Exploring the Role of Testosterone on Neurovascular Control in Humans
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 20
- 试验地点
- 1
- 主要终点
- Muscle sympathetic nerve activity
研究概览
简要总结
The purpose of these studies are to evaluate the role of testosterone on autonomic and vascular function in men.
详细描述
Sex hormones play a pivotal role in neurovascular function in humans. In recent years, great strides have been made in elucidating the roles of estrogen and progesterone on autonomic and vascular control in women; however, very little is known about the impact of testosterone in men. Given that low testosterone levels are associated with an increased risk of cardiovascular disease, reduced exercise capacity and vascular dysfunction, it is evident that testosterone plays a pivotal role in autonomic and vascular function in men. Our current understanding of testosterone's effects on neurovascular control are confounded by numerous factors that independently alter autonomic and vascular function such as aging and chronic disease (e.g. cardiovascular disease, metabolic disease). The purpose of these studies are to evaluate the role of testosterone on autonomic and vascular function in young men to better isolate the effects of testosterone from the aforementioned confounding factors. The outcomes of these studies will provide novel information regarding the role of male sex hormones in autonomic and vascular control, and further our understanding of the influence of sex hormones on human physiology.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Basic Science
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 35 Years(Adult)
- 性别
- Male
- 接受健康志愿者
- 是
入选标准
- •Moderately active
- •Free of chronic disease
排除标准
- •congenital or acquired hypogonadism
- •drug/alcohol dependence
- •hypertension
- •current smoker
- •current opioid or cannabis user
- •inability to provide written consent
- •parkinson's disease
- •cardiovascular disease
- •testosterone use within the last year
研究组 & 干预措施
GnRH antagonist alone
Intervention: Cetrorelix acetate (Cetrotide)
干预措施: Cetrorelix Acetate (Drug)
GnRH antagonist + Testosterone add-back
Intervention: Cetrorelix acetate (Cetrotide) + Testosterone gel (Androgel)
干预措施: Cetrorelix Acetate (Drug)
GnRH antagonist + Testosterone add-back
Intervention: Cetrorelix acetate (Cetrotide) + Testosterone gel (Androgel)
干预措施: Testosterone gel (Drug)
结局指标
主要结局
Muscle sympathetic nerve activity
时间窗: After 7 days GnRH antagonist alone and 7 days GnRH antagonist + Testosterone
Multi-unit postganglionic muscle sympathetic nerve activity (MSNA) will be measured by inserting a unipolar tungsten microelectrode into the peroneal nerve near the fibular head of the leg. Neural signals will be amplified, filtered (bandwidth, 700-2,000 Hz), rectified, and integrated (time constant, 0.1 s) to obtain mean voltage neurograms. MSNA will be measured during both trials to evaluate the effect of testosterone on sympathetic activity directed toward the musculature.
Endothelial function
时间窗: After 7 days GnRH antagonist alone and 7 days GnRH antagonist + Testosterone
Brachial artery flow-mediated dilation (FMD). Brachial artery FMD measures will be performed non-invasively via Doppler ultrasound.
Forearm blood flow
时间窗: After 7 days GnRH antagonist alone and 7 days GnRH antagonist + Testosterone
Forearm blood flow will be measured using Doppler ultrasound at baseline and during stress (e.g. exercise)
次要结局
- Skeletal muscle microvascular blood flow(After 7 days GnRH antagonist alone and 7 days GnRH antagonist + Testosterone)
研究者
Kevin Shoemaker
Principal Investigator
Western University, Canada
