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Holtze S, Koch R, Hildebrandt TB, Lemma A, Szafranski K, Platzer M, Alemayehu F, Goeritz F, Braude S. Hematologic adaptation to the subterranean environment by the naked mole-rat, Heterocephalus glaber (Ctenohystrica: Heterocephalidae). J Mammal 2020. [DOI: 10.1093/jmammal/gyaa053] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
Abstract
AbstractOne method burrowing animals are hypothesized to use in adapting to the presumed hypoxic subterranean environment is increasing the oxygen-carrying capacity of blood. A number of recent studies have examined hematologic parameters in laboratory-reared naked mole-rats, but not in animals living under natural atmospheric conditions. To our knowledge, blood chemistry parameters have never been systematically assessed in a fossorial mammal. In this study we examined the blood of wild naked mole-rats in Kenya and Ethiopia to determine whether their blood chemistry differs significantly from naked mole-rats born and living in captivity. We also compared our results to published values for hystricomorphs, other subterranean rodents, and surface-dwelling rodents of similar size.
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Affiliation(s)
- Susanne Holtze
- Department of Reproduction Management, Leibniz-Instiute for Zoo and Wildlife Research, Berlin, Germany
| | | | - Thomas Bernd Hildebrandt
- Department of Reproduction Management, Leibniz-Instiute for Zoo and Wildlife Research, Berlin, Germany
| | - Alemayehu Lemma
- College of Veterinary Medicine and Agriculture, Addis Ababa University, Debre Zeit, Ethiopia
| | - Karol Szafranski
- Department of Reproduction Management, Leibniz-Instiute for Zoo and Wildlife Research, Berlin, Germany
| | - Matthias Platzer
- Department of Reproduction Management, Leibniz-Instiute for Zoo and Wildlife Research, Berlin, Germany
| | - Fitsum Alemayehu
- College of Veterinary Medicine, Haramaya University, Haramaya, Ethiopia
| | - Frank Goeritz
- Department of Reproduction Management, Leibniz-Instiute for Zoo and Wildlife Research, Berlin, Germany
| | - Stan Braude
- Biology Department, Washington University, St. Louis, MO, USA
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2
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Mortola JP, Wilfong D. Hematocrit and Hemoglobin Levels of Nonhuman Apes at Moderate Altitudes: A Comparison with Humans. High Alt Med Biol 2016; 17:323-335. [PMID: 27959666 DOI: 10.1089/ham.2016.0069] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Mortola, Jacopo P. and DeeAnn Wilfong. Hematocrit and hemoglobin levels of nonhuman apes at moderate altitudes: a comparison with humans. High Alt Med Biol. 17:323-335, 2016.-We asked to what extent the hematologic response (increase in hematocrit [Hct] and in blood hemoglobin concentration [Hb]) of humans to altitude hypoxia was shared by our closest relatives, the nonhuman apes. Data were collected from 29 specimens of 7 species of apes at 2073 m altitude (barometric pressure Pb = 598 mm Hg); additional data originated from apes located at a lower altitude (1493 m, Pb = 639 mm Hg). The human altitude profiles of Hct and Hb between sea level and 3000 m were constructed from a compilation of literature sources that (all combined) comprised data sets of 10,000-12,000 subjects for each gender. These human data were binned for 0-250 m altitude (sea level) and for each 500 m of progressively higher altitudes. Values of Hb and Hct of both men and women were significantly higher than at sea level at the 1500 bin (1250-1750 m); hence, the altitude threshold for the human hematological responses must be between 1000 and 1500 m. In the nonhuman apes, no increase in Hct or Hb was apparent at 1500 m; at 2000 m, the increase was significant only for the Hb of females. At either altitude in the group of nonhuman apes, the increase in Hct was much less than in humans, and that of Hb was significantly less at 1500 m. We conclude that lack of, or minimal, hematopoietic response to moderate altitude can occur in mammalian species that are not genetically adapted to high altitudes. Polycythemia is not a common response to altitude hypoxia and, at least at moderate altitudes, the degree of the human response may represent the exception among apes rather than the rule.
