AJP - Heart  AJP: Regulatory, Integrative and Comparative Physiology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     


Am J Physiol Heart Circ Physiol 292: H3119-H3127, 2007. First published March 2, 2007; doi:10.1152/ajpheart.00588.2006
0363-6135/07 $8.00
This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
292/6/H3119    most recent
00588.2006v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via ISI Web of Science (1)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Spier, S. A.
Right arrow Articles by Muller-Delp, J. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Spier, S. A.
Right arrow Articles by Muller-Delp, J. M.

Exercise training enhances flow-induced vasodilation in skeletal muscle resistance arteries of aged rats: role of PGI2 and nitric oxide

Scott A. Spier,1 Michael D. Delp,2 John N. Stallone,3 James M. Dominguez, II,2 and Judy M. Muller-Delp2

1Department of Health and Kinesiology, University of Texas at Tyler, Tyler, Texas; 2Division of Exercise Science, Department of Physiology and Pharmacology, Center for Interdisciplinary Research in Cardiovascular Sciences, West Virginia University School of Medicine, Morgantown, West Virginia; and 3Department of Veterinary Physiology and Pharmacology, Texas A&M University, College Station, Texas

Submitted 5 June 2006 ; accepted in final form 13 February 2007


    ABSTRACT
 TOP
 ABSTRACT
 METHODS
 RESULTS
 DISCUSSION
 GRANTS
 REFERENCES
 
Flow-induced vasodilation is attenuated with old age in rat skeletal muscle arterioles. The purpose of this study was to determine whether diminished cyclooxygenase (COX) signaling contributes to the age-induced attenuation of flow-induced vasodilation in gastrocnemius muscle arterioles and to determine whether, and through which mechanism(s), exercise training restores this deficit in old rats. Fischer 344 rats (3 and 22 mo old) were assigned to a sedentary or exercise-trained group. First-order arterioles were isolated from the gastrocnemius muscles, cannulated, and pressurized to 70 cmH2O. Diameter changes were determined in response to graded increases in intraluminal flow in the presence and absence of nitric oxide synthase (NOS) inhibition [10–5 M NG-nitro-L-arginine methyl ester (L-NAME)], COX inhibition (10–5 M indomethacin), or combination NOS (10–5 ML-NAME) plus COX (10–5 M indomethacin) inhibition. Aging reduced flow-induced vasodilation in gastrocnemius muscle arterioles. Exercise training restored responsiveness to flow in arterioles of aged rats and enhanced flow-induced vasodilation in arterioles from young rats. L-NAME inhibition of flow-induced vasodilation was greater in arterioles from old rats compared with those from young rats and was increased after exercise training in arterioles from both young and old rats. Although the indomethacin-sensitive portion of flow-induced dilation was not altered by age or training, both COX-1 mRNA expression and PGI2 production increased with training in arterioles from old rats. These data demonstrate that exercise training restores flow-induced vasodilation in gastrocnemius muscle arterioles from old rats and enhances flow-induced vasodilation in gastrocnemius muscle arterioles from young rats. In arterioles from both old and young rats, the exercise training-induced enhancement of flow-induced dilation occurs primarily through a NOS mechanism.

aging; endothelium; prostacyclin; cyclooxygenase


IN THE SKELETAL MUSCLE microcirculation, aging is associated with an impaired capacity for endothelium-dependent vasodilation (23, 32, 42, 43), and the aging-associated reductions in endothelium-dependent vasodilation have been shown to be muscle specific (23, 32, 42). Aging impairs endothelium-dependent vasodilation to ACh in feed arteries and arterioles from highly oxidative muscle but not in arterioles from low-oxidative glycolytic muscle (23, 32, 42). In contrast, flow-induced dilation is impaired in arterioles from both the highly oxidative soleus muscle and the highly glycolytic gastrocnemius muscle of old rats (23). Although these muscle-specific differences of aging occur in both feed arteries and arterioles, the mechanistic differences that underlie the disparate effects of aging in muscle of varying fiber type have not been fully investigated.

Aging-associated reductions in endothelium-dependent vasodilation to intraluminal flow and ACh are due to impaired nitric oxide (NO) bioavailability in 1A arterioles of the highly oxidative soleus muscle (23, 32). In contrast, the NO-mediated component of dilation to both flow and ACh increases with age in gastrocnemius muscle 1A arterioles (23), suggesting that the age-related impairment of flow-induced vasodilation in gastrocnemius muscle arterioles may be due to reductions in the availability of prostacyclin (PGI2) and/or endothelium-derived hyperpolarizing factor (EDHF). We have previously reported that aging-associated differences in flow-induced vasodilation in gastrocnemius muscle 1A arterioles were eliminated by simultaneous inhibition of both nitric oxide synthase (NOS) and cyclooxygenase (COX); however, the effects of aging on COX-1 mRNA expression or PGI2 production have not been reported in skeletal muscle resistance arterioles.

Exercise training ameliorates aging-associated reductions in endothelium-dependent vasodilation (8, 32, 37, 40) in a number of vascular beds. In soleus muscle arterioles from old rats, exercise training restores endothelium-dependent dilation to ACh through an increase in endothelial NOS (eNOS) expression and NO-mediated signaling (32); however, the effects of exercise training on flow-induced dilation of skeletal muscle arterioles of aged rats remain to be determined. Therefore, the purposes of this study were to determine 1) whether the aging-associated reduction in flow-induced vasodilation in 1A arterioles from gastrocnemius muscle is mediated by a reduction in COX signaling and 2) whether exercise training restores flow-induced vasodilation in gastrocnemius muscle 1A arterioles from aged rats.


    METHODS
 TOP
 ABSTRACT
 METHODS
 RESULTS
 DISCUSSION
 GRANTS
 REFERENCES
 
The methods employed in this study were approved by the Texas A&M University Institutional Animal Care and Use Committee and conformed to the National Institutes of Health Guide for the Care and Use of Laboratory Animals (National Research Council, Washington, DC, revised 1996).

Animals. Fischer 344 male rats [3 mo (n = 66) and 22 mo (n = 57)] were obtained from Harlan (Indianapolis, IN), housed under a 12:12-h light-dark cycle, and given food and water ad libitum. This particular strain was chosen because cardiovascular function decreases with age in these rats, without the development of atherosclerosis or hypertension (17).

