Induction of heme oxygenase is a rapid, protective response in rhabdomyolysis in the rat.

KA Nath, G Balla, GM Vercellotti, J Balla… - The Journal of …, 1992 - Am Soc Clin Investig
KA Nath, G Balla, GM Vercellotti, J Balla, HS Jacob, MD Levitt, ME Rosenberg
The Journal of clinical investigation, 1992Am Soc Clin Investig
Heme proteins such as myoglobin or hemoglobin, when released into the extracellular
space, can instigate tissue toxicity. Myoglobin is directly implicated in the pathogenesis of
renal failure in rhabdomyolysis. In the glycerol model of this syndrome, we demonstrate that
the kidney responds to such inordinate amounts of heme proteins by inducing the heme-
degradative enzyme, heme oxygenase, as well as increasing the synthesis of ferritin, the
major cellular repository for iron. Prior recruitment of this response with a single preinfusion …
Heme proteins such as myoglobin or hemoglobin, when released into the extracellular space, can instigate tissue toxicity. Myoglobin is directly implicated in the pathogenesis of renal failure in rhabdomyolysis. In the glycerol model of this syndrome, we demonstrate that the kidney responds to such inordinate amounts of heme proteins by inducing the heme-degradative enzyme, heme oxygenase, as well as increasing the synthesis of ferritin, the major cellular repository for iron. Prior recruitment of this response with a single preinfusion of hemoglobin prevents kidney failure and drastically reduces mortality (from 100% to 14%). Conversely, ablating this response with a competitive inhibitor of heme oxygenase exacerbates kidney dysfunction. We provide the first in vivo evidence that induction of heme oxygenase coupled to ferritin synthesis is a rapid, protective antioxidant response. Our findings suggest a therapeutic strategy for populations at a high risk for rhabdomyolysis.
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The Journal of Clinical Investigation