Fujii N, Meade RD, Minson CT, Brunt VE, Boulay P, Sigal RJ, Kenny GP. Cutaneous blood flow during intradermal NO administration in young and older adults: roles for calcium-activated potassium channels and cyclooxygenase?. Am J Physiol Regul Integr Comp Physiol 310: R1081-R1087, 2016. First published April 13 2016; doi:10.1152/ajpregu.00041.2016.-Nitric oxide (NO) increases cutaneous blood flow; however, the underpinning mechanism(s) remains to be elucidated. We hypothesized that the cutaneous blood flow response during intradermal administration of sodium nitroprusside (SNP, a NO donor) is regulated by calcium-activated potassium (KCa) channels and cyclooxygenase (COX) in young adults. We also hypothesized that these contributions are diminished in older adults given that aging can downregulate KCa channels and reduce COXderived vasodilator prostanoids. In 10 young (23 Ϯ 5 yr) and 10 older (54 Ϯ 4 yr) adults, cutaneous vascular conductance (CVC) was measured at four forearm skin sites infused with 1) Ringer (Control), 2) 50 mM tetraethylammonium (TEA), a nonspecific KCa channel blocker, 3) 10 mM ketorolac, a nonspecific COX inhibitor, or 4) 50 mM TEA ϩ 10 mM ketorolac via intradermal microdialysis. All skin sites were coinfused with incremental doses of SNP (0.005, 0.05, 0.5, 5, and 50 mM each for 25 min). During SNP administration, CVC was similar at the ketorolac site (0.005-50 mM, all P Ͼ 0.05) relative to Control, but lower at the TEA and TEA ϩ ketorolac sites (0.005-0.05 mM, all P Ͻ 0.05) in young adults. In older adults, ketorolac increased CVC relative to Control during 0.005-0.05 mM SNP administration (all P Ͻ 0.05), but this increase was not observed when TEA was coadministered (all P Ͼ 0.05). Furthermore, TEA alone did not modulate CVC during any concentration of SNP administration in older adults (all P Ͼ 0.05). We show that during low-dose NO administration (e.g., 0.005-0.05 mM), KCa channels contribute to cutaneous blood flow regulation in young adults; however, in older adults, COX inhibition increases cutaneous blood flow through a KCa channel-dependent mechanism.aging; smooth muscle cell; endothelial cell; microcirculation; endothelium-derived hyperpolarizing factors; prostanoids; soluble guanylyl cyclase; nitric oxide synthase NITRIC OXIDE (NO) produced from NO synthase (NOS) contributes to the regulation of cutaneous blood flow during local or whole body heating (15,17,23,24,37,38,40,(51)(52)(53). NO appears to cause vasodilation by directly influencing vascular smooth muscle cells through soluble guanylyl cyclase-dependent signaling cascades (25). Thus exogenous administration of NO donor such as sodium nitroprusside (SNP), for instance, is widely used to assess endothelium-independent vasodilation (i.e., vascular smooth muscle cell function). However, exogenous NO-induced vasodilation may not necessarily reflect endothelium-independent vasodilation since NO can influence other pathways. In line with this, local heating-induced transient cutaneous vasodilation, which is mainly mediated by sen...