiology (J.K.F.), Medical College of Wisconsin, Milwaukee
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15
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Beyer AM, Freed JK, Durand MJ, Riedel M, Ait-Aissa K, Green P, Hockenberry JC, Morgan RG, Donato AJ, Peleg R, Gasparri M, Rokkas CK, Santos JH, Priel E, Gutterman DD. Critical Role for Telomerase in the Mechanism of Flow-Mediated Dilation in the Human Microcirculation. Circ Res 2015; 118:856-66. [PMID: 26699654 PMCID: PMC4772813 DOI: 10.1161/circresaha.115.307918] [Citation(s) in RCA: 69] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/12/2015] [Accepted: 12/21/2015] [Indexed: 02/02/2023]
Abstract
RATIONALE Telomerase is a nuclear regulator of telomere elongation with recent reports suggesting a role in regulation of mitochondrial reactive oxygen species. Flow-mediated dilation in patients with cardiovascular disease is dependent on the formation of reactive oxygen species. OBJECTIVE We examined the hypothesis that telomerase activity modulates microvascular flow-mediated dilation, and loss of telomerase activity contributes to the change of mediator from nitric oxide to mitochondrial hydrogen peroxide in patients with coronary artery disease (CAD). METHODS AND RESULTS Human coronary and adipose arterioles were isolated for videomicroscopy. Flow-mediated dilation was measured in vessels pretreated with the telomerase inhibitor BIBR-1532 or vehicle. Statistical differences between groups were determined using a 2-way analysis of variance repeated measure (n≥4; P<0.05). L-NAME (N(ω)-nitro-L-arginine methyl ester; nitric oxide synthase inhibitor) abolished flow-mediated dilation in arterioles from subjects without CAD, whereas polyethylene glycol-catalase (PEG-catalase; hydrogen peroxide scavenger) had no effect. After exposure to BIBR-1532, arterioles from non-CAD subjects maintained the magnitude of dilation but changed the mediator from nitric oxide to mitochondrial hydrogen peroxide (% max diameter at 100 cm H2O: vehicle 74.6±4.1, L-NAME 37.0±2.0*, PEG-catalase 82.1±2.8; BIBR-1532 69.9±4.0, L-NAME 84.7±2.2, PEG-catalase 36.5±6.9*). Conversely, treatment of microvessels from CAD patients with the telomerase activator AGS 499 converted the PEG-catalase-inhibitable dilation to one mediated by nitric oxide (% max diameter at 100 cm H2O: adipose, AGS 499 78.5±3.9; L-NAME 10.9±17.5*; PEG-catalase 79.2±4.9). Endothelial-independent dilation was not altered with either treatment. CONCLUSIONS We have identified a novel role for telomerase in re-establishing a physiological mechanism of vasodilation in arterioles from subjects with CAD. These findings suggest a new target for reducing the oxidative milieu in the microvasculature of patients with CAD.
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Affiliation(s)
- Andreas M Beyer
- From the Department of Medicine, Cardiovascular Center (A.M.B., M.J.D., M.R., K.A.-A., J.C.H., D.D.G.), Department of Physiology (A.M.B., K.A.-A., D.D.G.), Department of Anesthesiology (J.K.F.), Department of Physical Medicine and Rehabilitation (M.J.D.), and Departments of Surgery, Cardiothoracic Surgery (M.G., C.K.R.), Medical College of Wisconsin, Milwaukee; Departments of Pharmacology and Physiology, New Jersey Medical School of Rutgers, Newark (P.G., J.H.S.); Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City (R.G.M., A.J.D.); and Shraga Segal Departments of Immunology and Microbiology, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel (R.P., E.P.).
| | - Julie K Freed
- From the Department of Medicine, Cardiovascular Center (A.M.B., M.J.D., M.R., K.A.-A., J.C.H., D.D.G.), Department of Physiology (A.M.B., K.A.-A., D.D.G.), Department of Anesthesiology (J.K.F.), Department of Physical Medicine and Rehabilitation (M.J.D.), and Departments of Surgery, Cardiothoracic Surgery (M.G., C.K.R.), Medical College of Wisconsin, Milwaukee; Departments of Pharmacology and Physiology, New Jersey Medical School of Rutgers, Newark (P.G., J.H.S.); Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City (R.G.M., A.J.D.); and Shraga Segal Departments of Immunology and Microbiology, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel (R.P., E.P.)
