Key result
Prazosin increases capillarity in both fast and slow skeletal muscles in rats.
Long-term prazosin administration increases capillarity in rat skeletal muscles through muscle-specific mechanisms.
Prazosin effects on capillarity require human validation; leaves open its therapeutic role in microcirculatory disease.
The effect on the microcirculation of long term administration of the alpha 1 blocker prazosin, which increases peripheral blood flow, was studied in skeletal muscles with differing metabolic profiles. Prazosin (50 mg.litre-1), given ad libitum for 5 weeks in the drinking water, resulted in an increase in capillarity in both fast glycolytic tibialis anterior cortex and slow oxidative soleus muscles of the rat. In tibialis anterior, the velocity of red blood cells through capillaries was increased, a smaller proportion of capillaries had intermittent flow, less time was spent stationary by red blood cells, and hence the calculated volume flow per capillary was increased. In soleus, capillary diameters were larger, but velocity, intermittency and calculated volume flow were unchanged. Therefore, suggested mechanisms for capillary growth induced by prazosin are different for the two muscles studied: increased shear stress and blood/endothelial cell interaction in the case of tibialis anterior, and increased capillary wall tension in the soleus.
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Dawson et al. (1989) studied this question. Prazosin was evaluated on Capillarity and microcirculation in skeletal muscles. Prazosin administration (50 mg/L for 5 weeks) increased capillarity in both fast glycolytic tibialis anterior and slow oxidative soleus muscles of the rat.
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