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低海拔人群急性低压缺氧的内分泌、炎症和免疫反应及个体差异。

Endocrine, inflammatory and immune responses and individual differences in acute hypobaric hypoxia in lowlanders.

机构信息

Department of Human Life Design and Science, Faculty of Design, Kyushu University, 4-9-1 Shiobaru, Minami-Ku, Fukuoka, 815-8540, Japan.

Department of Living Business, Seika Women's Junior College, 2-12-1 Minamihachiman, Hakata-Ku, Fukuoka, 812-0886, Japan.

出版信息

Sci Rep. 2023 Aug 4;13(1):12659. doi: 10.1038/s41598-023-39894-w.

Abstract

When lowlanders are exposed to environments inducing hypobaric hypoxia (HH) such as high mountains, hemodynamic changes occur to maintain oxygen levels in the body. However, changes to other physiological functions under such conditions have yet to be clarified. This study investigated changes in endocrine, inflammatory and immune parameters and individual differences during acute HH exposure using a climatic chamber (75 min of exposure to conditions mimicking 3500 m) in healthy lowlanders. Aldosterone and cortisol were significantly decreased and interleukin (IL)-6, IL-8 and white blood cell (WBC) counts were significantly increased after HH. Lower peripheral oxygen saturation (SpO) was associated with higher IL-6 and WBC counts, and higher IL-8 was associated with higher cortisol. These findings suggest that endocrine, inflammatory and immune responses are evoked even with a short 75-min exposure to HH and individuals with lower SpO seemed to show more pronounced responses. Our results provide basic data for understanding the physiological responses and interactions of homeostatic systems during acute HH.

摘要

当低海拔地区的人暴露在诱导低气压缺氧(HH)的环境中,如高山,会发生血液动力学变化以维持体内的氧气水平。然而,在这种情况下,其他生理功能的变化尚不清楚。本研究使用气候室(75 分钟暴露于模拟 3500 米的条件下),在健康的低海拔地区人群中,研究了急性 HH 暴露期间内分泌、炎症和免疫参数的变化及其个体差异。HH 后,醛固酮和皮质醇明显降低,白细胞介素(IL)-6、IL-8 和白细胞计数明显增加。较低的外周血氧饱和度(SpO)与较高的白细胞介素(IL)-6 和白细胞计数相关,较高的白细胞介素(IL)-8 与较高的皮质醇相关。这些发现表明,即使暴露于短暂的 75 分钟 HH 也会引起内分泌、炎症和免疫反应,而 SpO 较低的个体似乎表现出更明显的反应。我们的研究结果为理解急性 HH 期间体内平衡系统的生理反应和相互作用提供了基础数据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb22/10403528/c123ca78e261/41598_2023_39894_Fig1_HTML.jpg

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