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- W2095787470 abstract "We have investigated the impact of persistent intravascular hemolysis on liver dysfunction using the mouse malaria model. Intravascular hemolysis showed a positive correlation with liver damage along with the increased accumulation of free heme and reactive oxidants in liver. Hepatocytes overinduced heme oxygenase-1 (HO-1) to catabolize free heme in building up defense against this pro-oxidant milieu. However, in a condition of persistent free heme overload in malaria, the overactivity of HO-1 resulted in continuous transient generation of free iron to favor production of reactive oxidants as evident from 2′,7′-dichlorofluorescein fluorescence studies. Electrophoretic mobility shift assay documented the activation of NF-κB, which in turn up-regulated intercellular adhesion molecule 1 as evident from chromatin immunoprecipitation studies. NF-κB activation also induced vascular cell adhesion molecule 1, keratinocyte chemoattractant, and macrophage inflammatory protein 2, which favored neutrophil extravasation and adhesion in liver. The infiltration of neutrophils correlated positively with the severity of hemolysis, and neutrophil depletion significantly prevented liver damage. The data further documented the elevation of serum TNFα in infected mice, and the treatment of anti-TNFα antibodies also significantly prevented neutrophil infiltration and liver injury. Deferoxamine, which chelates iron, interacts with free heme and bears antioxidant properties that prevented oxidative stress, NF-κB activation, neutrophil infiltration, hepatocyte apoptosis, and liver damage. Furthermore, the administration of N-acetylcysteine also prevented NF-κB activation, neutrophil infiltration, hepatocyte apoptosis, and liver damage. Thus, hepatic free heme accumulation, TNFα release, oxidative stress, and NF-κB activation established a link to favor neutrophil infiltration in inducing liver damage during hemolytic conditions in malaria. We have investigated the impact of persistent intravascular hemolysis on liver dysfunction using the mouse malaria model. Intravascular hemolysis showed a positive correlation with liver damage along with the increased accumulation of free heme and reactive oxidants in liver. Hepatocytes overinduced heme oxygenase-1 (HO-1) to catabolize free heme in building up defense against this pro-oxidant milieu. However, in a condition of persistent free heme overload in malaria, the overactivity of HO-1 resulted in continuous transient generation of free iron to favor production of reactive oxidants as evident from 2′,7′-dichlorofluorescein fluorescence studies. Electrophoretic mobility shift assay documented the activation of NF-κB, which in turn up-regulated intercellular adhesion molecule 1 as evident from chromatin immunoprecipitation studies. NF-κB activation also induced vascular cell adhesion molecule 1, keratinocyte chemoattractant, and macrophage inflammatory protein 2, which favored neutrophil extravasation and adhesion in liver. The infiltration of neutrophils correlated positively with the severity of hemolysis, and neutrophil depletion significantly prevented liver damage. The data further documented the elevation of serum TNFα in infected mice, and the treatment of anti-TNFα antibodies also significantly prevented neutrophil infiltration and liver injury. Deferoxamine, which chelates iron, interacts with free heme and bears antioxidant properties that prevented oxidative stress, NF-κB activation, neutrophil infiltration, hepatocyte apoptosis, and liver damage. Furthermore, the administration of N-acetylcysteine also prevented NF-κB activation, neutrophil infiltration, hepatocyte apoptosis, and liver damage. Thus, hepatic free heme accumulation, TNFα release, oxidative stress, and NF-κB activation established a link to favor neutrophil infiltration in inducing liver damage during hemolytic conditions in malaria. Correction: Impact of intravascular hemolysis in malaria on liver dysfunction: Involvement of hepatic free heme overload, NF-κB activation, and neutrophil infiltrationJournal of Biological ChemistryVol. 294Issue 52PreviewVOLUME 287 (2012) PAGES 26630–26646 Full-Text PDF Open Access Intravascular hemolysis is a common pathological condition in a wide variety of diseases, including malaria, paroxysmal nocturnal hemoglobinuria, thalassemia, and sickle cell anemia (1Belcher J.D. Beckman J.D. Balla G. Balla J. Vercellotti G. Heme degradation and vascular injury.Antioxid. 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Heme degradation by reactive oxygen species.Antioxid. Redox Signal. 