The social network of carbon monoxide in medicine

Barbara Wegiel1, Douglas W Hanto, Leo E Otterbein

  • 1Transplant Institute, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA.

Insights

The enzyme heme oxygenase-1 (HO-1) and its product carbon monoxide (CO) are vital for innate immunity. They regulate immune responses to sepsis and injury, ensuring organism survival.

Area of Science:

  • Cellular biology
  • Immunology
  • Biochemistry

Background:

  • Cellular communication relies on signaling molecules.
  • Heme oxygenase-1 (HO-1) catalyzes heme into carbon monoxide (CO), biliverdin, and iron, each with distinct signaling roles.
  • HO-1 and CO significantly impact innate immune responses.

Purpose of the Study:

  • To review recent advancements in understanding HO-1 and CO's role in innate immunity.
  • To explore their influence on immune responses to bacterial sepsis and ischemia/reperfusion injury.

Main Methods:

  • Literature review of state-of-the-art developments.
  • Analysis of molecular targets and signaling pathways of HO-1 and CO.
  • Examination of HO-1's role in regulating immunological responses.

Main Results:

  • HO-1 and CO modulate complex immunological responses.
  • These molecules are crucial for regulating responses to bacterial sepsis.
  • HO-1 and CO play a key role in managing ischemia/reperfusion injury.

Conclusions:

  • HO-1 is an evolutionarily conserved system essential for cellular adaptation and organism survival.
  • HO-1 and CO are critical regulators of the innate immune response.
  • Understanding HO-1 and CO signaling offers insights into treating sepsis and injury.

Related Concept Videos

Carbon Dioxide Transport in the Blood01:19

Carbon Dioxide Transport in the Blood

Carbon dioxide (CO2) transport in the blood is critical to human physiology. On average, our body cells produce around 200 mL of CO2 per minute, precisely the quantity expelled by the lungs. This process involves the transportation of CO2 from the tissue cells to the lungs in three primary forms.
Forms of CO2 Transport
1. Dissolved in plasma: A small percentage (7-10%) of CO2 is transported and dissolved directly in the plasma.
2. Carbaminohemoglobin: Just over 20% of CO2 is chemically bound to...
Hypoxia01:23

Hypoxia

Hypoxia is a medical condition characterized by an inadequate oxygen supply to body tissues. It typically manifests as a bluish discoloration of the skin and mucosae, especially in fair-skinned individuals, when hemoglobin (Hb) saturation drops below 75%.
Types of Hypoxia
There are four primary types of hypoxia, each resulting from a different cause:
1. Anemic hypoxia: This type occurs due to insufficient oxygen delivery caused by a lack of red blood cells (RBCs) or RBCs with abnormal or...
Assessment of Diffusion and Perfusion01:17

Assessment of Diffusion and Perfusion

Understanding and evaluating diffusion and perfusion is critical in assessing a patient's respiratory and circulatory health. These processes play key roles in maintaining the body's internal environment, ensuring that tissues receive adequate oxygen while waste products are efficiently removed.
The Role of Diffusion in Respiration
Diffusion is the process by which molecules move from an area of higher concentration to an area of lower concentration. In the respiratory system, this principle...
Physiological Control of Respiration01:23

Physiological Control of Respiration

Introduction
Breathing, a seemingly passive process, is regulated by the respiratory center in the brainstem. This center coordinates the involuntary control of respirations, which means it occurs without conscious effort, ensuring a smooth and uninterrupted pattern.
Regulation of Ventilation
The body maintains ventilation by monitoring levels of carbon dioxide (CO2), oxygen (O2), and hydrogen ion concentration (pH) in the arterial blood. Among these factors, the level of CO2 plays a crucial...
Respiratory Assessment: Purpose and Indications01:19

Respiratory Assessment: Purpose and Indications

Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Oxygen Transport in the Blood01:27

Oxygen Transport in the Blood

Hemoglobin (Hb) is a crucial molecule in the human body, consisting of four polypeptide chains, each bound to an iron-containing heme group. This unique structure enables hemoglobin to bind to oxygen, with each molecule capable of combining with four molecules of oxygen, leading to rapid and reversible oxygen loading. When fully loaded with oxygen, it is called oxyhemoglobin, while hemoglobin that has released oxygen is called reduced hemoglobin or deoxyhemoglobin. As hemoglobin binds oxygen,...