At high altitude, barometric pressure falls and with it inspired P O 2 , potentially compromising O 2 delivery to the tissues. With sufficient acclimatisation, the erythropoietic response increases red cell mass such that arterial O 2 content (C aO 2 ) is restored; however arterial P O 2 (P aO 2 ) remains low, and the diffusion of O 2 from capillary to mitochondrion is impaired. Mitochondrial respiration and aerobic capacity are thus limited, whilst reactive oxygen species (ROS) production increases. Restoration of P aO 2 with supplementary O 2 does not fully restore aerobic capacity in acclimatised individuals, possibly indicating a peripheral impairment. With prolonged exposure to extreme high altitude (>5500 m), muscle mitochondrial volume density falls, with a particular loss of the subsarcolemmal population. It is not clear whether this represents acclimatisation or deterioration, but it does appear to be regulated, with levels of the mitochondrial biogenesis factor PGC-1α falling, and shows similarities to adapted Tibetan highlanders. Qualitative changes in mitochondrial function also occur, and do so at more moderate high altitudes with shorter periods of exposure. Electron transport chain complexes are downregulated, possibly mitigating the increase in ROS production. Fatty acid oxidation capacity is decreased and there may be improvements in biochemical coupling at the mitochondrial inner membrane that enhance O 2 efficiency. Creatine kinase expression falls, possibly impairing high-energy phosphate transfer from the mitochondria to myofibrils. In climbers returning from the summit of Everest, cardiac energetic reserve (phosphocreatine/ATP) falls, but skeletal muscle energetics are well preserved, possibly supporting the notion that mitochondrial remodelling is a core feature of acclimatisation to extreme high altitude.
Abbreviations31 P-MRS, 31 P magnetic resonance spectroscopy; BNIP3, BCL2/adenovirus E1B 19 kDa protein-interacting protein 3; ETC, electron transport chain; HIF, hypoxia-inducible factor; HOAD, 3-hydroxyacyl-CoA dehydrogenase; PGC, peroxisome proliferator-activated receptor gamma co-activator; P O2 , partial pressure of O 2 ; PCr, phosphocreatine; PPARα, peroxisome proliferator-activated receptor alpha; ROS, reactive oxygen species; UCP3, uncoupling protein 3; V max , maximum rate of mitochondrial oxygen consumption; V O2 max , maximum rate of whole-body oxygen consumption.