PMID- 23908468 OWN - NLM STAT- MEDLINE DCOM- 20131204 LR - 20220408 IS - 1528-0020 (Electronic) IS - 0006-4971 (Print) IS - 0006-4971 (Linking) VI - 122 IP - 15 DP - 2013 Oct 10 TI - MP4CO, a pegylated hemoglobin saturated with carbon monoxide, is a modulator of HO-1, inflammation, and vaso-occlusion in transgenic sickle mice. PG - 2757-64 LID - 10.1182/blood-2013-02-486282 [doi] AB - Transgenic sickle mice expressing beta(S) hemoglobin have activated vascular endothelium in multiple organs that exhibits enhanced expression of NF-kB and adhesion molecules and promotes microvascular stasis in sickle, but not normal, mice in response to hypoxia/reoxygenation (H/R), or heme. Induction of heme oxygenase-1 (HO-1) or administration of its products, carbon monoxide (CO) or biliverdin, inhibits microvascular stasis in sickle mice. Infusion of human hemoglobin conjugated with polyethylene glycol and saturated with CO (MP4CO) markedly induced hepatic HO-1 activity and inhibited NF-kB activation and H/R-induced microvascular stasis in sickle mice. These effects were mediated by CO; saline or MP4 saturated with O2 (MP4OX) had little to no effect on H/R-induced stasis, though unmodified oxyhemoglobin exacerbated stasis. The HO-1 inhibitor, tin protoporphyrin, blocked MP4CO protection, consistent with HO-1 involvement in the protection afforded by MP4CO. MP4CO also induced nuclear factor-erythroid 2 p45-related factor 2 (Nrf2), an important transcriptional regulator of HO-1 and other antioxidant genes. In a heterozygous (hemoglobin-AS) sickle mouse model, intravenous hemin induced cardiovascular collapse and mortality within 120 minutes, which was significantly reduced by MP4CO, but not MP4OX. These data demonstrate that MP4CO induces cytoprotective Nrf2 and HO-1 and decreases NF-kB activation, microvascular stasis, and mortality in transgenic sickle mouse models. FAU - Belcher, John D AU - Belcher JD AD - Hematology, Oncology, and Transplantation, University of Minnesota Medical School, Minneapolis, MN; and. FAU - Young, Mark AU - Young M FAU - Chen, Chunsheng AU - Chen C FAU - Nguyen, Julia AU - Nguyen J FAU - Burhop, Kenneth AU - Burhop K FAU - Tran, Phuc AU - Tran P FAU - Vercellotti, Gregory M AU - Vercellotti GM LA - eng GR - R01 HL114567/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130801 PL - United States TA - Blood JT - Blood JID - 7603509 RN - 0 (Hemoglobins) RN - 0 (MP4CO hemoglobin) RN - 0 (Maleimides) RN - 0 (Membrane Proteins) RN - 0 (NF-E2-Related Factor 2) RN - 0 (NF-kappa B) RN - 0 (Nfe2l2 protein, mouse) RN - 0 (maleimide-polyethylene glycol-modified hemoglobin, MP4) RN - 3WJQ0SDW1A (Polyethylene Glycols) RN - 4MMW850892 (zingerone) RN - 6JKA7MAH9C (Guaiacol) RN - 743LRP9S7N (Hemin) RN - 7U1EE4V452 (Carbon Monoxide) RN - EC 1.14.14.18 (Heme Oxygenase-1) RN - EC 1.14.14.18 (Hmox1 protein, mouse) SB - IM CIN - Blood. 2013 Oct 10;122(15):2535-6. PMID: 24113796 MH - Anemia, Sickle Cell/*drug therapy/metabolism/mortality MH - Animals MH - Carbon Monoxide/metabolism/*pharmacology MH - Disease Models, Animal MH - Female MH - Guaiacol/analogs & derivatives MH - Heme Oxygenase-1/*metabolism MH - Hemin/metabolism/pharmacology MH - Hemoglobins/metabolism/*pharmacology MH - Humans MH - Inflammation/drug therapy/metabolism/mortality MH - Male MH - Maleimides/metabolism/*pharmacology MH - Membrane Proteins/*metabolism MH - Mice MH - Mice, Transgenic MH - Microcirculation/drug effects/physiology MH - NF-E2-Related Factor 2/metabolism MH - NF-kappa B/metabolism MH - Polyethylene Glycols/metabolism/*pharmacology MH - Vasculitis/*drug therapy/metabolism/mortality PMC - PMC4067504 EDAT- 2013/08/03 06:00 MHDA- 2013/12/16 06:00 PMCR- 2014/10/10 CRDT- 2013/08/03 06:00 PHST- 2013/08/03 06:00 [entrez] PHST- 2013/08/03 06:00 [pubmed] PHST- 2013/12/16 06:00 [medline] PHST- 2014/10/10 00:00 [pmc-release] AID - S0006-4971(20)49786-1 [pii] AID - 2013/486282 [pii] AID - 10.1182/blood-2013-02-486282 [doi] PST - ppublish SO - Blood. 2013 Oct 10;122(15):2757-64. doi: 10.1182/blood-2013-02-486282. Epub 2013 Aug 1.