Key result
Whole-body heat stress and intense exercise significantly increased platelet microvesicle formation (arterial PMV increased from 19.9 to 35.5 PMV/μL*10^3, P<0.05).
Why the study?
Does heat stress and exercise increase the appearance of platelet microvesicles in healthy humans?
Does heat stress and exercise increase the appearance of platelet microvesicles in healthy humans?
Absolute Event Rate: 35.5% vs 19.9%
p-value: p=<0.05
Whole-body heat stress and intense exercise promote platelet microvesicle formation locally and systemically, independent of local shear stress.
Hypothesis-generating for thrombotic risk during heat/exercise; leaves open relevance to patient outcomes and guidelines.
Intense, large muscle mass exercise increases circulating microvesicles, but our understanding of microvesicle dynamics and mechanisms inducing their release remains limited. However, increased vascular shear stress is generally thought to be involved. Here, we manipulated exercise‐independent and exercise‐dependent shear stress using systemic heat stress with localized single‐leg cooling (low shear) followed by single‐leg knee extensor exercise with the cooled or heated leg (Study 1, n = 8) and whole‐body passive heat stress followed by cycling (Study 2, n = 8). We quantified femoral artery shear rates ( SR s) and arterial and venous platelet microvesicles ( PMV – CD 41 + ) and endothelial microvesicles ( EMV – CD 62E + ). In Study 1, mild passive heat stress while one leg remained cooled did not affect [microvesicle] ( P ≥ 0.05). Single‐leg knee extensor exercise increased active leg SR s by ~12‐fold and increased arterial and venous [ PMV s] by two‐ to threefold, even in the nonexercising contralateral leg ( P < 0.05). In Study 2, moderate whole‐body passive heat stress increased arterial [ PMV ] compared with baseline (mean± SE , from 19.9 ± 1.5 to 35.5 ± 5.4 PMV . μ L −1. 10 3 , P < 0.05), and cycling with heat stress increased [ PMV ] further in the venous circulation (from 27.5 ± 2.2 at baseline to 57.5 ± 7.2 PMV . μ L −1. 10 3 during cycling with heat stress, P < 0.05), with a tendency for increased appearance of PMV across exercising limbs. Taken together, these findings demonstrate that whole‐body heat stress may increase arterial [ PMV ], and intense exercise engaging either large or small muscle mass promote PMV formation locally and systemically, with no influence upon [ EMV ]. Local shear stress, however, does not appear to be the major stimulus modulating PMV formation in healthy humans.
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Wilhelm et al. (2017) studied Healthy humans (n=16). Whole-body heat stress and exercise vs. Baseline or cooled/non-exercising conditions was evaluated on Arterial platelet microvesicles (PMV) concentration (p=<0.05). Whole-body heat stress and intense exercise significantly increased platelet microvesicle formation (arterial PMV increased from 19.9 to 35.5 PMV/μL*10^3, P<0.05).
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