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Cutaneous microvascular functional assessment during exercise: a novel approach using laser speckle contrast imaging

  • Integrative Physiology
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Abstract

Cardiovascular diseases are often revealed during exercise and are associated with cutaneous blood flow (CBF) dysfunction. Studies of CBF during exercise are consequently of interest. Laser speckle contrast imaging (LSCI) allows for non-contact and real-time recording of CBF at rest. We tested whether LSCI could allow the study of CBF during a cycling exercise using a specific signal treatment procedure that removes movement-induced artefacts from the LSCI raw signal. We recorded the baseline CBF and peak post-occlusive reactive hyperaemia (PORH) from the cutaneous forearm using LSCI and the mean blood pressure before and during cycling (80 W at 70 rpm) in nine healthy subjects. We determined the cross-correlation coefficient r between LSCI traces obtained before and during cycling and before and after a specifically designed signal processing technique. The results are presented as the median (25th–75th centile) and expressed as the cutaneous vascular conductance (laser speckle perfusion units (LSPU) per millimetre of mercury). Cross-correlation r increased from 0.226 ± 0.140 before to 0.683 ± 0.170 after post-processing. After signal processing, the peak PORH during exercise was reduced [0.38 (0.30–0.52) LSPU/mmHg] compared with the peak PORH during the non-exercise phase [0.69 (0.63–0.74) LSPU/mmHg, p < 0.01], whereas no difference was found between the baseline values. With adequate signal processing, LSCI appears valuable for investigating CBF during exercise. During constant-load lower limb cycling exercise, the upper limb peak PORH is reduced compared with the peak PORH during non-exercise. The underlying mechanisms warrant further investigations in both healthy (trained) subjects and diseased (e.g., coronary heart disease) patients.

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References

  1. Abularrage CJ, Sidawy AN, Aidinian G, Singh N, Weiswasser JM, Arora S (2005) Evaluation of the microcirculation in vascular disease. J Vasc Surg 42:574–581

    Article  PubMed  Google Scholar 

  2. Binggeli C, Spieker LE, Corti R, Sudano I, Stojanovic V, Hayoz D, Luscher TF, Noll G (2003) Statins enhance postischemic hyperemia in the skin circulation of hypercholesterolemic patients: a monitoring test of endothelial dysfunction for clinical practice? J Am Coll Cardiol 42:71–77

    Article  PubMed  CAS  Google Scholar 

  3. Boushel R (2010) Muscle metaboreflex control of the circulation during exercise. Acta Physiol (Oxf) 199:367–383

    Article  CAS  Google Scholar 

  4. Colberg SR, Parson HK, Holton DR, Nunnold T, Vinik AI (2003) Cutaneous blood flow in type 2 diabetic individuals after an acute bout of maximal exercise. Diabetes Care 26:1883–1888

    Article  PubMed  Google Scholar 

  5. Cracowski JL, Minson CT, Salvat-Melis M, Halliwill JR (2006) Methodological issues in the assessment of skin microvascular endothelial function in humans. Trends Pharmacol Sci 27:503–508

    Article  PubMed  CAS  Google Scholar 

  6. Fromy B, Sigaudo-Roussel D, Gaubert-Dahan ML, Rousseau P, Abraham P, Benzoni D, Berrut G, Saumet JL (2010) Aging-associated sensory neuropathy alters pressure-induced vasodilation in humans. J Investig Dermatol 130:849–855

    Article  PubMed  CAS  Google Scholar 

  7. Gellish RL, Goslin BR, Olson RE, McDonald A, Russi GD, Moudgil VK (2007) Longitudinal modeling of the relationship between age and maximal heart rate. Med Sci Sports Exerc 39:822–829

    PubMed  Google Scholar 

  8. Heylen E, Simon B, Guerrero F, Elkaim JP, Saiag B, Mansourati J (2005) Reactive hyperaemia in the forearm skin of highly trained windsurfers. Int J Sports Med 26:822–826

