PubMed: 26475040

Title
Different target specificities of haptoglobin and hemopexin define a sequential protection system against vascular hemoglobin toxicity.
Journal
Free radical biology & medicine
Volume
89
Issue
None
Pages
931-43
Date
2015-12-01
Authors
Buehler PW | Deuel JW | Puglia M | Schaer CA | Schaer DJ | Vallelian F

Evidence fd8550a4b8

Oxidized LP(ox- LP) then induces toxic effects in endothelial cells [6].

Evidence dd772652f6

Many studies have explored basic mechanisms of Hb or heme triggered endothelial damage and have suggested that oxidative reactions of Hb generate multiple toxic species such as free heme that is released from ferric Hb, iron, free radicals, and globin aggregation products [15],[16],[17],[18],[19],[20],[21],[22],[23],[24],[25].

Evidence d3a10d4ac0

Free hemoglobin (Hb) triggered vascular damage occurs in many hemolytic diseases, such as sickle cell disease, with an unmet need for specific therapeutic interventions.

Evidence 733d028294

Depending on the scale, rate, and site of hemolysis, the primary adverse effects triggered by free Hb are vascular dysfunction, oxidative tissue damage, and altered inflammatory response [1],

Evidence bf0ba8844c

Based on clinical observations the Hb and heme scavenger proteins haptoglobin (Hp) and hemopexin (Hx) have been characterized as a sequential defense system with Hp as the primary protector and Hx as a backup when all Hp is depleted during more severe intravascular hemolysis.

Evidence b9aa336495

However, in patients with hemolysis Hp depletes early in the course of the disease while levels of Hx remain within the physiologic range for prolonged periods of sustained hemolytic disease [12].

Evidence 073f3a15c7

Systemic hemolysis occurs during certain genetic and acquired anemia, such as in sickle cell disease and malaria.

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