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Affiliation(s)
- Jacopo P Mortola
- 1 Department of Physiology, McGill University , Montreal, Canada
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3
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Storz JF. Hemoglobin-oxygen affinity in high-altitude vertebrates: is there evidence for an adaptive trend? J Exp Biol 2016; 219:3190-3203. [PMID: 27802149 PMCID: PMC5091379 DOI: 10.1242/jeb.127134] [Citation(s) in RCA: 80] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
In air-breathing vertebrates at high altitude, fine-tuned adjustments in hemoglobin (Hb)-O2 affinity provide an energetically efficient means of mitigating the effects of arterial hypoxemia. However, it is not always clear whether an increased or decreased Hb-O2 affinity should be expected to improve tissue O2 delivery under different degrees of hypoxia, due to the inherent trade-off between arterial O2 loading and peripheral O2 unloading. Theoretical results indicate that the optimal Hb-O2 affinity varies as a non-linear function of environmental O2 availability, and the threshold elevation at which an increased Hb-O2 affinity becomes advantageous depends on the magnitude of diffusion limitation (the extent to which O2 equilibration at the blood-gas interface is limited by the kinetics of O2 exchange). This body of theory provides a framework for interpreting the possible adaptive significance of evolved changes in Hb-O2 affinity in vertebrates that have colonized high-altitude environments. To evaluate the evidence for an empirical generalization and to test theoretical predictions, I synthesized comparative data in a phylogenetic framework to assess the strength of the relationship between Hb-O2 affinity and native elevation in mammals and birds. Evidence for a general trend in mammals is equivocal, but there is a remarkably strong positive relationship between Hb-O2 affinity and native elevation in birds. Evolved changes in Hb function in high-altitude birds provide one of the most compelling examples of convergent biochemical adaptation in vertebrates.
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Affiliation(s)
- Jay F Storz
- School of Biological Sciences, University of Nebraska, Lincoln, NE 68588, USA
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Janecka JE, Nielsen SSE, Andersen SD, Hoffmann FG, Weber RE, Anderson T, Storz JF, Fago A. Genetically based low oxygen affinities of felid hemoglobins: lack of biochemical adaptation to high-altitude hypoxia in the snow leopard. J Exp Biol 2015; 218:2402-9. [PMID: 26246610 PMCID: PMC4528707 DOI: 10.1242/jeb.125369] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2015] [Accepted: 05/18/2015] [Indexed: 01/31/2023]
Abstract
Genetically based modifications of hemoglobin (Hb) function that increase blood-O2 affinity are hallmarks of hypoxia adaptation in vertebrates. Among mammals, felid Hbs are unusual in that they have low intrinsic O2 affinities and reduced sensitivities to the allosteric cofactor 2,3-diphosphoglycerate (DPG). This combination of features compromises the acclimatization capacity of blood-O2 affinity and has led to the hypothesis that felids have a restricted physiological niche breadth relative to other mammals. In seeming defiance of this conjecture, the snow leopard (Panthera uncia) has an extraordinarily broad elevational distribution and occurs at elevations above 6000 m in the Himalayas. Here, we characterized structural and functional variation of big cat Hbs and investigated molecular mechanisms of Hb adaptation and allosteric regulation that may contribute to the extreme hypoxia tolerance of the snow leopard. Experiments revealed that purified Hbs from snow leopard and African lion exhibited equally low O2 affinities and DPG sensitivities. Both properties are primarily attributable to a single amino acid substitution, β2His→Phe, which occurred in the common ancestor of Felidae. Given the low O2 affinity and reduced regulatory capacity of feline Hbs, the extreme hypoxia tolerance of snow leopards must be attributable to compensatory modifications of other steps in the O2-transport pathway.
