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Title: Modelling the relationships between haemoglobin oxygen affinity and the oxygen cascade in humans
Key points

Haemoglobin affinity is an integral concept in exercise physiology that impacts oxygen uptake, delivery and consumption.

How chronic alterations in haemoglobin affinity impact physiology is unknown.

Using human haemoglobin variants, we demonstrate that the affinity of haemoglobin for oxygen is highly correlated with haemoglobin concentration.

Using the Fick equation, we model how altered haemoglobin affinity and the associated haemoglobin concentration influences oxygen consumption at rest and during exercise via alterations in cardiac output and mixed‐venous.

The combination of low oxygen affinity haemoglobin and reduced haemoglobin concentration seenin vivomay be unable to support oxygen uptake during moderate or heavy exercise.

Abstract

The physiological implications, with regard to exercise, of altered haemoglobin affinity for oxygen are not fully understood. Data from the Mayo Clinic Laboratories database of rare human haemoglobin variants reveal a strong inverse correlation (r = −0.82) between blood haemoglobin concentration andP50, an index of oxygen affinity [Hb = −0.3135(P50) + 23.636]. In the present study, observedP50values for high, normal and low oxygen‐affinity haemoglobin variants (13, 26 and 39 mmHg) and corresponding haemoglobin concentrations (19.5, 15.5 and 11.4 g dL−1respectively) are used to model oxygen consumption as a fraction of delivery at rest ( = 0.25 L min−1, cardiac output = 5.70 L min−1) and during exercise ( = 2.75 L min−1, cardiac output = 18.9 l min−1). With high‐affinity haemoglobin, the model shows that normal levels of oxygen consumption can be achieved at rest and during exercise at the assumed cardiac output levels, with reduced oxygen extraction both at rest (16.8% high affinityvs. 21.7% normal) and during exercise (55.8% high affinityvs. 72.2% normal). With low‐affinity haemoglobin, which predicts low haemoglobin concentration, oxygen consumption at rest can be sustained with the assumed cardiac output, with increased oxygen extraction (31.1% low affinityvs. 21.7% normal). However, exercise at 2.75 l min−1cannot be achieved with the assumed cardiac output, even with 100% oxygen extraction. In conclusion, the model indicates chronic alterations inP50associate directly with Hb concentration, highlighting that human Hb variants can serve as ‘experiments of nature’ to address fundamental hypotheses on oxygen transport and exercise.

 
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NSF-PAR ID:
10458631
Author(s) / Creator(s):
 ;  ;  ;  ;  ;  ;  
Publisher / Repository:
Wiley-Blackwell
Date Published:
Journal Name:
The Journal of Physiology
Volume:
597
Issue:
16
ISSN:
0022-3751
Page Range / eLocation ID:
p. 4193-4202
Format(s):
Medium: X
Sponsoring Org:
National Science Foundation
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