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Research Article

Biochemistry, Physiology, and Complications of Blood Doping: Facts and Speculation

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Pages 349-391 | Published online: 10 Oct 2008
 

Abstract

Competition is a natural part of human nature. Techniques and substances employed to enhance athletic performance and to achieve unfair success in sport have a long history, and there has been little knowledge or acceptance of potential harmful effects. Among doping practices, blood doping has become an integral part of endurance sport disciplines over the past decade. The definition of blood doping includes methods or substances administered for non-medical reasons to healthy athletes for improving aerobic performance. It includes all means aimed at producing an increased or more efficient mechanism of oxygen transport and delivery to peripheral tissues and muscles. The aim of this review is to discuss the biochemistry, physiology, and complications of blood doping and to provide an update on current antidoping policies.

ABBREVIATIONS
ADP=

adenosine diphosphate

ATP=

adenosine triphosphate

CERA=

continuous erythropoiesis receptor activator

Epo=

erythropoietin

HBOC=

hemoglobin-based oxygen carrier

HIF=

hypoxia inducible factor

PFC=

perfluorocarbon emulsion

pO2=

oxygen partial pressure

RBC=

red blood cell

rHuEpo=

recombinant human erythropoietin

RSR=

2-[4-[(3,5-dichlorophenylcarbamoyl)-]methyl]-phenoxy]-2-methylpropionic acid

sTfr=

soluble transferrin receptor.

ABBREVIATIONS
ADP=

adenosine diphosphate

ATP=

adenosine triphosphate

CERA=

continuous erythropoiesis receptor activator

Epo=

erythropoietin

HBOC=

hemoglobin-based oxygen carrier

HIF=

hypoxia inducible factor

PFC=

perfluorocarbon emulsion

pO2=

oxygen partial pressure

RBC=

red blood cell

rHuEpo=

recombinant human erythropoietin

RSR=

2-[4-[(3,5-dichlorophenylcarbamoyl)-]methyl]-phenoxy]-2-methylpropionic acid

sTfr=

soluble transferrin receptor.

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