High-Altitude Erythrocytosis: Mechanisms of Adaptive and Maladaptive Responses

Physiology (Bethesda). 2022 Jul 1;37(4):0. doi: 10.1152/physiol.00029.2021. Epub 2022 Jan 10.

Abstract

Erythrocytosis, or increased production of red blood cells, is one of the most well-documented physiological traits that varies within and among in high-altitude populations. Although a modest increase in blood O2-carrying capacity may be beneficial for life in highland environments, erythrocytosis can also become excessive and lead to maladaptive syndromes such as chronic mountain sickness (CMS).

Keywords: chronic hypoxia; chronic mountain sickness; excessive erythrocytosis; high-altitude erythrocytosis.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't
  • Research Support, N.I.H., Extramural

MeSH terms

  • Altitude
  • Altitude Sickness*
  • Chronic Disease
  • Humans
  • Phenotype
  • Polycythemia*