“…Notably, the still incompletely understood microvascular network tissue changes during bed rest disuse in human skeletal muscle apparently seem to undergo time-dependent adaptation mechanisms (short-vs. long-term), for example, by intramuscular vascular signaling mechanisms, such as proposed for nitric oxide (NO) (Percival et al, 2010) controlled by mechanotransduction and mechanical loading as, for example, reflected by earlier studies investigating effects of short-duration, high-intensity exercises (high-intensity intermittent training (HIT), such as sprint and strength training, where consistent adaptation in capillarity was also not found (Tesch et al, 1984;Lüthi et al, 1986;Hoier et al, 2013;Gliemann, 2016;MacInnis and Gibala, 2017). With repetitive exercise, the consequent elevation in microvascular shear stress stimulates in conjunction with abluminal mechanical factors, morphogenic adaptations, and proliferation of endothelial cells in muscle capillaries (Bassett and Howley, 2000;Gustafsson and Kraus, 2001;Prior et al, 2003;Valdivieso et al, 2017), which may explain similar mechanisms to occur in bed rest exercise protocols. A limited number of studies in animals and humans have determined the presence of angiogenic factors in skeletal muscle at the gene and protein level in association with acute exercise and training (Breen et al, 1996;Lloyd et al, 2003;Rullman et al, 2007).…”