临床前缺氧状态的一种有前景的诊断方法

A. Lyubimov, P. Khokhlov, E. Bychkov, P. Shabanov
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摘要

背景:在某些情况下,自然条件下的缺氧状态会发生,并且在绝大多数情况下被认为是一个消极的过程。然而,在某些条件下,外源性缺氧被用作适应/预处理和训练即将到来的低氧应激的因素,以及提高各种类型的专家在常压条件下的身体耐力和工作能力。对外源缺氧的适应机制进行了详细的研究。在我们的研究早期,已经确定了对人体没有负面影响的人工外源性常压缺氧的数值。目的:本研究的目的是确定低氧诱导因子1 (HIF-1)作为适应常压低氧的可能标志。材料与方法:6名测试志愿者在ASM JSC (St. Petersburg)试验台的密闭住宅试验室中,处于常压低氧低氧状态(含氧量1220%),持续100天。结果:虽然血红蛋白水平和红细胞绝对数量有统计学意义的波动,但长期暴露于等压低氧呼吸混合物中,预期未检测到临床显著的红细胞反应。在分析HIF-1浓度时,获得定性数据,观察期内HIF-1浓度变化有显著响应(p 0.05)。此外,计算出Kendall一致性因子为0.68,表明HIF-1浓度动态存在显著差异。结论:选择的缺氧模式可作为外源性预处理的一种方法。
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A promising method for the diagnosis of preclinical hypoxic state
BACKGROUND: The state of hypoxia in natural conditions occurs in certain cases and is considered as a negative process in the overwhelming majority of cases. However, exogenous hypoxia is used as a factor of adaptation / preconditioning and training to the forthcoming hypoxic stress under some conditions, as well as increasing physical endurance and working capacity in normoxic conditions among specialists of various profiles. The mechanisms of adaptation to exogenous hypoxia have been studied in detail. Earlier in our studies, the value of artificial exogenous normobaric hypoxic hypoxia, which does not have a negative effect on the human body, was determined. AIM: The aim of this work was to determine hypoxia inducible factor 1 (HIF-1) as a possible marker of adaptation to normobaric hypoxic hypoxia. MATERIALS AND METHODS: For 100 days, 6 test volunteers were continuously in a sealed residential test room based on the test bench of ASM JSC (St. Petersburg) in a state of normobaric hypoxic hypoxia (oxygen content 1220%). RESULTS: No clinically significant erythrocyte response to long-term exposure to normobaric hypoxic respiratory mixture was expectedly detected, although statistically significant fluctuations in the level of hemoglobin and the absolute number of erythrocytes were determined. When analyzing the HIF-1 concentration, qualitative data were obtained, characterizing a significant response (p 0.05) in the change in HIF-1 concentration during the observation period. Additionally, a Kendall consistency factor of 0.68 was calculated, suggesting a significant difference in HIF-1 concentration dynamics. CONCLUSIONS: The chosen mode of hypoxia can be used as a method of exogenous preconditioning.
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