Exercise training. All rats were habituated to treadmill exercise, during which each rat walked on a motor-driven treadmill at 5 m/min (0° incline), 5 min/day for 3 days. After habituation, young and old rats were randomly assigned to either a control sedentary (SED) group (young SED, n = 27, and old SED, n = 33) or an exercise-trained (ET) group (young ET, n = 36, and old ET, n = 27). ET rats performed treadmill running at 15 m/min (15° incline), 5 days/wk, for 10–12 wk. The duration of running was gradually increased in the first 3 wk until a 60-min duration was reached. The rats continued to run 5 days/wk for 60 min/day for the remainder of the 10- to 12-wk training period. Vascular responses were determined at least 24 h after the last exercise bout in ET rats.

Microvessel preparation. The rats were anesthetized with pentobarbital sodium (60 mg/kg ip) and euthanized by decapitation. The gastrocnemius-plantaris-soleus muscle group was dissected free from both hindlimbs and placed in a cold (4°C), filtered physiological saline solution (PSS) containing 145.0 mM NaCl, 4.7 mM KCl, 2.0 mM CaCl2, 1.17 mM MgSO4, 1.2 mM NaH2PO4, 5.0 mM glucose, 2.0 mM pyruvate, 0.02 mM EDTA, 3.0 mM MOPS buffer, and 1 g/100 ml BSA, pH 7.4. With the aid of a dissecting microscope (Olympus SVH10), we isolated feed arteries and first-order (1A) arterioles and dissected them free from the superficial portion of the gastrocnemius muscle as previously described (21–23, 32). The arterioles were then transferred to a Lucite chamber containing PSS with 1% albumin (pH 7.4) equilibrated with room air. Each end of the arteriole was cannulated with micropipettes filled with PSS-albumin solution and secured with nylon suture. The sizes and resistances of the pipettes were matched to within 1%. The chamber was placed on the stage of an inverted microscope (Olympus IX70), equipped with a video camera (Panasonic BP310), video caliper (Microcirculation Research Institute, Texas A&M University), and data-acquisition system (PowerLab). Arterioles were pressurized via two independent reservoirs, and pressure was measured with a pressure transducer (ADInstruments). The arterioles were then checked for leaks by closing the valves to the reservoirs and monitoring intraluminal pressure. If leaks were present, the arterioles were discarded. Vessels that were free from leaks were pressurized to 70 cmH2O, gradually warmed to 37°C, and allowed to develop spontaneous tone during an initial equilibration period. The bathing solution was changed every 15 min during equilibration. To ensure accurate assessment of diameter changes during exposure to vasodilators, recordings of flow- and concentration-diameter responses were not initiated until arterioles developed a minimum of 20% spontaneous tone that remained steady for at least 10 min.

Muscle oxidative enzyme activity. To determine the efficacy of the training protocol, sections of the white portion of gastrocnemius muscle of one muscle group were stored at –80°C for determination of citrate synthase activity, a measure of muscle oxidative capacity (7, 33).

Evaluation of vasodilator responses to intraluminal flow, sodium nitroprusside, and isocarbocyclin. Previous work has shown that flow-induced vasodilation is diminished in gastrocnemius muscle arterioles in aged rats (23). In the present study, responses to flow were used to determine whether endothelial responsiveness to intraluminal shear stress is affected by age and exercise training. Vasodilator responses were determined in vitro so that responses could be isolated from confounding variables present with in vivo preparations. Arterioles were equilibrated until steady-state spontaneous tone was achieved; arterioles were exposed to graded increases in intraluminal flow at constant intraluminal pressure by adjusting the heights of fluid reservoirs in equal and opposite directions, thereby creating a pressure difference across the arterioles without altering intraluminal pressure within the arterioles (16). Diameter measurements were determined in response to pressure difference of 4, 10, 20, 40, and 60 cmH2O, corresponding to flow rates from 5 to 60 nl/s (23).

A concentration-diameter relationship to cumulative additions of the NO donor sodium nitroprusside (SNP; 1 x 10–10 to 1 x 10–4 M) was generated to differentiate between alterations in endothelium signaling and sensitivity of the vascular smooth muscle to NO. Responsiveness of the vascular smooth muscle to exogenous PGI2 was assessed by construction of a concentration-diameter relationship to cumulative additions of isocarbocyclin (1 x 10–9 to 3 x 10–6 M). At the conclusion of the final concentration-response relationship, the vessels were washed with a Ca2+-free PSS every 15 min for 1 h to obtain maximal passive diameter at 70 cmH2O.

Evaluation of inhibitory effects of NG-nitro-L-arginine methyl ester and indomethacin. In a second series of experiments, the contribution of NO and prostaglandins to flow-induced vasodilation was determined. After assessment of flow-induced vasodilation under control conditions, arterioles underwent a series of washes and were then allowed to redevelop steady-state tone during a 30-min equilibration period. Arteriolar diameter was recorded immediately before and after a 20-min incubation with one of the following: 1) NOS blocker NG-nitro-L-arginine methyl ester [L-NAME; 10–5 M (23)], 2) COX blocker indomethacin (10–5 M), or 3) combination treatment of L-NAME (10–5 M) plus indomethacin (10–5 M). In the continuous presence of these blockers, diameter measurements were determined in response to pressure difference of 4, 10, 20, 40, and 60 cmH2O.