| | - Matthew J Durand
- From the Department of Medicine, Cardiovascular Center (A.M.B., M.J.D., M.R., K.A.-A., J.C.H., D.D.G.), Department of Physiology (A.M.B., K.A.-A., D.D.G.), Department of Anesthesiology (J.K.F.), Department of Physical Medicine and Rehabilitation (M.J.D.), and Departments of Surgery, Cardiothoracic Surgery (M.G., C.K.R.), Medical College of Wisconsin, Milwaukee; Departments of Pharmacology and Physiology, New Jersey Medical School of Rutgers, Newark (P.G., J.H.S.); Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City (R.G.M., A.J.D.); and Shraga Segal Departments of Immunology and Microbiology, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel (R.P., E.P.)
| | - Michael Riedel
- From the Department of Medicine, Cardiovascular Center (A.M.B., M.J.D., M.R., K.A.-A., J.C.H., D.D.G.), Department of Physiology (A.M.B., K.A.-A., D.D.G.), Department of Anesthesiology (J.K.F.), Department of Physical Medicine and Rehabilitation (M.J.D.), and Departments of Surgery, Cardiothoracic Surgery (M.G., C.K.R.), Medical College of Wisconsin, Milwaukee; Departments of Pharmacology and Physiology, New Jersey Medical School of Rutgers, Newark (P.G., J.H.S.); Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City (R.G.M., A.J.D.); and Shraga Segal Departments of Immunology and Microbiology, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel (R.P., E.P.)
| | - Karima Ait-Aissa
- From the Department of Medicine, Cardiovascular Center (A.M.B., M.J.D., M.R., K.A.-A., J.C.H., D.D.G.), Department of Physiology (A.M.B., K.A.-A., D.D.G.), Department of Anesthesiology (J.K.F.), Department of Physical Medicine and Rehabilitation (M.J.D.), and Departments of Surgery, Cardiothoracic Surgery (M.G., C.K.R.), Medical College of Wisconsin, Milwaukee; Departments of Pharmacology and Physiology, New Jersey Medical School of Rutgers, Newark (P.G., J.H.S.); Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City (R.G.M., A.J.D.); and Shraga Segal Departments of Immunology and Microbiology, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel (R.P., E.P.)
| | - Paula Green
- From the Department of Medicine, Cardiovascular Center (A.M.B., M.J.D., M.R., K.A.-A., J.C.H., D.D.G.), Department of Physiology (A.M.B., K.A.-A., D.D.G.), Department of Anesthesiology (J.K.F.), Department of Physical Medicine and Rehabilitation (M.J.D.), and Departments of Surgery, Cardiothoracic Surgery (M.G., C.K.R.), Medical College of Wisconsin, Milwaukee; Departments of Pharmacology and Physiology, New Jersey Medical School of Rutgers, Newark (P.G., J.H.S.); Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City (R.G.M., A.J.D.); and Shraga Segal Departments of Immunology and Microbiology, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel (R.P., E.P.)
| | - Joseph C Hockenberry
- From the Department of Medicine, Cardiovascular Center (A.M.B., M.J.D., M.R., K.A.-A., J.C.H., D.D.G.), Department of Physiology (A.M.B., K.A.-A., D.D.G.), Department of Anesthesiology (J.K.F.), Department of Physical Medicine and Rehabilitation (M.J.D.), and Departments of Surgery, Cardiothoracic Surgery (M.G., C.K.R.), Medical College of Wisconsin, Milwaukee; Departments of Pharmacology and Physiology, New Jersey Medical School of Rutgers, Newark (P.G., J.H.S.); Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City (R.G.M., A.J.D.); and Shraga Segal Departments of Immunology and Microbiology, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel (R.P., E.P.)
