Am J Physiol Regulatory Integrative Comp Physiol 279: R1378–R1385, 2000. Circadian rhythms of body temperature and activity levels during 63 h of hypoxia in the rat B. BISHOP,1 G. SILVA,1 J. KRASNEY,1 A. SALLOUM,1 A. ROBERTS,1 H. NAKANO,1 D. SHUCARD,2 D. RIFKIN,2 AND G. FARKAS3 Departments of 1Physiology and Biophysics, 2Neurology, and 3Physical Therapy and Exercise Science, State University of New York at Buffalo, Buffalo, New York 14214 Received 4 January 2000; accepted in final form 26 April 2000 stress that evokes a variety of behavioral, neural, cardiopulmonary, and hormonal responses. Moderate hypoxia also may lead to long-lasting neuropsychological changes (3), whereas severe hypoxia may result in irreversible neurocognitive and sensorimotor deficits (24). Arterial hypoxia is a stress on health at high altitude and in aircraft cabins, as well as in disease states including congenital cardiopulmonary disorders, obstructive lung disease, sleep apnea, and acute altitude illnesses. In small mammals, including newborn human infants (1, 10, 35), a brief exposure to acute arterial hypoxia elicits a hypothermic-hypometabolic response that is allometrically related to body mass, with larger animals less likely to display the response (9). This hypothermic-hypometabolic response has been postulated to be protective against hypoxia-induced cellular damage, particularly in the brain (36), as well as to minimize the ventilatory response (32). It has been shown that small decreases in the brain temperature limit the magnitude of cellular injury resulting from a prolonged exposure to 10% O2 combined with ischemia (13). In most previous studies the hypoxic exposure has been limited to between 15 min and 2 h and carried out at various ambient temperatures (Ta), well below the reported thermoneutral zone of the rat (29–31°C) (14). The low Ta clearly could influence the parameters of the hypoxic-hypothermic response (32). Thus our intent was to characterize the full hypoxic effect on the circadian rhythms of body temperature (Tb) and level of activity (La) in rats maintained at 29°C, the lower limit of the thermoneutral zone for rats (14). The rats were habituated and acclimated to the 29°C Ta (34), and then the circadian patterns of Tb and La of the rats were recorded and analyzed for 48 h before, 63 h during, and 48 h after exposure to an inspired gas mixture of 10% O2 in N2. Tb normally oscillates in phase with dark-light cycles. The circadian rhythm of Tb depends on whether an animal is nocturnal or diurnal. In the nocturnal rat Tb has its peak during the night (the dark cycle) and its nadir in the day (light cycle) (33). The La of the rat also shows a circadian rhythm that is time-locked to an imposed 12:12-h darklight cycle. After our study was submitted for publication, Mortola and Seifert (23) published results of a similar study in which rats were subjected to 10.5% O2 for 7 days but without specifying Ta. They found, as have we, Address for reprint requests and other correspondence: B. Bishop, Dept. of Physiology and Biophysics, Sherman Hall/South Campus, State Univ. of NY at Buffalo, Buffalo, NY 14214 (E-mail: [email protected]). The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked ‘‘advertisement’’ in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. adaptations to hypoxia; hypothermic response to hypoxia; hyperthermic response to hypoxia; hypoxia on activity HYPOXIA IS A PHYSIOLOGICAL R1378 0363-6119/00 $5.00 Copyright © 2000 the American Physiological Society http://www.ajpregu.org Downloaded from http://ajpregu.physiology.org/ by 10.220.33.1 on June 18, 2017 Bishop, B., G. Silva, J. Krasney, A. Salloum, A. Roberts, H. Nakano, D. Shucard, D. Rifkin, and G. Farkas. Circadian rhythms of body temperature and activity levels during 63 h of hypoxia in the rat. Am J Physiol Regulatory Integrative Comp Physiol 279: R1378–R1385, 2000.—The hypothermic response of rats to only brief (⬃2 h) hypoxia has been described previously. The present study analyzes the hypothermic response in rats, as well as level of activity (La), to prolonged (63 h) hypoxia at rat thermoneutral temperature (29°C). Mini Mitter transmitters were implanted in the abdomens of 10 adult Sprague-Dawley rats to continuously record body temperature (Tb) and La. After habituation for 7 days to 29°C and 12:12-h dark-light cycles, 48 h of baseline data were acquired from six control and four experimental rats. The mean Tb for the group oscillated from a nocturnal peak of 38.4 ⫾ 0.18°C (SD) to a diurnal nadir of 36.7 ⫾ 0.15°C. Then the experimental group was switched to 10% O2 in N2. The immediate Tb response, phase I, was a disappearance of circadian rhythm