Reduced Muscle Sympathetic Nerve Activity Response to a Cold Pressor Test in Multiple Sclerosis

Authors

Claire E. Trotter, Southern Methodist UniversityFollow
Mu Huang, University of Texas Southwestern Medical CenterFollow
David M. Keller, University of Texas at ArlingtonFollow
Scott L. Davis, Southern Methodist UniversityFollow

Abstract

Multiple sclerosis (MS) is a neurodegenerative autoimmune disease characterized by demyelination in the central nervous system leading to potential impairments in the autonomic control of cardiovascular function. We have previously demonstrated individuals with MS exhibit a diminished ability to increase blood pressure in response to a hypotensive stimulus compared with healthy controls likely due to impaired sympathetic modulation of the vasculature. PURPOSE: The aim of the current investigation was to test the hypothesis that muscle sympathetic nerve activity (MSNA) responses to a cold pressor test (CPT) are reduced in individuals with MS compared to healthy controls. METHODS: Four patients with relapsing-remitting MS (2 females/2 males, EDSS < 4) and 4 sex-, age- and mass-matched controls were instrumented for MSNA (peroneal nerve), mean arterial blood pressure (MAP; Finometer), and heart rate (HR). Subjects were exposed to a CPT by immersing a hand in ice water for 2 min. Mean cardiovascular and MSNA responses (burst frequency) at baseline and at 30 sec intervals during the CPT were compared between groups. RESULTS: Heart rate (P<0.001) and MAP (P<0.001) responses increased from baseline throughout the CPT but no group differences were observed (P=0.10 and P=0.78, respectively). At baseline, MSNA was similar between groups (MS: 2 ± 2 vs. CON: 14 ± 9 bursts/min; P=0.239). However, individuals with MS had blunted MSNA responses to CPT compared to healthy controls at 60 seconds (MS: 18 ± 14 vs. CON: 42 ± 10 bursts/min; P=0.033), at 90 seconds (MS: 16 ± 12 vs. CON: 44 ± 10 bursts/min; P=.017) and at 120 seconds (MS: 13 ± 12 vs. CON: 43 ± 13 bursts/min; P=.012). CONCLUSION: Individuals with MS appear to have an attenuated muscle sympathetic response to CPT. However, MAP appears to respond similarly to healthy controls potentially through other compensatory mechanisms.

Recommended Citation

Trotter, Claire E.; Huang, Mu; Keller, David M.; and Davis, Scott L. (2020) "Reduced Muscle Sympathetic Nerve Activity Response to a Cold Pressor Test in Multiple Sclerosis," International Journal of Exercise Science: Conference Proceedings: Vol. 2: Iss. 12, Article 72.
Available at: https://digitalcommons.wku.edu/ijesab/vol2/iss12/72