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2015 ; 54
(3
): 302-6
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Haptoglobin attenuates hemoglobin-induced heme oxygenase-1 in renal proximal
tubule cells and kidneys of a mouse model of sickle cell disease
#MMPMID25582460
Chintagari NR
; Nguyen J
; Belcher JD
; Vercellotti GM
; Alayash AI
Blood Cells Mol Dis
2015[Mar]; 54
(3
): 302-6
PMID25582460
show ga
Sickle cell disease (SCD), a hereditary hemolytic disorder is characterized by
chronic hemolysis, oxidative stress, vaso-occlusion and end-organ damage.
Hemolysis releases toxic cell-free hemoglobin (Hb) into circulation. Under
physiologic conditions, plasma Hb binds to haptoglobin (Hp) and forms Hb-Hp
dimers. The dimers bind to CD163 receptors on macrophages for further
internalization and degradation. However, in SCD patients plasma Hp is depleted
and free Hb is cleared primarily by proximal tubules of kidneys. Excess free Hb
in plasma predisposes patients to renal damage. We hypothesized that
administration of exogenous Hp reduces Hb-mediated renal damage. To test this
hypothesis, human renal proximal tubular cells (HK-2) were exposed to HbA (50?M
heme) for 24h. HbA increased the expression of heme oxygenase-1 (HO-1), an enzyme
which degrades heme, reduces heme-mediated oxidative toxicity, and confers
cytoprotection. Similarly, infusion of HbA (32?M heme/kg) induced HO-1 expression
in kidneys of SCD mice. Immunohistochemistry confirmed the increased HO-1
expression in the proximal tubules of the kidney. Exogenous Hp attenuated the
HbA-induced HO-1 expression in vitro and in SCD mice. Our results suggest that
Hb-mediated oxidative toxicity may contribute to renal damage in SCD and that Hp
treatment reduces heme/iron toxicity in the kidneys following hemolysis.