Observational Study on Endothelial Dysfunction After Spinal Cord Injury
This study aims to understand why blood vessels may not work as well in people with spinal cord injuries (SCI). Researchers will measure how well your blood vessels can widen (vasodilate) and change blood flow. They will do this by infusing small amounts of drugs like acetylcholine (Ach), isoproterenol (ISO), and sodium nitroprusside (SNP) into your arm. They will also infuse Vitamin C to see if it helps. Blood samples will be taken to look for markers of blood vessel health. This study is for adults over 18 with chronic SCI (paraplegia) or healthy adults without SCI. The goal is to learn more about how to reduce the risk of heart attacks and strokes in people with SCI. The current status of this study is unclear.
- Study design
- This is an observational study involving 40 participants. It compares adults with spinal cord injuries to adults without injuries.
- What's involved
- You would have a catheter placed in your arm for infusions of vasoactive agents and Vitamin C. Forearm blood flow will be measured, and about 50 mL of blood will be drawn.
- Compensation
- Not stated in the trial record.
- Follow-up
- Blood vessel function will be measured at baseline and immediately after each drug dose for 3-5 minutes. Endothelial cell-derived microvesicle concentration will be measured at baseline.
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Endothelial Dysfunction After SCI
At a glance
Conditions
Where it's being run
1 sites across 1 statesStudy leadership
- Andrew Park, MD · PRINCIPAL_INVESTIGATOR · Craig Hospital
Who to contact
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Inclusion
Exclusion
What this trial measures
- Endothelium-dependent vasodilationMeasured at baseline and immediately after each vasoactive dose for 3-5 minutes.
Total forearm blood flow with be measured by strain gauge venous plethysmography under baseline conditions and under pharmacological manipulation with acetylcholine and isoproterenol at increasing concentrations.
- Endothelium-independent vasodilationMeasured at baseline (without sodium nitroprusside) and immediately after each sodium nitroprusside dose for 3-5 minutes.
Total forearm blood flow with be measured by strain gauge venous plethysmography under baseline conditions and under pharmacological manipulation with sodium nitroprusside at increasing concentrations (1, 2, 4ug/ml).
- Endothelial cell-derived microvesicles concentrationBaseline
Endothelial cell-derived microvesicles will be collected from venous blood samples and counted used flow cytometry to determine a circulating concentration.
- Endothelial cell-derived microvesicles effects of human coronary artery endothelial cells nitric oxide bioavailabilityBaseline
Endothelial cell-derived microvesicles will be sorted and collected by fluorescence-activated cell sorting (FACS) flow cytometry. The endothelial cell-derived microvesicles will be co-cultured with human coronary artery endothelial cells. Endothelial Nitric Oxide Synthase and phosphorylation sites of interest will be measured by intracellular protein expression quantification of whole cell lysates by capillary electrophoresis immunoassays. Nitric oxide production will be assessed by total nitric oxide and nitrate/nitrite parameter assays.
- Endothelial cell-derived microvesicles effects of human coronary artery endothelial cells reactive oxygen species and antioxidant capacityBaseline
Endothelial cell-derived microvesicles will be sorted and collected by fluorescence-activated cell sorting (FACS) flow cytometry. The endothelial cell-derived microvesicles will be co-cultured with human coronary artery endothelial cells. Super oxide dismutase and catalase expression will be measured by intracellular protein expression quantification of whole cell lysates by capillary electrophoresis immunoassays. Intracellular oxidative stress will be assessed by ROS-Glo H2O2 assay.