Acute hyper-hemolysis is a severe life-threatening complication in patients with sickle cell disease (SCD) that may occur during delayed hemolytic transfusion reaction (DHTR), or vaso-occlusive crises associated with multi-organ failure. Here, we developed in vitro and in vivo animal models to mimic endothelial damage during the early phase of hyper-hemolysis in SCD. We then used the carbon monoxide (CO)- releasing molecule CORM-401 and examined its effects against endothelial activation, damage, and inflammation inflicted by hemolysates containing red blood cell membrane-derived particles. The in vitro results revealed that CORM-401: 1) prevented the up-regulation of relevant pro-inflammatory, and pro-adhesion controlled by the nuclear factor kappa-light-chain-enhancer of activated B cells (NF- κB), and 2) abolished the expression of the nuclear factor erythroid-2-related factor 2 (Nrf2) that regulates the inducible antioxidant cell machinery. We also show in SCD mice that CORM-401 protects against hemolysate-induced acute damage of target organs such as the lung, liver, and kidney through modulation of NF-kB proinflammatory and Nrf2 antioxidant pathways. Our data demonstrate the efficacy of CORM-401 as a novel therapeutic agent to counteract hemolysate-induced organ damage during hyper-hemolysis in SCD. This approach might be considered as possible preventive treatment in high-risk situations such as SCD patients with history of DHTR.
Id prodotto:
139912
Handle IRIS:
11562/1127433
ultima modifica:
21 febbraio 2025
Citazione bibliografica:
Nguyen, Kim-Anh; Matte, Alessandro; Foresti, Roberta; Federti, Enrica; Kiger, Laurent; Lefebvre, Cécile; Hocini, Hakim; Pelinski, Yanis; Kitagishi, Hiroaki; Bencheikh, Laura; Pirenne, France; DE FRANCESCHI, Lucia; Motterlini, Roberto; Bartolucci, Pablo,
An Oral Carbon Monoxide-Releasing Molecule Protects against Acute Hyper-hemolysis
in Sickle Cell Disease«Blood»
, 2024
, pp. 1-14