Heme oxygenase-1 and carbon monoxide suppress the pathogenesis of experimental cerebral malaria

Autor: Maria M. Mota, Cristina Rodrigues, Viktória Jeney, Isabel Pombo Gregoire, Silvia Portugal, Sabrina Epiphanio, Miguel P. Soares, Ana Ferreira, Margarida Cunha-Rodrigues, György Balla, Ângelo Chora, József Balla, Ana Pamplona
Rok vydání: 2007
Předmět:
Zdroj: Nature Medicine. 13:703-710
ISSN: 1546-170X
1078-8956
Popis: Cerebral malaria claims more than 1 million lives per year. We report that heme oxygenase-1 (HO-1, encoded by Hmox1) prevents the development of experimental cerebral malaria (ECM). BALB/c mice infected with Plasmodium berghei ANKA upregulated HO-1 expression and activity and did not develop ECM. Deletion of Hmox1 and inhibition of HO activity increased ECM incidence to 83% and 78%, respectively. HO-1 upregulation was lower in infected C57BL/6 compared to BALB/c mice, and all infected C57BL/6 mice developed ECM (100% incidence). Pharmacological induction of HO-1 and exposure to the end-product of HO-1 activity, carbon monoxide (CO), reduced ECM incidence in C57BL/6 mice to 10% and 0%, respectively. Whereas neither HO-1 nor CO affected parasitemia, both prevented blood-brain barrier (BBB) disruption, brain microvasculature congestion and neuroinflammation, including CD8(+) T-cell brain sequestration. These effects were mediated by the binding of CO to hemoglobin, preventing hemoglobin oxidation and the generation of free heme, a molecule that triggers ECM pathogenesis.
Databáze: OpenAIRE