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Intermittent Hypoxia and Physiological Effects: Interplay Between Oxidative Stress, Inflammation, and Autonomic Dysregulation

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Biology".

Deadline for manuscript submissions: 31 August 2026 | Viewed by 1052

Editors


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Guest Editor
1. Departamento de Medicina Interna Oriente, Facultad de Medicina, Universidad de Chile, Santiago, Chile
2. Núcleo Interdisciplinario Fisiología, Biofísica y Fisiopatología, Instituto Ciencias Biomédicas, Facultad de Medicina, Universidad de Chile, Santiago, Chile
Interests: intermittent hypoxia; oxidative stress; animal models; cardiovascular function
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Guest Editor Assistant
Escuela de Obstetricia, Facultad de Ciencias para el Cuidado de la Salud, Universidad San Sebastián, Santiago, Chile
Interests: intermittent hypoxia; oxidative stress; cardiovascular function

Special Issue Information

Dear Colleagues,

Intermittent hypoxia (IH) acts as a potent biological trigger, driving both adaptive and pathological outcomes depending on dosage and frequency. Using animal models, research demonstrates that IH disrupts the systemic oxidative balance, favoring the overproduction of reactive oxygen species (ROS) and subsequent mitochondrial dysfunction. Mechanistically, this redox imbalance activates pro-inflammatory pathways and autonomic dysregulation, mirroring physiological and clinical observations in cardiovascular disease.

IH could determine pro-inflammatory imbalances that act as a primary factor in tissue remodeling and trigger structural alterations across cardiovascular (hypertrophy), nervous (neuroinflammation), and renal (fibrosis) systems. Such remodeling underscores the transition from acute physiological adaptation to chronic systemic pathology. Understanding these molecular shifts—from oxidative injury to antioxidant defense—is crucial for developing targeted therapies that mitigate systemic damage and harness the therapeutic potential of hypoxic signaling.

Dr. Rodrigo L. Castillo
Guest Editor

Dr. Esteban G. Figueroa
Guest Editor Assistant

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Keywords

  • intermittent hypoxia
  • cardiovascular and pulmonary effects
  • oxidative stress
  • autonomic dysfunction
  • neuroinflammation
  • renal effects
  • animal models

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Published Papers (2 papers)

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19 pages, 3252 KB  
Article
Lung Vascular Remodeling and Oxidative Damage Induced by Chronic Intermittent Hypoxia
by Esteban G. Figueroa, Alejandro González-Candia, Alejandro A. Candia, Adolfo A. Paz, Pamela V. Arias, Jorge Rodríguez-Borges, Emilio A. Herrera and Rodrigo L. Castillo
Int. J. Mol. Sci. 2026, 27(8), 3434; https://doi.org/10.3390/ijms27083434 - 11 Apr 2026
Viewed by 634
Abstract
High-altitude workers in the Los Andes Mountains, known as “the Chilean miner model,” are exposed to chronic intermittent hypobaric hypoxia (CIHH). This intermittent condition differs from other models of chronic hypoxia, mainly due to the hypoxic pattern and the cardiovascular and pulmonary effects. [...] Read more.
High-altitude workers in the Los Andes Mountains, known as “the Chilean miner model,” are exposed to chronic intermittent hypobaric hypoxia (CIHH). This intermittent condition differs from other models of chronic hypoxia, mainly due to the hypoxic pattern and the cardiovascular and pulmonary effects. There are reports of cardiopulmonary dysfunction and remodeling in human and animal models. However, research on some mechanisms of vascular function and the consequences of lung remodeling induced by CIHH is still lacking. Therefore, this study aims to characterize the effects of CIHH exposure on lung structure and redox status in a rat model of the Chilean miner, involving intermittent exposure to chronic cycles of normoxia/hypobaric hypoxia (96 h/96 h) in an experimental hypoxic chamber. Our results demonstrate that CIHH acts as a primary driver of pulmonary vascular remodeling by significantly increasing the medial wall thickness of small pulmonary arteries (<100 μm) and promoting a shift toward a more muscularized phenotype in previously non-muscularized vessels. Structurally, this was characterized by a marked reduction in alveolar space and a significant increase in the thickness of the alveolar-capillary barrier, suggesting impaired gas exchange capacity. These structural changes were strongly associated with a pro-oxidant state, evidenced by increased lipid peroxidation (malondialdehyde levels) and a concomitant reduction in antioxidant enzyme activities, such as superoxide dismutase (SOD) and catalase (CAT), in lung tissue. In conclusion, the CIHH model effectively replicates the complex interplay between chronic oxidative damage and structural lung remodeling, identifying the thickening of the arterial medial wall and alveolar septa as key pathological features of probably CIHH-induced pulmonary hypertension. Full article
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13 pages, 3186 KB  
Article
In Vitro Modelling of Obstructive Sleep Apnea by Intermittent Hypoxia of Human Embryonic Stem Cell-Derived Cardiomyocytes: Expression of ERK1/2, ERK5 and Erbin
by Danielle Regev, Sharon Etzion, Aviv Goldbart and Jacob Gopas
Int. J. Mol. Sci. 2026, 27(15), 6804; https://doi.org/10.3390/ijms27156804 - 29 Jul 2026
Abstract
Obstructive sleep apnea (OSA) syndrome is characterized by repetitive nocturnal airway obstruction and is associated with intermittent hypoxia (IH). The leading cause of death among OSA patients is cardiovascular morbidity, which is greatly enhanced by IH. Despite the existence of standard treatment, cardiovascular [...] Read more.
Obstructive sleep apnea (OSA) syndrome is characterized by repetitive nocturnal airway obstruction and is associated with intermittent hypoxia (IH). The leading cause of death among OSA patients is cardiovascular morbidity, which is greatly enhanced by IH. Despite the existence of standard treatment, cardiovascular morbidity remains unaddressed. Given the central role of IH in OSA-related cardiac damage, the present study aimed to elucidate the mechanisms underlying IH-induced cardiac injury in order to better understand and potentially improve upon current therapeutic approaches. Using human embryonic stem cell-derived cardiomyocytes (hESC-CMs) as a novel in vitro model, IH was successfully induced, and its effects on key signaling pathways were investigated. Following IH exposure, significant activation of ERK1/2, ERK5, and Erbin was demonstrated. Notably, the concurrent increase in both ERK1/2 activation and Erbin expression following IH suggests a more complex regulatory relationship between these molecules than previously appreciated. Furthermore, pathway-specific inhibition of ERK1/2 and ERK5 attenuated the IH-induced decline in beating rate, with significant restoration, following normoxic recovery. This study provides an innovative approach for in vitro investigation of OSA-associated cardiovascular morbidity and supports the search for novel pharmacological agents and molecular targets to improve the diagnosis and treatment of affected patients. Full article
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