Evaluation of COX-1 expression. Arterioles dissected from gastrocnemius muscle were snap frozen and stored at –80°C in 0.5-ml microcentrifuge tubes. Arterioles were pulverized in lysate buffer, and total RNA was extracted with the RNAqueous filter system (Ambion). Five microliters of total RNA were used to perform quantitative real-time PCR with TaqMan probes designed with the use of Primer Express from the published sequence for rat COX-1 (forward primer: CTA CTC GGG CCC CAA CTG T; reverse primer: TGG GCC GCA GGG AAC T) and a TaqMan oligonucleotide probe (probe: ACT CCT GAG ATC TGG ACC TGG CTT CGT) labeled with a fluorescent reporter dye (VIC) and a quencher dye (TAMRA). Five microliters of total RNA were also used to simultaneously amplify 18S ribosomal RNA. Reverse transcription and PCR were performed in 50-µl volumes using GeneAmp 96-well optical reaction plates. Each reaction well contained the following: 5 µl of total RNA, 25 µl of Universal PCR Master Mix, 1.25 µl (75 U) of Multiscribe reverse transcriptase, 1.0 µl (300 nM) of forward primer, 1.0 µl (300 nM) of reverse primer, 1.0 µl (100 nM) of labeled probe, and 15.75 µl of diethyl pyrocarbonate-treated water. Reactions were performed in duplicate, with all samples contained in the same reaction plate. Reverse transcription was carried out for 30 min at 48°C. PCR was initiated by a 10-min step at 95°C followed by 40 two-step cycles of 15 s at 95°C and then 1 min at 60°C. The fluorescence intensities of the dyes from each probe were measured by the ABI Prism 7700 sequence detection system at every temperature step and cycle during the reaction. The number of cycles required for the fluorescence signal from each tube to reach a fixed threshold is defined as the cycle threshold (CT). The fluorescence signals for 18S ribosomal RNA served as controls for differences in total RNA loading in the wells. Levels of the target sequence were quantified by calculating the difference between the CT for the target sequence and coamplified 18S ribosomal RNA ({Delta}CT). To ensure that the efficiency of the amplification was similar for the target sequence and the 18S ribosomal RNA, a validation reaction was performed with serial dilutions of the same RNA sample. {Delta}CT values were plotted vs. the log of the RNA concentrations in the serial dilutions. The slope of the line for this plot was <0.03, indicating that the efficiency of amplification reaction was similar for 18S and the target sequence, independent of the starting concentration of total RNA.

Evaluation of basal and agonist-stimulated PGI2 production. Paired adjacent segments of feed arteries (2–3 mm long each) were cleaned of all connective tissue and fat and were then placed into chilled (4°C), gassed (95% O2-5% CO2) Krebs-Henseleit bicarbonate buffer (KHB) solution; arteries were allowed to rest for at least 30–45 min. The arteries were then transferred into 450-µl polyethylene microcentrifuge tubes with 300 µl KHB, gassed continuously, and gradually warmed up to 37°C. After preincubation for 30 min, the KHB solution was carefully aspirated, and then 300 µl of either KHB alone (basal) or KHB with ACh (10–6 M) was added to the tissues and incubated for 45 min at 37°C and gassed continuously. After incubation, the KHB was collected and stored in –70°C until RIA of 6-keto-prostaglandin F1{alpha} (6-keto-PGF1{alpha}).

RIA of 6-keto-PGF1{alpha}. Basal and ACh-stimulated PGI2 release levels into the incubation medium were measured with a specific RIA for the stable metabolite 6-keto-PGF1{alpha}, as reported previously (34). Prostanoid standards (1.95–1,000 pg) or unknown samples were incubated with 6-[3H]keto-PGF1{alpha} and with the prostanoid antiserum overnight at 4°C. The charcoal-dextran method was used to separate bound and free fractions of 6-[3H]keto-PGF1{alpha}. Bound radioactivity was counted by liquid scintillation spectroscopy. The limit of detection of the RIA is 3.90 pg/tube for 6-keto-PGF1{alpha}; the cross-reactivity of the antiserum to other prostanoids is <0.1%, and the intra-assay and interassay coefficients of variation are 5.0% and 7.6%, respectively (34).

Solutions and drugs. Albumin was purchased from USB Chemicals (Cleveland, OH). All other drugs were purchased from Sigma (St. Louis, MO). Stock solutions were prepared with distilled water and frozen. Fresh dilutions of stock solutions were prepared on the day of the experiment. 6-keto-PGF1{alpha} for RIA standards was purchased from Cayman Chemical (Ann Arbor, MI). 6-[3H]keto-PGF1{alpha} was purchased from Amersham Biosciences. 6-keto-PGF1{alpha} antiserum was a gift from Dr. Charles Leffler (Department of Physiology and Biophysics, University of Tennessee, Memphis, TN).

Statistical analysis. To control for variations in vessel size, changes in vessel diameter in response to flow and SNP were expressed as a percentage of maximal vasodilation and calculated as follows

Formula
where DS = steady-state inner diameter recorded after each step increase in flow or dose of SNP, DB = initial baseline inner diameter, and DM = maximal inner diameter recorded at 60 cmH2O in calcium-free PSS. Flow-diameter and concentration-diameter curves were evaluated by repeated-measures ANOVA to detect differences within (flow rate or dose) and between (experimental groups) factors. Pair-wise comparisons between specific levels were made through post hoc analysis (Scheffé's) when a significant main effect was found. One-way ANOVA was used to determine differences between COX-1 mRNA expression, PGI2 release, citrate synthase activities, body weight, muscle weight, spontaneous tone, and maximal diameters. All values are presented as means ± SE. Significance was defined as P ≤ 0.05.


    RESULTS
 TOP
 ABSTRACT
 METHODS
 RESULTS
 DISCUSSION
 GRANTS
 REFERENCES
 
Animals. Characteristics of the young and old SED and ET rats are shown in Table 1. Body weight increased significantly with age, whereas exercise training resulted in decreased body weight in both young and old animals. Gastrocnemius muscle weight was reduced with age and with exercise training in the young rats; however, exercise training did not affect gastrocnemius muscle weight in the aged rats. The efficacy of the training protocol was confirmed in that citrate synthase activity in gastrocnemius muscles was higher in both young and old ET rats relative to their SED counterparts.


View this table:
[in this window]
[in a new window]

 
Table 1. Muscle characteristics of young and old SED and ET rats

 
Characteristics of isolated vessels. Characteristics of isolated arterioles from all groups are listed in Table 2. Consistent with our previous study (32), maximal intraluminal diameters of gastrocnemius muscle arterioles were greater in the old SED than in young SED animals, and exercise training increased maximal diameter of gastrocnemius muscle arterioles in young and old rats.


View this table:
[in this window]
[in a new window]

 
Table 2. Characteristics of first-order arterioles from soleus and the superficial portion of gastrocnemius muscles

 
Initial spontaneous tone developed was not different among groups. Treatment with L-NAME increased tone in arterioles from all groups. In contrast, treatment with indomethacin only increased tone in arterioles from young ET and old SED rats. The combined treatment of L-NAME and indomethacin increased tone in arterioles from all groups.

