1. The time course of endogenous erythropoietin, IL-6, and TNFα in response to acute hypoxic exposures.
- Author
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Turner, G., Gibson, O. R., Watt, P. W., Pringle, J. S. M., Richardson, A. J., and Maxwell, N. S.
- Subjects
ACTIVE oxygen in the body ,HYPOXEMIA ,ERYTHROPOIETIN ,INTERLEUKINS ,PROBABILITY theory ,STATISTICAL sampling ,TUMOR necrosis factors ,RANDOMIZED controlled trials ,BLIND experiment ,DESCRIPTIVE statistics - Abstract
Erythropoietin ( EPO) rapidly decreases on return to sea level ( SL) after chronic altitude exposure. Acute hypoxia may provide an additional stimulus to prevent the decline in EPO. Proinflammatory cytokines, interleukin-6 ( IL-6), and tumor necrosis factor alpha ( TNFα) have been shown to inhibit EPO production. Optimal normobaric hypoxic exposure has not been established; therefore, investigation of methods eliciting the greatest response in EPO to limit physiological stress is required. Eight men (age 27 ± 4 years, body mass 77.5 ± 9.0 kg, height 179 ± 6 cm) performed four passive exposures to different normobaric hypoxic severities [FiO
2 : 0.209 ( SL), FiO2 : ~0.135 (3600 m), FiO2 : ~0.125 (4200 m) and FiO2 : ~0.115 (4800 m)] in a hypoxic chamber for 2 h. Venous blood was drawn pre-exposure and then at 1, 2, 4, 6, and 8 h to determine EPO concentration ([ EPO]), IL-6, and TNFα. During 4200 and 4800 m, [ EPO] increased from 5.9 ± 1.5 to 8.1 ± 1.5 mU/ mL ( P = 0.009) and 6.0 ± 1.4 to 8.9 ± 2.0 mU/ mL ( P = 0.037), respectively, with [ EPO] increase peaking at 4 h (2 h post-exposure). There were no differences in IL-6 or TNFα during or post-exposure. Increased [ EPO] was found 2 h post hypoxic exposure as result of 2 h of normobaric hypoxia ≥4200 m. There was no dose-response relationship in [ EPO] between simulated hypoxia severities. [ABSTRACT FROM AUTHOR]- Published
- 2017
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