Long-term intermittent hyperoxic exposures do not enhance erythropoiesis

Eur J Clin Invest. 2012 Mar;42(3):260-5. doi: 10.1111/j.1365-2362.2011.02578.x. Epub 2011 Aug 11.

Abstract

Background: Based on a report of a marked increase in the erythropoietin concentration ([EPO]) a few hours after the cessation of a single 2-h session of O(2) breathing, short periods of O(2) administration have been advocated as a therapy for anaemia. Accordingly, the purpose of the present study was to evaluate this theory by investigating the effect of 10 daily short-term exposures to normobaric O(2) over a 2-week period on the plasma [EPO] in healthy individuals.

Material and methods: Twenty men were assigned to either an experimental (NBO(2)) or to a control (AIR) group. The NBO(2) group breathed 100% normobaric O(2) for 2 h every weekday over a 2-week period. The AIR group breathed air within the same time protocol. Blood samples were collected at the pre-, mid- and post-intervention periods to determine [EPO].

Results: [EPO] of the NBO(2) group was significantly lower than that of the AIR group during the mid- and post-periods (P < 0·001). [EPO] of the NBO(2) group showed a slight, albeit statistically nonsignificant, decrease during the mid (∼11%)- and post (∼16%)-periods.

Conclusions: Daily short-term exposures to normobaric hyperoxia do not increase the [EPO] in healthy individuals. The increased O(2) tension suppresses [EPO]. Hence, administration of pure O(2) to enhance erythropoiesis is not warranted.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Case-Control Studies
  • Erythropoiesis / physiology*
  • Erythropoietin / blood*
  • Erythropoietin / metabolism
  • Humans
  • Hyperbaric Oxygenation / methods
  • Hyperoxia / blood*
  • Hyperoxia / metabolism
  • Male
  • Oxygen / blood*
  • Oxygen / metabolism
  • Time Factors
  • Young Adult

Substances

  • Erythropoietin
  • Oxygen