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Dzator JSA, Smith RA, Coupland KG, Howe PRC, Griffiths LR. Associations between Cerebrovascular Function and the Expression of Genes Related to Endothelial Function in Hormonal Migraine. Int J Mol Sci 2024; 25:1694. [PMID: 38338971 PMCID: PMC10855027 DOI: 10.3390/ijms25031694] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2023] [Revised: 01/23/2024] [Accepted: 01/26/2024] [Indexed: 02/12/2024] Open
Abstract
There is evidence to suggest that hormonal migraine is associated with altered cerebrovascular function. We aimed to investigate whether the expression of genes related to endothelial function in venous blood (1) might influence cerebrovascular function, (2) differs between hormonal migraineur and non-migraineur women, and (3) changes following resveratrol supplementation. This study utilised data obtained from 87 women (59 hormonal migraineurs and 28 controls) where RNA from venous blood was used to quantify gene expression and transcranial Doppler ultrasound was used to evaluate cerebrovascular function. Spearman's correlation analyses were performed between gene expression, cerebrovascular function, and migraine-related disability. We compared the expression of genes associated with endothelial function between migraineurs and non-migraineurs, and between resveratrol and placebo. The expression of several genes related to endothelial function was associated with alterations in cerebrovascular function. Notably, the expression of CALCA was associated with increased neurovascular coupling capacity (p = 0.013), and both CALCA (p = 0.035) and VEGF (p = 0.014) expression were associated with increased cerebral blood flow velocity in the overall study population. Additionally, VCAM1 expression correlated with decreased pulsatility index (a measure of cerebral arterial stiffness) (p = 0.009) and headache impact test-6 scores (p = 0.007) in the migraineurs. No significant differences in gene expression were observed between migraineurs and controls, or between placebo and resveratrol treatments in migraineurs. Thus, altering the expression of genes related to endothelial function may improve cerebrovascular function and decrease migraine-related disability.
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Affiliation(s)
- Jemima S. A. Dzator
- School of Biomedical Sciences and Pharmacy, University of Newcastle, Newcastle, NSW 2308, Australia (P.R.C.H.)
- School of Pharmacy and Medical Sciences, Griffith University, Gold Coast, QLD 4222, Australia
| | - Robert A. Smith
- Genomics Research Centre, Centre for Genomics and Personalised Health, Queensland University of Technology, Brisbane, QLD 4059, Australia
| | - Kirsten G. Coupland
- School of Biomedical Sciences and Pharmacy, University of Newcastle, Newcastle, NSW 2308, Australia (P.R.C.H.)
- Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia
| | - Peter R. C. Howe
- School of Biomedical Sciences and Pharmacy, University of Newcastle, Newcastle, NSW 2308, Australia (P.R.C.H.)
- Adelaide Medical School, University of Adelaide, Adelaide, SA 5005, Australia
- Centre for Health Research, University of Southern Queensland, Raceview, QLD 4350, Australia
| | - Lyn R. Griffiths
- Genomics Research Centre, Centre for Genomics and Personalised Health, Queensland University of Technology, Brisbane, QLD 4059, Australia
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Dillon K, Shariffi B, Gillum T, Boyer W, Sullivan S, Kim JK. Effects of chronic dietary grape seed extract supplementation on aortic stiffness and hemodynamic responses in obese/overweight males during submaximal exercise. Eur J Sport Sci 2021; 22:1057-1064. [PMID: 33905304 DOI: 10.1080/17461391.2021.1923815] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
We investigated the effect of chronic grape seed extract (GSE) on blood pressure and aortic stiffness (AoS) among overweight and obese males. Systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP), heart rate (HR), stroke volume (SV), cardiac output (Q), total vascular conductance (TVC), and AoS were measured during two submaximal cycling exercises (40% and 60% VO2max), after 7 consecutive days of GSE or placebo (PL) ingestion with one week washout period. Compared with PL, GSE supplementation significantly decreased MAP at rest (85 ± 3 mmHg vs. 82 ± 3 mmHg), 40% (102 ± 3 mmHg vs. 99 ± 3 mmHg), and 60% workloads (109 ± 3 mmHg vs. 107 ± 3 mmHg) (P = 0.001, ES = 0.2). AoS was significantly reduced (13.0 ± 1.9 AU vs. 10.2 ± 1.0 AU) at rest (P = 0.002, ES = 0.6). Q was decreased at rest and across all workloads, but there were no significant differences (7.5 ± 0.4 L/min vs. 7.1 ± 0.4 L/min; 20.4 ± 1.2 L/min vs. 19.6 ± 0.9 L/min; 26.3 ± 1.1 L/min vs. 25.5 ± 1.6 L/min, respectively). GSE had no effect on HR, TVC, and SV. Our study indicates that chronic supplementation with GSE reduces arterial pressure at rest and during exercise primarily via the substantial reduction in AoS. Thus, GSE can be a dietary supplement to treat augmented blood pressure responses in obese and overweight males at rest and during exercise.Trial registration: ClinicalTrials.gov identifier: NCT04465110.
