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Blood, 1 March 2002, Vol. 99, No. 5, pp. 1552-1555
CLINICAL OBSERVATIONS, INTERVENTIONS, AND THERAPEUTIC TRIALS
Effect of N-acetyl-cysteine on the hypoxic ventilatory
response and erythropoietin production: linkage between plasma thiol
redox state and O2 chemosensitivity
Wulf Hildebrandt,
Steve Alexander,
Peter Bärtsch, and
Wulf Dröge
From the Department of Immunochemistry, Deutsches
Krebsforschungszentrum, Heidelberg; and the Department of Sports
Medicine, University of Heidelberg, Germany.
Oxygen-sensing chemoreceptors contribute significantly to the
regulation of the respiratory drive and arterial PO2
levels. The hypoxic ventilatory response (HVR) decreases strongly with age and is modulated by prolonged hypoxia and physical exercise. Several earlier studies indicated that the regulation of the
ventilatory response and erythropoietin (EPO) production by the
respective oxygen sensors involves redox-sensitive signaling pathways,
which are triggered by the O2-dependent production of
reactive oxygen species. The hypothesis that HVR and EPO
production are modulated by thiol compounds or changes in the
plasma thiol-disulfide redox state (REDST) was investigated. It
was demonstrated that both responses are enhanced by oral
treatment with N-acetyl-cysteine (NAC) and that HVR
is correlated with plasma thiol level and REDST. Results suggest the
possibility that age-related changes in plasma REDST may account for
the age-related changes in HVR.

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