    Article  PubMed  CAS  Google Scholar 

  9. Hirsch AT, Haskal ZJ, Hertzer NR, Bakal CW, Creager MA, Halperin JL, Hiratzka LF, Murphy WR, Olin JW, Puschett JB, Rosenfield KA, Sacks D, Stanley JC, Taylor LM Jr, White CJ, White J, White RA, Antman EM, Smith SC Jr, Adams CD, Anderson JL, Faxon DP, Fuster V, Gibbons RJ, Hunt SA, Jacobs AK, Nishimura R, Ornato JP, Page RL, Riegel B (2006) ACC/AHA 2005 Practice Guidelines for the management of patients with peripheral arterial disease (lower extremity, renal, mesenteric, and abdominal aortic): a collaborative report from the American Association for Vascular Surgery/Society for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Peripheral Arterial Disease): endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; TransAtlantic Inter-Society Consensus; and Vascular Disease Foundation. Circulation 113:e463–654

    Article  PubMed  Google Scholar 

  10. Holowatz LA, Thompson-Torgerson CS, Kenney WL (2008) The human cutaneous circulation as a model of generalized microvascular function. J Appl Physiol 105:370–372

    Article  PubMed  Google Scholar 

  11. Kellogg DL Jr, Johnson JM, Kosiba WA (1991) Competition between cutaneous active vasoconstriction and active vasodilation during exercise in humans. Am J Physiol 261:H1184–1189

    PubMed  Google Scholar 

  12. Khan F, Patterson D, Belch JJ, Hirata K, Lang CC (2008) Relationship between peripheral and coronary function using laser Doppler imaging and transthoracic echocardiography. Clin Sci (Lond) 115:295–300

    Article  Google Scholar 

  13. Klonizakis M (2012) Studying the cutaneous microcirculatory response during upper-limb exercise in healthy, older, sedentary people. Clin Hemorheol Microcirc 51:69–75

    PubMed  Google Scholar 

  14. Lenasi H, Strucl M (2004) Effect of regular physical training on cutaneous microvascular reactivity. Med Sci Sports Exerc 36:606–612

    Article  PubMed  Google Scholar 

  15. Lenasi H, Strucl M (2010) Regular physical activity alters the postocclusive reactive hyperemia of the cutaneous microcirculation. Clin Hemorheol Microcirc 45:365–374

    PubMed  Google Scholar 

  16. Lindahl F, Tesselaar E, Sjoberg F (2012) Assessing paediatric scald injuries using laser speckle contrast imaging. Burns. doi:10.1016/j.burns.2012.09.018

  17. Mahe G, Durand S, Humeau A, Leftheriotis G, Rousseau P, Abraham P (2012) Air movements interfere with laser speckle contrast imaging recordings. Lasers Med Sci 27:1073–1076

    Article  PubMed  Google Scholar 

  18. Mahe G, Durand S, Humeau-Heurtier A, Leftheriotis G, Abraham P (2012) Impact of experimental conditions on noncontact laser recordings in microvascular studies. Microcirculation 19:669–675

    Article  PubMed  Google Scholar 

  19. Mahe G, Haj-Yassin F, Rousseau P, Humeau A, Durand S, Leftheriotis G, Abraham P (2011) Distance between laser head and skin does not influence skin blood flow values recorded by laser speckle imaging. Microvasc Res 82:439–442

    Article  PubMed  Google Scholar 

  20. Mahe G, Humeau-Heurtier A, Durand S, Leftheriotis G, Abraham P (2012) Assessment of skin microvascular function and dysfunction with laser speckle contrast imaging. Circ Cardiovasc Imaging 5:155–163

    Article  PubMed  Google Scholar 

  21. Mahé G, Rousseau P, Durand S, Bricq S, Leftheriotis G, Abraham P (2011) Laser speckle contrast imaging accurately measures blood flow over moving skin surfaces. Microvasc Res 81:183–188

    Article  PubMed  Google Scholar 

  22. Millet C, Roustit M, Blaise S, Cracowski JL (2011) Comparison between laser speckle contrast imaging and laser Doppler imaging to assess skin blood flow in humans. Microvasc Res 82:147–151

    Article  PubMed  CAS  Google Scholar 

  23. Rousseau P, Mahe G, Fromy B, Ducluzeau PH, Saumet JL, Abraham P (2009) Axon-reflex cutaneous vasodilatation is impaired in type 2 diabetic patients receiving chronic low-dose aspirin. Microvasc Res 78:218–223

