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JOURNAL OF CLINICAL TRANSFUSION AND LABORATORY MEDICINE ›› 2021, Vol. 23 ›› Issue (5): 564-569.DOI: 10.3969/j.issn.1671-2587.2021.05.005

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Study on the Expression of Hypoxic Adaptation-related Genes and Screening of Rapid Adaptation of Hypoxic Population at High Altitude

LI Cui-ying, LI Xiao-wei, XIAO Jun, et al   

  1. Department of Blood Transfusion, Air force Medical Center, PLA, Beijing 100142
  • Received:2021-05-25 Published:2021-10-20

Abstract: Objective To screen the population of rapid adaptation to high altitude hypoxia and the genes related to hypoxia adaptation by different population,including Han population who rapidly entered plateau (for 3 and 7day), the plateau-acclimatized Han population (residing for 30 and 90 days),the plateau Han population (more than 10 years on the plateau) and the Tibetan population. Methods The Blood routine examination and SpO2 data were measured by automatic blood cell analyzer and oxygen saturation detector. The mRNA expression levels of hypoxia inducible factor related genes were detected by qRT-PCR. The difference of HbF with high oxygen affinity was detected by the protein electrophoresis method. Results After entering the plateau the hemoglobin(Hb) concentration of Han population increased significantly(146.12±15.5 g/L in the plain,173.05±11.7 g/L after entering plateau 3 days,173.57±11.2 g/L after entering plateau 7 days,175.86±10.4 g/L after entering plateau 30 days,181.98±16.6 g/L after entering plateau 90 days, and 195.46±22.4 g/L living in plateau for a long time,P<0.05),while SpO2 decreased significantly(97.28±1.46% in the plain,87.6±3.1% after entering plateau 3 days,and 90.4±2.6% after entering plateau 30 days,P<0.05). The Hb concentration of Tibetan living in plateau was slightly higher than that Han population in plain,and SpO2 was slightly lower (P<0.05). The expression level of EPAS1 mRNA was increasing in Han population after entering plateau for 7 days, 90 days,and living in plateau for a long time and in Tibetan(P<0.05). The changes in RBC,Hb and Hct after entering the plateau 3 days were higher in Han population on the plains who did not have elevated EPAS1 gene expression than in those with elevated gene expression(P<0.05). The HbF in Tibetan was 54.5% higher than that of Han population (more than 10 years on the plateau)with 27.3% and that of Han population living on plain with only 14.3%. Conclusion We should screen out the Han population,who were characterized with high expression of EPAS1 mRNA after entering plateau 3 days and high HbF,which provides a theoretical basis for the screening of Han population for rapid adaptation to hypoxia in the plateau.

Key words: High altitude hypoxia adaptation, Hypoxic adaptation genes, Gene expression

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