Key result
ASIC3 blockade blunts the exaggerated pressor reflex to muscle contraction by ~17 mmHg after ischemia-reperfusion.
Why the study?
The study examined whether hindlimb muscle ischemia-reperfusion alters ASIC3-mediated muscle afferent activity in regulating the exercise pressor reflex.
Absolute Event Rate: 18% vs 35%
p-value: p=<0.001
Ischemia-reperfusion upregulates ASIC3 signaling in muscle afferents, exacerbating the exercise pressor reflex, which may provide mechanistic insights into peripheral artery disease.
ASIC3 blockade attenuates the amplified exercise pressor reflex in rat hindlimb ischemia-reperfusion; leaves open whether this extends to patients with peripheral artery disease.
We examined if the hindlimb muscle ischemia–reperfusion (IR) alters ASIC3‐mediated muscle afferent activity in regulating the exercise pressor reflex (EPR). APETx2 (an ASIC3 antagonist) was arterially injected into the hindlimb before static muscle contraction. The mean arterial pressure (MAP) and heart rate (HR) were recorded. ASIC3‐mediated MAP response was studied via intra‐arterially injected lactic acid (LA). Western blot and immunofluorescence were used to determine the ASIC3 expression and location in L4–6 dorsal root ganglion (DRG). Calcium imaging was applied to detect pH6.7‐induced Ca 2+ entry in the isolated muscle DRG neurons. IR amplified the peak MAP response to muscle contraction (sham vs. IR: p = 0.031), which was reduced by the blockage of ASIC3 with APETx2 (baseline vs. blockage: p < 0.001). The peak MAP responses to LA were increased in IR rats (sham vs. IR, 1 μmol/kg: p < 0.05; 2 and 4 μmol/kg: sham vs. IR, p < 0.01) and were reduced by APETx2 (baseline LA control vs. blockage: p = 0.013). ASIC3 protein expression was increased in IR L4‐6 DRGs (sham vs. IR, p = 0.012). APETx2 attenuated the pH 6.7‐induced Ca 2+ entry (ΔF340/F380: sham vs. IR, p = 0.017; IR vs. IR + APETx2, p = 0.003). Increased ASIC3 signaling amplifies muscle afferent activity and exacerbates the EPR following IR.
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Qin et al. (2025) studied Hindlimb ischemia-reperfusion (Peripheral artery disease model) (n=60). ASIC3 blockade with APETx2 vs. Baseline without blockade was evaluated on Mean arterial pressure (MAP) response to static muscle contraction (p=<0.001). In a male rat model of hindlimb ischemia-reperfusion, ASIC3 blockade with APETx2 significantly reduced the amplified mean arterial pressure response to static muscle contraction from 35 mmHg to 18 mmHg (p<0.001).
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