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Affiliation(s)
- Katherine Dillon
- Department of Kinesiology, California Baptist University, Riverside, CA, USA
| | - Brian Shariffi
- Department of Kinesiology, California Baptist University, Riverside, CA, USA
| | - Trevor Gillum
- Department of Kinesiology, California Baptist University, Riverside, CA, USA
| | - William Boyer
- Department of Kinesiology, California Baptist University, Riverside, CA, USA
| | - Sean Sullivan
- Department of Kinesiology, California Baptist University, Riverside, CA, USA
| | - Jong-Kyung Kim
- Department of Kinesiology, California Baptist University, Riverside, CA, USA
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DILLON KN, SHARIFFI B, THOMPSON B, STEELE R, KIM JK. Effects of Acute Grape Seed Extract Supplementation on Hemodynamics in Normal Body Weight and Obese Males. J Nutr Sci Vitaminol (Tokyo) 2020; 66:427-431. [DOI: 10.3177/jnsv.66.427] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
| | - Brian SHARIFFI
- Department of Kinesiology, California Baptist University
| | | | - Richard STEELE
- Department of Kinesiology, California Baptist University
| | - Jong-Kyung KIM
- Department of Kinesiology, California Baptist University
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Augmented Hemodynamic Responses in Obese Young Men during Dynamic Exercise: Role of the Muscle Metaboreflex. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17197321. [PMID: 33036416 PMCID: PMC7579031 DOI: 10.3390/ijerph17197321] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/21/2020] [Revised: 10/04/2020] [Accepted: 10/05/2020] [Indexed: 02/03/2023]
Abstract
Studies found that cardiovascular responses to exercise are enhanced in individuals with obesity and are associated with a greater cardiac output (CO) response compared to normal weight controls. However, the mechanisms underlying these altered responses during dynamic exercise are not clear. We investigated whether the cardiovascular responses mediated by the muscle metaboreflex (MMR) activation are augmented in obese men during both static and dynamic exercise. Twenty males (10 obese (OG) and 10 non-obese (NOG)) were studied. Changes in CO, mean arterial pressure (MAP), and total vascular conductance (TVC) were compared between the two groups during dynamic handgrip exercise (DHE), post-exercise muscular ischemia (PEMI), and dynamic exercise corresponding to 40%, 60% and 80% workloads. Subjects completed 2 min of DHE at 30% of MVC, followed by 2 min of PEMI. MAP, CO, and TVC responses to DHE and dynamic exercise were significantly higher in OG, whereas there were no differences during PEMI. Increases in CO and MAP during mild to heavy dynamic exercise were seen in both groups, but the changes in these variables were greater in the OG. There were no significant differences in TVC between the two groups. Compared to NOG, the augmented blood pressure response to DHE and dynamic exercise in OG was associated with a greater increase in CO. Thus, the augmented CO and MAP responses were not associated with the activation of the MMR. Consequently, additional factors specific to obesity, such as the mechanoreflex, may have been involved.
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Naylor A, Shariffi B, Gillum TL, William B, Sullivan S, Kim JK. Effects of combined histamine H 1 and H 2 receptor blockade on hemodynamic responses to dynamic exercise in males with high-normal blood pressure. Appl Physiol Nutr Metab 2020; 45:769-776. [PMID: 31961711 DOI: 10.1139/apnm-2019-0645] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
While postexercise hypotension is associated with histamine H1 and H2 receptor-mediated postexercise vasodilation, effects of histaminergic vasodilation on blood pressure (BP) in response to dynamic exercise are not known. Thus, in 20 recreationally active male participants (10 normotensive and 10 with high-normal BP) we examined the effects of histamine H1 and H2 receptor blockade on cardiac output (CO), mean atrial pressure (MAP), aortic stiffness (AoStiff), and total vascular conductance (TVC) at rest and during progressive cycling exercise. Compared with the normotensive group, MAP, CO, and AoStiff were higher in the high-normal group before and after the blockade at rest, while TVC was similar. At the 40% workload, the blockade significantly increased MAP in both groups, while no difference was found in the TVC. CO was higher in the high-normal group than the normotensive group in both conditions. At the 60% workload, the blockade substantially increased MAP and decreased TVC in the normotensive group, while there were no changes in the high-normal group. A similar CO response pattern was observed at the 60% workload. These findings suggest that the mechanism eliciting an exaggerated BP response to exercise in the high-normal group may be partially due to the inability of histamine receptors. Novelty Males with high-normal BP had an exaggerated BP response to exercise. The overactive BP response is known due to an increase in peripheral vasoconstriction. Increase in peripheral vasoconstriction is partially due to inability of histamine receptors.
