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Cytoprotective Role of Haptoglobin in Brain After Experimental Intracerebral Hemorrhage

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Intracerebral Hemorrhage Research

Part of the book series: Acta Neurochirurgica Supplementum ((NEUROCHIRURGICA,volume 111))

Abstract

After intracerebral hemorrhage (ICH), hemoglobin (Hb) that is released from erythrocytes within the brain hematoma is highly cytotoxic and leads to severe brain edema and direct neuronal damage. Therefore, neutralization of Hb could represent an important target for reducing the secondary injury after ICH. Haptoglobin (Hp), an endogenous Hb-binding protein in blood plasma, is found in this study to be upregulated in the hematoma-affected brain after ICH. Both in vivo and in vitro studies indicate that Hp upregulation is primarily mediated by oligodendrocytes. Hp acts as a secretory protein capable of neutralizing the cell-free Hb. We also found in an “ICH-like” injury that Hp-KO mice show the most severe brain injury and neurological deficits, whereas Hp-Tg mice are the most resistant to ICH injury, suggesting that a higher Hp level is associated with the increased resistance of animals to hemolytic product-mediated brain injury after ICH. We conclude that brain-derived Hp plays a cytoprotective role after ICH, and Hp may represent a new potential therapeutic target for management of ICH.

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References

  1. Wada T et al (1970) Autoradiographic study on the site of uptake of the haptoglobin-hemoglobin complex. J Reticuloendothel Soc 8(2):185–193

    PubMed  CAS  Google Scholar 

  2. Zuwala-Jagiello J (2006) Haemoglobin scavenger receptor: function in relation to disease. Acta Biochim Pol 53(2):257–268

    PubMed  CAS  Google Scholar 

  3. Yang F et al (2003) Haptoglobin reduces lung injury associated with exposure to blood. Am J Physiol Lung Cell Mol Physiol 284(2):L402–L409

    PubMed  CAS  Google Scholar 

  4. Hoj L et al (1984) Secretion rates of immunoglobulins, albumin, haptoglobin and complement factors C3 and C4 in the perfused jejunum and ileum of human Salmonella carriers. Acta Pathol Microbiol Immunol Scand C 92(2):129–132

    PubMed  CAS  Google Scholar 

  5. Bowman BH, Kurosky A (1982) Haptoglobin: the evolutionary product of duplication, unequal crossing over, and point mutation. Adv Hum Genet 12:189, 453–454

    PubMed  CAS  Google Scholar 

  6. Schaer DJ et al (2006) CD163 is the macrophage scavenger receptor for native and chemically modified hemoglobins in the absence of haptoglobin. Blood 107(1):373–380

    Article  PubMed  CAS  Google Scholar 

  7. Philippidis P et al (2004) Hemoglobin scavenger receptor CD163 mediates interleukin-10 release and heme oxygenase-1 synthesis: antiinflammatory monocyte-macrophage responses in vitro, in resolving skin blisters in vivo, and after cardiopulmonary bypass surgery. Circ Res 94(1):119–126

    Article  PubMed  CAS  Google Scholar 

  8. Ascenzi P et al (2005) Hemoglobin and heme scavenging. IUBMB Life 57(11):749–759

    Article  PubMed  CAS  Google Scholar 

  9. Schaer DJ et al (2005) Soluble hemoglobin-haptoglobin scavenger receptor CD163 as a lineage-specific marker in the reactive hemophagocytic syndrome. Eur J Haematol 74(1):6–10

    Article  PubMed  CAS  Google Scholar 

  10. Schaer DJ, Alayash AI, Buehler PW (2007) Gating the radical hemoglobin to macrophages: the anti-inflammatory role of CD163, a scavenger receptor. Antioxid Redox Signal 9(7):991–999

    Article  PubMed  CAS  Google Scholar 

  11. D’Armiento J, Dalal SS, Chada K (1997) Tissue, temporal and inducible expression pattern of haptoglobin in mice. Gene 195(1):19–27

    Article  PubMed  Google Scholar 

  12. Chen W et al (1998) Expression of the protective proteins hemopexin and haptoglobin by cells of the neural retina. Exp Eye Res 67(1):83–93

    Article  PubMed  CAS  Google Scholar 

  13. Borsody M et al (2006) Haptoglobin and the development of cerebral artery vasospasm after subarachnoid hemorrhage. Neurology 66(5):634–640

