Huxley VH, Wang JJ, Sarelius IH. Adaptation of coronary microvascular exchange in arterioles and venules to exercise training and a role for sex in determining permeability responses. Am J Physiol Heart Circ Physiol 293: H1196-H1205, 2007. First published April 13, 2007; doi:10.1152/ajpheart.00069.2007.-Studies of physical performance and energy metabolism during and following exercise have shown significant sex-specific musculoskeletal adaptations; less is known of vascular adaptations, particularly with respect to exchange capacity. In response to adenosine (ADO), a metabolite produced during exercise, permeability (Ps) of coronary arterioles from female pigs changed acutely; the magnitude and direction of the change (⌬Ps) were determined by training status. In the present study Ps to albumin was assessed in arterioles (n ϭ 138) and venules (n ϭ 24) isolated from hearts of male (N ϭ 27) and female (N ϭ 59) pigs in the exercise training group (EX). We evaluated the hypothesis that coronary microvessel exchange adapts to endurance exercise training not by altering basal Ps, per se, but by elevating Ps on exposure to ADO. In contrast, training resulted in a reduction of basal Ps in all arterioles, and in venules from males, with no change in venules from EX females. Exposure to ADO resulted in the predicted increase in Ps except for venules from EX males where Ps was reduced. ⌬Ps responses of arterioles to mediators of adenylyl cyclase (isoproterenol)-and guanylyl cyclase (atrial natriuretic peptide)-signaling pathways were attenuated in EX pigs relative to pigs in the sedentary group. The adaptation of EX arterioles involves an upregulation of a nitric oxide-dependent pathway since nitric oxide synthase inhibition blocks ⌬Ps by ADO. Thus adaptation of microvascular exchange capacity to endurance exercise training not only occurs but also involves multiple mechanisms that differ in arterioles and venules with their relative contribution to net flux being a function of sex.␣-lactalbumin; albumin; heart; porcine; protein flux; sexual dimorphism; transvascular flux IN RESPONSE TO physical activity, particularly exercise, changes in musculoskeletal structure and function have been observed during and following training bouts and the constellation of changes has been shown to differ between males and females (16,57). Less is known of the relationships among training, sex, and vascular physiology. In a study of vascular adaptation to endurance exercise training, Jones et al. (30) isolated coronary arteries from sedentary cage-confined (SED) and endurance exercise-trained (EX) pigs. They found that exercise training reduced the sensitivity of coronary smooth muscle to endothelin-1, and, interestingly, this effect was greater in male than in female pigs. In the same animal model, Laughlin et al. (37) assessed vascular reactivity of skeletal muscle conduit arteries. The vascular reactivity responses were found to depend on the anatomic origin of the artery and could also differ in males and females. Sex differences have ...