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Study of Sherpas highlights key role of kidneys in acclimatization to high altitudes

Research illustrates another way that Sherpas are better adapted to high altitude ascent

2024-12-30
(Press-News.org) (Calgary) — A study from a Mount Royal University physiologist and his team demonstrates the key role of the kidneys in acclimatization to high altitude, and illustrates another way that Sherpas are better adapted to high altitude ascent.

Results from the study were recently published in in the prestigious international science journal Proceedings of the National Academy of Sciences. 

The paper, “Comparing integrative ventilatory and renal acid-base acclimatization in lowlanders and Tibetan highlanders during ascent to 4,300 m”,  describes findings from an international high altitude research expedition to the Nepal Himalaya, funded by NSF (USA) and NSERC (Canada), where the team led by Dr. Trevor Day, PhD, studied the blood acid-base acclimatization responses to incremental ascent in lowlanders and Tibetan highlanders (Sherpa). 

The team found that Sherpa participants had more rapid and larger magnitude blood acid-base acclimatization than lowlanders with incremental ascent to 4,300 metres. This study highlights the key role of the kidneys in acclimatization to high altitude, and illustrates another way that Sherpa are better adapted to high altitude ascent. 

"With so many people now living and traveling to high altitudes, understanding integrated acclimatization and adaptation to high altitude  in human populations is of increasing importance, particularly comparing lowlander to highlander populations,” explains Day.

 High altitude exposure imposes a blood oxygenation and acid–base challenge, compensated by respiratory and renal acclimatization. The team assessed respiratory and renal acclimatization between unacclimatized age- and sex-matched groups of lowlanders  and Tibetan highlanders (Sherpa) during incremental ascent to 4,300 metres in the Nepal Himalaya. Sherpa had a larger magnitude and more rapid time-course of respiratory and renal acclimatization, resulting in fully compensated blood pH at 4,300 metres, whereas lowlanders  were still alkalemic.

“This study provides insight into the interplay of ancestry and physiological mechanisms contributing to acclimatization to high altitude, which may indicate selective pressure on ancestral Tibetan highlander populations related to renal function with acclimatization."

 

Insights from the research benefit physiology as a whole, and add new understanding about how different populations acclimatize to high altitude ascent. 

The study’s co-first authors were MRU undergraduate trainees Nicole Johnson and Jessica Dickenson, with contributions from two other MRU undergraduate trainees, Benjamin Mackenzie and Rodion Isakovich, and fellow MRU faculty member Dr. Nick Strzalkowski. With support from medical resident Dr. Anne Kalker and post-doctoral fellow Dr. Janne Bouten, both from Europe, rounded out by collaborators in Nepal and organizational help from collaborators in the U.S. Drs. Taylor Harmon, Abigail Bigham, Tom Brutsaert and Sweden, Dr. Pontus Holmstrom, this project represents a huge international effort, resulting from the team’s high altitude research  expedition to Nepal in 2023.

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For further information, or to arrange interviews, please contact:  Peter Glenn, Manager, External Communications

Mount Royal University

Media cell: 403.463.6930

E-mail: mediarelations@mtroyal.ca

About Mount Royal Mount Royal University is one of Canada's top destinations for undergraduate studies. It offers small class sizes and personalized student services within a scholarly community renowned for academic excellence and a focus on teaching and learning. Founded in 1910, Mount Royal remains dedicated to the success of its students. Today, more than 15,000 students choose from 13 bachelor degrees and 38 majors. More than 110,000 Mount Royal alumni are contributing to their communities worldwide.

 

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[Press-News.org] Study of Sherpas highlights key role of kidneys in acclimatization to high altitudes
Research illustrates another way that Sherpas are better adapted to high altitude ascent