    Article  PubMed  CAS  Google Scholar 

  14. Bhasin RR et al (2002) Experimental intracerebral hemorrhage: effect of lysed erythrocytes on brain edema and blood-brain barrier permeability. Acta Neurochir Suppl 81:249–251

    PubMed  CAS  Google Scholar 

  15. Xi G, Keep RF, Hoff JT (1998) Erythrocytes and delayed brain edema formation following intracerebral hemorrhage in rats. J Neurosurg 89(6):991–996

    Article  PubMed  CAS  Google Scholar 

  16. Nakamura T et al (2006) Iron-induced oxidative brain injury after experimental intracerebral hemorrhage. Acta Neurochir Suppl 96:194–198

    Article  PubMed  CAS  Google Scholar 

  17. Nakamura T et al (2005) Oxidative DNA injury after experimental intracerebral hemorrhage. Brain Res 1039(1–2):30–36

    Article  PubMed  CAS  Google Scholar 

  18. Regan RF, Panter SS (1993) Neurotoxicity of hemoglobin in cortical cell culture. Neurosci Lett 153(2):219–222

    Article  PubMed  CAS  Google Scholar 

  19. Wang X et al (2002) Hemoglobin-induced cytotoxicity in rat cerebral cortical neurons: caspase activation and oxidative stress. Stroke 33(7):1882–1888

    Article  PubMed  CAS  Google Scholar 

  20. Keep RF et al (2008) Blood-brain barrier function in intracerebral hemorrhage. Acta Neurochir Suppl 105:73–77

    Article  PubMed  CAS  Google Scholar 

  21. Aronowski J, Hall CE (2005) New horizons for primary intracerebral hemorrhage treatment: experience from preclinical studies. Neurol Res 27(3):268–279

    Article  PubMed  Google Scholar 

  22. Xi G, Keep RF, Hoff JT (2006) Mechanisms of brain injury after intracerebral haemorrhage. Lancet Neurol 5(1):53–63

    Article  PubMed  Google Scholar 

  23. Koeppen AH, Dickson AC, McEvoy JA (1995) The cellular reactions to experimental intracerebral hemorrhage. J Neurol Sci 134(Suppl):102–112

    Article  PubMed  Google Scholar 

  24. Zhao X et al (2009) Neuroprotective role of haptoglobin after intracerebral hemorrhage. J Neurosci 29(50):15819–15827

    Article  PubMed  CAS  Google Scholar 

  25. Lim SK et al (1998) Increased susceptibility in Hp knockout mice during acute hemolysis. Blood 92(6):1870–1877

    PubMed  CAS  Google Scholar 

  26. Yang F et al (1993) Characterization of the mouse haptoglobin gene. Genomics 18(2):374–380

    Article  PubMed  CAS  Google Scholar 

  27. Zhao X et al (2007) Transcription factor Nrf2 protects the brain from damage produced by intracerebral hemorrhage. Stroke 38(12):3280–3286

    Article  PubMed  CAS  Google Scholar 

  28. Wagner KR, Dwyer BE (2004) Hematoma removal, heme, and heme oxygenase following hemorrhagic stroke. Ann NY Acad Sci 1012:237–251

    Article  PubMed  CAS  Google Scholar 

  29. Wagner KR et al (2003) Heme and iron metabolism: role in cerebral hemorrhage. J Cereb Blood Flow Metab 23(6):629–652

    Article  PubMed  CAS  Google Scholar 

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Acknowledgements

This study was supported in part by NIH/NINDS projects RO1NS060768, R21NS057284 and RO1NS064109. We thank Drs. Franklin G. Berger and Karen Barbour (University of South Carolina, Columbia, SC), who kindly provided us the Hp-Tg and Hp-KO mice.

Conflict of interest statement We declare that we have no conflict of interest.

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Correspondence to Jaroslaw Aronowski .

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Zhao, X. et al. (2011). Cytoprotective Role of Haptoglobin in Brain After Experimental Intracerebral Hemorrhage. In: Zhang, J., Colohan, A. (eds) Intracerebral Hemorrhage Research. Acta Neurochirurgica Supplementum, vol 111. Springer, Vienna. https://doi.org/10.1007/978-3-7091-0693-8_17

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  • DOI: https://doi.org/10.1007/978-3-7091-0693-8_17

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  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-0692-1

  • Online ISBN: 978-3-7091-0693-8

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