Vasodilator responses to flow and SNP. Vasodilation to intraluminal flow was diminished in gastrocnemius arterioles from old SED rats (Fig. 1). Exercise training restored flow-induced vasodilation in gastrocnemius muscle arterioles from old rats to a level equivalent to that in young SED rats and enhanced arteriolar responsiveness to flow in gastrocnemius muscle arterioles from young rats (Fig. 1).


Figure 1
View larger version (13K):
[in this window]
[in a new window]

 
Fig. 1. Effects of aging and exercise training on flow-induced vasodilation in gastrocnemius muscle arterioles from young and old rats. SED, sedentary rat group; ET, exercise-trained rat group. Values are means ± SE. *Vasodilation to flow was significantly lower in old SED rats than in young SED rats (P ≤ 0.05). #Exercise training increased flow-induced vasodilation in respective age groups (P ≤ 0.05).

 
Vasodilator responses to the exogenous NO donor SNP were not altered by aging or exercise training in gastrocnemius muscle arterioles (data not shown).

Effect of NOS inhibition. NOS inhibition did not alter flow-induced vasodilation in gastrocnemius muscle arterioles from young SED rats (Fig. 2A) but virtually eliminated flow-induced vasodilation in gastrocnemius muscle arterioles from old SED rats (Fig. 2A), as well as young and old ET rats (Figs. 3A and 4A). Thus it appears that there is a shift to greater dependence on NO with aging and that exercise training increases flow-induced dilation in both young and old rats through enhancement of NO signaling.


Figure 2
View larger version (13K):
[in this window]
[in a new window]

 
Fig. 2. Effects of nitric oxide synthase (NOS) and cyclooxygenase (COX) inhibition on flow-response relationships of gastrocnemius muscle arterioles from young and old SED rats. A: NG-nitro-L-arginine methyl ester (L-NAME) had no effect on flow-induced dilation in young SED rats but significantly decreased the dilation to flow in old SED rats. B: indomethacin had no effect on either young SED or ET rats. C: combination of L-NAME + indomethacin significantly inhibited responses to flow in both young SED and ET rats and abolished the training-induced differences between young SED and ET rats. Values are means ± SE. *P ≤ 0.05.

 

Figure 3
View larger version (12K):
[in this window]
[in a new window]

 
Fig. 3. Effects of NOS and COX inhibition on flow-response relationships of gastrocnemius muscle arterioles from young SED and young ET rats. A: L-NAME had no effect on young SED rats but completely abolished dilation in young ET rats. B: indomethacin had no effect on either young SED or ET rats. C: combination of L-NAME + indomethacin significantly inhibited responses to flow in both young SED and ET rats and abolished the training-induced differences between young SED and ET rats. Values are means ± SE. *P ≤ 0.05.

 

Figure 4
View larger version (13K):
[in this window]
[in a new window]

 
Fig. 4. Effects of NOS and COX inhibition on flow-response relationships of gastrocnemius muscle arterioles from old SED and old ET rats. A: L-NAME significantly reduced responses to flow in both old SED and ET rats and abolished the training-induced differences between them. B: indomethacin (INDO) had no effect on either old SED or ET rats. C: combination of L-NAME and indomethacin significantly reduced flow-induced vasodilation in old ET rats and abolished the training-induced differences between old SED and ET rats. Values are means ± SE. *P ≤ 0.05.

 
Effect of COX inhibition. Indomethacin did not significantly alter vasodilation to flow in gastrocnemius muscle arterioles in any group (Figs. 2B, 3B, and 4B); however, differences in vasodilation to flow between young and old SED rats were no longer apparent after treatment with indomethacin (Fig. 2B). Differences in flow-induced dilation remained between arterioles from SED and ET groups in both young (Fig. 3B) and old (Fig. 4B) rats after treatment with indomethacin.

Effect of combined NOS and COX inhibition. Combined NOS and COX inhibition reduced flow-induced vasodilation in gastrocnemius muscle arterioles from all groups (Figs. 2C, 3C, and 4C). The combined treatment with L-NAME and indomethacin eliminated all differences between young and old SED and ET groups.

Vasodilator responses to isocarbocyclin. Vasodilator responses to the PGI2 mimetic isocarbocyclin are shown in Fig. 5. Responses did not differ between groups.


Figure 5
View larger version (12K):
[in this window]
[in a new window]

 
Fig. 5. Vasodilation of gastrocnemius muscle arterioles from young and old SED and ET rats to the PGI2 analog isocarbocyclin. Values are means ± SE. No significant differences were detected between groups.

 
COX-1 mRNA expression. Aging diminished COX-1 mRNA expression in gastrocnemius muscle 1A arterioles (Fig. 6). Exercise training reduced COX-1 expression in young animals but tended to increase COX-1 expression in arterioles from old animals (P = 0.11).


Figure 6
View larger version (8K):
[in this window]
[in a new window]

 
Fig. 6. COX-1 mRNA expression in 1A arterioles from gastrocnemius muscle of young and old SED and ET rats. *Significantly different from young SED group (P ≤ 0.05). #Significantly different from young ET group (P ≤ 0.05).

 
Basal and stimulated PGI2 production. Aging had no effect on either basal or ACh-stimulated PGI2 production in gastrocnemius muscle feed arteries (Fig. 7). Similarly, exercise training did not alter either basal or ACh-stimulated PGI2 production in gastrocnemius feed arteries from young animals. In contrast, both basal levels and stimulated PGI2 production were increased in gastrocnemius muscle feed arteries from old ET rats.


Figure 7
View larger version (13K):
[in this window]
[in a new window]

 
Fig. 7. Basal (A) and ACh-stimulated (B) PGI2 release from gastrocnemius feed arteries of young and old SED and ET rats. *Old ET group significantly different from all other groups (P ≤ 0.05).

