Why 'Discovery of How Cells Sense Oxygen Levels' earned 2019 Nobel Prize in Medicine

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Oxygen is vital for life, so much so that cells can sense when there isn't enough and adapt almost instantly. The winners of the 2019

, where my colleagues and I study how low levels of oxygen affect the way cells communicate and the impact this has on metabolic diseases like obesity, type 2 diabetes and cancer.

Understanding how cells talk to each other in a low oxygen environment – like a tumor – is critical for learning how cancers grow and progress. The pioneering work from these three eminent scientists laid the foundation for my research and that of many others studying disease.Adapting to varying oxygen levels is one of the key evolutionary adaptations for most life forms on Earth. Every cell in the human body requires oxygen for its normal function.

Both the environment and the physiological status of the body determines how much oxygen is available to cells. For example, in higher altitudes, oxygen availability decreases. This is especially important for mountain climbers, who must adapt to altitude in order to help their body increase the oxygen carrying capacity in the blood. This is essential to avoid mountain sickness and other altitude-associated health issues such as pulmonary and cerebral diseases.

Oxygen levels in the human body are constantly fluctuating, depending on whether the individual is eating or fasting, exercising or resting and even whether they are stressed or calm. For example, during exercise, the oxygen supply to the muscles is increased to supply energy. This leaves less oxygen for other organs such as the liver.

In many diseases, damage to the blood vessels can drop blood supply, and thus oxygen supply, to the affected organ, which may make the patient even sicker. Thus, the oxygen levels within the cell are important to both healthy and sick people.If oxygen is such an important element for survival, how does the human body cope with these rapid and constant fluctuations?

 

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