modulates the angiogenic response to exercise training in skeletal muscles of aged men. Am J Physiol Heart Circ Physiol 307: H1111-H1119, 2014. First published August 15, 2014; doi:10.1152/ajpheart.00168.2014In animal studies, the polyphenol resveratrol has been shown to influence several pathways of importance for angiogenesis in skeletal muscle. The aim of the present study was to examine the angiogenic effect of resveratrol supplementation with parallel exercise training in aged men. Forty-three healthy physically inactive aged men (65 Ϯ 1 yr) were divided into 1) a training group that conducted 8 wk of intense exercise training where half of the subjects received a daily intake of either 250 mg trans-resveratrol (n ϭ 14) and the other half received placebo (n ϭ 13) and 2) a nontraining group that received either 250 mg trans-resveratrol (n ϭ 9) or placebo (n ϭ 7). The group that trained with placebo showed a ϳ20% increase in the capillary-to-fiber ratio, an increase in muscle protein expression of VEGF, VEGF receptor-2, and tissue inhibitor of matrix metalloproteinase (TIMP-1) but unaltered thrombospodin-1 levels. Muscle interstitial VEGF and thrombospodin-1 protein levels were unchanged after the training period. The group that trained with resveratrol supplementation did not show an increase in the capillary-to-fiber ratio or an increase in muscle VEGF protein. Muscle TIMP-1 protein levels were lower in the training and resveratrol group than in the training and placebo group. Both training groups showed an increase in forkhead box O1 protein. In nontraining groups, TIMP-1 protein was lower in the resveratrol-treated group than the placebo-treated group after 8 wk. In conclusion, these data show that exercise training has a strong angiogenic effect, whereas resveratrol supplementation may limit basal and training-induced angiogenesis.aging; antioxidant; physical activity; capillary; vascular endothelial growth factor SUFFICIENT O2 SUPPLY to the working skeletal muscle is vital to exercise performance, and the capillary network readily adapts according to demand in young healthy subjects (51). With advancing age, as with inactivity, the capillary supply to skeletal muscle decreases (7) and physical performance is reduced (66), eventually affecting activities of daily living and life quality (44,45). Acute physical activity increases the expression of various angiogenic factors in the skeletal muscle of both young and aged subjects (16,57,58), and, over weeks, regular physical activity leads to an increase in skeletal muscle capillarization (1,5,8).