 

    DISCUSSION
 TOP
 ABSTRACT
 METHODS
 RESULTS
 DISCUSSION
 GRANTS
 REFERENCES
 
The purposes of this study were 1) to determine whether the aging-associated reduction in flow-induced vasodilation in 1A arterioles from gastrocnemius muscle is mediated by impairment of COX signaling and 2) to determine whether, and by what mechanism(s), exercise training restores flow-induced vasodilation in gastrocnemius muscle 1A arterioles from aged rats. Several new findings regarding the effects of age and exercise training on flow-induced vasodilation and endothelium-dependent signaling in skeletal muscle arterioles emerge from this study. First, the reduction of flow-induced vasodilation that occurs in gastrocnemius 1A arterioles of old rats (Fig. 1) is accompanied by a decrease in COX-1 mRNA expression (Fig. 6) and by an increase in NO-mediated signaling (Fig. 2A). Second, exercise training reverses the age-related reduction of flow-induced vasodilation in 1A arterioles from gastrocnemius muscle (Fig. 1), and this improvement of endothelium-dependent vasodilation is associated with an increase in NOS (Fig. 4A) and COX signaling (Fig. 7). In gastrocnemius muscle arterioles of young rats, enhancement of flow-induced dilation appears linked to an increase in NOS signaling (Fig. 3A) with no change in COX signaling mechanisms.

Age and NOS signaling. Several studies have reported old age-associated impairment of endothelium-dependent vasodilation (6, 8, 23, 32, 40). Results of this study confirm our group's (23) previous finding of impaired flow-induced vasodilation in gastrocnemius muscle arterioles of aged rats. The present results also corroborate our group's previous observations that, although vasodilation to flow is decreased in gastrocnemius arterioles from old rats, the contribution of NO signaling to flow-induced dilation increases in arterioles from old rats compared with those from young rats. Thus it appears that, although endothelial function declines in gastrocnemius muscle arterioles with age, this impairment is accompanied by increased dependence on NOS signaling.

Age and COX signaling. In contrast to the increase in NOS signaling (Fig. 2A) and the increase in eNOS expression (32) that occurs in gastrocnemius muscle arterioles from aged rats, COX-1 mRNA expression declined with age. In coronary arterioles, Csiszar et al. (1) reported that reduced flow-induced vasodilation in coronary arterioles of old rats was associated with diminished COX-1 protein. Treatment with indomethacin did not significantly inhibit flow-induced vasodilation in gastrocnemius muscle arterioles from any group, and PGI2 production was not altered by age in gastrocnemius muscle feed arteries; however, differences in flow-induced dilation present between young and old rats were eliminated by treatment with indomethacin, suggesting that age does alter COX signaling mechanisms. It is possible that, although PGI2 release is similar in arterioles from young and old rats, upregulation of prostanoid vasoconstrictors results in overall diminution of flow-induced vasodilation in gastrocnemius muscle arterioles from old rats. Although the contribution of prostanoid vasodilators to endothelium-dependent vasodilation has been reported to decrease with age (31, 43), an age-related increase in prostanoid constrictor activity has also been shown in some vascular beds (13, 15). Similarly, Prostaglandin H Synthase-2 (PGHS-2) protein and PGHS-2-induced constriction increased significantly in mesenteric arteries of middle-aged rats compared with their young counterparts (35). Our present data do not indicate whether age alters production of prostanoid constrictors through a COX pathway; further studies are needed to determine the effects of age on the generation of prostanoid constrictors in skeletal muscle resistance arterioles.

Both NO and reactive oxygen species have been shown to alter the activity of constitutive COX-1 and inducible COX-2 (3, 26). Evidence exists to indicate that NO increases COX-1 activity (28), thereby causing greater production of PGI2. The present data and previous results (23) indicate that NO-mediated signaling increases with age in gastrocnemius muscle 1A arterioles; thus it is conceivable that greater NO production in arterioles from aged rats restores COX-1 activity to the level of young rats, resulting in no change in PGI2 production, despite reduced COX-1 mRNA expression (28). Woodman et al. (42) reported a decrease in superoxide dismutase expression in soleus muscle feed arteries of aged rats. Age-related increases in superoxide could contribute to greater generation of peroxynitrite and lipid peroxidation, potentially increasing PGHS-2 activity (2). In gastrocnemius muscle arterioles from young rats, separate blockade of NOS and COX had no significant effect on vasodilation, yet combination blockade of NOS and COX drastically reduced vasodilation. Other investigators have reported that the effects of NOS and COX blockade are not additive in skeletal muscle arterioles, suggesting that these vasodilator pathways are both redundant and interactive (30, 43). It is possible that, in young rats, blockade of one of these pathways initiated a compensatory response in the other pathway, resulting in no net inhibition of vasodilation when either was applied alone (29). In arterioles from old rats, inhibition of flow-induced dilation by NOS blockade alone was greater than the inhibition produced by simultaneous NOS and COX blockade, and blockade of COX alone did not significantly alter the dilation to flow (Fig. 4). These results raise the possibility that endothelium-dependent responses of skeletal muscle arterioles to flow involve NO, PGI2 and thromboxane A2 and further suggest that, when both NOS and COX pathways are blocked, a compensatory vasodilatory mechanism is activated, perhaps through activation of EDHF. It has been reported in other vascular beds that inhibition of NOS signaling results in upregulation of EDHF-induced vasodilation (12, 24, 25). Together, the present data suggest that that the interaction between NOS and COX pathways differs in arterioles from young and old rats; however, direct measures of NO and both vasoconstrictor and vasodilator prostanoids will be necessary to accurately determine how age alters the relationship between NOS and COX signaling in skeletal muscle arterioles.

Despite an age-related decrease in COX-1 mRNA expression in gastrocnemius muscle arterioles, PGI2 release from gastrocnemius feed arteries was not different between young and old SED animals (Fig. 7). However, the present data do not indicate whether age alters the expression of COX-2. It is conceivable that increased expression of COX-2 could compensate for the age-induced decrease in COX-1 expression, resulting in normal PGI2 production. In mesenteric arteries of middle-aged rats, inhibition of PGHS-1 had no effect on endothelium-dependent dilation, whereas PGHS-2 inhibition significantly enhanced dilation to methacholine (35). The presence of inflammatory mediators and oxidant stress have been shown to increase in vascular tissue with age (41, 44), potentially increasing COX-2 expression in skeletal muscle arterioles from aged rats. The possibility that age stimulates COX-2 expression and activity merits further investigation.