| | - R Garret Morgan
- From the Department of Medicine, Cardiovascular Center (A.M.B., M.J.D., M.R., K.A.-A., J.C.H., D.D.G.), Department of Physiology (A.M.B., K.A.-A., D.D.G.), Department of Anesthesiology (J.K.F.), Department of Physical Medicine and Rehabilitation (M.J.D.), and Departments of Surgery, Cardiothoracic Surgery (M.G., C.K.R.), Medical College of Wisconsin, Milwaukee; Departments of Pharmacology and Physiology, New Jersey Medical School of Rutgers, Newark (P.G., J.H.S.); Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City (R.G.M., A.J.D.); and Shraga Segal Departments of Immunology and Microbiology, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel (R.P., E.P.)
| | - Anthony J Donato
- From the Department of Medicine, Cardiovascular Center (A.M.B., M.J.D., M.R., K.A.-A., J.C.H., D.D.G.), Department of Physiology (A.M.B., K.A.-A., D.D.G.), Department of Anesthesiology (J.K.F.), Department of Physical Medicine and Rehabilitation (M.J.D.), and Departments of Surgery, Cardiothoracic Surgery (M.G., C.K.R.), Medical College of Wisconsin, Milwaukee; Departments of Pharmacology and Physiology, New Jersey Medical School of Rutgers, Newark (P.G., J.H.S.); Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City (R.G.M., A.J.D.); and Shraga Segal Departments of Immunology and Microbiology, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel (R.P., E.P.)
| | - Refael Peleg
- From the Department of Medicine, Cardiovascular Center (A.M.B., M.J.D., M.R., K.A.-A., J.C.H., D.D.G.), Department of Physiology (A.M.B., K.A.-A., D.D.G.), Department of Anesthesiology (J.K.F.), Department of Physical Medicine and Rehabilitation (M.J.D.), and Departments of Surgery, Cardiothoracic Surgery (M.G., C.K.R.), Medical College of Wisconsin, Milwaukee; Departments of Pharmacology and Physiology, New Jersey Medical School of Rutgers, Newark (P.G., J.H.S.); Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City (R.G.M., A.J.D.); and Shraga Segal Departments of Immunology and Microbiology, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel (R.P., E.P.)
| | - Mario Gasparri
- From the Department of Medicine, Cardiovascular Center (A.M.B., M.J.D., M.R., K.A.-A., J.C.H., D.D.G.), Department of Physiology (A.M.B., K.A.-A., D.D.G.), Department of Anesthesiology (J.K.F.), Department of Physical Medicine and Rehabilitation (M.J.D.), and Departments of Surgery, Cardiothoracic Surgery (M.G., C.K.R.), Medical College of Wisconsin, Milwaukee; Departments of Pharmacology and Physiology, New Jersey Medical School of Rutgers, Newark (P.G., J.H.S.); Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City (R.G.M., A.J.D.); and Shraga Segal Departments of Immunology and Microbiology, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel (R.P., E.P.)
| | - Chris K Rokkas
- From the Department of Medicine, Cardiovascular Center (A.M.B., M.J.D., M.R., K.A.-A., J.C.H., D.D.G.), Department of Physiology (A.M.B., K.A.-A., D.D.G.), Department of Anesthesiology (J.K.F.), Department of Physical Medicine and Rehabilitation (M.J.D.), and Departments of Surgery, Cardiothoracic Surgery (M.G., C.K.R.), Medical College of Wisconsin, Milwaukee; Departments of Pharmacology and Physiology, New Jersey Medical School of Rutgers, Newark (P.G., J.H.S.); Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City (R.G.M., A.J.D.); and Shraga Segal Departments of Immunology and Microbiology, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel (R.P., E.P.)
| | - Janine H Santos
- From the Department of Medicine, Cardiovascular Center (A.M.B., M.J.D., M.R., K.A.-A., J.C.H., D.D.G.), Department of Physiology (A.M.B., K.A.-A., D.D.G.), Department of Anesthesiology (J.K.F.), Department of Physical Medicine and Rehabilitation (M.J.D.), and Departments of Surgery, Cardiothoracic Surgery (M.G., C.K.R.), Medical College of Wisconsin, Milwaukee; Departments of Pharmacology and Physiology, New Jersey Medical School of Rutgers, Newark (P.G., J.H.S.); Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City (R.G.M., A.J.D.); and Shraga Segal Departments of Immunology and Microbiology, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel (R.P., E.P.)
