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Comment
. 2015 May 19;112(20):6254-5.
doi: 10.1073/pnas.1506523112. Epub 2015 May 5.

Regulation of oxygen delivery to the body via hypoxic vasodilation

Affiliations
Comment

Regulation of oxygen delivery to the body via hypoxic vasodilation

Shathiyah Kulandavelu et al. Proc Natl Acad Sci U S A. .
No abstract available

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Conflict of interest statement

Conflict of interest statement: J.M.H. discloses a relationship with Vestion that includes equity, board membership, and consulting.

Figures

Fig. 1.
Fig. 1.
Three proposed mechanisms underlying hypoxic vasodilation. ATP release: Activation of Gi results in increased adenylyl cyclase activity, resulting in increased cAMP followed downstream by increased ATP release. ATP binds to endothelial purinergic receptors on endothelial cells and activates eNOS to stimulate NO-dependent vasodilation. Nitrite reduction: Nitrite entering RBCs reacts with both oxyHb (forming nitrate and metHb) and deoxyHb (forming NO and metHb). The reaction with deoxyHb is favored at low oxygen saturation. Formation of dinitrogen trioxide (N2O3) allows for NO-bioactivity to escape the RBC and mediate vasodilation. SNO-hemoglobin pathway: Hemoglobin becomes S-nitrosylated on a specific and conserved cysteine residue on the β-chain (β93Cys) as RBCs get oxygenated in the lungs. In the R-state, the SNO-Hb remains relatively stable. Upon deoxygenation, SNO-Hb reacts with RBC thiols, such as GSH and anion exchanger-1, to transmit a vasodilatory signal out of the RBC leading to vasodilation. AE-1, anion exchanger-1; ATP, Adenosine triphosphate; cAMP, Cyclic adenosine monophosphate; CFTR, Cystic fibrosis transmembrane regulator; eNOS, endothelial nitric oxide synthase; GSH, glutathione; GSNO, S-nitrosoglutathione; NO, nitric oxide; NO2, nitrite; NO3, nitrate; N2O3, dinitrogen trioxide; P2Y, purinergic receptors; PKA, Protein Kinase A.

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References

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