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Updated: Aug 6, 2026

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Intradermal Microdialysis: An Approach to Investigating Novel Mechanisms of Microvascular Dysfunction in Humans
Published on: July 21, 2023
Comparing cutaneous NO-dependent vasodilation between young males and females
Madison G Evering1, Kelsey S Schwartz2,3, Claire E Goebel2
1Department of Health Behavior and Nutrition Sciences, University of Delaware, Newark, DE.
Medrxiv : the Preprint Server for Health Sciences
|July 17, 2026
Summary
Sex differences in skin vasodilation responses to heating and acetylcholine are stimulus-dependent. Nitric oxide (NO) dilation was greater in females, but not influenced by menstrual cycle phase.
Area of Science:
- Physiology
- Vascular Biology
- Dermatology
Background:
- Cutaneous microvascular responses to local heating and acetylcholine (ACh) are commonly studied to assess endothelium and nitric oxide (NO) function.
- However, sex differences in these responses in healthy young adults are not fully understood.
Purpose of the Study:
- To investigate sex differences in cutaneous vasodilation in response to local heating and ACh.
- To determine the role of NO in these sex differences.
- To examine the influence of the menstrual cycle on these responses in females.
Main Methods:
- Eighty healthy young adults (40 females) underwent local heating (39°C and 42°C) and intradermal microdialysis with ACh (10-10 to 10-1 mol/L) alone or with L-NAME (NO synthase inhibitor).
- Cutaneous vasodilation was measured using laser-Doppler flowmetry.
- Menstrual cycle phase and hormonal contraceptive use were recorded in females.
Main Results:
- Local heating to 42°C induced greater endothelium- and NO-dependent vasodilation than 39°C, with no sex differences observed.
- ACh-induced endothelium-dependent vasodilation did not differ between sexes.
- The NO-dependent component of ACh-induced vasodilation was greater in females than males (p=0.01).
- Menstrual cycle phase did not influence endothelium- or NO-dependent vasodilation in females.
Conclusions:
- Sex differences in microvascular NO bioavailability are stimulus-dependent in young adults.
- In females, cutaneous vasodilation responses are not significantly affected by menstrual cycle phase or hormonal contraceptive use.