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Affiliation(s)
- Ashley Naylor
- Department of Kinesiology, California Baptist University, Riverside, CA 92504, USA.,Department of Kinesiology, California Baptist University, Riverside, CA 92504, USA
| | - Brian Shariffi
- Department of Kinesiology, California Baptist University, Riverside, CA 92504, USA.,Department of Kinesiology, California Baptist University, Riverside, CA 92504, USA
| | - Trevor L Gillum
- Department of Kinesiology, California Baptist University, Riverside, CA 92504, USA.,Department of Kinesiology, California Baptist University, Riverside, CA 92504, USA
| | - Boyer William
- Department of Kinesiology, California Baptist University, Riverside, CA 92504, USA.,Department of Kinesiology, California Baptist University, Riverside, CA 92504, USA
| | - Sean Sullivan
- Department of Kinesiology, California Baptist University, Riverside, CA 92504, USA.,Department of Kinesiology, California Baptist University, Riverside, CA 92504, USA
| | - Jong-Kyung Kim
- Department of Kinesiology, California Baptist University, Riverside, CA 92504, USA.,Department of Kinesiology, California Baptist University, Riverside, CA 92504, USA
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Lin H, Li WZ. Effect of the menstrual cycle on circulation during combined spinal-epidural anaesthesia. BMC Anesthesiol 2018; 18:109. [PMID: 30115031 PMCID: PMC6097406 DOI: 10.1186/s12871-018-0573-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2018] [Accepted: 08/03/2018] [Indexed: 11/21/2022] Open
Abstract
Background From adolescence to menopause, hormone levels during the menstrual cycle affect various body systems, from the cardiovascular system to the water and electrolyte balance. This study investigated the effect of different phases of the menstrual cycle on circulatory function relative to changes in body position and combined spinal-epidural anaesthesia (CSEA). Methods Forty-six women were selected who underwent scheduled gynaecological surgery, were classified as American Society of Anesthesiology (ASA) I-II, and met the test criteria. The sample was divided into the follicular and corpus luteal groups. Preoperative heart rate and blood pressure measurements were taken from the supine and standing positions. Heart rate measurements as well as systolic, diastolic, and mean blood pressure measurements were taken upon entering the operating room, at the beginning of the spinal-epidural anaesthesia, and 10, 20, and 30 min after anaesthesia was administered. Results The heart rates of patients in the corpus luteal group were higher than those of patients in the follicular group both before and after anaesthesia (P < 0.05). Significantly more ephedrine was used during the first 30 min of CSEA in the corpus luteal group than in the follicular group (P < 0.05). Conclusions Although the effect was slight, women in the follicular phase were better able to compensate and tolerate circulatory fluctuations than those in the luteal phase.
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Affiliation(s)
- Hua Lin
- Department of Anesthesia, Tianjin Medical University General Hospital Airport Hospital, Tianjin, 300300, China
| | - Wen-Zhi Li
- Department of Anesthesia, The Second Affiliated Hospital of Harbin Medical University, Harbin, 150000, Heilongjiang, China.
