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Blood, 1 January 2002, Vol. 99, No. 1, pp. 378-380

BRIEF REPORT

Identification of the hemoglobin scavenger receptor/CD163 as a natural soluble protein in plasma

Holger Jon Møller, Niels Anker Peterslund, Jonas Heilskov Graversen, and Søren Kragh Moestrup

From the Department of Clinical Biochemistry and the Department of Hematology, AAS Aarhus University Hospital, and Department of Medical Biochemistry, University of Aarhus, Denmark.

The hemoglobin scavenger receptor (HbSR/CD163) is an interleukin-6- and glucocorticoid-regulated macrophage/monocyte receptor for uptake of haptoglobin-hemoglobin complexes. Moreover, there are strong indications that HbSR serves an anti-inflammatory function. Immunoprecipitation and immunoblotting enabled identification of a soluble plasma form of HbSR (sHbSR) having an electrophoretic mobility equal to that of recombinant HbSR consisting of the extracellular domain (scavenger receptor cysteine-rich 1-9). A sandwich enzyme-linked immunosorbent assay was established and used to measure the sHbSR level in 130 healthy subjects (median, 1.87 mg/L; range, 0.73-4.69 mg/L). To evaluate the sHbSR levels in conditions with increased leukocyte stimulation and proliferation, 140 patients admitted to a hematological department were screened. Several patients, with a broad spectrum of diagnoses, had a level of sHbSR above the range of healthy persons. Patients with myelomonocytic leukemias and pneumonia/sepsis exhibited the highest levels (up to 67.3 mg/L). In conclusion, sHbSR is an abundant plasma protein potentially valuable in monitoring patients with infections and myelomonocytic leukemia.

© 2002 by The American Society of Hematology.
 

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