Abstract
Thirty-six healthy subjects and 65 patients with neurogenic inflammation (complex regional pain syndrome of the hand) or denervation syndromes (after median and ulnar nerve injuries or transplantation of denervated vascularized musculocutaneous autografts), as well as after thoracoscopic sympathectomy, underwent laser Doppler flowmetry with spectral wavelet analysis of the blood flow oscillations in cutaneous microvessels and thermography. It was shown that, along with maintenance of the blood flow oscillations of endothelial genesis, peptidergic sensory nerve fibers (SPFs) are involved in activating independent, including high-amplitude, oscillations in the myogenic range 0.047–0.069 Hz (an average of three to four oscillations per minute). The above-mentioned oscillations were recorded against the background of neurogenic inflammation and nociceptive activation of C afferents after nerve injuries, as well as in the course of functional tests in healthy subjects (the forearm skin electrostimulation test, capsaicin application). Sympathectomy and hyposympathicotonia contributed to their manifestation; they were not detected under the conditions of severe sensory-trophic skin denervation. The appearance of high-amplitude blood flow oscillations in human skin microvessels at a frequency of 0.047–0.069 Hz may serve as an objective criterion of SPF activation.
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Zolotarev, V.A. and Nozdrachev, A.D., Capsaicin-Sensitive Afferents of the Vagus Nerve, Ross. Fiziol. Zh. im. I.M. Sechenova, 2001, vol. 87, no. 2, p. 182.
Krupatkin, A.I., Klinicheskaya neiroangiofiziologiya konechnostei (perivaskulyarnaya innervatsiya i nervnaya trofika) (Clinical Neuroangiophysiology of the Limbs (Perivascular Innervation and Nerve Trophism)), Moscow: Nauchnyi Mir, 2003.
Polenov, S.A., Dvoretskii, D.P., and Chemyavskaya, G.V., Vasomotor Effects of Neuropeptides, Fiziol. Zh. im. I.M. Sechenova, 1995, vol. 81, no. 6, p. 29.
Scotland, R.S., Chauhan, S., Davis, C., et al., Vanilloid Receptor TRPV1, Sensory C-Fibers, and Vascular Autoregulation: A Novel Mechanism Involved in Myogenic Constriction, Circ. Res., 2004, vol. 95, no. 10, p. 1027.
Wilson, T.E., Zhang, R., Levine, B.D., et al., Dynamic Autoregulation of Cutaneous Circulation: Differential Control in Glabrous versus Nonglabrous Skin, Am. J. Physiol., 2005, vol. 289, p. H385.
Gibbins, I.L., Wattchow, D., and Coventry, B., Two Immunohistochemically Identified Populations of Calcitonin-Gene-Related Peptide (CGRP)—Immunoreactive Axons in Human Skin, Brain Res., 1987, vol. 414, p. 143.
Brain, S.D. and Grant, A.D., Vascular Actions of Calcitonin-Gene-Related Peptide and Adrenomedullin, Physiol. Rev., 2004, vol. 84, p. 903.
Light, A.R., “Nocifensor” System Re-revisited, J. Neurophysiol., 2004, vol. 91, p. 2401.
Schmelz, M., Schmidt, R., Weidner, C., et al., Chemical Response Pattern of Different Classes of C-Nociceptors to Pruritogens and Algogens, J. Neurophysiol., 2003, vol. 89, p. 2441.
Serra, J., Campero, M., and Ochoa, J., Flare and Hyperalgesia Following Intradermal Capsaicin Injection in Human Skin, J. Neurophysiol., 1998, vol. 80, p. 2801.
Sumicura, H., Andersen, O.K., Drewes, A.M., et al., Spatial and Temporal Profiles of Flare and Hyperalgesia after Intradermal Capsaicin, Pain, 2003, vol. 105, p. 285.
Minson, C.T., Berry, L.T., and Joyner, M.J., Nitric Oxide and Neurally Mediated Regulation of Skin Blood Flow during Local Heating, J. Appl. Physiol., 2001, vol. 91, p. 1619.
Krupatkin, A.I., New Possibilities of Assessing the Innervation of Skin Microvessels with the Spectral Analysis of Microhemodynamics Oscillations, Regionamoe Krovoobrashchenie i Mikrotsirkulyatsiya, 2004, vol. 3, no. 4, p. 52.
Krupatkin, A.I., RF Inventor’s Certificate 2 277 861.
Lazernaya dopplerovskaya floumetriya mikrotsirkulyatsii krovi. Rukovodstvo dlya vrachei (Laser Doppler Flowmetry of Blood Microcirculation. Handbook for Doctors), Krupatkin, A.I. and Sidorov, V.V., Eds., Moscow: Meditsina, 2005.
Colantuoni, A., Bertuglia, S., Copponi, G., et al., Superposition of Arteriolar Vasomotion Waves and Regulation of Blood Flow in Skeletal Muscle Microciroculation, Adv. Exp. Med. Biol., 1990, vol. 277, p. 549.
Forster, C., Greiner, T., Nischik, M., et al., Neurogenic Flare Responses Are Heterogeneous in Superficial and Deep Layers of Human Skin, Neurosci. Lett., 1995, vol. 185, no. 1, p. 33.
Meyer, C., de Vries, G., Davidge, S.T., et al., Reassessing the Mathematical Modeling of the Contribution of Vasomotion to Vascular Resistance, J. Appl. Physiol., 2002, vol. 92, p. 888.
Tsai, A.G. and Intaglietta, M., Evidence of Flow Motion-Induced Changes in Local Tissue Oxygenation, Int. J. Microcirc. Clin. Exp., 1993, vol. 12, p. 75.
Ochs, G., Schenk, M., and Struppler, A., Painful Dysesthesias following Peripheral Nerve Injury: A Clinical and Electrophysiological Study, Brain Res., 1989, vol. 496, no. 1, p. 228.
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Original Russian Text © A.I. Krupatkin, 2007, published in Fiziologiya Cheloveka, 2007, Vol. 33, No. 3, pp. 48–54.
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Krupatkin, A.I. Influence of sensory peptidergic innervation on human skin blood flow oscillations in the range 0.047–0.069 Hz. Hum Physiol 33, 296–301 (2007). https://doi.org/10.1134/S0362119707030061
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DOI: https://doi.org/10.1134/S0362119707030061