Haem arginate infusion stimulates haem oxygenase-1 expression in healthy subjects

Br J Pharmacol. 2010 Dec;161(8):1751-62. doi: 10.1111/j.1476-5381.2010.00990.x.

Abstract

Background and purpose: Haem oxygenase 1 (HO-1) is an inducible protein that plays a major protective role in conditions such as ischaemia-reperfusion injury and inflammation. In this study, we have investigated the role of haem arginate (HA) in human male subjects in the modulation of HO-1 expression and its correlation with the GT length polymorphism (GT(n)) in the promoter of the HO-1 gene.

Experimental approach: In a dose-escalation, randomized, placebo-controlled trial, seven healthy male subjects with a homozygous short (S/S) and eight with a long (L/L) GT(n) genotype received intravenous HA. HO-1 protein expression and mRNA levels in peripheral blood monocytes, bilirubin, haptoglobin, haemopexin and haem levels were analysed over a 48 h observation period.

Key results: We found that the baseline mRNA levels of HO-1 were higher in L/L subjects, while protein levels were higher in S/S subjects. HA induced a dose-dependent increase in the baseline corrected area under the curve values of HO-1 mRNA and protein over 48 h. The response of HO-1 mRNA was more pronounced in L/L subjects but the protein level was similar across the groups.

Conclusions and implication: HA is an effective inducer of HO-1 in humans irrespective of the GT(n) genotype. The potential therapeutic application of HA needs to be evaluated in clinical trials.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Arginine / administration & dosage
  • Arginine / adverse effects
  • Arginine / pharmacology*
  • Bilirubin / blood
  • Dose-Response Relationship, Drug
  • Enzyme Induction
  • Haptoglobins / metabolism
  • Heme / administration & dosage
  • Heme / adverse effects
  • Heme / metabolism
  • Heme / pharmacology*
  • Heme Oxygenase-1 / biosynthesis*
  • Heme Oxygenase-1 / blood
  • Heme Oxygenase-1 / genetics
  • Hemopexin / metabolism
  • Homozygote
  • Humans
  • Infusions, Intravenous
  • Male
  • Polymorphism, Genetic

Substances

  • Haptoglobins
  • Heme
  • Hemopexin
  • Arginine
  • Heme Oxygenase-1
  • heme arginate
  • Bilirubin