A central role for free heme in the pathogenesis of severe malaria: the missing link?

Malaria, the disease caused by Plasmodium infection, is endemic to poverty in so-called underdeveloped countries. Plasmodium falciparum , the main infectious Plasmodium species in sub-Saharan countries, can trigger the development of severe malaria, including cerebral malaria, a neurological syndrom...

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Veröffentlicht in:Journal of molecular medicine (Berlin, Germany) Germany), 2008-10, Vol.86 (10), p.1097-1111
Hauptverfasser: Ferreira, Ana, Balla, József, Jeney, Viktória, Balla, György, Soares, Miguel P.
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container_title Journal of molecular medicine (Berlin, Germany)
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creator Ferreira, Ana
Balla, József
Jeney, Viktória
Balla, György
Soares, Miguel P.
description Malaria, the disease caused by Plasmodium infection, is endemic to poverty in so-called underdeveloped countries. Plasmodium falciparum , the main infectious Plasmodium species in sub-Saharan countries, can trigger the development of severe malaria, including cerebral malaria, a neurological syndrome that claims the lives of more than one million children (
doi_str_mv 10.1007/s00109-008-0368-5
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Plasmodium falciparum , the main infectious Plasmodium species in sub-Saharan countries, can trigger the development of severe malaria, including cerebral malaria, a neurological syndrome that claims the lives of more than one million children (&lt;5 years old) per year. Attempts to eradicate Plasmodium infection, and in particular its lethal outcomes, have so far been unsuccessful. Using well-established rodent models of malaria infection, we found that survival of a Plasmodium -infected host is strictly dependent on the host’s ability to up-regulate the expression of heme oxygenase-1 (HO-1 encoded by the gene Hmox1 ). HO-1 is a stress-responsive enzyme that catabolizes free heme into biliverdin, via a reaction that releases Fe and generates the gas carbon monoxide (CO). Generation of CO through heme catabolism by HO-1 prevents the onset of cerebral malaria. The protective effect of CO is mediated via its binding to cell-free hemoglobin (Hb) released from infected red blood cells during the blood stage of Plasmodium infection. Binding of CO to cell-free Hb prevents heme release and thus generation of free heme, which we found to play a central role in the pathogenesis of cerebral malaria. 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subjects Animals
Biological and medical sciences
Biomedical and Life Sciences
Biomedicine
Carbon Monoxide - metabolism
Disease Models, Animal
General aspects
Heme - metabolism
Heme - physiology
Heme Oxygenase-1 - metabolism
Hemoglobins - metabolism
Human Genetics
Human protozoal diseases
Humans
Infectious diseases
Internal Medicine
Malaria
Malaria - enzymology
Malaria - metabolism
Malaria - physiopathology
Malaria, Cerebral - enzymology
Malaria, Cerebral - metabolism
Malaria, Cerebral - physiopathology
Medical sciences
Models, Biological
Molecular Medicine
Parasitic diseases
Plasmodium falciparum
Protozoal diseases
Review
title A central role for free heme in the pathogenesis of severe malaria: the missing link?
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