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Acta Physiologica Congress

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Acta Physiologica 2011; Volume 203, Supplement 688
The 62nd National Congress of the Italian Physiological Society
9/25/2011-9/27/2011
Sorrento, Italy


LIMITS TO THE TRANSPORT AND UTILIZATION OF OXYGEN: FROM MOLECULES TO A WHOLE BODY INTEGRATIVE APPROACH
Abstract number: O62

WAGNER1 PD

1Dept of Medicine, Div. of Physiology, Univ. of California, San Diego, La Jolla, CA, USA

Maximal O2 consumption (VO2max) is a phenomenon where, during very intense exercise, O2 uptake stops increasing despite the ability to further increase power output. Traditionally, physiologists have asked "What is the limiting factor to VO2max?" In this presentation, it will be shown that every part of the pathway responsible for transporting O2 from the air to the mitochondria contributes to setting VO2max. The question should no longer be posed as above; it should be about the relative importance of each transport pathway step. Thus, the lungs, the heart, the vasculature and blood, and the muscles themselves all contribute to the limits to O2 transport. While the role of the heart has been accepted for decades, inefficient pulmonary gas exchange also contribute, as do hemoglobin concentration and P50. Perhaps least recognized is the role for transport of O2 by diffusion between the muscle microcirculation and the mitochondria. In addition, interaction between physiological O2 transport and subsequent biochemical utilization of O2 can further affect VO2max. In sum, O2 transport and utilization occur via an in series system, and to understand their limits, it is important to consider the system as a whole and not just as a collection of individual parts. The presentation will develop these concepts in graphical form and use literature data to support them.

To cite this abstract, please use the following information:
Acta Physiologica 2011; Volume 203, Supplement 688 :O62

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