“…Fetuses and lambs born at high altitude have other abnormalities that parallel infants with hypoxia-induced pulmonary hypertension (Berger and Konduri, 2006; Abman, 2007; Konduri and Kim, 2009), including elevated pulmonary pressures, exacerbated hypoxic-induced pulmonary vasoconstriction (Herrera et al, 2007, 2010; Blood et al, 2013), impaired vasodilation (Blum-Johnston et al, 2016), arterial remodeling (Bixby et al, 2007), and right ventricular hypertrophy (Herrera et al, 2007). Studies further demonstrate that Ca 2+ signals are disrupted in endothelium and smooth muscle and this involves modifications in the expression and function of multiple receptor signaling systems and ion channels (Herrera et al, 2007, 2010; Goyal et al, 2011; Hadley et al, 2012; Blood et al, 2013; Blum-Johnston et al, 2016; Shen et al, 2018).…”