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Table 1 Summary of candidate biomarkers for assessing the heat acclimated phenotype at rest and following a Heat Acclimation State Test (HAST)

From: Molecular biomarkers for assessing the heat-adapted phenotype: a narrative scoping review

Biomarker

Medium

Post-HA baseline change

Post-HA HAST change

Fluid regulatory

Results

Results

 Aldosterone

Blood

↑**

↓*

 ↔ **

 

↓**

 ↔ **

 Arginine-vasopressin

Blood

↑*

 

 ↔ **

 

↓**

 ↔ **

 Copeptin

Blood

  

 ↔ **

 

↓*

 ↔ *

 Renin

Blood

↑*

↓*

 ↔ **

 

↓**

 ↔ **

 Atrial natriuretic peptide

Blood

 

↓*

 ↔ **

   

 Pro-Atrial natriuretic peptide

Blood

  

 ↔ *

   

 Brain natriuretic peptide

Blood

  

 ↔ *

   

Renal stress and injury

      

 Creatinine

Blood

  

 ↔ **

 

↓**

 ↔ **

 Neutrophil gelatinase-associated lipocalin

Urine

     

 ↔ *

 Kidney injury molecule-1

Urine

     

 ↔ *

Haematological

      

 Haematocrit

Blood

 

↓**

    

 Haemoglobin concentration

Blood

 

↓**

    

 Haemoglobin mass

 

↑*

 ↔ *

    

 Plasma protein

Blood

↑**

 

 ↔ *

   

 Erythropoietin

Blood

↑*

 

 ↔ *

   

 Energy homeostasis

      

 Triiodothyronine (T3)

Blood

 

↓**

 ↔ *

   

 Thyroxine (T4)

Blood

 

↓**

 ↔ *

   

 Orexin

Blood

 

↓*

    

 Prostaglandin E2

Blood

 

↓*

    

 Cyclooxygenase-2

Blood

 

↓*

    

Sympathetic–adrenomedullary axis

      

 Adrenaline

Blood

  

 ↔ **

 

↓**

 ↔ *

 Adrenaline

Urine

  

 ↔ *

   

 Noradrenaline

Blood

  

 ↔ **

 

↓**

 ↔ **

 Noradrenaline

Urine

↑*

   

↓*

 

 Metanephrine

Blood

  

 ↔ *

 

↓*

 ↔ *

 Normetanephrine

Blood

 

↓*

 ↔ *

 

↓**

 

Hypothalamic–pituitary–adrenal axis

      

 Cortisol

Blood

 

↓*

 ↔ **

 

↓**

 ↔ *

 Adrenocorticotropic hormone

Blood

  

 ↔ **

 

↓**

 ↔ **

 Growth hormone

Blood

  

 ↔ **

 

↓*

 ↔ **

 Interleukin-6

Blood

  

 ↔ **

 

↓**

 ↔ **

 Interleukin-10

Blood

  

 ↔ **

 

↓*

 

 Tumour necrosis factor α

Blood

  

 ↔ **

  

 ↔ **

 C-reactive protein

Blood

  

 ↔ *

  

 ↔ *

Heat shock

      

 Intracellular heat shock protein 70

PBMC

↑**

     

 Intracellular heat shock protein 70

Muscle

  

 ↔ *

   

 Extracellular heat shock protein 70

Blood

 

↓**

 ↔ **

 

↓**

 ↔ **

 Intracellular heat shock protein 90

PBMC

↑*

     

 Sudomotor

      

 Sodium

Sweat

 

↓**

  

↓**

 

 Chloride

Sweat

    

↓**

 

 Potassium

Sweat

     

 ↔ **

 Lactate

Sweat

    

↓**

 
  1. ↑ = increase in concentration or level of biomolecule; ↓ = decrease in concentration or level of biomolecule; ↔  = no change in concentration or level biomolecule
  2. HA heat acclimation/acclimatisation, PBMC peripheral blood mononuclear cell
  3. *Study supporting identified change when heat adapted
  4. **Multiple studies supporting identified change when heat adapted