PMID- 35204150 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230505 IS - 2076-3921 (Print) IS - 2076-3921 (Electronic) IS - 2076-3921 (Linking) VI - 11 IP - 2 DP - 2022 Jan 28 TI - Oxidative Stress and Diseases Associated with High-Altitude Exposure. PG - 267 LID - 10.3390/antiox11020267 [doi] LID - 267 AB - Several diseases associated with high-altitude exposure affect unacclimated individuals. These diseases include acute mountain sickness (AMS), high-altitude cerebral edema (HACE), high-altitude pulmonary edema (HAPE), chronic mountain sickness (CMS), and, notably, high-altitude pulmonary hypertension (HAPH), which can eventually lead to right ventricle hypertrophy and heart failure. The development of these pathologies involves different molecules and molecular pathways that might be related to oxidative stress. Studies have shown that acute, intermittent, and chronic exposure to hypobaric hypoxia induce oxidative stress, causing alterations to molecular pathways and cellular components (lipids, proteins, and DNA). Therefore, the aim of this review is to discuss the oxidative molecules and pathways involved in the development of high-altitude diseases. In summary, all high-altitude pathologies are related to oxidative stress, as indicated by increases in the malondialdehyde (MDA) biomarker and decreases in superoxide dismutase (SOD) and glutathione peroxidase (GPx) antioxidant activity. In addition, in CMS, the levels of 8-iso-PGF2alpha and H(2)O(2) are increased, and evidence strongly indicates an increase in Nox4 activity in HAPH. Therefore, antioxidant treatments seem to be a promising approach to mitigating high-altitude pathologies. FAU - Pena, Eduardo AU - Pena E AUID- ORCID: 0000-0003-2664-1722 AD - Institute of Health Studies, Arturo Prat University, Iquique 1100000, Chile; eduardopena@unap.cl (E.P.); psiques@tie.cl (P.S.); jbritor@tie.cl (J.B.). FAU - El Alam, Samia AU - El Alam S AUID- ORCID: 0000-0002-7501-5077 AD - Institute of Health Studies, Arturo Prat University, Iquique 1100000, Chile; eduardopena@unap.cl (E.P.); psiques@tie.cl (P.S.); jbritor@tie.cl (J.B.). FAU - Siques, Patricia AU - Siques P AUID- ORCID: 0000-0002-4963-195X AD - Institute of Health Studies, Arturo Prat University, Iquique 1100000, Chile; eduardopena@unap.cl (E.P.); psiques@tie.cl (P.S.); jbritor@tie.cl (J.B.). FAU - Brito, Julio AU - Brito J AUID- ORCID: 0000-0002-0050-8774 AD - Institute of Health Studies, Arturo Prat University, Iquique 1100000, Chile; eduardopena@unap.cl (E.P.); psiques@tie.cl (P.S.); jbritor@tie.cl (J.B.). LA - eng GR - BIP 30477541-0/GORE FIC-TARAPACA/ PT - Journal Article PT - Review DEP - 20220128 PL - Switzerland TA - Antioxidants (Basel) JT - Antioxidants (Basel, Switzerland) JID - 101668981 PMC - PMC8868315 OTO - NOTNLM OT - altitude diseases OT - high altitude OT - oxidative stress OT - pulmonary hypertension OT - reactive oxygen species COIS- The authors declare no conflict of interest. EDAT- 2022/02/26 06:00 MHDA- 2022/02/26 06:01 PMCR- 2022/01/28 CRDT- 2022/02/25 01:03 PHST- 2021/12/13 00:00 [received] PHST- 2022/01/11 00:00 [revised] PHST- 2022/01/13 00:00 [accepted] PHST- 2022/02/25 01:03 [entrez] PHST- 2022/02/26 06:00 [pubmed] PHST- 2022/02/26 06:01 [medline] PHST- 2022/01/28 00:00 [pmc-release] AID - antioxidants-11-00267 [pii] AID - 10.3390/antiox11020267 [doi] PST - epublish SO - Antioxidants (Basel). 2022 Jan 28;11(2):267. doi: 10.3390/antiox11020267.