“…As animals age, vascular function is progressively compromised due to effects of aging as modified by genetic, lifestyle, and disease related factors. Alterations with increasing age include vascular deformities ( Hassler, 1967 ), decreased vascular reactivity ( Mooradian and McCuskey, 1992 ), and perfusion ( Ruitenberg et al, 2005 ; Wolters et al, 2017 ; Zhang et al, 2010 ; Zheng et al, 2019 ), increase in oxygen extraction ( Ances et al, 2009 ; Zhang et al, 2010 ; Aanerud et al, 2012 ; Catchlove et al, 2018 ), decrease in tissue levels of oxygen ( Moeini et al, 2018 , 2019 ; Li et al, 2019 ), and increased hypoxia signaling through AMPK, HIF-1α, TGF-β, etc. ( Iadecola, 2010 , 2013 ; Wierenga et al, 2014 ).…”