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September 1, 1996European Journal of Clinical Investigation

Direct vasodilator effects of physiological hyperinsulin‐aemia in human skeletal muscle

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Key result

Intra-arterial infusion of insulin significantly increased forearm blood flow from 1.86 to 3.64 mL dL-1 min-1 after 180 minutes (P<0.001), demonstrating a direct vascular vasodilator effect.

Why the study?

Does local intra-arterial insulin infusion increase forearm blood flow in healthy volunteers?

Population

20 healthy, lean, normotensive volunteers undergoing a total of 30 experiments

Comparison

Local, intra-arterial infusion of insulin into… vs Time and vehicle control experiments (n=5)

Design

Other

Follow-up

180 minutes

Authors

CTCees J. TackRadboud University NijmegenASA. E. P. SchefmanGeneral Department of Preventive MedicineJWJodil WillemsMaastricht University

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Implication

No immediate clinical implications in healthy volunteers; leaves open relevance to insulin resistance or vascular disease.

Structured PICO

Does local intra-arterial insulin infusion increase forearm blood flow in healthy volunteers?

P
Population
20 healthy, lean, normotensive volunteers undergoing 30 perfused forearm technique experiments.
I
Intervention
Local, intra-arterial infusion of insulin (0.3 mU dL-1 forearm volume min-1) into the cannulated brachial artery for 180 minutes
C
Comparator
Time and vehicle control experiments (n=5)
O
Outcome
Forearm blood flow (FBF) measured by venous occlusion plethysmography at 180 minutessurrogate

Main Result

p-value: p=<0.001

The slow vasodilator response to systemic insulin can be partly explained by a direct vascular effect of insulin, which is independent of skeletal muscle glucose uptake.

Cite This Study

Tack et al. (1996) studied Healthy (n=20). Intra-arterial insulin infusion vs. Vehicle control was evaluated on Forearm blood flow (p=<0.001). Intra-arterial infusion of insulin significantly increased forearm blood flow from 1.86 to 3.64 mL dL-1 min-1 after 180 minutes (P<0.001), demonstrating a direct vascular vasodilator effect.

synapsesocial.com/papers/6a99e15095d477d8a1f50968https://doi.org/10.1046/j.1365-2362.1996.2020551.x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Vasodilating Effect of Insulin Is Dependent on Local Glucose Uptake: A Double Blind, Placebo-Controlled Study11998 · 32 citations
  2. 2Vasodilator Response to Systemic But Not to Local Hyperinsulinemia in the Human Forearm1998 · 51 citations
  3. 3Peripheral blood flow and noradrenaline responsiveness: the effect of physiological hyperinsulinemia1997 · 14 citations
  4. 4Prolonged Local Forearm Hyperinsulinemia Induces Sustained Enhancement of Nitric Oxide–Dependent Vasodilation in Healthy Subjects2004 · 9 citations
  5. 5Insulin-Mediated Vasodilation and Glucose Uptake Are Functionally Linked in Humans1999 · 72 citations