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American Journal of Physiology-Heart and Circulatory Physiology


Systemic hypoxia is a physiological and pathophysiological stress that activates the sympathoadrenal system and, in young adults, leads to peripheral vasodilation. We tested the hypothesis that peripheral vasodilation to graded systemic hypoxia is impaired in older healthy adults and that this age-associated impairment is due to attenuated β-adrenergic mediated vasodilation and elevated α-adrenergic vasoconstriction. Forearm blood flow was measured (Doppler ultrasound) and vascular conductance (FVC) was calculated in 12 young (24±1 yrs) and 10 older (63±2 yrs) adults to determine the local dilatory responses to graded hypoxia (90, 85, and 80% O2 saturations) in control conditions, following local intra-arterial blockade of β-receptors (propranolol), and combined blockade of α+β receptors (phentolamine + propranolol). Under control conditions, older adults exhibited impaired vasodilation to hypoxia compared with young at all levels of hypoxia (peak ΔFVC at 80% SpO2 = 4±6 vs. 35±8%; P<0.01). During β-blockade, older adults actively constricted at 85 and 80% SpO2 (peak ΔFVC at 80% SpO2= -13±6%; P<0.05 vs. control) whereas the response in the young was not significantly impacted (peak ΔFVC = 28±8%). Combined α+β blockade increased the dilatory response to hypoxia in young adults, however older adults failed to significantly vasodilate (peak ΔFVC at 80% SpO2= 12±11% vs. 58±11%; P<0.05). Our findings indicate that peripheral vasodilation to graded systemic hypoxia is significantly impaired in older adults which cannot be fully explained by altered sympathoadrenal control of vascular tone. Thus, the impairment in hypoxic vasodilation is likely due to attenuated local vasodilatory and/or augmented vasoconstrictor signaling with age.



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American Physiological Society

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