Jazuli F, Pyke KE. The impact of baseline artery diameter on flow-mediated vasodilation: a comparison of brachial and radial artery responses to matched levels of shear stress. Am J Physiol Heart Circ Physiol 301: H1667-H1677, 2011. First published July 22, 2011; doi:10.1152/ajpheart.00487.2011.-An inverse relationship between baseline artery diameter (BAD) and flow-mediated vasodilation (FMD) has been identified using reactive hyperemia (RH) to create a shear stress (SS) stimulus in human conduit arteries. However, RH creates a SS stimulus that is inversely related to BAD. The purpose of this study was to compare FMD in response to matched levels of SS in two differently sized upper limb arteries [brachial (BA) and radial (RA) artery]. With the use of exercise, three distinct, shear rate (SR) stimuli were created (SR ϭ blood velocity/vessel diameter; estimate of SS) in the RA and BA. Artery diameter and mean blood velocity were assessed with echo and Doppler ultrasound in 15 healthy male subjects (19 -25 yr). Data are means Ϯ SE. Subjects performed 6 min of adductor pollicis and handgrip exercise to increase SR in the RA and BA, respectively. Exercise intensity was modulated to achieve uniformity in SR between arteries. The three distinct SR levels were as follows: steady-state exercise 39.8 Ϯ 0.6, 57.3 Ϯ 0.7, and 72.4 Ϯ 1.2 s Ϫ1 (P Ͻ 0.001). %FMD and AbsFMD (mm) at the end of exercise were greater in the RA vs. the BA at each shear level [at the highest level: RA ϭ 15.7 Ϯ 1.5%, BA ϭ 5.4 Ϯ 0.8% (P Ͻ 0.001)]. The mean slope of the within-subject SR-%FMD regression line was greater in the RA (RA ϭ 0.33 Ϯ 0.04, BA ϭ 0.13 Ϯ 0.02, P Ͻ 0.001), and a strong within-subjects relationship between %FMD and SR was observed in both arteries (RA: r 2 ϭ 0.92 Ϯ 0.02; BA: r 2 ϭ 0.90 Ϯ 0.03). Within the RA, there was a significant relationship between baseline diameter and %FMD; however, this relationship was not present in the BA (RA: r 2 ϭ 0.76, P Ͻ 0.001; BA: r 2 ϭ 0.03, P ϭ 0.541). These findings suggest that the response to SS is not uniform across differently sized vessels, which is in agreement with previous studies. endothelial function; doppler ultrasound; shear stress; handgrip exercise; baseline diameter THE ENDOTHELIAL CELLS THAT line the arteries are critically involved in the maintenance of vascular homeostasis. In healthy arteries, increases in blood flow-associated shear stress lead to the release of vasodilators [e.g., nitric oxide (NO), endothelial-derived hyperpolarizing factor (EDHF), and prostacyclin] by the endothelium, resulting in an endotheliumdependent vasodilation [flow-mediated vasodilation (FMD)] (1, 3, 28, 35). An inverse relationship between baseline vessel diameter and the magnitude of the conduit artery FMD response in the arm has been reported by several studies (19,42,49,52). As a result, it can be difficult to use FMD to compare endothelial function in groups with varying baseline artery sizes (for example, the young vs. the elderly and men vs. women) because it may be unclear whether a small...