Exercise training and endothelial function. Recent studies have indicated that the old age-associated reductions in endothelium-dependent vasodilation are reversed by exercise training. Endothelium-dependent vasodilation of the forearm is greater in aged endurance-trained athletes than in their sedentary counterparts (8, 40). Furthermore, moderate-intensity daily aerobic exercise increased endothelium-dependent vasodilation in previously sedentary aged men to levels of young sedentary men and aged endurance-trained men (8). The results of the present study indicate that exercise training restores flow-induced vasodilation in arterioles isolated from the gastrocnemius muscle of old rats to levels equivalent to young SED rats (Fig. 1) and extends previous findings demonstrating that exercise training improves endothelium-dependent vasodilation in arterioles from highly oxidative soleus muscle (32) as well as low oxidative muscle (present study).

Exercise training has been reported to enhance vasodilator capacity and endothelium-dependent vasodilation in skeletal muscle of young humans (10, 11) and animals (4, 5, 19). Daily exercise augments endothelium-dependent vasodilation to ACh (39), L-arginine (39), and intraluminal flow (14, 36, 38, 39) in gracilis muscle arterioles and to electrical stimulation (18, 19) in spinotrapezius muscle arterioles from young rats. Likewise, longer term exercise resulted in enhanced endothelium-dependent vasodilation to ACh in first- and second-order arterioles from spinotrapezius muscles (19) and to flow in gracilis muscle arterioles (38). The present data indicate that a program of endurance exercise training sufficient to reverse the impairment of endothelial function in gastrocnemius muscle arterioles from old rats also results in significant improvement of endothelium-mediated vasodilation in arterioles from young, healthy rats.

Exercise training and NOS signaling. We sought to determine whether increases in NO- and PGI2-mediated signaling mechanisms contribute to the enhancement of flow-induced vasodilation that occurred with exercise training in gastrocnemius muscle arterioles. We found that exercise training restores flow-induced vasodilation in gastrocnemius muscle arterioles primarily through increased NO signaling. Treatment with L-NAME did not affect flow-induced vasodilation in arterioles from young SED rats but completely abolished the dilation to flow in young ET rats, suggesting that enhancement of the response to flow is mediated exclusively through upregulation of NO-mediated dilation. This increase in NO-mediated, flow-induced vasodilation in young ET animals in the present study is consistent with our group's (32) previous findings of increased eNOS mRNA and protein expression in gastrocnemius muscle 1A arterioles from young animals. In old rats, NOS inhibition eliminated the enhancement of flow-induced dilation that occurred with exercise training; in the presence of L-NAME, flow-induced dilation was similar in gastrocnemius muscle arterioles from old SED and old ET rats (Fig. 4A). These data suggest that exercise training increases NOS signaling in skeletal muscle arterioles from both young and old rats.

Exercise training and COX signaling. Exercise training also enhanced PGI2 release in gastrocnemius muscle resistance arteries from old rats (Fig. 7). In contrast, exercise training did not alter PGI2 release in gastrocnemius muscle arterioles from young rats. Furthermore, the present study shows that neither COX-1 mRNA expression in gastrocnemius muscle arterioles nor PGI2 production in gastrocnemius feed arteries is altered in young ET rats (Figs. 6 and 7).

We have previously shown that exercise training increased eNOS mRNA expression but did not alter eNOS protein levels in gastrocnemius muscle arterioles from old rats (32). In contrast, the present results indicate exercise training did not alter COX-1 mRNA expression in gastrocnemius muscle arterioles but enhanced PGI2 release from feed arteries of old rats (Fig. 7). The present data do not indicate the mechanism whereby exercise training increases PGI2 production in the absence of a change in COX-1 mRNA expression (Fig. 6); however, it is possible that exercise training reduces oxidant stress (9, 20, 27) in skeletal muscle arterioles from aged rats, thus enhancing COX-1 activity without altering its expression. NO has been shown to increase activity of COX-1, thereby increasing production of PGI2, regardless of changes in COX-1 mRNA expression (28). Our present data suggest that the relative contribution of NO to flow-mediated dilation is greatest in gastrocnemius muscle arterioles from old SED rats (Fig. 4A). Thus the age-related increase in NOS expression (32) and the exercise training-induced increase in NOS signaling may also contribute to greater PGI2 release in the absence of changes in COX-1 expression. Together, the finding that exercise training increases NO-mediated dilation in gastrocnemius muscle arterioles from young rats, but augments both NO-mediated dilation and PGI2 release in gastrocnemius muscle arterioles from old rats, indicates that, although exercise improves endothelial function in skeletal muscle arterioles from both young and old rats, the mechanisms through which the enhancement of endothelial responses occur are age specific.

In conclusion, the results of this study confirm previous findings (23) that flow-induced vasodilation is reduced with old age in arterioles from low-oxidative, glycolytic muscle (e.g., white portion of gastrocnemius muscle). The present study suggests that old-age-associated reductions in flow-induced vasodilation in gastrocnemius muscle arterioles occur, in part, through a reduction of COX signaling. Exercise training restores flow-induced vasodilation of gastrocnemius muscle arterioles in old rats to the level found in arterioles of young rats and enhances flow-induced vasodilation in young SED rats. Exercise training-induced enhancement of flow-induced dilation in gastrocnemius muscle arterioles of young rats is mediated primarily through increased NOS signaling, whereas exercise training increases flow-induced vasodilation of arterioles from old rats through increases in both NOS and COX signaling.


    GRANTS
 TOP
 ABSTRACT
 METHODS
 RESULTS
 DISCUSSION
 GRANTS
 REFERENCES
 
This study was funded by American Heart Association, Texas Affiliate, Grant 98BG-801, National Aeronautics and Space Administration grant NAG2-1340, National Institute on Aging grant R21 AG-19248-01, and National Heart, Lung, and Blood Institute Grant HL-64372.


    ACKNOWLEDGMENTS
 
The authors thank Melissa Clark and Feng Xu for technical contributions to this study.


    FOOTNOTES
 

Address for reprint requests and other correspondence: J. M. Muller-Delp, Center for Interdisciplinary Research in Cardiovascular Sciences, West Virginia Univ. School of Medicine, Morgantown, WV 26506 (e-mail: jdelp{at}hsc.wvu.edu)

The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.


