The Philosophical Quarterly, Volume 63, Issue 253, Page 837-839, October 2013.

At extreme altitude (>5,000 – 5,500 m), sustained hypoxia threatens human function and survival, and is associated with marked involuntary weight loss (cachexia). This seems to be a coordinated response: appetite and protein synthesis are suppressed, and muscle catabolism promoted. We hypothesise that, rather than simply being pathophysiological dysregulation, this cachexia is protective. Ketone bodies, synthesised during relative starvation, protect tissues such as the brain from reduced oxygen availability by mechanisms including the reduced generation of reactive oxygen species, improved mitochondrial (...) efficiency and activation of the ATP‐sensitive potassium (KATP) channel. Amino acids released from skeletal muscle also protect cells from hypoxia, and may interact synergistically with ketones to offer added protection. We thus propose that weight loss in hypoxia is an adaptive response: the amino acids and ketone bodies made available act not only as metabolic substrates, but as metabolic modulators, protecting cells from the hypoxic challenge.Also watch the Video Abstract. (shrink)

Originally published in 1937, this book presents the philosophy of James Ward, the Professor of Mental Philosophy and Logic at the University of Cambridge. Ward was primarily concerned with the perceived antagonism between science and philosophy or religion, and Murray supplies a psychological background to Ward's thinking that helps to explain his interest in this topic. This book will be of value to anyone with an interest in Ward or the duality of faith and reason.