120914 heme catabolism Flashcards

1
Q

what can Fe2+ do? and heme?

A

ferrous iron can generate ROS (Fenton rxn) and cause lipid peroxidation

heme is hydrophobic and can intercalate into lipid bilayers

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2
Q

heme iron’s effects on vasculature?

A

promotes oxidative stress that can cause endothelial activation, causing vasooclusive events and thrombus formation

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3
Q

what can free hemoglobin do?

A

scavenge NO, reducing its bioavailability

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4
Q

what is the major path of degradation of senescent RBC?

A

extravascular hemolysis–within macrophages of spleen and liver

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5
Q

in intravascular hemolysis, what happens to hemoglobin?

A

requires CD163 positive macrophages to scavenge hemoglobin-haptoglobin complex

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6
Q

what is haptoglobin

A

acute phase glycoprotein that binds free Hb

clinical marker of hemolysis (its levels decrease in hemolysis)

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7
Q

how does haptoglobin-hemoglobin complex conserve iron?

A

b/c it doesn’t pass through glomerular filter

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8
Q

intravascularly, if there is overwhelming Hb, what happens?

A

heme is released

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9
Q

hemopexin

A

binds free heme in vasculature
acute phase glycoprotein
hemopexin-heme complex binds to CD91 scavenger receptor, which is expressed on numerous cell types

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10
Q

what happens to heme in a cell?

A

transferred to cytosol where it is catabolized by heme oxygenase 1 (HO-1), which is associated with ER

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11
Q

where are senescent RBCs degraded?

A

mostly by macrophages of reticuloendothelial system of liver and spleen

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12
Q

heme ring opening step

A

first step:
catalyzed by heme oxygenase (HO-1), which works on ferroprotoporphyrin IX ring

second step:
produces CO
iron is realeased
resulting green pigment is BILIVERDIN

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13
Q

what happens to Fe2+ formed from opening of heme ring?

A

bound by ferritin in cytosol

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14
Q

what enzymes catalyzes converson of biliverdin to bilirubin?

A

biliverdin reductase in the cytosol

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15
Q

which is less polar: biliverdin or bilirubin?

A

bilirubin (corsses membranes more easily)

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16
Q

what happens to bilirubin once it enters the blood?

A

binds to albumin

then uptake, storage, conjugation and excretion of bilirubin in liver