    REFERENCES
 TOP
 ABSTRACT
 METHODS
 RESULTS
 DISCUSSION
 GRANTS
 REFERENCES
 

  1. Csiszar A, Ungvari Z, Edwards JG, Kaminski P, Wolin MS, Koller A, Kaley G. Aging-induced phenotypic changes and oxidative stress impair coronary arteriolar function. Circ Res 90: 1159–1166, 2002.[Abstract/Free Full Text]
  2. Davidge ST. Prostaglandin H synthase and vascular function. Circ Res 89: 650–660, 2001.[Abstract/Free Full Text]
  3. Davidge ST, Pitt BR, McLaughlin MK, Roberts JM, Johnson BA. Biphasic stimulation of prostacyclin by endogenous nitric oxide (NO) in endothelial cells transfected with inducible NO synthase. Gen Pharmacol 33: 383–387, 1999.[CrossRef][ISI][Medline]
  4. Delp MD. Differential effects of training on the control of skeletal muscle perfusion. Med Sci Sports Exerc 30: 361–374, 1998.
  5. Delp MD. Effects of exercise training on endothelium-dependent peripheral vascular responsiveness. Med Sci Sports Exerc 27: 1152–1157, 1995.
  6. Delp MD, Brown M, Laughlin MH, Hasser EM. Rat aortic vasoreactivity is altered by old age and hindlimb unloading. J Appl Physiol 78: 2079–2086, 1995.[Abstract/Free Full Text]
  7. Delp MD, Duan C. Composition and size of type I, IIA, IID/X, and IIB fibers and citrate synthase activity of rat muscle. J Appl Physiol 80: 261–270, 1996.[Abstract/Free Full Text]
  8. DeSouza CA, Shapiro LF, Clevenger CM, Dinenno FA, Monahan KD, Tanaka H, Seals DR. Regular aerobic exercise prevents and restores age-related declines in endothelium-dependent vasodilation in healthy men. Circulation 102: 1351–1357, 2000.[Abstract/Free Full Text]
  9. Ennezat PV, Malendowicz SL, Testa M, Colombo PC, Cohen-Solal A, Evans T, LeJemtel TH. Physical training in patients with chronic heart failure enhances the expression of genes encoding antioxidative enzymes. J Am Coll Cardiol 38: 194–198, 2001.[Abstract/Free Full Text]
  10. Green DJ, Cable NT, Fox C, Rankin JM, Taylor RR. Modification of forearm resistance vessels by exercise training in young men. J Appl Physiol 77: 1829–1833, 1994.[Abstract/Free Full Text]
  11. Hickner RC, Fisher JS, Ehsani AA, Kohrt WM. Role of nitric oxide in skeletal muscle blood flow at rest and during dynamic exercise in humans. Am J Physiol Heart Circ Physiol 273: H405–H410, 1997.[Abstract/Free Full Text]
  12. Huang A, Sun D, Carroll MA, Jiang H, Smith CJ, Connetta JA, Falck JR, Shesely EG, Koller A, Kaley G. EDHF mediates flow-induced dilation in skeletal muscle arterioles of female eNOS-KO mice. Am J Physiol Heart Circ Physiol 280: H2462–H2469, 2001.[Abstract/Free Full Text]
  13. Koga T, Takata Y, Kobayashi K, Takishita S, Yamashita Y, Fujishima M. Age and hypertension promote endothelium-dependent contractions to acetylcholine in the aorta of the rat. Hypertension 14: 542–548, 1989.[Abstract/Free Full Text]
  14. Koller A, Huang A, Sun D, Kaley G. Exercise training augments flow-dependent dilation in rat skeletal muscle arterioles: role of endothelial nitric oxide and prostaglandins. Circ Res 76: 544–550, 1995.[Abstract/Free Full Text]
  15. Konishi C, Naito Y, Saito Y, Ohara N, Ono H. Age-related differences and roles of endothelial nitric oxide and prostanoids in angiotensin II responses of isolated, perfused mesenteric arteries and veins of rats. Eur J Pharmacol 320: 175–181, 1997.[CrossRef][ISI][Medline]
  16. Kuo L, Davis MJ, Chilian WM. Endothelium-dependent, flow-induced dilation of isolated coronary arterioles. Am J Physiol Heart Circ Physiol 259: H1063–H1070, 1990.[Abstract/Free Full Text]
  17. Lakatta EG. Cardiovascular system. In: Handbook of Physiology: Aging, edited by Masoro EJ. New York: Oxford Univ. Press, 1995, p. 413–474.
  18. Lash JM, Bohlen HG. Functional adaptations of rat skeletal muscle arterioles to aerobic exercise training. J Appl Physiol 72: 2052–2062, 1992.[Abstract/Free Full Text]
  19. Lash JM, Bohlen HG. Time- and order-dependent changes in functional and NO-mediated dilation during exercise training. J Appl Physiol 82: 460–468, 1997.[Abstract/Free Full Text]
  20. Lawler JM, Cline CC, Hu Z, Coast JR. Effect of oxidative stress and acidosis on diaphragm contractile function. Am J Physiol Regul Integr Comp Physiol 273: R630–R636, 1997.[Abstract/Free Full Text]
  21. McCurdy MR, Colleran PN, Muller-Delp J, Delp MD. Selected contribution: effects of fiber composition and hindlimb unloading on the vasodilator properties of skeletal muscle arterioles. J Appl Physiol 89: 398–405, 2000.[Abstract/Free Full Text]
  22. Muller-Delp J, Spier SA, Ramsey MW, Lesniewski LA, Papadopoulos A, Humphrey JD, Delp MD. Effects of aging on vasoconstrictor and mechanical properties of rat skeletal muscle arterioles. Am J Physiol Heart Circ Physiol 282: H1843–H1854, 2002.[Abstract/Free Full Text]
  23. Muller-Delp JM, Spier SA, Ramsey MW, Delp MD. Aging impairs endothelium-dependent vasodilation in rat skeletal muscle arterioles. Am J Physiol Heart Circ Physiol 283: H1662–H1672, 2002.[Abstract/Free Full Text]
  24. Nishikawa Y, Stepp DW, Chilian WM. In vivo location and mechanism of EDHF-mediated vasodilation in canine coronary microcirculation. Am J Physiol Heart Circ Physiol 277: H1252–H1259, 1999.[Abstract/Free Full Text]
