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肾脏在小鼠新生期溶血病中血红素衍生铁再分配中的作用。

Role of the kidneys in the redistribution of heme-derived iron during neonatal hemolysis in mice.

机构信息

Department of Genetics and Evolution, Institute of Zoology and Biomedical Research, Jagiellonian University, Gronostajowa 9, 30-387, Kraków, Poland.

Department of Molecular Biology, Institute of Genetics and Animal Breeding, Polish Academy of Sciences, 05-552, Magdalenka, Jastrzębiec, Poland.

出版信息

Sci Rep. 2019 Jul 31;9(1):11102. doi: 10.1038/s41598-019-47414-y.

Abstract

Moderate intravascular hemolysis is a common condition in newborns. It is followed by the accumulation of bilirubin, which is a secondary product of the activity of heme oxygenase-1, an enzyme that catalyzes the breakdown of heme released from disrupted erythrocytes and taken up by hepatic macrophages. Although these cells are a major site of enzymatic heme breakdown in adults, we show here that epithelial cells of proximal tubules in the kidneys perform the functions of both heme uptake and catabolism in mouse neonates. A time-course study examining mouse pups during the neonatal period showed a gradual recovery from hemolysis, and concomitant decreases in the expression of heme-related genes and non-heme iron transporters in the proximal tubules. By adjusting the expression of iron-handling proteins in response to the disappearance of hemolysis in mouse neonates, the kidneys may play a role in the detoxification of iron and contribute to its recirculation from the primary urine to the blood.

摘要

中等程度的血管内溶血是新生儿的常见病症。随之而来的是胆红素的积累,胆红素是血红素加氧酶-1 活性的次级产物,该酶催化从破裂的红细胞中释放的血红素分解,并被肝巨噬细胞摄取。尽管这些细胞是成人中血红素分解的主要部位,但我们在这里表明,肾脏近端小管的上皮细胞在新生小鼠中具有摄取和分解血红素的功能。一项研究检查了新生期小鼠幼崽,结果表明,随着溶血的逐渐恢复,近端小管中与血红素相关的基因和非血红素铁转运体的表达也随之下降。通过调节铁处理蛋白的表达来响应新生鼠中溶血的消失,肾脏可能在铁的解毒中发挥作用,并有助于将其从原尿中重新循环到血液中。

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