VIEWPOINTCommentary on Viewpoint: The human cutaneous circulation as a model of generalized microvascular functionJian CuiJian CuiPublished Online:01 Jul 2008https://doi.org/10.1152/japplphysiol.90323.2008MoreSectionsPDF (26 KB)Download PDF ToolsExport citationAdd to favoritesGet permissionsTrack citations ShareShare onFacebookTwitterLinkedInEmailWeChat to the editor: Because of the advantages of skin-specific methodologies (i.e., combining skin laser-Doppler with iontophoresis or intradermal microdialysis), Holowatz and colleagues (1) suggest that studies of cutaneous vascular beds can provide information regarding generalized vascular function in healthy and diseased individuals. However, as Holowatz and colleagues stated in the Viewpoint, blood flow in vivo is an integrated response by multiple mechanisms. In cutaneous vascular bed, these mechanisms include thermoregulatory (skin and core temperatures) and nonthermoregulatory reflexes (blood pressure control, etc.) (2). Because the physiological function and the control mechanisms of cutaneous vessels are different from other vascular beds (e.g., muscle, coronary, and renal), skin blood flow responses to stimuli can be totally different from responses seen in these other vascular beds. For example, heat stress at rest induces pronounced cutaneous vasodilation, but causes significant vasoconstriction in the splanchnic and renal circulations (3). It is well known that the neural control mechanisms of skin blood flow are different from those for muscle vascular beds (5). Moreover, the effects of some diseases (e.g., heart failure) on the controls of cutaneous vessels are different from the other beds (e.g., muscle) (4). Thus, without validation, the results obtained from the study of cutaneous vascular beds will provide only questionable insight into the effects of a pathological condition on a noncutaneous vascular bed.REFERENCES1 Holowatz LA, Thompson-Torgerson CS, Kenney WL. Viewpoint: The human cutaneous circulation as a model of generalized microvascular function. J Appl Physiol; doi:10.1152/japplphysiol.00858.2007.Link | ISI | Google Scholar2 Johnson JM, Proppe DW. Cardiovascular adjustments to heat stress. In: Handbook of Physiology: Environmental Physiology. Bethesda, MD: Am Physiol Soc, 1996, p. 215–243.Google Scholar3 Rowell LB. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev 54: 75–159, 1974.Link | ISI | Google Scholar4 Silber DH, Sutliff G, Yang QX, Smith MB, Sinoway LI, Leuenberger UA. Altered mechanisms of sympathetic activation during rhythmic forearm exercise in heart failure. J Appl Physiol 84: 1551–1559, 1998.Link | ISI | Google Scholar5 Vallbo AB, Hagbarth KE, Torebjork HE, Wallin BG. Somatosensory, proprioceptive, and sympathetic activity in human peripheral nerves. Physiol Rev 59: 919–957, 1979.Link | ISI | Google ScholarAUTHOR NOTESAddress for reprint requests and other correspondence: J. Cui, Penn State Heart and Vascular Institute, The Pennsylvania State Univ. College of Medicine, The Milton S. Hershey Medical Center, Hershey, PA 17033 (e-mail: [email protected]) Download PDF Previous Back to Top Next FiguresReferencesRelatedInformationCited ByDo peripheral and/or central chemoreflexes influence skin blood flow in humans?24 October 2014 | Physiological Reports, Vol. 2, No. 10 More from this issue > Volume 105Issue 1July 2008Pages 386-386 Copyright & PermissionsCopyright © 2008 the American Physiological Societyhttps://doi.org/10.1152/japplphysiol.90323.2008PubMed18641228History Published online 1 July 2008 Published in print 1 July 2008 Metrics