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The acute angiogenic signalling response to low-load resistance exercise with blood flow restriction
Authors:Richard A Ferguson  Julie E A Hunt  Mark P Lewis  Neil R W Martin  Darren J Player  Carolin Stangier
Institution:1. School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK;2. Faculty of Health and Medical Sciences, School of Biosciences &3. Medicine, University of Surrey, Guildford, UK;4. Institute of Movement and Neurosciences, German Sport University, Cologne, Germany
Abstract:This study investigated protein kinase activation and gene expression of angiogenic factors in response to low-load resistance exercise with or without blood flow restriction (BFR). In a repeated measures cross-over design, six males performed four sets of bilateral knee extension exercise at 20% 1RM (reps per set?=?30:15:15:continued to fatigue) with BFR (110?mmHg) and without (CON). Muscle biopsies were obtained from the vastus lateralis before, 2 and 4?h post-exercise. mRNA expression was determined using real-time RT–PCR. Protein phosphorylation/expression was determined using Western blot. p38MAPK phosphorylation was greater (p?=?0.05) at 2?h following BFR (1.3?±?0.8) compared to CON (0.4?±?0.3). AMPK phosphorylation remained unchanged. PGC-1α mRNA expression increased at 2?h (5.9?±?1.3 vs. 2.1?±?0.8; p?=?0.03) and 4?h (3.2?±?0.8 vs. 1.5?±?0.4; p?=?0.03) following BFR exercise with no change in CON. PGC-1α protein expression did not change following either exercise. BFR exercise enhanced mRNA expression of vascular endothelial growth factor (VEGF) at 2?h (5.2?±?2.8 vs 1.7?±?1.1; p?=?.02) and 4?h (6.8?±?4.9 vs. 2.5?±?2.7; p?=?.01) compared to CON. mRNA expression of VEGF-R2 and hypoxia-inducible factor 1α increased following BFR exercise but only eNOS were enhanced relative to CON. Matrix metalloproteinase-9 mRNA expression was not altered in response to either exercise. Acute low-load resistance exercise with BFR provides a targeted angiogenic response potentially mediated through enhanced ischaemic and shear stress stimuli.
Keywords:BFR  kaatsu  resistance training  capillaries  hypoxia
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