Literature DB >> 30603795

Ramp and step increases in shear stress result in a similar magnitude of brachial artery flow-mediated dilation.

Joshua C Tremblay1, Jennifer S Williams1, Kyra E Pyke2.   

Abstract

PURPOSE: There is evidence that the endothelium is responsive to both the rate and magnitude of increases in shear stress. However, whether flow-mediated dilation stimulated by sustained increases in shear stress (SS-FMD) is rate sensitive in humans is unknown. The purpose of this investigation was to test whether ramp (gradual) and step (instantaneous) increases in shear stress elicit disparate SS-FMD.
METHODS: Young, healthy men (n = 18, age = 22 ± 2 years, body mass index = 25 ± 3 kg m-2) performed two 11-min bouts of rhythmic handgrip exercise; one with a 5.5-min ramp-increase in shear stress and one with an immediate step increase in shear stress. Ramp increases in shear stress were achieved through incremental increases in handgrip exercise intensity [increases of 4% maximum voluntary contraction (MVC) every 30 s for 5.5 min, ending at 44% MVC] and step increases in shear stress were achieved through a combination of arterial compression and commencing handgrip exercise at 44% MVC.
RESULTS: Shear rate was greater in the step versus ramp protocol in minutes 1-6, but not different thereafter. Similarly, SS-FMD was greater in the step versus ramp protocol during minutes 2-6, but similar in minutes 7-11 (minute 11: ramp 8.7 ± 4.6%; step 9.4 ± 3.6%; P = 0.343). SS-FMD continued to increase over time with maintenance of a steady shear stress stimulus (step minutes 2-11: 0.51 ± 0.36% min-1; ramp minutes 7-11: 0.64 ± 0.57% min-1; P = 0.259).
CONCLUSIONS: These findings indicate that in the brachial artery of humans, the magnitude of SS-FMD is determined by the magnitude and duration, but not the rate, of increases in shear stress.

Entities:  

Keywords:  Conduit artery; Endothelial function; Handgrip exercise; Rate of increase; Rate sensitivity; SS-FMD

Mesh:

Year:  2019        PMID: 30603795     DOI: 10.1007/s00421-018-4049-y

Source DB:  PubMed          Journal:  Eur J Appl Physiol        ISSN: 1439-6319            Impact factor:   3.078


  28 in total

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2.  Association between wall shear stress and flow-mediated vasodilation in healthy men.

Authors:  A Gnasso; C Carallo; C Irace; M S De Franceschi; P L Mattioli; C Motti; C Cortese
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3.  Impact of repeated increases in shear stress via reactive hyperemia and handgrip exercise: no evidence of systematic changes in brachial artery FMD.

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5.  Are the dynamic response characteristics of brachial artery flow-mediated dilation sensitive to the magnitude of increase in shear stimulus?

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Review 7.  Flow-mediated dilation stimulated by sustained increases in shear stress: a useful tool for assessing endothelial function in humans?

Authors:  Joshua C Tremblay; Kyra E Pyke
Journal:  Am J Physiol Heart Circ Physiol       Date:  2017-11-22       Impact factor: 4.733

8.  The impact of baseline artery diameter on flow-mediated vasodilation: a comparison of brachial and radial artery responses to matched levels of shear stress.

Authors:  F Jazuli; K E Pyke
Journal:  Am J Physiol Heart Circ Physiol       Date:  2011-07-22       Impact factor: 4.733

9.  Influence of vascular dimension on gender difference in flow-dependent dilatation of peripheral conduit arteries.

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10.  Brachial artery flow-mediated dilation during handgrip exercise: evidence for endothelial transduction of the mean shear stimulus.

Authors:  K E Pyke; V Poitras; M E Tschakovsky
Journal:  Am J Physiol Heart Circ Physiol       Date:  2008-04-11       Impact factor: 4.733

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