Abstract

In some organisms and cells, oxygen availability influences oxygen consumption. In this review, we examine this phenomenon of hypoxic hypometabolism (HH), discussing its features, mechanisms, and implications. Small mammals and other vertebrate species exhibit “oxyconformism,” a downregulation of metabolic rate and body temperature during hypoxia which is sensed by the central nervous system. Smaller body mass and cooler ambient temperature contribute to a high metabolic rate in mammals. It is this hypermetabolic state that is suppressed by hypoxia leading to HH. Larger mammals including humans do not exhibit HH. Tissues and cells also exhibit reductions in respiration during hypoxia in vitro, even at oxygen levels ample for mitochondrial oxidative phosphorylation. The mechanisms of cellular HH involve intracellular oxygen sensors including hypoxia-inducible factors, AMP-activated protein kinase (AMPK), and mitochondrial reactive oxygen species (ROS) which downregulate mitochondrial activity and ATP utilization. HH has a profound impact on cardiovascular, respiratory, and metabolic physiology in rodents. Therefore, caution should be exercised when extrapolating the results of rodent hypoxia studies to human physiology.

Highlights

  • Hypoxia is defined as reduced oxygen (O2) in the environment or in an organism [1]

  • The thermoneutral zone (TNZ) is the range of ambient temperatures where basal metabolic rate (BMR) is determined, since thermogenic energy expenditure is at a minimum [13]

  • “room temperature” (22◦C) approximates the TNZ for clothed humans but is far below TNZ for mice; the metabolic rate of a mice housed at 22◦C will be 50% above its BMR [13]

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Summary

Does Hypoxia Decrease the Metabolic Rate?

Small mammals and other vertebrate species exhibit “oxyconformism,” a downregulation of metabolic rate and body temperature during hypoxia which is sensed by the central nervous system. Smaller body mass and cooler ambient temperature contribute to a high metabolic rate in mammals. It is this hypermetabolic state that is suppressed by hypoxia leading to HH. Larger mammals including humans do not exhibit HH. The mechanisms of cellular HH involve intracellular oxygen sensors including hypoxia-inducible factors, AMP-activated protein kinase (AMPK), and mitochondrial reactive oxygen species (ROS) which downregulate mitochondrial activity and ATP utilization. Caution should be exercised when extrapolating the results of rodent hypoxia studies to human physiology

BACKGROUND
Hypoxia and Metabolic Rate
MECHANISMS OF HYPOXIC HYPOMETABOLISM
HYPOXIC HYPOMETABOLISM AT THE CELL LEVEL
DO HUMANS EXPERIENCE HYPOXIC HYPOMETABOLISM?
Animal Physiology
Translational Research
Clinical Research
Findings
CONCLUSIONS

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