Related Experiment Video
Updated: May 17, 2026

Expired CO2 Measurement in Intubated or Spontaneously Breathing Patients from the Emergency Department
Published on: January 29, 2011
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.
Abstract:
Networking between cells is critical for proper functioning of the cellular milieu and is mediated by cascades of highly regulated and overlapping signaling molecules. The enzyme heme oxygenase-1 (HO-1) generates three separate signaling molecules through the catalysis of heme - carbon monoxide (CO), biliverdin, and iron - each of which acts via distinct molecular targets to influence cell function, both proximally and distally. This review focuses on state-of-the art developments and insights into the impact of HO-1 and CO on the innate immune response, the effects of which are responsible for an ensemble of functions that help regulate complex immunological responses to bacterial sepsis and ischemia/reperfusion injury. HO-1 exemplifies an evolutionarily conserved system necessary for the cellular milieu to adapt appropriately, function properly, and ensure survival of the organism.
More Related Videos
Related Concept Videos
Carbon Dioxide Transport in the Blood
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...
Hypoxia
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 Perfusion
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 Respiration
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 Indications
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 Blood

