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| ID | Type | Description | Link |
|---|---|---|---|
| 5P01HL069999 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Heart, Lung, and Blood Institute (NHLBI) | NIH |
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Our bodies respond differently to stress. Animal studies by the investigators have found that endothelin-1 plays a role in regulating blood pressure in response to stress. This study is an extension of the investigators previous animal work to evaluate the role of endothelin-1 during stress in humans.
Using a salt sensitive animal model of prehypertension, the Dahl S rat,the investigators have previously published that acute stress elicits a pressor response that is accompanied by an increase in 8 isoprostane and endothelin-1. However, the pressor response is suppressed by endothelin A/B receptor antagonism. Moreover, the investigators have identified that the increase in 8-isoprostane occurs downstream of endothelin receptor activation. These data indicate that endothelin receptor activation is a main player In the pressor response to acute stress in pre-hypertensive animals; however, this phenomenon has yet to be elucidated in humans.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Bosentan | Experimental | Sub-Chronic (3 days) Bosentan 250mg/day. |
|
| Placebo | Placebo Comparator | Stress response and endothelial function will be determined following a three day treatment of placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Bosentan | Drug | Stress response and vascular function will be assessed 3 days following 125 mg twice per day of Bosentan |
|
| Measure | Description | Time Frame |
|---|---|---|
| Flow-Mediated Dilation (FMD) | Brachial artery FMD induced by reactive hyperemia will be used to assess vascular endothelial function. | Baseline and 3 days |
| Measure | Description | Time Frame |
|---|---|---|
| Arterial Stiffness Evaluation (PWV) | A tonometer will be gently applied on the carotid artery and then the femoral artery and the radial artery to record how fast blood flows between each of the points. | Baseline and 3 days |
| Physio Flow |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ryan Harris, Ph.D. | Augusta University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Georgia Regents University | Augusta | Georgia | 30912 | United States |
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| Label | URL |
|---|---|
| Laboratory of Integrative Vascular and Exercise Physiology | View source |
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| ID | Term |
|---|---|
| D006973 | Hypertension |
| D007249 | Inflammation |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D000077300 | Bosentan |
| D007785 | Lactose |
| ID | Term |
|---|---|
| D000096926 | Benzenesulfonamides |
| D013449 | Sulfonamides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
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| Placebo | Drug | Stress response and vascular function will be assessed 3 days following twice per day placebo |
|
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Six surface electrodes will be placed on the body. 2 on the neck, 2 on the chest, and 2 on the back in order to measure parameters of the heart during exercise.
| Baseline and 3 days |
| Femoral blood flow | Though ultrasound assessment; resistance of the blood flow, blood flow, blood velocity, and arterial diameter will all be measured in the femoral artery during the physically induced stress test which involves submerging the subjects hand in ice water for 3 minutes. | Baseline and 3 days |
| Blood Pressure | Blood pressure will measured in response to the physically induced stress test which involves submerging the subjects hand in ice water for 3 minutes. | Baseline and 3 days |
| Resting Energy Expenditure | REE will be assessed before and following treatment | Baseline and 3 days |
| D001555 |
| Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D013450 | Sulfones |
| D013457 | Sulfur Compounds |
| D011743 | Pyrimidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D004187 | Disaccharides |
| D009844 | Oligosaccharides |
| D011134 | Polysaccharides |
| D002241 | Carbohydrates |
| D000073893 | Sugars |