and a fall in Tb to 36.3 ⫾ 0.52°C. In phase II, Tb increased to a peak of 38.7 ⫾ 0.64°C. In phase III, Tb gradually decreased. At reoxygenation at the end of the hypoxic period, phase IV, Tb increased 1.1 ⫾ 0.25°C. Before hypoxia, La decreased 70% from its nocturnal peak to its diurnal nadir and was entrained with Tb. With hypoxia La decreased in phase I to essential quiescence by phase II. La had returned, but only to a low level in phase III, and was devoid of any circadian rhythm. La resumed its circadian rhythm on reoxygenation. We conclude that 63 h of sustained hypoxia 1) completely disrupts the circadian rhythms of both Tb and La throughout the hypoxic exposure, 2) the hypoxiainduced changes in Tb and La are independent of each other and of the circadian clock, and 3) the Tb response to hypoxia at thermoneutrality has several phases and includes both hypothermic and hyperthermic components. HYPOXIA ABOLISHES RAT TEMPERATURE AND ACTIVITY RHYTHMS that the hypoxia-induced hypothermia did not persist but reversed and climbed. As will be shown, the amplitude of the rise in Tb at an Ta of 29°C is inconsistent with the results reported in the paper by Mortola and Seifert (23). METHODS Animals Experimental Conditions The all-weather room was soundproof and equipped with automated systems that permitted tight control of Ta and lighting cycles over a prolonged period of time. In the present experiment Ta was set at 29°C and the lighting cycle was set at a 12:12-h dark-light cycle, switching at 0600 and 1800. Data Detection Each cage was placed on a receiver for the temperature and activity signals transmitted by the implanted probe. Cages housing the hypoxic rats resided within a large plastic chamber through which either room air or a 10% O2 in N2 gas mixture was delivered at a flow rate of 5 l/min (Fig. 1). Additional cages for the control rats were placed on top of the plastic chamber, each over a Mini Mitter receiver identical to those under the cages of the hypoxic group. Each animal was fed ad libitum and left untethered and undisturbed throughout the 159 h of the experiment. Creating the Hypoxic Environment To induce normobaric hypoxia, a nitrogen flood valve was opened initially for purposes of rapid induction. As the O2 concentration in the chamber approached 10%, preset valves were opened to maintain a continuous hypoxic (10% O2) mixture in the chamber. The reduction of chamber gas to the 10% O2 level required 35–40 min and was always initiated at 1700 when Tb and La were rising in their circadian cycles. Chamber CO2 concentration was always ⬍0.1%. After 63-h exposure to the hypoxic gas all the valves were closed, and the chamber was unsealed, making reoxygenation essentially instantaneous. The afternoon after reoxygenation, each rat was again weighed. Data Acquisition and Reduction The Mini Mitter telemetry system permitted collection of continuous data for the entire 159 h of the experiment. The temperature-specific frequency and the instantaneous position of an animal were transmitted through a multiplexer and relayed to a computer in an adjacent room. A Windowsbased software program (VitalView, Mini Mitter) converted the frequency of the probe to temperature. The probes were calibrated both before implantation and at the end of an experiment. All recorded changes in Tb were expressed in degrees centigrade, and each change in the position of an animal was expressed as a “count” of activity. Results for both parameters were tabulated every 15 min. These telemetry signals were converted to an ASCII file format and entered into the Microsoft Excel Workbook file format. Graphs of Tb and La over the duration of an experiment (159 h) were generated for each animal. Data Analysis Data from animals in each group (i.e., the control and hypoxic groups) were pooled, when appropriate, and analyzed for a variety of variables, including the averages and magnitudes of circadian rhythms, the diurnal nadirs, the nocturnal peaks, and rise and decay times. RESULTS Effects of hypoxia on body weight. In Table 1 the mean body weights for the control and experimental hypoxic groups before and at the end of the experiment are listed. After 63-h exposure to 10% O2, the hypoxic group lost ⬎40 g or about 10% of their body mass. In contrast, none of the controls lost weight, and some gained about 10 g over the 159 h. Fig. 1. Experimental setup in an environmental room in which temperature and lighting were regulated at a near constant 29°C and a 12:12-h dark-light cycle for the duration of an experiment. Each cage, housing one rat, sat on a telemetry receiver for determining the body temperature (Tb) and level of activity (La) every 15 