Fluid shifts and erythropoiesis - Relevance to the 'anemia' of space flight
To model the fluid shifts thought to occur in man during space flight, cephalic fluid shifts have been induced in man subjected to horizontal or headdown bedrest, in squirrel monkeys exposed to lower body positive pressure, and in rats subjected to antiorthostatic hypokinesia. The influence on erythropoiesis of such fluid redistribution has been studied. Only in man did a cephalic fluid shift consistently and significantly lead to a plasma volume reduction and an increased hematocrit. Although there was evidence for erythrosuppression and the subjects were 'anemic' at the end of the study, serum erythropoietin titers remained normal throughout bedrest. The erythrosuppression probably did not arise due to the increased hematocrit but may have been related to P50 shifts or the loss of body weight. Each model appeared to reproduce different parts of man's physiological response to weightlessness and promises to be useful in unraveling the etiology of the 'anemia' of space flight.