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Vasoactive enzymes and blood flow responses to passive and active exercise in peripheral arterial disease
Journal article   Open access   Peer reviewed

Vasoactive enzymes and blood flow responses to passive and active exercise in peripheral arterial disease

Meegan A Walker, Birgitte Hoier, Philip J Walker, Karl Schulze, Jens Bangsbo, Ylva Hellsten and Christopher D Askew
Atherosclerosis, Vol.246, pp.98-105
2016
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PDF - Author's Accepted Version (Open Access)1.01 MBDownloadView
Accepted Version Open Access CC BY-NC-ND V4.0
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https://doi.org/10.1016/j.atherosclerosis.2015.12.029View
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Abstract

peripheral arterial disease leg blood flow vasoactive enzymes NADPH oxidase
Background: Peripheral arterial disease (PAD) is characterised by impaired leg blood flow, which contributes to claudication and reduced exercise capacity. This study investigated to what extent vasoactive enzymes might contribute to altered blood flow in PAD (Fontaine stage II). Methods: We compared femoral artery blood flow during reactive hyperaemia, leg-extension exercise and passive leg movement, and determined the level of vasoactive enzymes in skeletal muscle samples from the vastus lateralis in PAD (n = 10, 68.5±6.5 years) and healthy controls (CON, n = 9, 62.1±12.3 years). Leg blood flow was measured with Doppler ultrasound and muscle protein levels of phosphorylated endothelial nitric oxide synthase, NADPH oxidase, cyclooxygenase 1 and 2, thromboxane synthase, and prostacyclin synthase were determined. Results: Leg blood flow during the initial 90s of passive leg movement (242±33 vs 441±75 ml∙min-1, P = 0.03) and during reactive hyperaemia (423±100 vs 1255±175 ml∙min-1, P = 0.002) was lower in PAD than CON, whereas no significant difference was observed for leg blood flow during exercise (1490±250 vs 1887±349 ml∙min-1, P = 0.37). PAD had higher NADPH oxidase than CON (1.04±0.19 vs 0.50±0.06 AU, P = 0.02), with no differences for other enzymes. Leg blood flow during exercise was correlated with prostacyclin synthase (P = 0.001). Conclusion: Elevated NADPH oxidase indicates that oxidative stress may be a primary cause of low nitric oxide availability and impaired blood flow in PAD.

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Domestic collaboration
International collaboration
Web Of Science research areas
Cardiac & Cardiovascular Systems
Peripheral Vascular Disease

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