Enhanced skin sympathetic nervous activity by hyperthermia was suppressed hyperosmolality but not by hypovolemia in young men

 

Yoshi-ichiro Kamijo, Hiroyuki Mitono, Shigeki Ikegawa, and Hiroshi Nose

Department of Sports Medical Sciences, Shinshu University Gradate School of Medicine, 390-8621 Matsumoto, Japan

 

Human beings have a higher ability to dissipate heat generated by active muscles during exercise from the skin surface by a larger amount of skin blood flow (SkBF) than other animal species. However, such a high SkBF may compete with muscles blood flow during exercise when an increase in cardiac out put is limited.

Mitono et al. (2005) found that the suppression of cutaneous vasodilation at the onset of exercise, in proportion to exercise intensity, was attenuated when the concomitant increase in plasma osmolality (Posmol) was prevented by intravenous hypotonic saline infusion, suggesting that the increase in Posmol is an afferent signal to redistribute blood flow from skin to active muscles at the onset of exercise. Recently, Ikegawa et al. (2009) investigated the role of plasma volume (PV) expansion in an enhanced thermoregulation after aerobic training, and found that the increased sensitivity of cutaneous vasodilation at a given increases in esophageal temperature (Tes) after training was returned to the baseline when the increase in PV was reduced to the baseline, suggesting that PV was a key factor to increase the sensitivity of cutaneous vasodilation after aerobic training. These results suggest that osmoreceptors and/or baroreflexes play an important role in regulating SkBF during exercise. Despite this, the efferent path for these responses remains unknown.

To determine the efferent path for the suppression of cutaneous vasodilation in hyperosmolality and hypovolemia, we continuously measured skin sympathetic nerve activity (SSNA) during passive warming for 50 min in control (C; normovolemia and isosmolality), 10% hypovolemia attained by diuretics (LPV), and 5msOm/kgH2O hyperosmolality attained by diuretics and hypertonic infusion (HOS). As Tes increased, cutaneous vascular conductance increased in all groups, but the increase was attenuated in LPV and HOS compared with C.  Although burst frequency of SSNA (BF) increased as Tes increased in all groups, the increase was attenuated only in HOS while that in LPV  was not, similar to that in C.

These results suggest that the suppression of cutaneous vasodilation in hyperosmolality was caused by the decrease in BF of SSNA but was not in hypovolemia.

 

Key words: Skin Blood flow, SSNA, Hypovolemia, Hypersomolality