This phenomenon, known as foot-strike hemolysis, refers to RBC damage caused by mechanical stress within the capillaries as a result of the repeated, forceful impact of the feet to the ground, leading to intravascular hemolysis ( 4.2 RBC deformability: implications of NO production and oxidative stress RBC deformability is a unique cellular property that enables RBC to traverse the microcirculation for oxygen delivery ( RBC deformability is influenced by RBC-derived NO ( Not only mechanical stress but also free radicals have been reported to influence RBC-NOS activation and RBC deformability ( Additionally, in response to exercise, glucagon, catecholamines, and vasopressin stimulate the release of glutathione into the plasma, which can be taken up by the heart, muscles and also RBC, potentially to counterbalance the increased production of free radicals ( In summary, the post-race increase in RBC deformability is likely attributable to the beneficial effects of prolonged, low-speed running, which appears to enhance deformability in a RBC-NOS/NO-dependent manner, thereby facilitating microcirculatory passage and improving tissue oxygen delivery, muscle perfusion, and recovery following prolonged endurance exercise
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Morris D, Guerra C, Donohue C, Oh H, Khurasany M, Venketaraman V
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