Free heme and hemopexin in acute kidney injury after cardiopulmonary bypass and transient renal ischemia
© 2023 The Authors. Clinical and Translational Science published by Wiley Periodicals LLC on behalf of American Society for Clinical Pharmacology and Therapeutics..
Free heme is released from hemoproteins during hemolysis or ischemia reperfusion injury and can be pro-inflammatory. Most studies on nephrotoxicity of hemolysis-derived proteins focus on free hemoglobin (fHb) with heme as a prosthetic group. Measurement of heme in its free, non-protein bound, form is challenging and not commonly used in clinical routine diagnostics. In contrast to fHb, the role of free heme in acute kidney injury (AKI) after cardiopulmonary bypass (CPB) surgery is unknown. Using an apo-horseradish peroxidase-based assay, we identified free heme during CPB surgery as predictor of AKI in patients undergoing cardiac valve replacement (n = 37). Free heme levels during CPB surgery correlated with depletion of hemopexin (Hx), a heme scavenger-protein. In mice, the impact of high levels of circulating free heme on the development of AKI following transient renal ischemia and the therapeutic potential of Hx were investigated. C57BL/6 mice were subjected to bilateral renal ischemia/reperfusion injury for 15 min which did not cause AKI. However, additional administration of free heme in this model promoted overt AKI with reduced renal function, increased renal inflammation, and reduced renal perfusion on functional magnetic resonance imaging. Hx treatment attenuated AKI. Free heme administration to sham operated control mice did not cause AKI. In conclusion, free heme is a predictor of AKI in CPB surgery patients and promotes AKI in transient renal ischemia. Depletion of Hx in CPB surgery patients and attenuation of AKI by Hx in the in vivo model encourage further research on Hx therapy in patients with increased free heme levels during CPB surgery.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2023 |
|---|---|
| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:16 |
|---|---|
| Enthalten in: |
Clinical and translational science - 16(2023), 12 vom: 02. Dez., Seite 2729-2743 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Greite, Robert [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
42VZT0U6YR |
|---|
| Anmerkungen: |
Date Completed 03.01.2024 Date Revised 17.04.2024 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1111/cts.13667 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM363917020 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM363917020 | ||
| 003 | DE-627 | ||
| 005 | 20240418232326.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231226s2023 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1111/cts.13667 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1379.xml |
| 035 | |a (DE-627)NLM363917020 | ||
| 035 | |a (NLM)37899696 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Greite, Robert |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Free heme and hemopexin in acute kidney injury after cardiopulmonary bypass and transient renal ischemia |
| 264 | 1 | |c 2023 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 03.01.2024 | ||
| 500 | |a Date Revised 17.04.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2023 The Authors. Clinical and Translational Science published by Wiley Periodicals LLC on behalf of American Society for Clinical Pharmacology and Therapeutics. | ||
| 520 | |a Free heme is released from hemoproteins during hemolysis or ischemia reperfusion injury and can be pro-inflammatory. Most studies on nephrotoxicity of hemolysis-derived proteins focus on free hemoglobin (fHb) with heme as a prosthetic group. Measurement of heme in its free, non-protein bound, form is challenging and not commonly used in clinical routine diagnostics. In contrast to fHb, the role of free heme in acute kidney injury (AKI) after cardiopulmonary bypass (CPB) surgery is unknown. Using an apo-horseradish peroxidase-based assay, we identified free heme during CPB surgery as predictor of AKI in patients undergoing cardiac valve replacement (n = 37). Free heme levels during CPB surgery correlated with depletion of hemopexin (Hx), a heme scavenger-protein. In mice, the impact of high levels of circulating free heme on the development of AKI following transient renal ischemia and the therapeutic potential of Hx were investigated. C57BL/6 mice were subjected to bilateral renal ischemia/reperfusion injury for 15 min which did not cause AKI. However, additional administration of free heme in this model promoted overt AKI with reduced renal function, increased renal inflammation, and reduced renal perfusion on functional magnetic resonance imaging. Hx treatment attenuated AKI. Free heme administration to sham operated control mice did not cause AKI. In conclusion, free heme is a predictor of AKI in CPB surgery patients and promotes AKI in transient renal ischemia. Depletion of Hx in CPB surgery patients and attenuation of AKI by Hx in the in vivo model encourage further research on Hx therapy in patients with increased free heme levels during CPB surgery | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 7 | |a Heme |2 NLM | |
| 650 | 7 | |a 42VZT0U6YR |2 NLM | |
| 650 | 7 | |a Hemoglobins |2 NLM | |
| 650 | 7 | |a Hemopexin |2 NLM | |
| 650 | 7 | |a 9013-71-2 |2 NLM | |
| 700 | 1 | |a Schott, Sebastian |e verfasserin |4 aut | |
| 700 | 1 | |a Wang, Li |e verfasserin |4 aut | |
| 700 | 1 | |a Gohlke, Lukas |e verfasserin |4 aut | |
| 700 | 1 | |a Kreimann, Kirill |e verfasserin |4 aut | |
| 700 | 1 | |a Derlin, Katja |e verfasserin |4 aut | |
| 700 | 1 | |a Gutberlet, Marcel |e verfasserin |4 aut | |
| 700 | 1 | |a Schmidbauer, Martina |e verfasserin |4 aut | |
| 700 | 1 | |a Leffler, Andreas |e verfasserin |4 aut | |
| 700 | 1 | |a Tudorache, Igor |e verfasserin |4 aut | |
| 700 | 1 | |a Salman, Jawad |e verfasserin |4 aut | |
| 700 | 1 | |a Ius, Fabio |e verfasserin |4 aut | |
| 700 | 1 | |a Natanov, Ruslan |e verfasserin |4 aut | |
| 700 | 1 | |a Fegbeutel, Christine |e verfasserin |4 aut | |
| 700 | 1 | |a Haverich, Axel |e verfasserin |4 aut | |
| 700 | 1 | |a Lichtinghagen, Ralf |e verfasserin |4 aut | |
| 700 | 1 | |a Hüsing, Anne M |e verfasserin |4 aut | |
| 700 | 1 | |a von Vietinghoff, Sibylle |e verfasserin |4 aut | |
| 700 | 1 | |a Schmitt, Roland |e verfasserin |4 aut | |
| 700 | 1 | |a Shushakova, Nelli |e verfasserin |4 aut | |
| 700 | 1 | |a Rong, Song |e verfasserin |4 aut | |
| 700 | 1 | |a Haller, Hermann |e verfasserin |4 aut | |
| 700 | 1 | |a Schmidt-Ott, Kai M |e verfasserin |4 aut | |
| 700 | 1 | |a Gram, Magnus |e verfasserin |4 aut | |
| 700 | 1 | |a Vijayan, Vijith |e verfasserin |4 aut | |
| 700 | 1 | |a Scheffner, Irina |e verfasserin |4 aut | |
| 700 | 1 | |a Gwinner, Wilfried |e verfasserin |4 aut | |
| 700 | 1 | |a Immenschuh, Stephan |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Clinical and translational science |d 2008 |g 16(2023), 12 vom: 02. Dez., Seite 2729-2743 |w (DE-627)NLM186388268 |x 1752-8062 |7 nnns |
| 773 | 1 | 8 | |g volume:16 |g year:2023 |g number:12 |g day:02 |g month:12 |g pages:2729-2743 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1111/cts.13667 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 16 |j 2023 |e 12 |b 02 |c 12 |h 2729-2743 | ||