LETTERS TO THE EDITORAbout “Chronic low-dose aspirin therapy attenuates reflex cutaneous vasodilatation in middle-aged humans”G. Mahe, P. Rousseau, J. L. Saumet, and P. AbrahamG. Mahe, P. Rousseau, J. L. Saumet, and P. AbrahamPublished Online:01 Apr 2009https://doi.org/10.1152/japplphysiol.91653.2008MoreSectionsPDF (27 KB)Download PDF ToolsExport citationAdd to favoritesGet permissionsTrack citations ShareShare onFacebookTwitterLinkedInEmailWeChat to the editor: We read with much interest the article by Holowatz and Kenney (3) entitled “Chronic low-dose aspirin therapy attenuates reflex cutaneous vasodilatation in middle-aged humans.” The authors showed that chronic aspirin therapy (81 mg/day) plays a major role in the reflex cutaneous vasodilatation induced by whole body heating. This result is consistent with those reported by McCord et al. (4) that showed that the cyclooxygenase-dependent (COX) pathway was participating in the cutaneous vasodilatation induced by whole body heating but not by local heating. Vasodilatation induced by local heating relies on an axon-reflex for the early response and on a nitric oxide (NO)-dependent pathway for the late part of the response (5). On the contrary, vasodilatation induced by whole body heating depends on the NO pathway and the COX pathway but not on an axon-reflex (1, 3). The whole body heating is an interesting experimental model to study physiological responses during heat waves. Heat waves are an important health problem. Heat waves were estimated directly or indirectly to be responsible for ∼70,000 elderly deaths in Europe in 2003. Many elderly subjects take low-dose aspirin (<325 mg/day) as an effective therapy in prevention of cardiovascular diseases. As whole body heat-induced vasodilatation depends on the COX pathway even at low dose as shown by Holowatz and Kenney, do we need to stop low-dose aspirin therapy during heat waves? Other antiplatelet drugs exist (such as ADP inhibitors). We showed that the current-induced vasodilatation (CIV), another model of skin vasodilatation, was COX dependent(2) but not ADP dependent (6). Whether the whole body heating model is ADP dependent is an important issue. If not, rather than stop aspirin, should we recommend the use of antiplatelet drugs other than aspirin during heat waves? Future studies are likely needed to investigate this important clinical issue.REFERENCES1 Charkoudian N, Fromy B, Saumet JL. Reflex control of the cutaneous circulation after acute and chronic local capsaicin. J Appl Physiol 90: 1860–1864, 2001.Link | ISI | Google Scholar2 Durand S, Fromy B, Bouye P, Saumet JL, Abraham P. Vasodilatation in response to repeated anodal current application in the human skin relies on aspirin-sensitive mechanisms. J Physiol 540: 261–269, 2002.Crossref | PubMed | ISI | Google Scholar3 Holowatz LA, Kenney WL. Chronic low-dose aspirin therapy attenuates reflex cutaneous vasodilation in middle-aged humans. J Appl Physiol 106: 500–505, 2009.Link | ISI | Google Scholar4 McCord GR, Cracowski JL, Minson CT. Prostanoids contribute to cutaneous active vasodilation in humans. Am J Physiol Regul Integr Comp Physiol 291: R596–R602, 2006.Link | ISI | Google Scholar5 Minson CT, Berry LT, Joyner MJ. Nitric oxide and neurally mediated regulation of skin blood flow during local heating. J Appl Physiol 91: 1619–1626, 2001.Link | ISI | Google Scholar6 Rousseau P, Tartas M, Fromy B, Godon A, Custaud MA, Saumet JL, Abraham P. Platelet inhibition by low-dose aspirin but not by clopidogrel reduces the axon-reflex current-induced vasodilation in humans. Am J Physiol Regul Integr Comp Physiol 294: R1420–R1426, 2008.Link | ISI | Google ScholarAUTHOR NOTESAddress for reprint requests and other correspondence: G. Mahe, Univ. Hospital, 4, Rue Larrey, 49000 Angers, France (e-mail: [email protected]) Download PDF Previous Back to Top Next FiguresReferencesRelatedInformationCited ByReply to Mahe, Rousseau, Saumet, and AbrahamLacy A. Holowatz and W. Larry Kenney1 April 2009 | Journal of Applied Physiology, Vol. 106, No. 4 More from this issue > Volume 106Issue 4April 2009Pages 1471-1471 Copyright & PermissionsCopyright © 2009 the American Physiological Societyhttps://doi.org/10.1152/japplphysiol.91653.2008PubMed19336681History Published online 1 April 2009 Published in print 1 April 2009 Metrics