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Am J Physiol Heart Circ Physiol (May 15, 2003). doi:10.1152/ajpheart.00214.2003
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Submitted on March 10, 2003
Accepted on May 7, 2003

Renal Vascular Responses to Static Handgrip: The Role of the Muscle Mechanoreflex

Afsana Momen1, Urs A. Leuenberger1, Chester A. Ray1, Susan Cha1, Brian Handly1, and Lawrence I Sinoway2*

1 Division of Cardiology, Pennsylvania State University College of Medicine, Hershey, PA, USA
2 Division of Cardiology, Pennsylvania State University College of Medicine, Hershey, PA, USA; Lebanon VA Medical Center, Lebanon, PA, USA

* To whom correspondence should be addressed. E-mail: lsinoway{at}psu.edu.

During exercise the sympathetic nervous system is activated causing vasoconstriction. The autonomic mechanisms responsible for this vasoconstriction vary based on the particular tissue being studied. Attempts to examine reflex control of the human renal circulation have been difficult because of technical limitations. In this report the Doppler technique was used to examine renal flow velocity during four muscle contraction paradigms in conscious humans. Flow velocity was divided by mean arterial blood pressure (MAP) yielding an index of renal vascular resistance (RVR). Fatiguing static handgrip (40% maximal voluntary contraction [MVC]) increased RVR by 76%. During post-handgrip circulatory arrest (PHG-CA), RVR remained above baseline (2.1 ± .2 vs. 2.8 ± .2, P < .017) but was only 40% of endgrip RVR. Voluntary biceps contraction increased RVR within 10 s of initiating contraction. This effect was not associated with an increase in BP. Finally, involuntary biceps contraction also raised RVR. We conclude that muscle contraction evokes renal vasoconstriction in conscious humans. The characteristic of this response is consistent with a primary role for mechanically sensitive afferents. This statement is based on the small PHG-CA response and the vasoconstriction seen with involuntary biceps contraction.




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