min. Cages of the control group sat on top of the sealed Plexiglas chamber containing the hypoxic group. This chamber was flushed continuously with room air or 10% O2 at 5 l/min. Downloaded from http://ajpregu.physiology.org/ by 10.220.33.1 on June 18, 2017 This study was reviewed and approved by the University at Buffalo Institutional Animal Care and Use Committee. Ten adult male Harlan Sprague-Dawley rats, with body weights ranging from 268 to 497 g, were studied. Before the experiments, a sterile Mini Mitter probe (diameter 10 mm) for detecting Tb and La was implanted under aseptic conditions in the abdominal cavity of each rat under pentobarbital sodium anesthesia (40 mg/kg ip). On recovery from surgery each rat was weighed and then placed in its own cage in an all-weather room. All animals were exposed to identical baseline conditions. Four of the animals were selected at random to be included in the experimental hypoxia group. R1379 R1380 HYPOXIA ABOLISHES RAT TEMPERATURE AND ACTIVITY RHYTHMS Table 1. Mean body weights for control and hypoxic groups of adult Sprague-Dawley rats at beginning and end of 159-h experiment conducted at 29°C Controls Hypoxics n Initial Wt, g Final Wt, g %Change 6 4 381.2 ⫾ 38.2 403.1 ⫾ 32.5 390.8 ⫾ 31.7 361.6 ⫾ 31.6 ⫹3% ⫺10% Values are means ⫾ SD; n ⫽ no. of rats. Hypoxic group was exposed to 63 h of 10% O2. Body Temperature Responses To Hypoxia Tb before 10% O2. The oscillations in Tb for the control animals, as shown by the representative plot in Fig. 2, peaked at a group average of 38.4 ⫾ 0.18°C (SD) during the dark cycle and decreased to an average nadir of 36.7 ⫾ 0.15°C during the light cycle. Changes in Tb during 10% O2. At the onset of hypoxia Tb decreased dramatically in each of the four rats (Fig. 3). This hypothermic component of the hypoxiainduced response was similar in magnitude, direction, and pattern in all animals. For convenience of analysis we defined four well-demarcated components or phases in Tb response to hypoxia (Fig. 4). Phase I was from onset of hypoxia to Tb nadir. Phase II spanned the elevation of Tb from the nadir to the hyperthermic peak. Phase III included the decline in Tb from the hyperthermic peak to the end of the hypoxia. Phase IV occurred with the termination of hypoxia. Fig. 2. Typical circadian rhythms and ultradian oscillations of the Tb (top trace) and of La (bottom trace) of a rat breathing room air. The periods of the oscillations are in phase with the 12:12-h darklight cycling. The mean values for this animal were Tb 37.5°C, nocturnal peak 38.4°C, and daytime nadir 37.0°C. Fig. 3. Tb responses of the individual rats in the experimental group during hypoxia. Responses are plotted for only the hypoxic period. Data for each rat are represented by a different color. Phase I, the hypothermic component of the response. The mean Tb values for the hypoxic group are plotted along with the mean Tb values for the control group in Fig. 4. With the onset of hypoxia not only was the Tb circadian rhythm totally abolished, but Tb, which had been rising toward its normal nocturnal peak at the onset of hypoxia, reversed and fell 1.17 ⫾ 0.25°C at an average rate of ⬃0.50 ⫾ 0.34°C/h (SD) to reach a nadir over the next 3.5 ⫾ 0.68 h. This decrease carried Tb to a temperature significantly below its normal diurnal nadir. At the same point in time, Tb for the control group increased by an average of 0.95 ⫾ 0.19°C to its peak of 37.8°C. Figure 4 shows that the average Tb for the hypoxic group decreased to a minimum of 36.29 ⫾ 0.52°C from its initial value of 37.42 ⫾ 0.31°C. This initial decline in Tb, comprising phase I of the response, has been reported previously for small mammals (9). Phase II, the hyperthermic component of the response. Tb, after reaching its hypothermic nadir, reversed and over the next 24 h rose 2.4°C at a rate of 0.10 ⫾ 0.04°C/h to a peak of 38.7 ⫾ 0.3°C. This Tb peak significantly exceeded the normal prehypoxic noctur- Downloaded from http://ajpregu.physiology.org/ by 10.220.33.1 on June 18, 2017 Prehypoxic circadian rhythms of Tb and La. As exemplified by the traces from a single animal in Fig. 2, Tb and La oscillated in phase with the dark-light cycles in the control rats. Tb oscillated about 1°C around the mean of 37.0°C with the peak at 38.1°C during the dark cycle and the mean nadir of 37.1°C during the light cycle. These rhythms persisted in every control rat throughout the entire experiment. The magnitudes of these oscillations were not different from the baseline data recorded in the prehypoxic period from the hypoxic rats. All Tb prehypoxic traces were superimposable. HYPOXIA ABOLISHES RAT TEMPERATURE AND ACTIVITY RHYTHMS nal peak by 