2004; 6: 967-978Crossref PubMed Scopus (170) Google Scholar). Once inside the tissue, toxicity of heme is counteracted by the combination of heme oxygenase-1 (HO-1) 3The abbreviations used are: HO-1heme oxygenase-1DFOdeferoxamine mesylateNACN-acetylcysteineIcam1intercellular adhesion molecule-1Vcam1vascular cell adhesion moleculeKCkeratinocyte chemoattractantMIP-2macrophage inflammatory protein 2ASTaspartate transaminaseALPalkaline phosphataseALTalanine transaminaseDCFDA2′,7′-dichlorodihydrofluorescein diacetateMPOmyeloperoxidaseTNB5-thio-2-nitrobenzoic acidDTNB5,5′-dithiobis-2-nitrobenzoic acidPMNpolymorphonuclear. and ferritin. The action of HO-1 on heme results in the generation of equimolar concentration of iron, biliverdin, and CO (15Kumar S. Bandyopadhyay U. Free heme toxicity and its detoxification systems in human.Toxicol. Lett. 2005; 157: 175-188Crossref PubMed Scopus (613) Google Scholar). 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Here, we provide evidence that intravascular hemolysis in malaria damages liver as a result of increased accumulation of free heme and reactive oxidants in liver, which favor neutrophil infiltration. We demonstrated that heme overload and oxidative stress activated the transcriptional factor NF-κB, which in turn enhanced neutrophil infiltration and extravasation through the up-regulation of intercellular adhesion molecules and chemokines. Furthermore, the chelation of free iron, scavenging of reactive oxidants, and depletion of neutrophil significantly prevented liver damage during malaria in mice. P. yoelii (MDR strain) is grown in vivo in male BALB/c mice (20–25 g) by inoculation of infected blood as described (35Guha M. Kumar S. Choubey V. Maity P. Bandyopadhyay U. Apoptosis in liver during malaria. Role of oxidative stress and implication of mitochondrial pathway.FASEB J. 2006; 20: 1224-1226Crossref PubMed Scopus (158) Google Scholar, 36Dey S. Guha M. Alam A. Goyal M. Bindu S. Pal C. Maity P. Mitra K. Bandyopadhyay U. Malarial infection develops mitochondrial pathology and mitochondrial oxidative stress to promote hepatocyte apoptosis.Free Radic. Biol. Med. 2009; 46: 271-281Crossref PubMed Scopus (62) Google Scholar). Parasite burden in blood (% parasitemia) was monitored by preparing a thin smear of blood and subsequent Giemsa staining. All animals are maintained in the animal house, and procedures were conducted in accordance with the guidelines of the Institutional Animal Ethics Committee and Committee for the Purpose of Control and Supervision of Experiments on Animals. Blood was collected by puncture of the heart from different groups of mice and put into a 1.5-ml microcentrifuge tube. Serum was separated by centrifugation at 600 × g for 5 min and kept at −20 °C. Serum of different groups of mice was diluted (1:100) in distilled water and was analyzed in a spectrophotometer to determine the release of hemoglobin or heme from the erythrocytes in the serum. Although most of the heme in serum probably comes from hemolysis, it could also come from other sources such as muscle cells and hepatocytes. Activity of liver enzymes and bilirubin in serum of mice was measured to assess liver function. Enzyme activities of alanine transaminase (ALT), aspartate transaminase (AST), and alkaline phosphatase (ALP) were measured. We also measured the total amount of bilirubin and conjugated or direct bilirubin in serum. All assays were performed by using kits purchased from Randox Laboratories Ltd. (Ardmore, Antrim, UK). Manufacturers' instructions were strictly followed. These assays served as parameters to evaluate the extent of hemolysis and liver damage in mice. Total heme or free heme was quantified in serum and liver homogenate by using Quantichrome heme assay kit (Bioassay Systems) according to the manufacturer's instructions. HO-1 (Hmox1) activity in liver homogenate was measured based on the amount of bilirubin formed in an assay system as described (37Farombi E.O. Shrotriya S. Na H.K. Kim S.H. Surh Y.J. Curcumin attenuates dimethylnitrosamine-induced liver injury in rats through Nrf2-mediated induction of heme oxygenase-1.Food Chem. Toxicol. 2008; 46: 1279-1287Crossref PubMed Scopus (254) Google Scholar, 38Bindu S. Pal C. Dey S. Goyal M. Alam A. Iqbal M.S. Dutta S. Sarkar S. Kumar R. Maity P. Bandyopadhyay U. Translocation of heme oxygenase-1 to mitochondria is a novel cytoprotective mechanism against nonsteroidal anti-inflammatory drug-induced mitochondrial oxidative stress, apoptosis and gastric mucosal injury.J. Biol. Chem. 2011; 286: 39387-39402Abstract Full Text Full Text PDF PubMed Scopus (84) Google Scholar). 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Curcumin attenuates dimethylnitrosamine-induced liver injury in rats through Nrf2-mediated induction of heme oxygenase-1.Food Chem. Toxicol. 