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Nitric Oxide Helps Humans
Adapt to High Altitudes

NEW YORK (Reuters Health) - People living at extremely high altitudes produce higher concentrations of a compound that facilitates oxygen flow throughout the body, researchers report.

The compound, nitric oxide (NO), is produced in the lungs and helps blood vessels to dilate, thereby allowing oxygen-carrying blood to flow more freely. NO also boosts the oxygen-carrying capacity of hemoglobin, a component of red blood cells.

The findings, which are based on information from people in Bolivia and Tibet, shed light on how humans adapt to high altitudes, according to Dr. Cynthia M. Beall from Case Western Reserve University in Cleveland, Ohio, and colleagues.

``The similar responses of these two geographically separate high-altitude populations underlines the importance of NO for life under hypoxic stress,'' they write.

Hypoxia is a severe lack of oxygen that causes symptoms ranging from mental confusion to a life-threatening swelling of the brain.

According to the findings in the November 22 issue of Nature, people who live at very high altitudes adapt by producing more NO than individuals living at sea level. The researchers measured concentrations of NO exhaled by 105 healthy nonsmokers living in Tibet at 4,200 meters above sea level, in 144 people living in Bolivia at 3,900 meters above sea level, and in 33 people living at sea level in the US.

The Tibetans were found to have more than twice the concentration of NO that US citizens had. Similarly, the concentration of NO exhaled by the Bolivians was 25% greater than concentrations exhaled by US individuals.

``The functional advantage of high NO concentrations in the lungs seems to be to offset ambient hypoxia by enhancing the uptake of oxygen from the lungs, which presumably improves delivery of oxygen to peripheral tissues,'' Beall and colleagues conclude.

SOURCE: Nature 2001;414:411-412.

Reference Source 89

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