Sex Differences in the Dilatory Response of Compound 21

• Status: Not yet recruiting
• Trial end date: 2023-10-01
• Target enrollment: 0
• Participant gender: All

Summary

When blood pressure changes, your body responds by producing and releasing a chemical called Angiotensin II into your bloodstream. This substance can make blood vessels smaller (i.e., vasoconstriction) by acting though Angiotensin II type I receptors (AT1R) to increase blood pressure. Or it can increase the diameter of vessels (i.e., vasodilation) through Angiotensin II type II receptors (AT2R) to decrease your blood pressure. These two receptors normally work in balance to maintain your blood pressure. However, excess Angiotensin II released in the blood stream may reduce sensitivity of AT2Rs, leading to excessive activation of AT1Rs. This results in increased constriction which plays a major role in diseases such as high blood pressure, hardening of the arteries, and heart failure. In the body, Angiotensin II production is reduced in the presence of estrogen, as seen in pre-menopausal women. Pre-menopausal women have a greater protection against cardiovascular diseases compared to age-matched males, likely due to the protective effects of estrogen. However, the extent that estrogen may impact the sensitivity of Angiotensin II receptors in pre-menopausal is unknown.

In this study, we use the blood vessels in the skin as a representative vascular bed for examining mechanisms of microvascular dysfunction in humans. Using a minimally invasive technique (intradermal microdialysis for the local delivery of pharmaceutical agents) we examine the blood vessels in a dime-sized area of the skin in healthy young women and men. As a compliment to these measurements, we also draw blood from the subjects and measure circulating factors that may contribute to cardiovascular health.

• Phase: Early Phase 1
• Accepts Healthy Volunteers?: Accepts Healthy Volunteers

Details

• Lead Sponsor: Anna Stanhewicz, PhD
• Treatments: Compound 21; Losartan

Criteria

Inclusion Criteria:

• Young women or men,

• 18-35 years old,

• Body mass index between 18 and 30 kg/m2,

• Systolic blood pressure <140,

• Diastolic blood pressure <90 mmHg.

Exclusion Criteria:

• Skin allergies, skin disorders, or skin diseases such as Raynaud's phenomenon or other history of cold intolerance,

• History of metabolic or cardiovascular disease,

• Taking medications that could alter vascular function, including antidepressants, anxiety medications, or cholesterol or blood pressure lowering drugs,

• Women with oligo- or amenorrhea,

• Women that are pregnant or nursing

• current tobacco use,

• Allergy to materials used during the experiment (e.g. latex).