Hypoxia briefly increases diuresis but reduces plasma volume by fluid redistribution in women

Author:

Roche Johanna1ORCID,Rasmussen Peter2,Gatterer Hannes1ORCID,Roveri Giulia1ORCID,Turner Rachel1ORCID,van Hall Gerrit345,Maillard Marc6,Walzl Anna7,Kob Michael8,Strapazzon Giacomo1ORCID,Goetze Jens Peter3,Schäfer Simon Thomas7,Kammerer Tobias79ORCID,Nader Elie10,Connes Philippe10,Robert Mélanie10,Mueller Thomas1112ORCID,Feraille Eric1314ORCID,Siebenmann Christoph1ORCID

Affiliation:

1. Institute of Mountain Emergency Medicine, Eurac Research, Bolzano, Italy

2. H. Lundbeck A/S, Copenhagen, Denmark

3. Department of Clinical Biochemistry, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark

4. Department of Biomedical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark

5. Clinical Metabolomics Core Facility, Rigshospitalet, University of Copenhagen, Denmark

6. Service of Nephrology, University Hospital of Lausanne, Lausanne, Switzerland

7. Department of Anesthesiology, LMU Klinikum, Ludwig-Maximilians-University München, Munich, Germany

8. Division of Clinical Nutrition, Bolzano Regional Hospital, Bolzano, Italy

9. Department for Anesthesiology and Intensive Care Medicine, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany

10. Laboratory LIBM EA7424, Vascular Biology and Red Blood Cell Team, University of Lyon, Lyon, France

11. Department of Clinical Pathology, Hospital of Bolzano, Bolzano, Italy

12. Department of Laboratory Medicine, Hospital Voecklabruck, Voecklabruck, Austria

13. National Center of Competence in Research Kidney Control of Homeostasis (Kidney.CH), Zurich, Switzerland

14. Department of Cellular Physiology and Metabolism, University of Geneva, Geneva, Switzerland

Abstract

This study is the first to investigate the mechanisms underlying plasma volume (PV) contraction in response to hypoxia in women while strictly controlling for confounders. PV contraction in women has a similar time course and magnitude as in men and is driven by the same mechanism, namely, oncotically driven redistribution rather than loss of fluid. We further report that hypoxia facilitates an increase in diuresis, that is, however, short-lived and of little relevance for PV regulation.

Funder

The Swiss National Centre of Competence in Research (NCCR) Kidney Control of Homeostasis

Wilderness Medical Society

Publisher

American Physiological Society

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine,Physiology

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