Log on/register
BioMed Central home | Journals A-Z | Feedback | Support | My details
 
Open AccessHighly AccessResearch

Effects of simulated altitude (normobaric hypoxia) on cardiorespiratory parameters and circulating endothelial precursors in healthy subjects

Michele M Ciulla1 email, Michela Cortiana2 email, Ilaria Silvestris2 email, Emanuela Matteucci3 email, Elisa Ridolfi3 email, Fabrizio Giofrè1 email, Maddalena Zanardelli4 email, Roberta Paliotti1 email, Agostino Cortelezzi2 email, Alberto Pierini1 email, Fabio Magrini1 email and Maria Alfonsina Desiderio3 email

Istituto di Medicina Cardiovascolare, Centro Interuniversitario di Fisiologia Clinica e Ipertensione, University of Milan, Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, Fondazione IRCCS, Via F. Sforza 35 – 20122 Milano, Italy

Dipartimento di Ematologia, Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, Fondazione IRCCS, Via F. Sforza 35 – 20122 Milano, Italy

Istituto di Patologia Generale, University of Milan, Via L. Mangiagalli, 31 – 20133 Milano, Italy

Istituto di Malattie Respiratorie, University of Milan, Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, Fondazione IRCCS, Via F. Sforza 35 – 20122 Milano, Italy

author email corresponding author email

Respiratory Research 2007, 8:58doi:10.1186/1465-9921-8-58

Published: 8 August 2007

Abstract

Background

Circulating Endothelial Precursors (PB-EPCs) are involved in the maintenance of the endothelial compartment being promptly mobilized after injuries of the vascular endothelium, but the effects of a brief normobaric hypoxia on PB-EPCs in healthy subjects are scarcely studied.

Methods

Clinical and molecular parameters were investigated in healthy subjects (n = 8) in basal conditions (T0) and after 1 h of normobaric hypoxia (T1), with Inspiratory Fraction of Oxygen set at 11.2% simulating 4850 mt of altitude. Blood samples were obtained at T0 and T1, as well as 7 days after hypoxia (T2).

Results

In all studied subjects we observed a prompt and significant increase in PB-EPCs, with a return to basal value at T2. The induction of hypoxia was confirmed by Alveolar Oxygen Partial Pressure (PAO2) and Spot Oxygen Saturation decreases. Heart rate increased, but arterial pressure and respiratory response were unaffected. The change in PB-EPCs percent from T0 to T1 was inversely related to PAO2 at T1. Rapid (T1) increases in serum levels of hepatocyte growth factor and erythropoietin, as well as in cellular PB-EPCs-expression of Hypoxia Inducible Factor-1α were observed.

Conclusion

In conclusion, the endothelial compartment seems quite responsive to standardized brief hypoxia, possibly important for PB-EPCs activation and recruitment.


© 1999-2010 BioMed Central Ltd unless otherwise stated. Part of Springer Science+Business Media.