Unknown

Dataset Information

0

Heme oxygenase-1 affords protection against noncerebral forms of severe malaria.


ABSTRACT: Infection by Plasmodium, the causative agent of malaria, is associated with hemolysis and therefore with release of hemoglobin from RBC. Under inflammatory conditions, cell-free hemoglobin can be oxidized, releasing its heme prosthetic groups and producing deleterious free heme. Here we demonstrate that survival of a Plasmodium-infected host relies strictly on its ability to prevent the cytotoxic effects of free heme via the expression of the heme-catabolyzing enzyme heme oxygenase-1 (HO-1; encoded by the Hmox1 gene). When infected with Plasmodium chabaudi chabaudi (Pcc), wild-type (Hmox1(+/+)) BALB/c mice resolved infection and restored homeostasis thereafter (0% lethality). In contrast, HO-1 deficient (Hmox1(-/-)) BALB/c mice developed a lethal form of hepatic failure (100% lethality), similar to the one occurring in Pcc-infected DBA/2 mice (75% lethality). Expression of HO-1 suppresses the pro-oxidant effects of free heme, preventing it from sensitizing hepatocytes to undergo TNF-mediated programmed cell death by apoptosis. This cytoprotective effect, which inhibits the development of hepatic failure in Pcc-infected mice without interfering with pathogen burden, is mimicked by pharmacological antioxidants such as N-acetylcysteine (NAC). When administered therapeutically, i.e., after Pcc infection, NAC suppressed the development of hepatic failure in Pcc-infected DBA/2 mice (0% lethality), without interfering with pathogen burden. In conclusion, we describe a mechanism of host defense against Plasmodium infection, based on tissue cytoprotection against free heme and limiting disease severity irrespectively of parasite burden.

SUBMITTER: Seixas E 

PROVIDER: S-EPMC2728109 | biostudies-literature |

REPOSITORIES: biostudies-literature

Similar Datasets

| S-EPMC5126464 | biostudies-literature
| S-EPMC3023516 | biostudies-literature
| S-EPMC3364204 | biostudies-literature
| S-EPMC3272454 | biostudies-other
| S-EPMC5551560 | biostudies-other
2024-05-06 | MSV000094692 | MassIVE
| S-EPMC2699998 | biostudies-literature
| S-EPMC3864037 | biostudies-literature
| S-EPMC11160694 | biostudies-literature
| S-EPMC7697101 | biostudies-literature