Influence of High Hemoglobin-Oxygen Affinity on Humans During Hypoxia

Humans elicit a robust series of physiological responses to maintain adequate oxygen delivery during hypoxia, including a transient reduction in hemoglobin-oxygen (Hb-O2) affinity. However, high Hb-O2 affinity has been identified as a beneficial adaptation in several species that have been exposed t...

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Main Authors: Kevin L. Webb, Paolo B. Dominelli, Sarah E. Baker, Stephen A. Klassen, Michael J. Joyner, Jonathon W. Senefeld, Chad C. Wiggins
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-01-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2021.763933/full
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author Kevin L. Webb
Paolo B. Dominelli
Sarah E. Baker
Stephen A. Klassen
Stephen A. Klassen
Michael J. Joyner
Jonathon W. Senefeld
Chad C. Wiggins
author_facet Kevin L. Webb
Paolo B. Dominelli
Sarah E. Baker
Stephen A. Klassen
Stephen A. Klassen
Michael J. Joyner
Jonathon W. Senefeld
Chad C. Wiggins
author_sort Kevin L. Webb
collection DOAJ
description Humans elicit a robust series of physiological responses to maintain adequate oxygen delivery during hypoxia, including a transient reduction in hemoglobin-oxygen (Hb-O2) affinity. However, high Hb-O2 affinity has been identified as a beneficial adaptation in several species that have been exposed to high altitude for generations. The observed differences in Hb-O2 affinity between humans and species adapted to high altitude pose a central question: is higher or lower Hb-O2 affinity in humans more advantageous when O2 availability is limited? Humans with genetic mutations in hemoglobin structure resulting in high Hb-O2 affinity have shown attenuated cardiorespiratory adjustments during hypoxia both at rest and during exercise, providing unique insight into this central question. Therefore, the purpose of this review is to examine the influence of high Hb-O2 affinity during hypoxia through comparison of cardiovascular and respiratory adjustments elicited by humans with high Hb-O2 affinity compared to those with normal Hb-O2 affinity.
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spelling doaj.art-85b238d6714e41828a3de30fc5f0dd0a2022-12-21T19:49:52ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2022-01-011210.3389/fphys.2021.763933763933Influence of High Hemoglobin-Oxygen Affinity on Humans During HypoxiaKevin L. Webb0Paolo B. Dominelli1Sarah E. Baker2Stephen A. Klassen3Stephen A. Klassen4Michael J. Joyner5Jonathon W. Senefeld6Chad C. Wiggins7Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN, United StatesDepartment of Kinesiology, University of Waterloo, Waterloo, ON, CanadaDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN, United StatesDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN, United StatesDepartment of Kinesiology, Brock University, St. Catharines, ON, CanadaDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN, United StatesDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN, United StatesDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN, United StatesHumans elicit a robust series of physiological responses to maintain adequate oxygen delivery during hypoxia, including a transient reduction in hemoglobin-oxygen (Hb-O2) affinity. However, high Hb-O2 affinity has been identified as a beneficial adaptation in several species that have been exposed to high altitude for generations. The observed differences in Hb-O2 affinity between humans and species adapted to high altitude pose a central question: is higher or lower Hb-O2 affinity in humans more advantageous when O2 availability is limited? Humans with genetic mutations in hemoglobin structure resulting in high Hb-O2 affinity have shown attenuated cardiorespiratory adjustments during hypoxia both at rest and during exercise, providing unique insight into this central question. Therefore, the purpose of this review is to examine the influence of high Hb-O2 affinity during hypoxia through comparison of cardiovascular and respiratory adjustments elicited by humans with high Hb-O2 affinity compared to those with normal Hb-O2 affinity.https://www.frontiersin.org/articles/10.3389/fphys.2021.763933/fullaltitude acclimatizationhigh-altitudeoxygen transportexerciseVO2max (maximal oxygen uptake)high affinity hemoglobin (Hb)
spellingShingle Kevin L. Webb
Paolo B. Dominelli
Sarah E. Baker
Stephen A. Klassen
Stephen A. Klassen
Michael J. Joyner
Jonathon W. Senefeld
Chad C. Wiggins
Influence of High Hemoglobin-Oxygen Affinity on Humans During Hypoxia
Frontiers in Physiology
altitude acclimatization
high-altitude
oxygen transport
exercise
VO2max (maximal oxygen uptake)
high affinity hemoglobin (Hb)
title Influence of High Hemoglobin-Oxygen Affinity on Humans During Hypoxia
title_full Influence of High Hemoglobin-Oxygen Affinity on Humans During Hypoxia
title_fullStr Influence of High Hemoglobin-Oxygen Affinity on Humans During Hypoxia
title_full_unstemmed Influence of High Hemoglobin-Oxygen Affinity on Humans During Hypoxia
title_short Influence of High Hemoglobin-Oxygen Affinity on Humans During Hypoxia
title_sort influence of high hemoglobin oxygen affinity on humans during hypoxia
topic altitude acclimatization
high-altitude
oxygen transport
exercise
VO2max (maximal oxygen uptake)
high affinity hemoglobin (Hb)
url https://www.frontiersin.org/articles/10.3389/fphys.2021.763933/full
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