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First published online on August 4, 2005.
Copyright © 2005 by The Physiological Society
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Received May 5, 2005
Revised June 17, 2005
Accepted after revision August 2, 2005

Influence of recombinant human erythropoietin treatment on pulmonary O2 uptake kinetics during exercise in humans

Daryl P Wilkerson1, Jorn Rittweger2, Nicolas J A Berger2, Patrick F Naish3, and Andrew M Jones2*

1 Manchester Metropolitan University, UK
2 Manchester Metropolitan University
3 North Staffordshire Hospital Trust

* To whom correspondence should be addressed. E-mail: a.m.jones{at}mmu.ac.uk.

We hypothesised that 4 weeks of recombinant human erythropoietin (RhEPO) treatment would result in a significant increase in haemoglobin concentration ([Hb]) and arterial blood O2 carrying capacity and that this would 1) increase peak pulmonary oxygen uptake (VO2) during ramp incremental exercise and 2) speed VO2 kinetics during 'severe', but not 'moderate' or 'heavy' intensity, step exercise. Fifteen subjects (mean ± S.D. age 25 ± 4 years) were randomly assigned to either an experimental group which received a weekly subcutaneous injection of RhEPO (150 IUkg-1; n = 8), or a control group (CON) which received a weekly subcutaneous injection of sterile saline (10 ml; n = 7) as a placebo, for four weeks. The subjects and the principal researchers were both blind with respect to the group assignment. Before and after the intervention period, all subjects completed a ramp test for determination of the gas exchange threshold (GET) and VO2 peak, and a number of identical 'step' transitions from 'unloaded' cycling to work rates requiring 80 % GET (moderate), 70 % of the difference between the GET and VO2 peak (heavy), and 105 % VO2 peak (severe) as determined from the initial ramp test. Pulmonary gas exchange was measured breath-by-breath. There were no significant differences between the RhEPO and CON groups for any of the measurements of interest ([Hb], VO2 peak, VO2 kinetics) before the intervention. Four weeks of RhEPO treatment resulted in a 7 % increase both in [Hb] (from 15.8 ± 1.0 to 16.9 ± 0.7 gdL-1; P<0.01) and VO2 peak (from 47.5 ± 4.2 to 50.8 ± 10.7 mLkg-1min-1; P<0.05) with no significant change in CON. RhEPO had no significant effect on VO2 kinetics for moderate (Phase II time constant, from 28 ± 8 to 28 ± 7 s), heavy (from 37 ± 12 to 35 ± 11 s), or severe (from 33 ± 15 to 35 ± 15 s) step exercise. Our results indicate that enhancing blood O2 carrying capacity and thus the potential for muscle O2 delivery with RhEPO treatment enhanced the VO2 peak but did not influence VO2 kinetics, suggesting that the latter is principally regulated by intra-cellular (metabolic) factors, even during exercise where the VO2 requirement is greater than the VO2 peak, at least in young subjects performing upright cycle exercise.


Key words: Exercise • oxygen consumption • Oxygen transport




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