| | - Esther Priel
- From the Department of Medicine, Cardiovascular Center (A.M.B., M.J.D., M.R., K.A.-A., J.C.H., D.D.G.), Department of Physiology (A.M.B., K.A.-A., D.D.G.), Department of Anesthesiology (J.K.F.), Department of Physical Medicine and Rehabilitation (M.J.D.), and Departments of Surgery, Cardiothoracic Surgery (M.G., C.K.R.), Medical College of Wisconsin, Milwaukee; Departments of Pharmacology and Physiology, New Jersey Medical School of Rutgers, Newark (P.G., J.H.S.); Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City (R.G.M., A.J.D.); and Shraga Segal Departments of Immunology and Microbiology, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel (R.P., E.P.)
| | - David D Gutterman
- From the Department of Medicine, Cardiovascular Center (A.M.B., M.J.D., M.R., K.A.-A., J.C.H., D.D.G.), Department of Physiology (A.M.B., K.A.-A., D.D.G.), Department of Anesthesiology (J.K.F.), Department of Physical Medicine and Rehabilitation (M.J.D.), and Departments of Surgery, Cardiothoracic Surgery (M.G., C.K.R.), Medical College of Wisconsin, Milwaukee; Departments of Pharmacology and Physiology, New Jersey Medical School of Rutgers, Newark (P.G., J.H.S.); Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City (R.G.M., A.J.D.); and Shraga Segal Departments of Immunology and Microbiology, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel (R.P., E.P.)
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16
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Phillips SA, Mahmoud AM, Brown MD, Haus JM. Exercise interventions and peripheral arterial function: implications for cardio-metabolic disease. Prog Cardiovasc Dis 2014; 57:521-34. [PMID: 25529367 DOI: 10.1016/j.pcad.2014.12.005] [Citation(s) in RCA: 53] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
Physical inactivity is a major risk factor for the development of obesity and other cardiovascular (CV) disease (CVD). Vascular endothelial dysfunction is a key event in the development of CVD and is associated with a sedentary lifestyle in otherwise healthy adults. In addition, vascular endothelial dysfunction may be exacerbated in sedentary individuals who are obese and insulin resistant, since excess body fat is associated with elevated levels of pro-atherogenic inflammatory adipokines and cytokines that reduce the nitric oxide (NO) and other upstream paracrine signaling substances which reduces vascular health. Since blood flow-related shear stress is a major stimulus to NO release from the endothelium, disturbed flow or low shear stress is the likely mechanism by which vascular endothelial function is altered with inactivity. Evidence shows that regular physical exercise has beneficial effects on CVD and the risk factors that promote peripheral arterial function and health. Both aerobic and resistance exercise training are generally believed to improve endothelial function and are commonly recommended for CV health, including the management of obesity, hypertension, and insulin resistance. However, many factors including age, disease status, and race appear to influence these outcomes. Although evidence supporting the health benefits of exercise is compelling, the optimum prescription (volume and intensity) and the exact mechanism underlying the effects of exercise training on arterial function and cardiometabolic risk has yet to be identified. The focus of this review will be on the evidence supporting exercise interventions for peripheral arterial function.
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Affiliation(s)
- Shane A Phillips
- Department of Physical Therapy, University of Illinois at Chicago, Chicago, IL; Integrative Physiology Laboratory, College of Applied Health Sciences, University of Illinois at Chicago, Chicago, IL.
