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Updated: Jun 15, 2026

Bioluminescence Imaging of Heme Oxygenase-1 Upregulation in the Gua Sha Procedure
Published on: August 28, 2009
Heme oxygenase-1 in cardiovascular diseases: molecular mechanisms and clinical perspectives
Chao-Yung Wang1, Lee-Young Chau
1Second Section of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, Taoyuan, Taiwan.
Insights
Heme oxygenase-1 (HO-1) is a stress-induced enzyme protecting against oxidative injury through its antioxidant and anti-inflammatory products. Its role is crucial in various diseases, particularly cardiovascular conditions.
Area of Science:
- Biochemistry
- Cellular Biology
- Physiology
Background:
- Heme oxygenase (HO) is key in heme degradation, producing iron, carbon monoxide (CO), and biliverdin.
- HO-1 is a stress-inducible isoform, unlike the constitutive HO-2.
- HO-1 induction is triggered by diverse stimuli including cytokines, endotoxin, heavy metals, nitric oxide, and heme.
Purpose of the Study:
- To review the regulation and function of HO-1.
- To highlight HO-1's defensive role against oxidative stress.
- To focus on HO-1's involvement in cardiovascular diseases.
Main Methods:
- Literature review of molecular mechanisms and clinical perspectives.
- Analysis of HO-1's role in cellular stress responses.
- Examination of HO-1's function in various physiological and pathophysiological states.
Main Results:
- HO-1 induction acts as a defense mechanism against oxidative injury.
- The products of HO-1 (CO, biliverdin, bilirubin) possess antioxidant and anti-inflammatory properties.
- HO-1 is implicated in diseases such as coronary artery disease, cardiac hypertrophy, diabetes, and atherosclerosis.
Conclusions:
- HO-1 plays a significant role in cellular defense against oxidative stress.
- HO-1's functions extend to various clinical conditions, especially cardiovascular diseases.
- Understanding HO-1 regulation and function offers therapeutic insights for oxidative stress-related diseases.
Abstract:
Heme oxygenase (HO) catalyzes the rate-limiting step in the oxidative degradation of cellular heme that liberates iron, carbon monoxide (CO), and biliverdin. Two distinct HO isoforms have been identified in mammalian system. Compared to HO-2, which is constitutively expressed, HO-1 is a stressresponsive protein that is highly induced by many agents, including cytokines, endotoxin, heavy metals, nitric oxide and its own substrate heme. In addition to its well-defined role in heme catabolism and erythrocyte turnover, HO-1 also plays an important function in various physiological and pathophysiological states associated with cellular stress. Over the past decade, compelling evidence has revealed that the induction of HO-1 represents an important defensive mechanism against further oxidative injury in tissues and cells following various insults; this occurs by virtue of the anti-inflammatory and antioxidant capacities of CO, biliverdin, and the subsequent metabolite of biliverdin, bilirubin. In line with the findings from the basic research, numerous studies have supported the importance of HO-1 in various clinical diseases, including coronary artery disease, cardiac hypertrophy, diabetes mellitus, ischemic/reperfusion injury, atherosclerosis and cancer. This review provides an overview on the regulation and function of HO-1, ranging from the molecular mechanisms involved to various clinical perspectives. Specifically, there is a focus on the enzyme's role in various cardiovascular diseases.
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