Evidence map›Paper›PMID 26475591›Full record

ArticleAmerican journal of physiology. Heart and circulatory physiology2015

Muscle metaboreflex activation during dynamic exercise vasoconstricts ischemic active skeletal muscle.

Jasdeep Kaur, Tiago M Machado, Alberto Alvarez, Abhinav C Krishnan, Hanna W Hanna, Yasir H Altamimi, Danielle Senador, Marty D Spranger, Donal S O'Leary

Abstract read
In one paragraph

Article in American journal of physiology. Heart and circulatory physiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed.

  1. Prognostic value of exercise blood pressure: role of fitness and exercise training.American journal of physiology. Heart and circulatory physiology · 2026
    Review
  2. Review
  3. Review
  4. Article
  5. Article
  6. Review
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  8. Augmented sympathoexcitation slows postexercise heart rate recovery.Journal of applied physiology (Bethesda, Md. : 1985) · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. Chronic ablation of TRPV1-sensitive skeletal muscle afferents attenuates the muscle metaboreflex.American journal of physiology. Regulatory, integrative and comparative physiology · 2021
    Article
  13. Article
  14. Review
  15. Muscle metaboreflex-induced increases in effective arterial elastance: effect of heart failure.American journal of physiology. Regulatory, integrative and comparative physiology · 2020
    Article
  16. Review
  17. The magnitude of the exercise pressor reflex is influenced by the active skeletal muscle mass in the decerebrate rat.American journal of physiology. Regulatory, integrative and comparative physiology · 2020
    Article
  18. Article
  19. Article
  20. Altered arterial baroreflex-muscle metaboreflex interaction in heart failure.American journal of physiology. Heart and circulatory physiology · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Jasdeep KaurDepartment of Physiology and Cardiovascular Research Institute, Wayne State University School of Medicine, Detroit, Michigan.
Tiago M MachadoDepartment of Physiology and Cardiovascular Research Institute, Wayne State University School of Medicine, Detroit, Michigan.
Alberto AlvarezDepartment of Physiology and Cardiovascular Research Institute, Wayne State University School of Medicine, Detroit, Michigan.
Abhinav C KrishnanDepartment of Physiology and Cardiovascular Research Institute, Wayne State University School of Medicine, Detroit, Michigan.
Hanna W HannaDepartment of Physiology and Cardiovascular Research Institute, Wayne State University School of Medicine, Detroit, Michigan.
Yasir H AltamimiDepartment of Physiology and Cardiovascular Research Institute, Wayne State University School of Medicine, Detroit, Michigan.
Danielle SenadorDepartment of Physiology and Cardiovascular Research Institute, Wayne State University School of Medicine, Detroit, Michigan.
Marty D SprangerDepartment of Physiology and Cardiovascular Research Institute, Wayne State University School of Medicine, Detroit, Michigan.
Donal S O'LearyDepartment of Physiology and Cardiovascular Research Institute, Wayne State University School of Medicine, Detroit, Michigan doleary@med.wayne.edu.

Funding

BLOOD PRESSURE CONTROL DURING EXERCISE IN HEART FAILURER01HL055473 · NHLBI · WAYNE STATE UNIVERSITY · PI O'LEARY, DONAL S · 1996 to 2024
$9.8M
Mechanisms Mediating Enhanced Sympatho-Activation During Exercise in HypertensionR01HL126706 · NHLBI · WAYNE STATE UNIVERSITY · PI O'LEARY, DONAL S · 2016 to 2019
$2.2M
NHLBI NIH HHS HL-55473NHLBI NIH HHS R01 HL055473NHLBI NIH HHS R01 HL126706
6 · The paper itself

Abstract

Metabolite accumulation due to ischemia of active skeletal muscle stimulates group III/IV chemosensitive afferents eliciting reflex increases in arterial blood pressure and sympathetic activity, termed the muscle metaboreflex. We and others have previously demonstrated sympathetically mediated vasoconstriction of coronary, renal, and forelimb vasculatures with muscle metaboreflex activation (MMA). Whether MMA elicits vasoconstriction of the ischemic muscle from which it originates is unknown. We hypothesized that the vasodilation in active skeletal muscle with imposed ischemia becomes progressively restrained by the increasing sympathetic vasoconstriction during MMA. We activated the metaboreflex during mild dynamic exercise in chronically instrumented canines via graded reductions in hindlimb blood flow (HLBF) before and after α1-adrenergic blockade [prazosin (50 μg/kg)], β-adrenergic blockade [propranolol (2 mg/kg)], and α1 + β-blockade. Hindlimb resistance was calculated as femoral arterial pressure/HLBF. During mild exercise, HLBF must be reduced below a threshold level before the reflex is activated. With initial reductions in HLBF, vasodilation occurred with the imposed ischemia. Once the muscle metaboreflex was elicited, hindlimb resistance increased. This increase in hindlimb resistance was abolished by α1-adrenergic blockade and exacerbated after β-adrenergic blockade. We conclude that metaboreflex activation during submaximal dynamic exercise causes sympathetically mediated α-adrenergic vasoconstriction in ischemic skeletal muscle. This limits the ability of the reflex to improve blood flow to the muscle.

Indexed as

Physical ExertionAdrenergic alpha-1 Receptor AntagonistsAdrenergic beta-AntagonistsAnimalsArterial PressureDogsFemaleHindlimbIschemiaMaleMuscle, SkeletalNeurons, AfferentPrazosinPropranololReflexRegional Blood FlowAdrenergic alpha-1 Receptor AntagonistsAdrenergic beta-AntagonistsPrazosinPropranololexercise pressor reflexischemic skeletal musclemetabolic vasodilationmuscle blood flowsympathetically mediated vasoconstrictionα1- and β-blockadeβ2-mediated vasodilation

Identifiers

PMID26475591
PMCPMC4698425

What OpenQuestion holds

Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.