0.9°C. This hyperthermia was followed over the next 13 h by an 0.8°C decline in Tb. The decline continued but became more gradual, falling to an average of 37.1 ⫾ 0.4°C. The decline continued at this slower rate until the termination of the hypoxia. Phase III of the hypoxia-induced Tb response. The hyperthermia waned slowly over the 35 h following the hyperthermic peak to an average of 37.1°C, a value not different from that of the control animals at that point in time. Whether circadian cycling would have returned if the hypoxic period had been extended is not known. We limited hypoxia to 63 h to avoid intrusion of the many other physiological changes that accompany prolonged hypoxia. These changes include increases in blood oxygen capacity, ventilation, and elevated tissue oxygenation and would confound interpretation enormously. Reoxygenation. When the hypoxic chamber was opened to room air Tb increased by 1.1°C over 3 h from 37.1–38.1 ⫾ 0.3°C, its prehypoxic nocturnal peak. The magnitude of this rise in Tb was equivalent to the decline in Tb at the onset of hypoxia. Tb remained above the Tb of the control group until the onset of the next nocturnal cycle. Over the next two dark-light cycles a circadian rhythm was reinstated, but the diurnal nadir remained elevated. By this time the Tb normal circadian rhythm had been reestablished, but the full range of Tb oscillation was not achieved. Activity Responses to Hypoxia Circadian rhythm of La before 10% O2. Before hypoxia, La oscillated in phase with the dark-light cycles (control data in Fig. 2, and the prehypoxic data in Fig. 5A). As would be expected in a nocturnal animal, the La oscillations reached a peak of ⬃50 counts/15 min during the dark cycle and a nadir of ⬃7 counts/15 min during the light cycle. The absolute La varied among animals. Nonetheless, the periods of the average La cycles were not different from those for either Tb or the dark-light cycles. Changes in La during 10% O2. La, which was rising at the time the hypoxia was imposed, changed dramatically with the onset of hypoxia as shown in Fig. 5B and the bottom trace of Fig. 6. The circadian rhythm of La was totally disrupted, and La gradually fell toward silence as Tb declined in phase I. Within 7 h of the onset of hypoxia (i.e., during phase I of the Tb response) La counts had decreased from their nocturnal peak of 50 counts/15 min to 7 counts/15 min. By the time Tb reached its hypoxic nadir, La became essentially quiescent despite the fact that the dark cycle was still in progress. La remained significantly depressed throughout Tb phase II response. In fact, it was during this phase that La was most depressed by the hypoxia. During phase II of the Tb response, the activity counts for the hypoxic rats remained near zero, well below those of the control group. About 25 h after the onset of hypoxia, at the onset of phase III when Tb was falling, La increased somewhat, but remained well below that of the prehypoxic phase I period or the La of the control group. La gradually increased and displayed low-amplitude oscillations (25 vs. 15 counts/15 min) compared with the recordings in the prehypoxic period or those of the control group (50 vs. 7 counts/15 min). Reoxygenation. In phase IV (and over the first 10 h after reoxygenation) the amplitude and period of the La circadian rhythm were fully restored to their normal prehypoxic values (Figs. 5B and 6). DISCUSSION Hypoxia-induced weight loss. The weight gain of the control group and the weight loss of the hypoxic group over the 159 h of the experiment (Table 1) support the concept that hypoxia has important effects on metabolism (10, 26). Sustained hypoxia reduces oxygen consumption by 56% (23). Circadian rhythms. The Sprague-Dawley rats in this study were acclimated and maintained at their thermal neutral temperature of 29°C and habituated to 12:12-h dark-light cycles. These oscillations, obtained at 29°C, are not different from those reported in other studies in which no mention is made of the Ta (14, 23). The fact that Tb is tightly entrained to the imposed 12:12-h dark-light cycle, regardless of Ta, is evidence that the circadian timing system tightly controls the thermal regulatory machinery independently of Ta. La also oscillated in phase with the dark-light cycles. As would be expected in the nocturnal rat, La peaked during the dark cycle and decreased to a nadir (near zero) during the light cycle (Fig. 5), confirming the recent findings of Mortola and Seifert (23). La was more variable on a moment-to-moment basis than Tb. How- Downloaded from http://ajpregu.physiology.org/ by 10.220.33.1 on June 18, 2017 Fig. 4. Mean Tb of the control group (black) and