Increased endothelial microparticles and oxidative stress at extreme altitude

Autor: Thomas Geiser, Alexander Benedikt Leichtle, Monika Stutz, Urs Hefti, Jacqueline Pichler Hefti, Andreas Huber, Tobias M. Merz
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Adult
Male
CD31
medicine.medical_specialty
Physiology
medicine.medical_treatment
Apoptosis
610 Medicine & health
030204 cardiovascular system & hematology
Biology
medicine.disease_cause
Antioxidants
Endothelial activation
03 medical and health sciences
chemistry.chemical_compound
0302 clinical medicine
Double-Blind Method
Cell-Derived Microparticles
Physiology (medical)
Internal medicine
medicine
Humans
Orthopedics and Sports Medicine
Endothelial dysfunction
Hypoxia
Altitude
Vitamin E
Public Health
Environmental and Occupational Health

Vitamins
General Medicine
Phosphatidylserine
Middle Aged
Hypoxia (medical)
medicine.disease
Acetylcysteine
Oxidative Stress
Endocrinology
chemistry
Immunology
Prostaglandins
Female
Endothelium
Vascular

medicine.symptom
Biomarkers
030217 neurology & neurosurgery
Oxidative stress
Zdroj: Pichler Hefti, Jacqueline Renée; Leichtle, Alexander Benedikt; Stutz, Monika; Hefti, Urs; Geiser, Thomas; Huber, Andreas R; Merz, Tobias Michael (2016). Increased endothelial microparticles and oxidative stress at extreme altitude. European journal of applied physiology, 116(4), pp. 739-748. Springer 10.1007/s00421-015-3309-3
Popis: PURPOSE Hypoxia and oxidative stress affect endothelial function. Endothelial microparticles (MP) are established measures of endothelial dysfunction and influence vascular reactivity. To evaluate the effects of hypoxia and antioxidant supplementation on endothelial MP profiles, a double-blind, placebo-controlled trial, during a high altitude expedition was performed. METHODS 29 participants were randomly assigned to a treatment group (n = 14), receiving vitamin E, C, A, and N-acetylcysteine daily, and a control group (n = 15), receiving placebo. Blood samples were obtained at 490 m (baseline), 3530, 4590, and 6210 m. A sensitive tandem mass spectrometry method was used to measure 8-iso-prostaglandin F2α and hydroxyoctadecadienoic acids as markers of oxidative stress. Assessment of MP profiles including endothelial activation markers (CD62+MP and CD144+MP) and cell apoptosis markers (phosphatidylserine+MP and CD31+MP) was performed using a standardized flow cytometry-based protocol. RESULTS 15 subjects reached all altitudes and were included in the final analysis. Oxidative stress increased significantly at altitude. No statistically significant changes were observed comparing baseline to altitude measurements of phosphatidylserine expressing MP (p = 0.1718) and CD31+MP (p = 0.1305). Compared to baseline measurements, a significant increase in CD62+MP (p = 0.0079) and of CD144+MP was detected (p = 0.0315) at high altitudes. No significant difference in any MP level or oxidative stress markers were found between the treatment and the control group. CONCLUSION Hypobaric hypoxia is associated with increased oxidative stress and induces a significant increase in CD62+ and CD144+MP, whereas phosphatidylserine+MP and CD31+MP remain unchanged. This indicates that endothelial activation rather than an apoptosis is the primary factor of hypoxia induced endothelial dysfunction.
Databáze: OpenAIRE