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Affiliation(s)
- Jan E Janecka
- Department of Biological Sciences, Duquesne University, Pittsburgh, PA 15282, USA
| | - Simone S E Nielsen
- Zoophysiology, Department of Bioscience, Aarhus University, C.F. Møllers Alle 3, Aarhus C 8000, Denmark
| | - Sidsel D Andersen
- Zoophysiology, Department of Bioscience, Aarhus University, C.F. Møllers Alle 3, Aarhus C 8000, Denmark
| | - Federico G Hoffmann
- Department of Biochemistry, Molecular Biology, Entomology, and Plant Pathology, Mississippi State University, Starkville, MS 39762, USA Institute for Genomics, Biocomputing, and Biotechnology, Mississippi State University, Starkville, MS 39762, USA
| | - Roy E Weber
- Zoophysiology, Department of Bioscience, Aarhus University, C.F. Møllers Alle 3, Aarhus C 8000, Denmark
| | - Trevor Anderson
- Department of Biological Sciences, Duquesne University, Pittsburgh, PA 15282, USA
| | - Jay F Storz
- School of Biological Sciences, University of Nebraska, Lincoln, NE 68588, USA
| | - Angela Fago
- Zoophysiology, Department of Bioscience, Aarhus University, C.F. Møllers Alle 3, Aarhus C 8000, Denmark
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Keller I, Alexander JM, Holderegger R, Edwards PJ. Widespread phenotypic and genetic divergence along altitudinal gradients in animals. J Evol Biol 2013; 26:2527-43. [PMID: 24128377 DOI: 10.1111/jeb.12255] [Citation(s) in RCA: 70] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2013] [Revised: 08/26/2013] [Accepted: 08/27/2013] [Indexed: 12/13/2022]
Abstract
Altitudinal gradients offer valuable study systems to investigate how adaptive genetic diversity is distributed within and between natural populations and which factors promote or prevent adaptive differentiation. The environmental clines along altitudinal gradients tend to be steep relative to the dispersal distance of many organisms, providing an opportunity to study the joint effects of divergent natural selection and gene flow. Temperature is one variable showing consistent altitudinal changes, and altitudinal gradients can therefore provide spatial surrogates for some of the changes anticipated under climate change. Here, we investigate the extent and patterns of adaptive divergence in animal populations along altitudinal gradients by surveying the literature for (i) studies on phenotypic variation assessed under common garden or reciprocal transplant designs and (ii) studies looking for signatures of divergent selection at the molecular level. Phenotypic data show that significant between-population differences are common and taxonomically widespread, involving traits such as mass, wing size, tolerance to thermal extremes and melanization. Several lines of evidence suggest that some of the observed differences are adaptively relevant, but rigorous tests of local adaptation or the link between specific phenotypes and fitness are sorely lacking. Evidence for a role of altitudinal adaptation also exists for a number of candidate genes, most prominently haemoglobin, and for anonymous molecular markers. Novel genomic approaches may provide valuable tools for studying adaptive diversity, also in species that are not amenable to experimentation.
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Affiliation(s)
- I Keller
- Institute of Integrative Biology, ETH Zentrum CHN, ETH Zürich, Universitätsstrasse 16, Zürich, Switzerland; Department of Fish Ecology and Evolution, EAWAG Swiss Federal Institute of Aquatic Science and Technology, Center of Ecology, Evolution and Biochemistry, Kastanienbaum, Switzerland; Department of Aquatic Ecology and Macroevolution, Institute of Ecology and Evolution, University of Bern, Bern, Switzerland
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6
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Liu C, Zhang L, Li N. The specific expression pattern of globin mRNAs in Tibetan chicken during late embryonic stage under hypoxia. Comp Biochem Physiol A Mol Integr Physiol 2013; 164:638-44. [DOI: 10.1016/j.cbpa.2012.09.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2012] [Revised: 09/02/2012] [Accepted: 09/04/2012] [Indexed: 11/16/2022]
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7
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Wilson RE, Peters JL, McCracken KG. Genetic and phenotypic divergence between low- and high-altitude populations of two recently diverged cinnamon teal subspecies. Evolution 2012; 67:170-84. [PMID: 23289570 DOI: 10.1111/j.1558-5646.2012.01740.x] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Spatial variation in the environment can lead to divergent selection between populations occupying different parts of a species' range, and ultimately lead to population divergence. The colonization of new areas can thus facilitate divergence in beneficial traits, yet with little differentiation at neutral genetic markers. We investigated genetic and phenotypic patterns of divergence between low- and high-altitude populations of cinnamon teal inhabiting normoxic and hypoxic regions in the Andes and adjacent lowlands of South America. Cinnamon teal showed strong divergence in body size (PC1; P(ST) = 0.56) and exhibited significant frequency differences in a single nonsynonymous α-hemoglobin amino acid polymorphism (Asn/Ser-α9; F(ST) = 0.60) between environmental extremes, despite considerable admixture of mtDNA and intron loci (F(ST) = 0.004-0.168). Inferences of strong population segregation were further supported by the observation of few mismatched individuals in either environmental extreme. Coalescent analyses indicated that the highlands were most likely colonized from lowland regions but following divergence, gene flow has been asymmetric from the highlands into the lowlands. Multiple selection pressures associated with high-altitude habitats, including cold and hypoxia, have likely shaped morphological and genetic divergence within South American cinnamon teal populations.
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Affiliation(s)
- Robert E Wilson
- Institute of Arctic Biology, Department of Biology and Wildlife, and University of Alaska Museum, University of Alaska Fairbanks, Fairbanks, AK 99775, USA.
