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短期间歇性低氧暴露可增加健康个体的促红细胞生成素水平。

Short exposure to intermittent hypoxia increases erythropoietin levels in healthy individuals.

机构信息

Department of Kinesiology and Health Education, The University of Texas at Austin, Austin, Texas.

出版信息

J Appl Physiol (1985). 2021 Jun 1;130(6):1955-1960. doi: 10.1152/japplphysiol.00941.2020. Epub 2021 May 6.

Abstract

Few minutes of hypoxic exposure stabilizes hypoxia-inducible factor-1α, resulting in erythropoietin (EPO) gene transcription and production. The objective of this study was to identify the shortest intermittent hypoxia protocol necessary to increase serum EPO levels in healthy individuals. In a first experiment, spontaneous EPO changes under normoxia (NORM) and the EPO response to five 4-min cycles of intermittent hypoxia (IH5) were determined in six individuals. In a second experiment, the EPO response to eight 4-min cycles of intermittent hypoxia (IH8) and 120 min of continuous hypoxia (CONT) was determined in six individuals. All hypoxic protocols were performed at a targeted arterial oxygen saturation of 80%. There was no significant change in EPO levels in response to normoxia or in response to five cycles of intermittent hypoxia (NORM: 9.5 ± 1.8 to 10.5 ± 1.8, IH5: 11.4 ± 2.3 to 13.4 ± 2.1 mU/mL, main effect for time = 0.35). There was an increase in EPO levels in response to eight cycles of intermittent hypoxia and 120 min of continuous hypoxia, with peak levels observed 4.5 h after the onset of hypoxia (IH8: 11.2 ± 2.0 to 16.7 ± 2.2, CONT: 11.1 ± 3.8 to 19.4 ± 3.8 mU/mL, main effect for time < 0.01). Eight cycles of intermittent hypoxia increased EPO levels to a similar extent as 120 min of continuous hypoxia (main effect for condition = 0.36). Eight 4-min cycles of intermittent hypoxia represent the shortest protocol to increase serum EPO levels in healthy individuals. The objective of this study was to identify the shortest intermittent hypoxia protocol necessary to increase serum erythropoietin levels in healthy individuals. Eight 4-min bouts of intermittent hypoxia, representing a hypoxic duration of 32 min at an arterial oxygen saturation of 80%, significantly increased erythropoietin levels in healthy individuals. These findings suggest that a short session of intermittent hypoxia has the potential to increase oxygen-carrying capacity.

摘要

几分钟的低氧暴露即可稳定低氧诱导因子-1α,从而导致促红细胞生成素(EPO)基因的转录和产生。本研究的目的是确定增加健康个体血清 EPO 水平所需的最短间歇性低氧方案。在第一项实验中,在六名个体中确定了正常氧合(NORM)下自发的 EPO 变化和对五个 4 分钟的间歇性低氧(IH5)循环的 EPO 反应。在第二项实验中,在六名个体中确定了对八个 4 分钟的间歇性低氧(IH8)循环和 120 分钟的连续低氧(CONT)的 EPO 反应。所有低氧方案均在目标动脉血氧饱和度为 80%的情况下进行。对 NORM 或五个循环的间歇性低氧(NORM:9.5±1.8 至 10.5±1.8,IH5:11.4±2.3 至 13.4±2.1 mU/mL,时间主效应 = 0.35)均无 EPO 水平的显著变化。对八个循环的间歇性低氧和 120 分钟的连续低氧有 EPO 水平的增加,在缺氧开始后 4.5 小时观察到峰值水平(IH8:11.2±2.0 至 16.7±2.2,CONT:11.1±3.8 至 19.4±3.8 mU/mL,时间主效应 < 0.01)。八个循环的间歇性低氧将 EPO 水平提高到与 120 分钟连续低氧相似的程度(条件主效应 = 0.36)。八个 4 分钟的间歇性低氧循环代表增加健康个体血清 EPO 水平的最短方案。本研究的目的是确定增加健康个体血清促红细胞生成素水平所需的最短间歇性低氧方案。八次 4 分钟的间歇性低氧,代表在 80%动脉血氧饱和度下 32 分钟的缺氧持续时间,显著增加了健康个体的促红细胞生成素水平。这些发现表明,短暂的间歇性低氧有可能增加氧气的携带能力。

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