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Updated: Jun 18, 2026

Intradermal Microdialysis: An Approach to Investigating Novel Mechanisms of Microvascular Dysfunction in Humans
Published on: July 21, 2023
Adrenergic control of the human cutaneous circulation
Gary J Hodges1, John M Johnson
1Department of Physiology, The University of Texas Health Science Center, San Antonio, TX 78229, USA. ghodges@uwo.ca
This review explores how the sympathetic nervous system controls skin blood flow during thermoregulation. It highlights the critical role of sympathetic function in regulating skin circulation during heating and cooling challenges.
Area of Science:
- Physiology
- Thermoregulation
- Cutaneous Circulation
Background:
- Cutaneous circulation is modulated by thermoregulatory and nonthermoregulatory factors.
- Sympathetic nervous system activity, local temperature, and vascular reflexes influence skin blood flow.
Purpose of the Study:
- To review how thermoregulatory influences affect skin blood flow via the sympathetic nervous system.
- To examine cutaneous vascular responses to local and whole-body heating and cooling.
Main Methods:
- Review of existing literature on thermoregulation and cutaneous vascular control.
- Analysis of sympathetic nervous system mechanisms in skin blood flow regulation.
Main Results:
- Thermoregulatory challenges significantly impact skin circulation.
- Sympathetic nervous system mediates vasoconstriction and vasodilation in response to temperature changes.
Conclusions:
- Sympathetic function is crucial for reflex vasoconstriction and vasodilation.
- Sympathetic nervous system plays a significant role in the skin's response to both local heating and cooling.
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