Related Experiment Video
Updated: Jun 30, 2026

Intradermal Microdialysis: An Approach to Investigating Novel Mechanisms of Microvascular Dysfunction in Humans
Published on: July 21, 2023
Nitric oxide inhibits cutaneous vasoconstriction to exogenous norepinephrine
Manabu Shibasaki1, David A Low, Scott L Davis
1Department of Environmental Health, Nara Women's University, Dallas, TX, USA.
Nitric oxide (NO) attenuates skin vasoconstriction through postsynaptic mechanisms. This finding clarifies how NO influences blood vessel responses in heat-stressed humans, impacting thermoregulation research.
Area of Science:
- Physiology
- Cardiovascular Research
- Thermoregulation
Background:
- Nitric oxide (NO) is known to inhibit cutaneous vasoconstrictor responsiveness during whole-body cooling and orthostatic stress in heat-stressed humans.
- The precise mechanism, whether presynaptic or postsynaptic, by which NO exerts this inhibitory effect on vasoconstriction remains unclear.
Purpose of the Study:
- To investigate whether nitric oxide (NO) impairs cutaneous vasoconstriction through postsynaptic mechanisms.
- To test the hypothesis that NO acts postsynaptically to reduce the vascular response to vasoconstrictor agents.
Main Methods:
- Skin blood flow was measured at two forearm sites using intradermal microdialysis.
- One site received the NO donor sodium nitroprusside, while the other received adenosine (a non-NO vasodilator).
- Increasing concentrations of norepinephrine were administered via microdialysis to assess vasoconstrictor responsiveness during continuous vasodilation.
Main Results:
- Norepinephrine administration decreased cutaneous vascular conductance at both microdialysis sites.
- The onset of vasoconstriction and the norepinephrine dose for 50% maximal response were significantly higher when NO was present (sodium nitroprusside site) compared to the adenosine site.
- This indicates that NO attenuated the vasoconstrictor response to norepinephrine.
Conclusions:
- Nitric oxide (NO) attenuates the cutaneous vasoconstrictor responsiveness to norepinephrine.
- The findings support a postsynaptic mechanism for NO's inhibitory action on vasoconstriction in human skin.
- This clarifies the role of NO in modulating vascular tone and thermoregulatory responses.
Related Concept Videos
Nitric Oxide Signaling Pathway
Antihypertensive Drugs: Vasodilators
Antianginal Drugs: Nitrates and β-Blockers
Organic nitrates, such as nitroglycerin, play a pivotal role. Once metabolized, they liberate nitric oxide, a molecular marvel. Nitric oxide triggers guanylyl cyclase and augments cGMP production. This biochemical cascade orchestrates the relaxation of vascular smooth muscles, ushering in vasodilation and enhancing coronary blood flow. Administered...
Paracrine Signaling
Adrenergic Agonists: Indirect-Acting Agents
One mechanism involves depleting stored catecholamines by displacing them from synaptic vesicles. These agents, known as "displacers," are transported into vesicles at the expense of noradrenaline. Examples include amphetamine and tyramine, which lack a catechol moiety, resulting in prolonged action, improved oral bioavailability, and...
Nondepolarizing (Competitive) Neuromuscular Blockers: Mechanism of Action
Competitive antagonists prevent acetylcholine from binding to its receptor, inhibiting membrane depolarization. Without conformational changes or intrinsic...

