Altitude hypoxia increases glucose uptake in human heart

Chi Hsien Chen, Yuh Feng Liu, Shin Da Lee, Chih Yang Huang, Wen Chih Lee, Ying Lan Tsai, Chien Wen Hou, Yi Sheng Chan, Chia Hua Kuo

研究成果: 雜誌貢獻文章同行評審

20 引文 斯高帕斯(Scopus)


Cardiac muscle is a highly oxygenated tissue that produces ATP mainly from fat oxidation. However, when the rate of oxygen demand exceeds oxygen supply, energy reliance on the carbohydrate substrate becomes crucial for sustaining normal cardiac function. In this study, the effect of acute altitude hypoxia on glucose uptake from circulation was determined, for the first time, in the human heart, using [18F]-2-deoxy-2-fluoro-D-glucose positron emission tomography (FDG-PET) in a simulated altitude condition (14% O2, corresponding to ∼3000 m above sea level) or room air (21% O2). Our results showed that subjects (n = 6) started to experience difficulty in sustaining the hypoxic condition at ∼45 min. This was concurrent with a substantially increased blood lactate concentration, which reflects an accelerated rate of anaerobic glycolysis. Hypoxia elevated FDG uptake above control by ∼70% in heart, but not in limbs (representing primarily skeletal muscle), brain, and liver. This study provides the first human evidence for the hypoxia-stimulated glucose uptake in heart. At this hypoxia level, the previously observed hypoxia-stimulated glucose uptake in rat skeletal muscle was not confirmed in the human study.
頁(從 - 到)83-86
期刊High Altitude Medicine and Biology
出版狀態已發佈 - 3月 1 2009

ASJC Scopus subject areas

  • 醫藥 (全部)
  • 生理學
  • 公共衛生、環境和職業健康


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