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Blood, 1 October 2005, Vol. 106, No. 7, pp. 2572-2579.
Prepublished online as a Blood First Edition Paper on June 9, 2005; DOI 10.1182/blood-2005-03-1185.
Previous Article | Next Article 
Submitted March 24, 2005
Accepted May 26, 2005
Identification of the receptor scavenging hemopexin-heme complexes
Vibeke Hvidberg, Maciej B Maniecki, Christian Jacobsen, Peter Hojrup, Holger J Moller, and Soren K Moestrup*
Department of Medical Biochemistry, University of Aarhus, Aarhus, Denmark
Department of Clinical Biochemistry, Aarhus University Hospital, Aarhus, Denmark
Department of Biochemistry and Molecular Biology, University of Southern Denmark, Odense, Denmark
Department of Medical Biochemistry, University of Aarhus, Aarhus, Denmark; Department of Clinical Biochemistry, Aarhus University Hospital, Aarhus, Denmark
* Corresponding author; email: skm{at}biokemi.au.dk.
Heme released from heme-binding proteins upon internal hemorrhage, hemolysis, myolysis, or other cell damage is highly toxic due to oxidative and pro-inflammatory effects. Complex formation with hemopexin, the high affinity heme-binding protein in plasma and cerebrospinal fluid, dampens these effects and is suggested to facilitate cellular heme metabolism. Using a ligand-affinity approach we purified the human hemopexin-heme receptor and identified it as the low-density lipoprotein receptor-related protein (LRP)/CD91, a receptor expressed in several cell types including macrophages, hepatocytes, neurons and syncytiotrophoblasts. Binding experiments including Biacore analysis showed that hemopexin-heme complex formation elicits the high receptor affinity. Uptake studies of radiolabeled hemopexin-heme complex in LRP/CD91-expressing COS cells and confocal microscopy of the cellular processing of fluorescent hemopexin-heme complex established the ability of LRP/CD91 to mediate hemopexin-heme internalization resulting in cellular heme uptake and lysosomal hemopexin degradation. Uptake of hemopexin-heme complex induced LRP/CD91-dependent heme-oxygenase-1 mRNA transcription in cultured monocytes. In conclusion, hemopexin-heme complexes are removed by a receptor-mediated pathway showing striking similarities to the CD163-mediated haptoglobin-hemoglobin clearance in macrophages. Furthermore, the data indicate a hitherto unknown role of LRP/CD91 in inflammation.

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