| | - Abeer M Mahmoud
- Integrative Physiology Laboratory, College of Applied Health Sciences, University of Illinois at Chicago, Chicago, IL; Department of Kinesiology and Nutrition, University of Illinois at Chicago, Chicago, IL
| | - Michael D Brown
- Integrative Physiology Laboratory, College of Applied Health Sciences, University of Illinois at Chicago, Chicago, IL; Department of Kinesiology and Nutrition, University of Illinois at Chicago, Chicago, IL
| | - Jacob M Haus
- Integrative Physiology Laboratory, College of Applied Health Sciences, University of Illinois at Chicago, Chicago, IL; Department of Kinesiology and Nutrition, University of Illinois at Chicago, Chicago, IL
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17
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Beyer AM, Durand MJ, Hockenberry J, Gamblin TC, Phillips SA, Gutterman DD. An acute rise in intraluminal pressure shifts the mediator of flow-mediated dilation from nitric oxide to hydrogen peroxide in human arterioles. Am J Physiol Heart Circ Physiol 2014; 307:H1587-93. [PMID: 25260615 PMCID: PMC4255007 DOI: 10.1152/ajpheart.00557.2014] [Citation(s) in RCA: 49] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/11/2014] [Accepted: 09/24/2014] [Indexed: 02/07/2023]
Abstract
Endothelial nitric oxide (NO) is the primary mediator of flow-mediated dilation (FMD) in human adipose microvessels. Impaired NO-mediated vasodilation occurs after acute and chronic hypertension, possibly due to excess generation of reactive oxygen species (ROS). The direct role of pressure elevation in this impairment of human arteriolar dilation is not known. We tested the hypothesis that elevation in pressure is sufficient to impair FMD. Arterioles were isolated from human adipose tissue and cannulated, and vasodilation to graded flow gradients was measured before and after exposure to increased intraluminal pressure (IILP; 150 mmHg, 30 min). The mediator of FMD was determined using pharmacological agents to reduce NO [N(G)-nitro-l-arginine methyl ester (l-NAME), 2-(4-carboxyphenyl)-4,4,5,5-tetramethylimidazoline-1-oxyl-3-oxide (c-PTIO)], or H2O2 [polyethylene glycol (PEG)-catalase], and mitochondrial (mt) ROS was quantified using fluorescence microscopy. Exposure to IILP decreased overall FMD (max %dilation: 82.7 ± 4.9 vs. 62 ± 5.6; P < 0.05). This dilation was abolished by treatment with l-NAME prepressure and PEG-catalase after IILP (max %dilation: l-NAME: 23.8 ± 6.1 vs. 74.8 ± 8.6; PEG-catalase: 71.8 ± 5.9 vs. 24.6 ± 10.6). To examine if this change was mediated by mtROS, FMD responses were measured in the presence of the complex I inhibitor rotenone or the mitochondrial antioxidant mitoTempol. Before IILP, FMD was unaffected by either compound; however, both inhibited dilation after IILP. The fluorescence intensity of mitochondria peroxy yellow 1 (MitoPY1), a mitochondria-specific fluorescent probe for H2O2, increased during flow after IILP (%change from static: 12.3 ± 14.5 vs. 127.9 ± 57.7). These results demonstrate a novel compensatory dilator mechanism in humans that is triggered by IILP, inducing a change in the mediator of FMD from NO to mitochondria-derived H2O2.
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Affiliation(s)
- Andreas M Beyer
- Department of Medicine, Cardiovascular Center, Medical College of Wisconsin, Milwaukee, Wisconsin;
| | - Matthew J Durand
- Department of Medicine, Cardiovascular Center, Medical College of Wisconsin, Milwaukee, Wisconsin
| | - Joseph Hockenberry
- Department of Medicine, Cardiovascular Center, Medical College of Wisconsin, Milwaukee, Wisconsin
| | - T Clark Gamblin
- Department of Surgery, Division of Surgical Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin
| | - Shane A Phillips
- Department of Physical Therapy, University of Illinois, Chicago, Illinois; and
| | - David D Gutterman
- Department of Medicine, Cardiovascular Center, Medical College of Wisconsin, Milwaukee, Wisconsin
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Durand MJ, Dharmashankar K, Bian JT, Das E, Vidovich M, Gutterman DD, Phillips SA. Acute exertion elicits a H2O2-dependent vasodilator mechanism in the microvasculature of exercise-trained but not sedentary adults. Hypertension 2014; 65:140-5. [PMID: 25368025 DOI: 10.1161/hypertensionaha.114.04540] [Citation(s) in RCA: 46] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