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Schneider AC, Hughes WE, Ueda K, Bock JM, Casey DP. Reduced blood pressure responsiveness to skeletal muscle metaboreflex activation in older adults following inorganic nitrate supplementation. Nitric Oxide 2018; 78:81-88. [DOI: 10.1016/j.niox.2018.05.010] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2017] [Revised: 05/24/2018] [Accepted: 05/31/2018] [Indexed: 01/25/2023]
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Kim JK, Kim KA, Choi HM, Park SK, Stebbins CL. Grape Seed Extract Supplementation Attenuates the Blood Pressure Response to Exercise in Prehypertensive Men. J Med Food 2018; 21:445-453. [DOI: 10.1089/jmf.2017.0133] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Affiliation(s)
- Jong-Kyung Kim
- Graduate School of Physical Education, Kyung Hee University, Yongin, Korea
| | - Kyung-Ae Kim
- Graduate School of Physical Education, Kyung Hee University, Yongin, Korea
| | - Hyun-Min Choi
- Graduate School of Physical Education, Kyung Hee University, Yongin, Korea
| | - Seung-Kook Park
- College of Life Science, Kyung Hee University, Yongin, Korea
| | - Charles L. Stebbins
- Division of Cardiovascular Medicine, Department of Internal Medicine, University of California at Davis, Davis, California, USA
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Park J, Kim MS, Nho H, Kim KA, Kim JK, Choi HM. The Effect of Cardiovascular Responses after Aerobic Exercise in Menstrual Cycle. Health (London) 2017. [DOI: 10.4236/health.2017.93030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Shepherd JRA, Al-Khateeb AA, Dillon GA, Ranadive SM, Limberg JK. Harder, better, faster, longer? Investigating the physiological threshold of endurance exercise. J Physiol 2016; 594:7175-7176. [PMID: 27976399 DOI: 10.1113/jp273389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Affiliation(s)
- John R A Shepherd
- Department of Anesthesiology, Mayo Clinic, Rochester, MN, 55905, USA
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Doh HW, Stebbins CL, Choi HM, Park J, Nho H, Kim JK. Histamine H2 receptor blockade augments blood pressure responses to acute submaximal exercise in males. Appl Physiol Nutr Metab 2016; 41:605-10. [PMID: 27191340 DOI: 10.1139/apnm-2015-0450] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Histamine is a potent vasodilator that has been found to increase during exercise. We tested the hypothesis that histamine would attenuate blood pressure (BP), cardiac output (CO), and vascular resistance responses to short-term, submaximal dynamic exercise during H2 receptor blockade. Fourteen healthy men (20-29 years of age) were studied. Systolic (SBP), diastolic (DBP), and mean arterial (MAP) BP and heart rate (HR) were assessed at rest and during the last minute of 10 min of submaximal cycling exercise (60% of peak oxygen consumption) in the absence and presence of histamine H2 receptor blockade (ranitidine, 300 mg). Stroke volume (SV) (impedance cardiography) and plasma norepinephrine (NE) were measured, and CO, rate × pressure product (RPP), and total peripheral resistance (TPR) were calculated. Plasma levels of histamine were also measured. H2 blockade had no effects on any variables at rest. During exercise, SBP (184 ± 3 mm Hg vs. 166 ± 2 mm Hg), MAP (121 ± 2 mm Hg vs. 112 ± 5 mm Hg), and RPP (25.9 ± 0.8 × 10(3) mm Hg·beats/min vs. 23.5 ± 0.8 × 10(3) mm Hg/beats·min) were greater during blocked conditions (P < 0.05), and an interaction was observed for TPR. SV, DBP, HR, and NE levels were unaffected by blockade. Plasma histamine increased from 1.83 ± 0.14 ng/mL at rest to 2.33 ± 0.23 ng/mL during exercise (P < 0.05) and was not affected by H2 blockade (1.56 ± 0.23 ng/mL vs. 1.70 ± 0.24 ng/mL). These findings suggest that, during submaximal exercise, histamine attenuates BP, vascular resistance, and the work of the heart via activation of H2 receptors and that these effects occurred primarily in the vasculature and not in the myocardium.
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Affiliation(s)
- Hyung-Woo Doh
- a Graduate School of Physical Education, Kyung Hee University, Yongin, Korea
| | - Charles L Stebbins
- b Department of Internal Medicine, Division of Cardiovascular Medicine, University of California, Davis, CA 95616, USA
| | - Hyun-Min Choi
- a Graduate School of Physical Education, Kyung Hee University, Yongin, Korea
| | - Joonsung Park
- a Graduate School of Physical Education, Kyung Hee University, Yongin, Korea
| | - Hosung Nho
- a Graduate School of Physical Education, Kyung Hee University, Yongin, Korea
| | - Jong-Kyung Kim
- a Graduate School of Physical Education, Kyung Hee University, Yongin, Korea
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Mendonca GV, Fernhall B. The influence of water ingestion on postexercise hypotension and standing haemodynamics. Clin Physiol Funct Imaging 2015; 36:447-456. [DOI: 10.1111/cpf.12249] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2014] [Accepted: 02/16/2015] [Indexed: 11/26/2022]
Affiliation(s)
- Goncalo V. Mendonca
- Laboratory of Motor Behavior; Faculty of Human Kinetics; University of Lisbon; Lisbon Portugal
| | - Bo Fernhall
- College of Applied Health Sciences; University of Illinois at Chicago; Chicago IL USA
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