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Crait JR, Prange HD, Marshall NA, Harlow HJ, Cotton CJ, Ben-David M. High-altitude diving in river otters: coping with combined hypoxic stresses. ACTA ACUST UNITED AC 2012; 215:256-63. [PMID: 22189769 DOI: 10.1242/jeb.059774] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
River otters (Lontra canadensis) are highly active, semi-aquatic mammals indigenous to a range of elevations and represent an appropriate model for assessing the physiological responses to diving at altitude. In this study, we performed blood gas analyses and compared blood chemistry of river otters from a high-elevation (2357 m) population at Yellowstone Lake with a sea-level population along the Pacific coast. Comparisons of oxygen dissociation curves (ODC) revealed no significant difference in hemoglobin-oxygen (Hb-O(2)) binding affinity between the two populations - potentially because of demands for tissue oxygenation. Instead, high-elevation otters had greater Hb concentrations (18.7 g dl(-1)) than sea-level otters (15.6 g dl(-1)). Yellowstone otters displayed higher levels of the vasodilator nitric oxide (NO), and half the concentration of the serum protein albumin, possibly to compensate for increased blood viscosity. Despite compensation in several hematological and serological parameters, theoretical aerobic dive limits (ADL) were similar between high-elevation and sea-level otters because of the lower availability of O(2) at altitude. Our results suggest that recent disruptions to the Yellowstone Lake food web could be detrimental to otters because at this high elevation, constraints on diving may limit their ability to switch to prey in a deep-water environment.
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Affiliation(s)
- Jamie R Crait
- Department of Zoology and Physiology, University of Wyoming, Laramie, WY 82071, USA.
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Casey DP, Imray CHE, Wilson MH, Flouris AD, Carrillo AE, Tedjasaputra V, Hopkins SR, Birchard GF, Billat V, West JB, Vagula MC, Nelatury C, Bennet L, Gasier HG, Gunga HC, Egginton S, Kumar P. Comments on point: counterpoint: high altitude is/is not for the birds! J Appl Physiol (1985) 2011; 111:1520-4. [PMID: 22096211 DOI: 10.1152/japplphysiol.01117.2011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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10
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McCracken K, Barger C, Bulgarella M, Johnson K, Kuhner M, Moore A, Peters J, Trucco J, Valqui T, Winker K, Wilson R. Signatures of High‐Altitude Adaptation in the Major Hemoglobin of Five Species of Andean Dabbling Ducks. Am Nat 2009; 174:631-50. [DOI: 10.1086/606020] [Citation(s) in RCA: 44] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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CHEVIRON ZACHARYA, WHITEHEAD ANDREW, BRUMFIELD ROBBT. Transcriptomic variation and plasticity in rufous-collared sparrows (Zonotrichia capensis) along an altitudinal gradient. Mol Ecol 2008; 17:4556-69. [DOI: 10.1111/j.1365-294x.2008.03942.x] [Citation(s) in RCA: 101] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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12
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Navas CA, Chauí-Berlinck JG. Respiratory physiology of high-altitude anurans: 55 years of research on altitude and oxygen. Respir Physiol Neurobiol 2007; 158:307-13. [PMID: 17597014 DOI: 10.1016/j.resp.2007.05.005] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2007] [Revised: 05/07/2007] [Accepted: 05/09/2007] [Indexed: 11/25/2022]
Abstract
In a 1951 paper, perhaps the first one addressing adjustments of respiratory physiology in high-elevation anurans, L.C. Stuart tested the hypothesis that hemoglobin values were higher in the high-elevation Bufo bocourti than in the low-elevation species Bufo marinus. We use Stuart's paper as a starting point for a historical review of the field that encompasses the past 55 years. We start with the early search for evidence of physiological adjustments that took place in the 1960s, move to the studies with Telmatobius that dominated the 1970s and the 1980s, continue with the contributions of experimental physiology that characterized the 1990s, and finish with the discovery of mechanisms enhancing hemoglobin oxygen affinity in high-elevation anurans (2000s). When analyzing the last mentioned topic, we highlight the contributions by the late Professor Carlos Monge, to whom we dedicate this paper. Finally, we discuss the current state of the field, and propose directions for further studies.
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Affiliation(s)
- Carlos A Navas
- Departamento de Fisiologia, Instituto de Biociências, Universidade de São Paulo, Rua do Matão, Travessa 14 No. 321, Cidade Universitária, CEP 05508-900 São Paulo, SP, Brasil.