    Article  PubMed  CAS  Google Scholar 

  24. Rousseau P, Mahe G, Haj-Yassin F, Durand S, Humeau A, Leftheriotis G, Abraham P (2011) Increasing the “region of interest” and “time of interest”, both reduce the variability of blood flow measurements using laser speckle contrast imaging. Microvasc Res 82:88–91

    Article  PubMed  Google Scholar 

  25. Roustit M, Cracowski JL (2012) Non-invasive assessment of skin microvascular function in humans: an insight into methods. Microcirculation 19:47–64

    Article  PubMed  Google Scholar 

  26. Roustit M, Millet C, Blaise S, Dufournet B, Cracowski JL (2010) Excellent reproducibility of laser speckle contrast imaging to assess skin microvascular reactivity. Microvasc Res 80:505–511

    Article  PubMed  CAS  Google Scholar 

  27. Sauvet F, Mahe G, Chennaoui M, Langrume C, Vasseur M, Abraham P, Leftheriotis G (2011) Acetylcholine chloride as a potential source of variability in the study of cutaneous vascular function in man. Microvasc Res 82:190–197

    Google Scholar 

  28. Sharma K, Kohli P, Gulati M (2012) An update on exercise stress testing. Curr Probl Cardiol 37:177–202

    Article  PubMed  Google Scholar 

  29. Shibasaki M, Inoue Y, Kondo N, Iwata A (1997) Thermoregulatory responses of prepubertal boys and young men during moderate exercise. Eur J Appl Physiol Occup Physiol 75:212–218

    Article  PubMed  CAS  Google Scholar 

  30. Taylor JA, Hand GA, Johnson DG, Seals DR (1992) Augmented forearm vasoconstriction during dynamic exercise in healthy older men. Circulation 86:1789–1799

    Article  PubMed  CAS  Google Scholar 

  31. Tew GA, George KP, Cable NT, Hodges GJ (2012) Endurance exercise training enhances cutaneous microvascular reactivity in post-menopausal women. Microvasc Res 83:223–228

    Article  PubMed  Google Scholar 

  32. Tew GA, Klonizakis M, Crank H, Briers JD, Hodges GJ (2011) Comparison of laser speckle contrast imaging with laser Doppler for assessing microvascular function. Microvasc Res 2:326–332

    Article  Google Scholar 

  33. Wade OL, Bishop JM (1962) Cardiac output and regional blood flow. Blackwell, Oxford

    Google Scholar 

  34. Whyte JJ, Laughlin MH (2010) The effects of acute and chronic exercise on the vasculature. Acta Physiol (Oxf) 199:441–450

    Article  CAS  Google Scholar 

  35. Yamazaki F, Sone R (2003) Skin vascular response in the hand during sinusoidal exercise in physically trained subjects. Eur J Appl Physiol 90:159–164

    Article  PubMed  Google Scholar 

  36. Yamazaki F, Sone R (2006) Different vascular responses in glabrous and nonglabrous skin with increasing core temperature during exercise. Eur J Appl Physiol 97:582–590

    Article  PubMed  Google Scholar 

  37. Yvonne-Tee GB, Rasool AH, Halim AS, Rahman AR (2005) Reproducibility of different laser Doppler fluximetry parameters of postocclusive reactive hyperemia in human forearm skin. J Pharmacol Toxicol Methods 52:286–292

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

The authors thank Lydie Gascoin, Isabelle Albertini, and Yoanna Onillon for technical help and Professor Fallou Cissé for expert reviewing and useful suggestions. The study was supported in part by an “INTERFACE” grant from the “Institut National de la Santé et de la Recherche Médicale” (INSERM) and was promoted by the University Hospital of Angers.

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None declared for each author.

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Correspondence to G. Mahe or S. Durand.

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Clinical-Trial-Registration: NCT01152008

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Mahe, G., Abraham, P., Le Faucheur, A. et al. Cutaneous microvascular functional assessment during exercise: a novel approach using laser speckle contrast imaging. Pflugers Arch - Eur J Physiol 465, 451–458 (2013). https://doi.org/10.1007/s00424-012-1215-7

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  • DOI: https://doi.org/10.1007/s00424-012-1215-7

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