hypoxic group (gray) derived from the continuous recordings during the 6.5 days of the experiment. The double-headed arrow (near bottom) horizontal bar indicates onset, duration, and termination of 10% O2 delivery to the chamber. The arbitrary phases I-IV of the Tb response to hypoxia are depicted by the vertical lines on the traces of the hypoxic group. With onset of hypoxia Tb decreases to its nadir in 3 h. This phase I is the acute hypoxic-hypothermic component of the response. It is followed by a progressive rise in Tb, the phase II hyperthermic component of the Tb response. Phase III is the adaptive phase, and phase IV occurs on reoxygenation. R1381 R1382 HYPOXIA ABOLISHES RAT TEMPERATURE AND ACTIVITY RHYTHMS ever, the moving averages of La across the dark-light cycles were relatively reproducible. Effects of hypoxia on the circadian rhythms. With the onset of hypoxia the circadian rhythms of both Tb and La were abolished for the entire 63-h hypoxic exposure Fig. 6. Average responses of La occurring in relation to the various phases of the Tb response of the hypoxic group. (Fig. 6). Hypoxia affected Tb and La differently. The Tb response to hypoxia was multiphasic, whereas La was totally suppressed initially and then returned but remained at a low level devoid of circadian rhythm for the duration of the hypoxia. These differences provide Downloaded from http://ajpregu.physiology.org/ by 10.220.33.1 on June 18, 2017 Fig. 5. Continuous recordings of La shown as points of raw data (counts/15 min) and the moving average (solid line). A: recordings for control group. B: recordings for the hypoxic group before and during 10% O2 (as indicated by the doubleheaded arrow). HYPOXIA ABOLISHES RAT TEMPERATURE AND ACTIVITY RHYTHMS Potential Mechanisms Underlying the Hypothermia of the Hypoxia-Induced Responses Mechanisms inducing the hypothermia remain to be determined. For hypothermia to occur, heat loss must exceed heat production (15). This imbalance could be achieved by decreasing heat production, by increasing heat loss, or by both. In the rat, the tail serves as a major thermoregulatory organ (30). In an Ta below the thermoneutral range, the tail is maximally constricted (14, 30). In warm environments vasodilation of tail vessels is a major way a rat loses heat. Another is by grooming the pelt with saliva, which accelerates evaporative heat loss. In rats acclimated to prolonged heat stress the parotid saliva glands undergo excessive growth (14). In the dog, hypoxia acts peripherally on the oxygen-sensitive receptors in the carotid body to evoke reflex noncholinergic cutaneous vasodilation (2), and systemic hypoxia causes cutaneous vasodilation (4). Hypoxia is thought to act centrally at innumerable sites. These include the circadian pacemaker in the suprachiasmic nucleus (SCN) (6), the thermosensitive neurons in the thermoregulatory areas of the anterior and posterior hypothalamus (5, 21), the pontine and medullary neurons involved in respiratory and cardiovascular control (10), and the raphe nuclei and other brain regions involved in sleep states. It remains to be determined what the exact roles of any of these brain regions, or the central or peripheral chemoreceptors (10, 19), play in the hypoxia-induced hypothermia or the subsequent hyperthermia. Potential Mechanisms Underlying Hyperthermia of Hypoxic-Induced Responses Acute hypoxia stimulates an increase in dry heat loss in the rat (15). The heat loss response is markedly affected by Ta. At 22°C, the increase in heat loss is robust; however, at 30°C, there is a modest rise in heat loss and then a decrease with continued hypoxia. At 32°C, hypoxia causes a decrease in dry heat loss. This reduction in the heat loss response with rising Ta may explain the hyperthermic response of hypoxia observed in this study. Potential Mechanisms for Hypoxia-Induced Changes In La The underlying mechanisms for the sustained suppression of La with the onset and duration of the sustained hypoxia are not known. It seems highly unlikely that La was suppressed to minimize heat production because La suppression was greatest when Tb was climbing to its hyperthermic peak (phase II) and was least when Tb was falling during phase III. For the same reason, it is unlikely that the suppression of La is a nonspecific response occurring secondary to the changes in Tb (31). Perhaps some as yet unidentified centrally driven suppression of motor systems is activated by hypoxia. Hypoxia is known to depress shivering, nonshivering, and behavioral thermogenesis by decreasing the set point for thermogenesis (10, 23). In humans, an acute exposure to hypoxia results in nausea and vomiting and a general malaise (17). Rats do not vomit, but their sudden and sustained decrease in activity in response to hypoxia could be a reflection of a malaise induced by the hypoxic environment. It may be that La could serve as a general indicator of the level of “acute altitude illness” experienced by the rat along with reduced food and water intake (17). During hypoxia endogenous opioids are elevated (16) and may contribute to a decline in the Tb set point (22). Arginine vasopressin is upregulated, and this response has been postulated to contribute to the hypoxic response (36). However, Brattleboro rats, which lack arginine vasopressin, display a prominent hypoxic response (5). Histamine is released centrally during hyp- Downloaded from http://ajpregu.physiology.org/ by 10.220.33.1 on June 18, 2017 evidence that Tb and La, although interrelated through metabolic mechanisms (31), do not have obligatory linkages. Phase I of the hypoxia-induced Tb response. The abrupt fall in Tb after the onset of hypoxia was striking and suggested an immediate activation of mechanisms designed to drive core temperature to a critical value that is optimum for maintaining a suitable balance of oxygen supply vs. demand (25). This hypoxia-induced hypothermia (phase I, Fig. 5) was not unexpected. Many species of small animals, along with human infants, lower their Tb when exposed to hypoxia (1, 9, 35). This fall in Tb and the accompanying fall in metabolism (10) are considered to have survival advantage (36). It has been proposed that this hypoxiainduced hypothermia may confer protection on certain organs, particularly the brain (36). Small changes in brain temperature during hypoxia have a marked influence on the magnitude of cellular damage (13). Phases II and III of the hypoxia-induced Tb response. Before the Mortola and Seifert (23) study we had not expected either the transiency of the hypothermic component (phase II) of the Tb response to prolonged hypoxia nor the subsequent hyperthermia. In their rats (23) the hypoxia-induced hypothermia never rose above the nadir of the prehypoxic oscillations. In other words, the Tb in their rats failed to reach the normal nocturnal Tb, let alone a hyperthermic Tb. In fact, only after hypoxia was terminated did the peak Tb rise to its normal nocturnal level in their rats. Both their study and ours used Sprague-Dawley rats and a sustained exposure to ⬃10% inspired O2. A likely difference between the protocols in the two studies was the Ta. Unfortunately, Mortola and Seifert (23) did not report the Ta at which their study was performed. Our rats were acclimated and maintained at 29°C for the entire study. This thermoneutral temperature was selected for the express purpose of minimizing the need of the rats to initiate thermoregulatory responses. We now know, based on unpublished results obtained in our laboratory, that Ta strongly influences each phase of the hypoxia-induced response of Tb and La, thereby accounting for the differences between our results and those of Mortola and Seifert (23). R1383 R1384 HYPOXIA ABOLISHES RAT TEMPERATURE AND ACTIVITY RHYTHMS Hypoxic Suppression of Circadian Rhythms Hypoxia elicited important disturbances of circadian rhythms for both Tb and La. This observation confirms the previous study of Poncet et al. (28) who reported that hypoxia disturbs daily rhythms of central neurotransmitters and the most recent report of Mortola and Siefert (23). The response patterns of Tb in our study were independent of the response patterns of La. La remained suppressed even though Tb rose rapidly in phase II (Fig. 6). Hypoxia could either affect directly the output of the circadian pacemaker in the SCN (6) or the response of the SCN to the zeitgebers; however, no specific data are available on this point. It is also probable that hypoxia interferes at some point(s) along the effector pathways from the SCN to thermoregulatory and motor control centers. These influences may be due to the direct effects of hypoxia, due to mediators released by hypoxia, or due to input from specific reflexes such as those evoked by the arterial chemoreceptors. Mortola and Siefert (23) postulated that hypoxia more likely influences hypothalamic thermoregulatory centers as opposed to the SCN because a reduction in the amplitude of the Tb rhythm appeared later in their hypoxic exposure. However, this notion requires further experimental support as the restoration of the rhythm could have simply represented partial relief of hypoxia due to respiratory acclimatization. In any case, the abolition of circadian patterns by reduced oxygenation has profound implications for maintaining important physiological functions such as sleep (27) and