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Review
. 2021 May;78(10):4639-4651.
doi: 10.1007/s00018-021-03803-z. Epub 2021 Mar 31.

The role of heme oxygenase-1 in hematopoietic system and its microenvironment

Affiliations
Review

The role of heme oxygenase-1 in hematopoietic system and its microenvironment

Agata Szade et al. Cell Mol Life Sci. 2021 May.

Abstract

Hematopoietic system transports all necessary nutrients to the whole organism and provides the immunological protection. Blood cells have high turnover, therefore, this system must be dynamically controlled and must have broad regeneration potential. In this review, we summarize how this complex system is regulated by the heme oxygenase-1 (HO-1)-an enzyme, which degrades heme to biliverdin, ferrous ion and carbon monoxide. First, we discuss how HO-1 influences hematopoietic stem cells (HSC) self-renewal, aging and differentiation. We also describe a critical role of HO-1 in endothelial cells and mesenchymal stromal cells that constitute the specialized bone marrow niche of HSC. We further discuss the molecular and cellular mechanisms by which HO-1 modulates innate and adaptive immune responses. Finally, we highlight how modulation of HO-1 activity regulates the mobilization of bone marrow hematopoietic cells to peripheral blood. We critically discuss the issue of metalloporphyrins, commonly used pharmacological modulators of HO-1 activity, and raise the issue of their important HO-1-independent activities.

Keywords: HO-1; HSPC; Hematopoiesis; Hmox1; Niche.

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Conflict of interest statement

AS, KS and AJ are the coinventors of the patents US10010557 and US10328085: Cobalt porphyrins for the treatment of blood-related disorders and EP 3139917: Cobalt protoporphyrin IX for the treatment of blood-related disorders granted to the Jagiellonian University. MM declares no conflict of interest.

Figures

Fig. 1
Fig. 1
Catalytic reaction of heme oxygenase (HO-1 and HO-2). Heme is degraded into CO, Fe2+ and biliverdin. The reaction requires molecular oxygen and NADPH. Water-soluble biliverdin is further reduced to insoluble bilirubin by biliverdin reductase (BVR)
Fig. 2
Fig. 2
Simplified scheme of hematopoiesis and interactions of immune cells, showing the main processes which are regulated by HO-1 (bold lines), including the ones that are stimulated (arrows with „plus” symbol) and inhibited (bar-headed arrows) by indicated conditions
Fig. 3
Fig. 3
Influence of HO-1 on bone marrow HSC niche

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