About this trial
Cardiovascular disease (CVD) is a leading cause of morbidity and mortality worldwide, and the non-Hispanic Black (NHB) population is disproportionately affected. Our research has previously demonstrated that oxidative stress may contribute to reduced vascular function in otherwise healthy NHB adults, potentially predisposing them to the development of hypertension and CVD. This study is designed to examine whether the mitochondria are an important source of oxidative stress-induced vascular dysfunction in healthy NHB adults.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Self-identify as either non-Hispanic Black or non-Hispanic White.
Men and women 18-75 years old.
Non-hypertensive (systolic blood pressure [SBP]<130 and diastolic blood pressure [DBP] <85 mmHg).
Have low density lipoprotein cholesterol <150mg/dl.
Disqualifiers
Rash, skin disease, or disorders of pigmentation (e.g., psoriasis, eczema, vitiligo, or other skin inflammatory skin disorders)
Known skin allergies to latex or adhesives
Smoking and/or use of nicotine-containing products within the past year
Use of illegal/recreational drugs
Trial design
Crossover
Treatments tested in this trial
MitoQ
Dietary supplementMitoQ supplement is composed of mitoquinol mesylate, which is a synthetic analog of coenzyme Q10
Placebo
Dietary supplementMitoQ matched Placebo
MitoTempo
DrugDuring each experimental visit, intradermal microdialysis will be used to locally infuse MitoTempo (a mitochondria-specific superoxide dismutase mimetic) into the cutaneous microvasculature in the ventral aspect of the left forearm.
Tempol
DrugDuring each experimental visit, intradermal microdialysis will be used to locally infuse Tempol (a superoxide dismutase mimetic) into the cutaneous microvasculature in the ventral aspect of the left forearm.
L-NAME
DrugDuring each experimental visit, L-NAME (nitric oxide synthase inhibitor) will be perfused through microdialysis fibers for quantification of nitric oxide-mediated vasodilation.
SNP - Sodium Nitroprusside
DrugAt the end of each experimental visit, SNP will be perfused through microdialysis fibers to elicit a maximal vasodilation response.
Treatment groups
Trial outcomes
Primary outcomes
Cutaneous microvascular responses to local heating
Using intradermal microdialysis, skin blood vessels will be locally treated with a mitochondria-targeted antioxidant (MitoTempo; 1 mM concentration). Nitric oxide (NO)-mediated skin vasodilation will be quantified via local inhibition of endothelial NO synthase during the course of the local skin heating protocol using L-NAME (15 mM concentration). Finally, maximal skin blood flow will be measured by heating the local area of skin to 43 degrees Celsius and locally perfusing sodium nitroprusside (SNP; an NO donor; 28 mM concentration). Two (2) thin fiber optic laser Doppler flowmeter probes and their holders, containing local heaters, will be used to measure skin blood flow.
Flow-mediated dilation responses
FMD measures the health of blood vessels. The ultrasound makes sound waves to measure the size of blood vessels and the speed of the blood during rest and occlusion. The cuff is inflated to 220 mmHg (a commonly-used suprasystolic pressure; i.e., arterial blood flow is completely occluded) for 5 minutes to stop blood flow to and from the forearm.
Mitochondrial ROS production in peripheral blood mononuclear cells (PBMCs)
Blood will be drawn for isolation of PBMCs and measurement of mitochondrial function and oxidative stress production.
Sponsors and contacts
Click on the lead sponsor to view all of their trials.