intake of food and water. These functions are clearly disturbed in this situation (17). Moreover, it is uncertain as to how long these disturbed circadian patterns would persist if hypoxia were continued beyond 63 h. Further studies are required to explore this question. In summary, this study has revealed that when adult rats are exposed for 63 h to a sustained 10% O2 in a 29°C environment, they initially drop their Tb, depress their La, and lose their circadian rhythms for both variables. When hypoxia is extended past 2 h, the initial hypothermia (phase I) is followed first by a relative hyperthermia (phase II) and then a gradual return toward a “normal” Tb (phase III). This hyperthermic component of the Tb response to prolonged hypoxia has not been reported previously. The Ta of 29°C is the likely cause. Putative physiological mechanisms are considered to account for each event in this multifaceted response to prolonged hypoxia. Perspectives Hypoxia is a common stimulus encountered whenever one experiences sleep apnea, climbs mountains, or suffers a pulmonary disease. Hypoxia has long been recognized as a powerful stimulus that evokes responses in numerous physiological and biochemical regulatory systems including those controlling the circadian rhythms of Tb and La, respiration, circulation, thermogenesis, metabolism, and erythropoiesis. The importance of this study is the demonstration that hypoxia, when introduced in a thermoneutral environment of 29°C, immediately disrupts the circadian rhythms of Tb and La, causes a severe depression of La, and evokes a complex three-component response in Tb. On reoxygenation the circadian rhythms of Tb and La immediately reappear. The challenge for the future is the identification of the physiological, biochemical, and molecular mechanisms by which hypoxia causes these widespread and drastic effects. We acknowledge Dr. David Megirian’s continuing interest and constructive criticisms throughout this work. A Multidisciplinary Pilot Project Grant from the University at Buffalo supported this investigation. REFERENCES 1. Bach V, Bouferrache B, Kremp O, Maingourd Y, and Libert J-P. Regulation of sleep and body temperature in response to Downloaded from http://ajpregu.physiology.org/ by 10.220.33.1 on June 18, 2017 oxia (8), and infusions of histamine into the fourth ventricle induce hypothermia (7). Other substances with hypothermic properties are lactate (29), adenosine, and endogenous opioids (11). Several studies support a role for nitric oxide in the hypoxic response (12). Maskrey (20) reported that clamping Tb during hypoxia by means of abdominal heating coils fails to prevent the decline in metabolic rate. This observation and other evidence suggest that the hypothermia is in large part secondary to a primary decline in metabolic rate (10). In addition, systems that suppress heat production could be turned off, leading to a rapid increase of metabolic rate. It is well established that arterial hypoxia elevates circulating levels of catecholamines (17), and elevated catecholamines could certainly account for the onset of cutaneous vasoconstriction and increased heat production. In this context, it is an intriguing physiological paradox that the rat is able to display the hypoxic response in the face of such intense catecholaminergic activity. It may be that the systems that drive hyperthermia are activated early in hypoxia but their effects do not become manifest until later when the opposing systems that drive hypothermia withdraw. On the other hand, activation of the hyperthermic systems may be delayed until the hypothermic drives are turned off. Are the systems that drive hypothermia actively turned off or are they fatigued? Is there early hypoxic suppression of catecholamine synthesis and/or release from adrenergic neurons and chromaffin tissue that is then relieved by later increases in tissue oxygen delivery owing to acclimation? Further experimental studies are required to resolve these important questions. Although it may be that the body perceives that continuing the hypoxic response is incompatible with homeostasis, one might predict that the removal of the protective benefits of the hypoxic response and the onset of hyperthermia-hypermetabolism would be devastating physiologically. In this regard, we have reported in preliminary form that rats maintained at an Ta of 29°C during sustained hypoxia suffer significantly greater brain damage than rats maintained at 25 or 21°C (18). HYPOXIA ABOLISHES RAT TEMPERATURE AND ACTIVITY RHYTHMS 2. 3. 4. 5. 6. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. Martin-Body RL. 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