PubMed: 29694434

Title
Haptoglobin and hemopexin inhibit vaso-occlusion and inflammation in murine sickle cell disease: Role of heme oxygenase-1 induction.
Journal
PloS one
Volume
13
Issue
None
Pages
e0196455
Date
2018-01-01
Authors
Chen C | Belcher JD | Vercellotti GM | Abdulla F | Brinkman N | Killeen T | Miescher SM | Nath KA | Nguyen H | Nguyen J | Nguyen P | Steer CJ | Zhang P

Evidence 3e40694b4b

Hepatic 4-hydroxynonenol (4-HNE), a marker of oxidative stress, was significantly lower in the liver microsomes of SSmice 24 hours after infusion of Hp or Hpx compared to vehicle-treated SS-mice (Fig 2G).

Evidence d7f6eba2ee

CO also inhibited stasis in mice treated with SnPP + Hb without Hp or Hpx.

Evidence 98860d1309

SnPP and CO had similar inhibitory effects on NF-kB activation in the liver (data not shown).

Evidence 47cff2dc11

The beneficial effects of Hp and Hpx were lost by inhibition of HO with SnPP, but could be restored by CO administration.

Evidence 0cd1fcf925

During hemolysis, hemoglobin and heme released from red blood cells promote oxidative stress, inflammation and thrombosis.

Evidence 3e1a136113

The released heme can activate the innate immune pattern recognition receptor toll-like receptor 4 (TLR4) on inflammatory cells, platelets and endothelium, promoting a pro-inflammatory and pro-coagulant phenotype, ultimately leading to vaso-occlusion, ischemia-reperfusion physiology, tissue injury, and pain in murine models of SCD [5, 7±10].

Evidence e90d415a5d

Infusion of exogenous hemoglobin into SS-mice can markedly increase stasis compared to the amount of spontaneous stasis [5].

Evidence d417f17c82

Plasma haptoglobin and hemopexin levels are often depleted in SCD patients and mice due to chronic intravascular hemolysis [21±24].

Evidence 4f1fe7f0a5

Thus a single infusion of Hp or Hpx inhibited stasis for 48h.

Evidence c594ffbb68

Sickle mice co-infused with Hb + Hp, Hb + Hpx or Hb + Hp + Hpx had less stasis 1h after infusion than mice infused with Hb + albumin or Hb (Fig 1B).

Evidence 6fec9a4981

Hp and Hpx significantly inhibited stasis in response H/R or LPS (Fig 5).

Evidence c044c7b4df

Compared to Hb alone or Hb + albumin infused animals, sickle mice co-infused with Hb + Hp, Hb + Hpx, or Hb + Hp + Hpx had markedly diminished hepatic NF-κB activation 4h after infusion as evidenced by nuclear NF- κB phospho-p65 levels (Fig 2A).

Evidence 7d80c2d105

Immunofluorescence staining of VCAM-1 and ICAM-1 was decreased in the dorsal skin of SS-mice 4h after infusion of Hb+Hp and Hb+Hpx compared to SS-mice infused with vehicle or Hb (Fig 2B and 2C).

Evidence 9ac4b4d3a3

Pro-inflammatory cytokine RANTES (chemokine ligand 5 or CCL5), which recruits leukocytes to pro-inflammatory sites, was lower in the plasma of SS-mice 24 hours after infusion of Hp or Hpx compared to vehicle-treated SS-mice (Fig 2F).

Evidence a51537e8a5

In contrast, albumin did not induce HO-1 or inhibit stasis and NF- κB.

Evidence c1606352a0

We have previously shown that induction of HO-1 expression or liver-directed HO-1 gene therapy inhibits stasis in sickle mice exposed to H/R [38, 45].

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