The heme oxygenase system and oral diseases
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Updated: Jun 8, 2026

Bioluminescence Imaging of Heme Oxygenase-1 Upregulation in the Gua Sha Procedure
Published on: August 28, 2009
1Department of Oral Anatomy and Physiology, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou, China.
Insights
The heme oxygenase (HO) system, particularly HO-1, plays a role in oral diseases. Further research into HO-1 induction and therapeutic manipulation could offer new treatments for oral and maxillofacial conditions.
Area of Science:
- Biochemistry
- Oral Medicine
- Pathophysiology
Background:
- The heme oxygenase (HO) system metabolizes heme into carbon monoxide, biliverdin/bilirubin, and iron.
- This system includes the inducible HO-1 and constitutive HO-2 and HO-3 enzymes.
- HO's involvement in various diseases like Alzheimer's and cancer is established, but its role in oral diseases is less explored.
Purpose of the Study:
- To review the current understanding of HO-1 induction's physiological significance.
- To explore the potential roles of HO-1 in oral diseases.
- To discuss therapeutic implications of manipulating the HO system in oral conditions.
Main Methods:
- Literature review focusing on HO system and oral diseases.
- Analysis of existing studies on HO-1 induction in oral pathologies.
- Synthesis of current knowledge regarding HO's function in the oral and maxillofacial region.
Main Results:
- HO-1 induction is increasingly recognized for its physiological and pathophysiological relevance.
- Emerging evidence suggests specific roles for HO-1 in various oral diseases.
- The oral and maxillofacial field shows recent, growing interest in the HO system.
Conclusions:
- HO-1 induction has significant physiological implications in oral health and disease.
- Understanding HO-1's role may lead to novel therapeutic strategies for oral diseases.
- Targeting the HO system presents potential for managing oral and maxillofacial conditions.
Abstract:
Oral Diseases (2011) 17, 252-257 Heme oxygenase (HO) system catabolizes heme into three products: carbon monoxide (CO), biliverdin/bilirubin and free iron, which consists of three forms identified to date: the oxidative stress-inducible protein HO-1 and the constitutive isozymes HO-2 and HO-3. HO has been involved in many physiological and pathophysiological processes, ranging from Alzheimer's disease to cancer. The interest in HO system by scientists and clinicians involved with the oral and maxillofacial region is fairly recent, and few papers currently cited on HO relate to diseases in this anatomical area. This review will focus on the current understanding of the physiological significance of HO-1 induction and its possible roles in the oral diseases studied to date. The implications for possible therapeutic manipulation of HO are also discussed.
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