Brachial artery flow-mediated vasodilation in exercise-trained (ET) individuals is maintained after a single bout of heavy resistance exercise compared with sedentary individuals. The purpose of this study was to determine whether vasodilation is also maintained in the microcirculation of ET individuals. A total of 51 sedentary and ET individuals underwent gluteal subcutaneous fat biopsy before and after performing a single bout of leg press exercise. Adipose arterioles were cannulated in an organ bath, and vasodilation to acetylcholine was assessed±the endothelial nitric oxide inhibitorl-NG-nitroarginine methyl ester, the cyclooxygenase inhibitor indomethacin, or the hydrogen peroxide scavenger polyethylene glycol catalase. Separate vessels (isolated from the same groups) were exposed to an intraluminal pressure of 150 mm Hg for 30 minutes to mimic the pressor response, which occurs with isometric exercise. Vasodilation to acetylcholine was reduced in microvessels from sedentary subjects after either a single weight lifting session or exposure to increased intraluminal pressure, whereas microvessels from ET individuals maintained acetylcholine-mediated vasodilation. Before weight lifting, vasodilation of microvessels from ET individuals was reduced in the presence of l-NG-nitroarginine methyl ester and indomethacin. After weight lifting or exposure to increased intraluminal pressure, polyethylene glycol catalase significantly reduced vasodilation, whereas l-NG-nitroarginine methyl ester and indomethacin had no effect. These results indicate that (1) endothelium-dependent vasodilation in the microvasculature is maintained after heavy resistance exercise in ET individuals but not in sedentary subjects and that (2) high pressure alone or during weight lifting may induce a mechanistic switch in the microvasculature to favor hydrogen peroxide as the vasoactive mediator of dilation.
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Affiliation(s)
- Matthew J Durand
- From the Department of Medicine, Cardiovascular Center, Medical College of Wisconsin, Milwaukee (M.J.D., K.D., E.D., D.D.G.); and Department of Physical Therapy (J.-T.B., S.A.P.) and Department of Medicine, Cardiology (M.V., S.A.P.), University of Illinois at Chicago
| | - Kodlipet Dharmashankar
- From the Department of Medicine, Cardiovascular Center, Medical College of Wisconsin, Milwaukee (M.J.D., K.D., E.D., D.D.G.); and Department of Physical Therapy (J.-T.B., S.A.P.) and Department of Medicine, Cardiology (M.V., S.A.P.), University of Illinois at Chicago
| | - Jing-Tan Bian
- From the Department of Medicine, Cardiovascular Center, Medical College of Wisconsin, Milwaukee (M.J.D., K.D., E.D., D.D.G.); and Department of Physical Therapy (J.-T.B., S.A.P.) and Department of Medicine, Cardiology (M.V., S.A.P.), University of Illinois at Chicago
| | - Emon Das
- From the Department of Medicine, Cardiovascular Center, Medical College of Wisconsin, Milwaukee (M.J.D., K.D., E.D., D.D.G.); and Department of Physical Therapy (J.-T.B., S.A.P.) and Department of Medicine, Cardiology (M.V., S.A.P.), University of Illinois at Chicago
| | - Mladen Vidovich
- From the Department of Medicine, Cardiovascular Center, Medical College of Wisconsin, Milwaukee (M.J.D., K.D., E.D., D.D.G.); and Department of Physical Therapy (J.-T.B., S.A.P.) and Department of Medicine, Cardiology (M.V., S.A.P.), University of Illinois at Chicago
| | - David D Gutterman
- From the Department of Medicine, Cardiovascular Center, Medical College of Wisconsin, Milwaukee (M.J.D., K.D., E.D., D.D.G.); and Department of Physical Therapy (J.-T.B., S.A.P.) and Department of Medicine, Cardiology (M.V., S.A.P.), University of Illinois at Chicago
| | - Shane A Phillips
- From the Department of Medicine, Cardiovascular Center, Medical College of Wisconsin, Milwaukee (M.J.D., K.D., E.D., D.D.G.); and Department of Physical Therapy (J.-T.B., S.A.P.) and Department of Medicine, Cardiology (M.V., S.A.P.), University of Illinois at Chicago.
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