1974
DOI: 10.1126/science.183.4126.743
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Survival at Extreme Altitude: Protective Effect of Increased Hemoglobin-Oxygen Affinity

Abstract: Decreased hemoglobin-oxygen affinity is thought to be of adaptive value to humans and nonindigenous animals at high altitude. To test this, hemoglobin-oxygen affinity was modified by carbamoylation of hemoglobin in rats. Exposure of control (low oxygen affinity) and experimental (high oxygen affinity) animals to a pressure equivalent to high altitude revealed that increased, rather than decreased, hemoglobin-oxygen affinity will permit survival at greatly reduced environmental oxygen pressures.

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Cited by 122 publications
(49 citation statements)
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“…Even at low altitude, a left-shifted curve might be advantageous when the rate of O 2 transfer across the blood-gas interface is diffusion limited, as is the case during intense exercise (Bencowitz et al, 1982). In rats, a pharmacologically increased Hb-O 2 affinity was shown to greatly enhance metabolic performance and survival under conditions of extreme hypoxia (Eaton et al, 1974;Turek et al, 1978a;Turek et al, 1978b), and human subjects with mutant Hbs that exhibit increased O 2 affinity (Hb Andrews-Minneapolis) maintain normal arterial O 2 saturation and undiminished aerobic capacity at high altitude (3100m) relative to subjects with wild-type Hb (Hebbel et al, 1978). It therefore appears that the DPG response of lowlanders might be maladaptive at high altitudes.…”
Section: Blood-o 2 Affinitymentioning
confidence: 99%
“…Even at low altitude, a left-shifted curve might be advantageous when the rate of O 2 transfer across the blood-gas interface is diffusion limited, as is the case during intense exercise (Bencowitz et al, 1982). In rats, a pharmacologically increased Hb-O 2 affinity was shown to greatly enhance metabolic performance and survival under conditions of extreme hypoxia (Eaton et al, 1974;Turek et al, 1978a;Turek et al, 1978b), and human subjects with mutant Hbs that exhibit increased O 2 affinity (Hb Andrews-Minneapolis) maintain normal arterial O 2 saturation and undiminished aerobic capacity at high altitude (3100m) relative to subjects with wild-type Hb (Hebbel et al, 1978). It therefore appears that the DPG response of lowlanders might be maladaptive at high altitudes.…”
Section: Blood-o 2 Affinitymentioning
confidence: 99%
“…In one study, Eaton et al (1974) investigated how increased Hb-O 2 affinity influences rat survival after exposure to extreme and sudden hypoxia. The ODCs of the experimental rats were shifted leftward by their ingestion of sodium cyanate.…”
Section: Benefits Of a Leftward Shiftmentioning
confidence: 99%
“…They posited that this decreased affinity plays an important role in the acclimatization of lowlanders to altitude, and in the genetic adaptations of those native to altitude. Eaton et al (1974) wished to test the hypothesis that decreased Hb affinity for O 2 is advantageous at altitude. They manipulated Hb-O 2 affinity of rats, via carbamylation of the Hb, to create high and low affinity groups.…”
mentioning
confidence: 99%
“…For example, a reduced erythrocytic concentration of DPG would produce an increased blood-O 2 affinity that helps safeguard arterial O 2 saturation under hypoxia, and this could be reversed upon a return to normoxic conditions. Under conditions of severe hypoxia, theoretical and experimental results indicate that it is generally advantageous to have an elevated blood-O 2 affinity because of the increased premium on pulmonary O 2 loading (Turek et al, 1973;Eaton et al, 1974;Turek et al, 1978a;Turek et al, 1978b;Bouverot, 1985;Samaja et al, 1986;Samaja et al, 2003;Scott and Milsom, 2006). Consistent with this expectation, elevated blood-O 2 affinities are commonly recorded in terrestrial vertebrates that are native to high altitude environments, and in subterranean mammals that cope with the hypoxic and hypercapnic conditions of closed burrow systems (Jelkmann et al,CA, USA (-60m), and also on the summits of the highest peaks in the Sierra Nevada and Rocky Mountains (4350m) where the partial pressure of O 2 (P O2 ) is less than 60% of the sea level value.…”
Section: Introductionmentioning
confidence: 99%
“…In air-breathing vertebrates, changes in blood-O 2 affinity provide an important line of physiological defense against low O 2 availability (environmental hypoxia) (Eaton et al, 1974;Penny and Thomas, 1975;Monge and León-Velarde, 1991). Fine-tuned adjustments in blood-O 2 affinity may be mediated by changes in the intrinsic O 2 binding affinity of hemoglobin (Hb), changes in the sensitivity of Hb to allosteric effectors that modulate Hb-O 2 affinity, and/or changes in the concentration of allosteric effectors within the erythrocyte (Nikinmaa, 2001;Weber, 2007;.…”
Section: Introductionmentioning
confidence: 99%