TRPV4 channel blockade does not modulate skin vasodilation and sweating during hyperthermia or cutaneous post-occlusive reactive and thermal hyperemia
Transient receptor potential vanilloid 4 (TRPV4) channels exist on vascular endothelial cells and eccrine sweat gland secretory cells in human skin. Here, we assessed if TRPV4 channels contribute to cutaneous vasodilation and sweating during whole-body passive heat stress (protocol 1) and to cutaneous vasodilation during post-occlusive reactive hyperemia and local thermal hyperemia (protocol 2). Intradermal microdialysis was employed to locally deliver pharmacological agents to forearm skin sites where cutaneous vascular conductance (CVC) and sweat rate were assessed. In protocol 1 (twelve young adults), CVC and sweat rate were increased by passive whole-body heating resulting in a body core temperature elevation of 1.2±0.1ºC. The elevated CVC and sweat rate assessed at sites treated with TRPV4 channel antagonist (either 200 µM HC-067047 or 125 µM GSK2193874) were not different from the vehicle control site (5 % dimethyl sulfoxide). After whole-body heating, a TRPV4 channel agonist (100 µM GSK1016790A) was administered to each skin site, eliciting elevations in CVC. Relative to control, this response was partly attenuated by both TRPV4 channel antagonists, confirming drug efficacy. In protocol 2 (ten young adults), CVC was increased following a 5-min arterial occlusion and during local heating from 33 to 42ºC. These responses did not differ between the control and the TRPV4 channel antagonist sites (200 µM HC-067047). We show that TRPV4 channels are not required for regulating cutaneous vasodilation or sweating during a whole-body passive heat stress. Further, they are not required for regulating cutaneous vasodilation during post-occlusive reactive hyperemia and local thermal hyperemia.