High Heme and Low Heme Oxygenase-1 Are Associated with Mast Cell Activation/Degranulation in HIV-Induced Chronic Widespread Pain

An overwhelming number of people with HIV (PWH) experience chronic widespread pain (CWP) throughout their lifetimes. Previously, we demonstrated that PWH with CWP have increased hemolysis and attenuated heme oxygenase 1 (HO-1) levels. HO-1 degrades reactive, cell-free heme into antioxidants like biliverdin and carbon monoxide (CO). We found that high heme or low HO-1 caused hyperalgesia in animals, likely through multiple mechanisms. In this study, we hypothesized that high heme or low HO-1 caused mast cell activation/degranulation, resulting in the release of pain mediators like histamine and bradykinin. PWH who self-report CWP were recruited from the University of Alabama at Birmingham HIV clinic. Animal models included HO-1-/- mice and hemolytic mice, where C57BL/6 mice were injected intraperitoneally with phenylhydrazine hydrochloride (PHZ). Results demonstrated that plasma histamine and bradykinin were elevated in PWH with CWP. These pain mediators were also high in HO-1-/- mice and in hemolytic mice. Both in vivo and in vitro (RBL-2H3 mast cells), heme-induced mast cell degranulation was inhibited by treatment with CORM-A1, a CO donor. CORM-A1 also attenuated mechanical and thermal (cold) allodynia in hemolytic mice. Together, the data suggest that mast cell activation secondary to high heme or low HO-1 seen in cells and animals correlates with elevated plasma levels of heme, histamine, and bradykinin in PWH with CWP.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:12

Enthalten in:

Antioxidants (Basel, Switzerland) - 12(2023), 6 vom: 03. Juni

Sprache:

Englisch

Beteiligte Personen:

Chatterjee, Tanima [VerfasserIn]
Arora, Itika [VerfasserIn]
Underwood, Lilly [VerfasserIn]
Gryshyna, Anastasiia [VerfasserIn]
Lewis, Terry L [VerfasserIn]
Masjoan Juncos, Juan Xavier [VerfasserIn]
Goodin, Burel R [VerfasserIn]
Heath, Sonya [VerfasserIn]
Aggarwal, Saurabh [VerfasserIn]

Links:

Volltext

Themen:

Cell-free heme
Chronic widespread pain
HIV
Heme oxygenase
Journal Article
Mast cells

Anmerkungen:

Date Revised 01.07.2023

published: Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.3390/antiox12061213

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM358732549