  25. Nishikawa Y, Stepp DW, Chilian WM. Nitric oxide exerts feedback inhibition on EDHF-induced coronary arteriolar dilation in vivo. Am J Physiol Heart Circ Physiol 279: H459–H465, 2000.[Abstract/Free Full Text]
  26. Onodera M, Morita Mano Y, Murota S. Differential effects of nitric oxide on the activity of prostaglandin endoperoxide H synthase-1 and -2 in vascular endothelial cells. Prostaglandins Leukot Essent Fatty Acids 62: 161–167, 2000.[CrossRef][ISI][Medline]
  27. Rush JW, Turk JR, Laughlin MH. Exercise training regulates SOD-1 and oxidative stress in porcine aortic endothelium. Am J Physiol Heart Circ Physiol 284: H1378–H1387, 2003.[Abstract/Free Full Text]
  28. Salvemini D. Regulation of cyclooxygenase enzymes by nitric oxide. Cell Mol Life Sci 53: 576–582, 1997.[CrossRef][ISI][Medline]
  29. Schrage WG, Joyner MJ, Dinenno FA. Local inhibition of nitric oxide and prostaglandins independently reduces forearm exercise hyperaemia in humans. J Physiol 557: 599–611, 2004.[Abstract/Free Full Text]
  30. Schrage WG, Woodman CR, Laughlin MH. Mechanisms of flow and ACh-induced dilation in rat soleus arterioles are altered by hindlimb unweighting. J Appl Physiol 92: 901–911, 2002.[Abstract/Free Full Text]
  31. Singh N, Prasad S, Singer DR, MacAllister RJ. Ageing is associated with impairment of nitric oxide and prostanoid dilator pathways in the human forearm. Clin Sci (Lond) 102: 595–600, 2002.[Medline]
  32. Spier SA, Delp MD, Meininger CJ, Donato AJ, Ramsey MW, Muller-Delp JM. Effects of ageing and exercise training on endothelium-dependent vasodilatation and structure of rat skeletal muscle arterioles. J Physiol 556: 947–958, 2004.[Abstract/Free Full Text]
  33. Srere PA. Citrate synthase. Methods Enzymol 13: 3–5, 1969.
  34. Stallone JN. Mesenteric vascular responses to vasopressin during development of DOCA-salt hypertension in male and female rats. Am J Physiol Regul Integr Comp Physiol 268: R40–R49, 1995.[Abstract/Free Full Text]
  35. Stewart KG, Zhang Y, Davidge ST. Aging increases PGHS-2-dependent vasoconstriction in rat mesenteric arteries. Hypertension 35: 1242–1247, 2000.[Abstract/Free Full Text]
  36. Sun D, Huang A, Koller A, Kaley G. Adaptation of flow-induced dilation of arterioles to daily exercise. Microvasc Res 56: 54–61, 1998.[CrossRef][ISI][Medline]
  37. Sun D, Huang A, Koller A, Kaley G. Decreased arteriolar sensitivity to shear stress in adult rats is reversed by chronic exercise activity. Microcirculation 9: 91–97, 2002.[CrossRef][ISI][Medline]
  38. Sun D, Huang A, Koller A, Kaley G. Enhanced NO-mediated dilations in skeletal muscle arterioles of chronically exercised rats. Microvasc Res 64: 491–496, 2002.[CrossRef][ISI][Medline]
  39. Sun D, Koller A, Kaley G. Short-term daily exercise activity enhances endothelial NO synthesis in skeletal muscle arterioles of rats. J Appl Physiol 76: 2241–2247, 1994.[Abstract/Free Full Text]
  40. Taddei S, Galetta F, Virdis A, Ghiadoni L, Salvetti G, Franzoni F, Giusti C, Salvetti A. Physical activity prevents age-related impairment in nitric oxide availability in elderly athletes. Circulation 101: 2896–2901, 2000.[Abstract/Free Full Text]
  41. Van der Loo B, Labugger R, Skepper JN, Bachschmid M, Kilo J, Powell JM, Palacios-Callender M, Erusalimsky JD, Quaschning T, Malinski T, Gygi D, Ullrich V, Luscher TF. Enhanced peroxynitrite formation is associated with vascular aging. J Exp Med 192: 1731–1744, 2000.[Abstract/Free Full Text]
  42. Woodman CR, Price EM, Laughlin MH. Aging induces muscle-specific impairment of endothelium-dependent dilation in skeletal muscle feed arteries. J Appl Physiol 93: 1685–1690, 2002.[Abstract/Free Full Text]
  43. Woodman CR, Price EM, Laughlin MH. Selected contribution: aging impairs nitric oxide and prostacyclin mediation of endothelium-dependent dilation in soleus feed arteries. J Appl Physiol 95: 2164–2170, 2003.[Abstract/Free Full Text]
  44. Yan SF, Ramasamy R, Naka Y, Schmidt AM. Glycation, inflammation, and RAGE: a scaffold for the macrovascular complications of diabetes and beyond. Circ Res 93: 1159–1169, 2003.[Abstract/Free Full Text]



This article has been cited by other articles:


Home page
Proc Am Thorac SocHome page
J. Goulding, R. Snelgrove, J. Saldana, A. Didierlaurent, M. Cavanagh, E. Gwyer, J. Wales, E. L. Wissinger, and T. Hussell
Respiratory Infections: Do We Ever Recover?
Proceedings of the ATS, December 1, 2007; 4(8): 618 - 625.
[Abstract] [Full Text] [PDF]


Home page
J. Appl. Physiol.Home page
B. J. Behnke, M. D. Delp, D. C. Poole, and T. I. Musch
Aging potentiates the effect of congestive heart failure on muscle microvascular oxygenation
J Appl Physiol, November 1, 2007; 103(5): 1757 - 1763.
[Abstract] [Full Text] [PDF]


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
292/6/H3119    most recent
00588.2006v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via ISI Web of Science (1)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Spier, S. A.
Right arrow Articles by Muller-Delp, J. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Spier, S. A.
Right arrow Articles by Muller-Delp, J. M.


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Visit Other APS Journals Online
Copyright © 2007 by the American Physiological Society.