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Prepublished online as a Blood First Edition Paper on July 25, 2002; DOI 10.1182/blood-2002-04-1270.

Submitted April 29, 2002
Accepted July 4, 2002
Enhanced splenomegaly and severe liver inflammation in haptoglobin/hemopexin double null mice after acute hemolysis
Emanuela Tolosano*, Sharmila Fagoonee, Emilio Hirsch, Franklin G Berger, Heinz Baumann, Lorenzo Silengo, and Fiorella Altruda
Genetics, Biology and Biochemistry, University of Turin, Turin, Italy; Experimental Medicine Research Center, San Giovanni Battista Hospital, Turin, Italy
Genetics, Biology and Biochemistry, University of Turin, Turin, Italy
Biological Sciences, University of South Carolina, Columbia, South Carolina, USA
Molecular and Cellular Biology, Roswell Park Cancer Institute, Buffalo, New York, USA
* Corresponding author; email: emanuela.tolosano{at}unito.it.
Intravascular hemolysis is associated with several pathologic conditions that include hemoglobinopathies, trauma, malaria and bacterial infections. Among plasma protective proteins against oxidative damage caused by red blood cell rupture, haptoglobin and hemopexin are thought to play a crucial role. Haptoglobin and hemopexin, by binding with high affinity hemoglobin and heme respectively, exert an anti-oxidant action by preventing heme-catalyzed free radicals production. Moreover, these proteins prevent iron loss by inhibiting glomerular filtration of hemoglobin and heme diffusion through plasma membranes. Analysis of single null mice demonstrated the anti-oxidant action of haptoglobin and hemopexin in vivo and suggests that the two proteins cooperate in the resolution of hemolytic stress. In order to evaluate the physiological relevance of the haptoglobin-hemopexin system and the principal targets of its action, we generated haptoglobin-hemopexin double knockout mice and analyzed them under basal conditions and after acute hemolysis. Whereas haptoglobin-hemopexin double null mice displayed no obvious alteration in phenotype under basal conditions, non-lethal hemolytic stress in these animals, led to pronounced splenomegaly as well as liver inflammation and fibrosis.
These data demonstrate that haptoglobin and hemopexin together are essential for protection from splenomegaly and liver fibrosis resulting from intravascular hemolysis.

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