2008; 46: 1279-1287Crossref PubMed Scopus (254) Google Scholar). The HO-1 activity was expressed as nanomoles of bilirubin formed per mg of protein/h. TRIzol reagent was used to isolate RNA from the perfused tissue according to the manufacturer's instructions (Invitrogen). Total RNA (2 μg) was then reverse-transcribed using the RevertAid First Strand cDNA synthesis kit (Fermentas) according to the manufacturer's instructions. The cDNA obtained was diluted for PCRs. The primers were purchased from Integrated DNA Technologies Inc. (San Diego). The primers are given along with their product size in Table 1. The cycling conditions for PCR amplification were as follows: initial denaturation at 95 °C for 30 s and 40 cycles of denaturation at 95 °C for 30 s, annealing at 55 °C for 30 s, and extension at 72 °C for 60 s, respectively. The PCR products were detected with 1.5% agarose gel electrophoresis, and densitometric analysis of the bands allowed semi-quantification. The images were captured using Quantity One® software (Bio Rad).TABLE 1Primers for RT-PCRGenesForward primer (5′–3′)Reverse primer (5′–3′)Product sizebpIcam1taagaggactcggtggatggtttccccagactctcacagc347Vcam1ctccacaaggcttcaagaggacgtcagaacaaccgaatcc308Cxcl1tgagctgcgctgtcagtgcctagaagccagcgttcaccaga260Cxcl2gctggccaccaaccaccaggagcgaggcacatcaggtacg357Hmox1gcactatgtaaagcgtctccgactctggtctttgtgttcc353Fth1ctttgccaaatactttctccaaagagatattctgccatgc361ActBgtcagaaggactcctatgtggctcgttgccaatagtgatg618Icam1 promotergagagatgagagggggaagggatccgctgtgagaaagtcc363 Open table in a new tab Liver was perfused for a long time to remove all contaminations of blood cells after which the homogenates were prepared. The perfused liver from different groups of mice was homogenized in a glass homogenizer in buffer (140 mm NaCl, 10 mm EDTA, 10% glycerol, 20 mm Tris, pH 8.0, supplemented with 1% Nonidet P-40 as detergent, and 20.000 units/ml aprotinin, 200 mm PMSF). The samples were then subjected to centrifugation for 20 min at 13,000 × g at 4 °C. The supernatant (liver tissue lysate 70 μg) was mixed with protein loading buffer (Fermentas) and boiled for 4 min. The proteins were separated in a 12% SDS-polyacrylamide gel at constant voltage (100 V). Proteins were then transferred to a nitrocellulose membrane in a transfer apparatus with a current intensity of 400 mA for 120 min in a 190 mm glycine, 20 mm Tris base buffer, pH 8.3. The membrane was incubated for 3 h in the blocking buffer TBS (25 mm Tris, 150 mm NaCl, 2 mm KCl, pH 7.4) to which 5% nonfat dry milk had been added. The mixture was then quickly washed with the same buffer without milk. The membrane was incubated overnight in the last buffer with 0.2% bovine serum albumin (BSA) solution containing 1:1000 anti-HO-1(Abcam), ferritin heavy chain (US Biological), anti-NF-κB p65, IKKβ, IκB-α, and β-actin (Santa Cruz Biotechnology) for separate experiments. The membrane was then washed well with TBS containing 0.1% Tween 20. The membrane was incubated for 2 h in the same buffer containing secondary antibody (1:1000 HRP-labeled anti-rabbit or -goat IgG). The membrane was washed well with the incubation buffer. The protein detection was performed with a standard Western blot detection system. Pre-stained standards were used as molecular weight markers and were run in parallel. Hepatocytes were isolated from liver after perfusion by a two-step collagenase digestion method and purified by Percoll gradient (39Gonçalves L.A. Vigário A.M. Penha-Gonçalves C. Improved isolation of murine hepatocytes for in vitro malaria liver stage studies.Malar. 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The supernatants obtained were nuclear extracts and were stored at −80 °C until use. NF-κB double-stranded consensus oligonucleotides 5′-AGTTGAGGGGACTTTCCCAGGC-3′ and 3′-TCAACTCCCCTGAAAGGGTCCG-5′ (44Sajan M.P. Standaert M.L. Nimal S. Varanasi U. Pastoor T. Mastorides S. Braun U. Leitges M. Farese R.V. The critical role of atypical protein kinase C in activating hepatic SREBP-1c and NF-κB in obesity.J. Lipid Res. 2009; 50: 1133-1145Abstract Full Text Full Text PDF PubMed Scopus (50) Google Scholar, 45Fouad D. Siendones E. Costán G. Muntané J. Role of NF-κB activation and nitric oxide expression during PGE protection against d-galactosamine-induced cell death in cultured rat hepatocytes.Liver Int. 2004; 24: 227-236Crossref PubMed Scopus (17)" @default.
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- W2095787470 date "2012-08-01" @default.
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- W2095787470 title "Impact of Intravascular Hemolysis in Malaria on Liver Dysfunction" @default.
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