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Weber RE. High-altitude adaptations in vertebrate hemoglobins. Respir Physiol Neurobiol 2007; 158:132-42. [PMID: 17561448 DOI: 10.1016/j.resp.2007.05.001] [Citation(s) in RCA: 124] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2007] [Revised: 05/01/2007] [Accepted: 05/01/2007] [Indexed: 11/25/2022]
Abstract
Vertebrates at high altitude are subjected to hypoxic conditions that challenge aerobic metabolism. O(2) transport from the respiratory surfaces to tissues requires matching between the O(2) loading and unloading tensions and the O(2)-affinity of blood, which is an integrated function of hemoglobin's intrinsic O(2)-affinity and its allosteric interaction with cellular effectors (organic phosphates, protons and chloride). Whereas short-term altitudinal adaptations predominantly involve adjustments in allosteric interactions, long-term, genetically-coded adaptations typically involve changes in the structure of the haemoglobin molecules. The latter commonly comprise substitutions of amino acid residues at the effector binding sites, the heme-protein contacts, or at intersubunit contacts that stabilize either the low-affinity ('Tense') or the high-affinity ('Relaxed') structures of the molecules. Molecular heterogeneity (multiple isoHbs with differentiated oxygenation properties) can further broaden the range of physico-chemical conditions where Hb functions under altitudinal hypoxia. This treatise reviews the molecular and cellular mechanisms that adapt haemoglobin-oxygen affinities in mammals, birds and ectothermic vertebrates at high altitude.
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Affiliation(s)
- Roy E Weber
- Zoophysiology, Institute of Biological Sciences, Building 1131, University of Aarhus, DK 8000 Aarhus, Denmark.
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Yilmaz C, Hogg DC, Ravikumar P, Hsia CCW. Ventilatory acclimatization in awake guinea pigs raised at high altitude. Respir Physiol Neurobiol 2005; 145:235-42. [PMID: 15705538 DOI: 10.1016/j.resp.2004.07.011] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/20/2004] [Indexed: 11/17/2022]
Abstract
To determine if laboratory strains of guinea pigs bred at sea level (SL) are "pre-adapted" to high altitude (HA), we raised litter-matched weanling Hartley guinea pigs for 4 months at SL, intermediate altitude (IA, 1250 m) or HA (3800 m) and exposed them acutely to 100, 21 and 12% inspired O2 at their respective altitude of residence. Control animals raised at SL were also exposed acutely to 10 and 8% inspired O2. In awake spontaneously breathing guinea pigs raised at SL, resting minute ventilation and tidal volume increased significantly when inspired O2 tension fell below about 60 mm Hg. In guinea pigs raised at IA or HA, ventilation was higher at any given inspired O2 tension in direct relationship to the altitude of residence. Resting hematocrit was also higher in animals raised at HA than at SL. We conclude that the pattern of ventilatory acclimatization to HA exposure in Hartley guinea pigs is similar to that in laboratory rats and human lowlanders; therefore laboratory guinea pigs are not pre-adapted and are suitable animals for the study of adaptation to high altitude.
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Affiliation(s)
- Cuneyt Yilmaz
- Department of Internal Medicine, Pulmonary and Critical Care Medicine, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390-9034, USA
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León-Velarde F, Mejía O, Palacios JA, Monge C. Changes in whole blood oxygen affinity and eggshell permeability in high altitude chickens translocated to sea level. Comp Biochem Physiol B Biochem Mol Biol 1997; 118:53-7. [PMID: 9417992 DOI: 10.1016/s0305-0491(97)00019-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
High altitude (HA; n = 5) chickens (Gallus gallus) with a high oxygen hemoglobin (Hb) affinity were transported from their birthplace (Puno, Perú 4,000 m) down sea level (Lima, Perú). The in vivo whole blood oxygen affinity (P50) and the eggshell permeability (P) were studied after several months living at sea level and in the first (F1) and second (F2) generations born at sea level. Our approach was to analyze changes in Hb affinity and eggshell permeability, considered as indicators of HA adaptation in birds. Our results show an increase of the P50 values (a decrease in Hb affinity) towards sea-level values. The results in P indicate that this variable increases towards sea level values in the F2 generation. We conclude that in the Andean chicken, a relative "newcomer" to high altitude (no more than 500 years), neither the Hb affinity for oxygen nor the eggshell permeability are invariable indicators of HA adaptation, in contrast with other native high altitude mammals and birds.
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Affiliation(s)
- F León-Velarde
- Universidad Peruana Cayetano Heredia, Dpto. de Ciencias Fisiológicas/Instituto de Investigaciones de la Altura (IIA), Lima, Peru.
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