Heme oxygenase (alternatively spelled using
haem or oxidase) catalyzes the degradation of heme to
biliverdin/
bilirubin,
ferrous ion, and carbon monoxide. The human genome may encode three
isoforms of HMOX. The degradation of heme forms three distinct chromogens as seen in healing cycle of a bruise. This reaction can occur in virtually every cell and platelet; the classic example is the healing process of a
contusion, which forms different
chromogens as it gradually heals: (red) heme to (green) biliverdin to (yellow) bilirubin which is widely known for
jaundice. In general, aside from sharing the functionality of catabolizing heme, all HMOX isoforms share are signature 24-residue sequence considered to be essential for the enzymatic activity. Though present throughout the body, HMOX is most active in the
spleen facilitating degradation of
hemoglobin during
erythrocyte recycling (approximately 0.8% of the erythrocyte pool per day).
Heme oxygenase 1 Heme oxygenase 1 (HMOX1, commonly HO-1) is a member of the
heat shock protein (HSP) family identified as
HSP32. HO-1 is a 32kDa enzyme which contains 288
amino acid residues encoded by the
HMOX1 gene. HO-1 is not a
hemoprotein as it does not contain any heme
prosthetic groups. The activity of HO-1 is dependent upon
NADPH-Cytochrome P450 Reductase. HO-1 is a stress-induced isoform present throughout the body with highest concentrations in the spleen, liver, and kidneys, and on the cellular level is primarily located in the
endoplasmic reticulum, although it has also been reported in the
mitochondria,
cell nucleus, and
plasma membrane. Soluble variations of HO-1 have been described. HO-1 may also serve as a chaperone protein, engage in protein-protein interactions, be secreted into the extracellular space, and participate in other cellular functions beyond its catalytic activity. HO-1 may also generate small amounts of
carbon suboxide. HO-1 enzymes are degraded via
ubiquitination. The enzyme has been the subject of extensive investigation into its regulatory signaling, immunomodulatory, and cryoprotective roles. HMOX1 is an essential enzyme. Human HMOX1-deficiency is rare, however several cases have been reported which generally results in death. For example, HMOX1 may counteract certain chemotherapeutic drugs to rescue cancer cells from cytotoxic drugs thereby enabling cancer progression. HMOX1 inhibitors are in development.
Heme oxygenase 2 Heme oxygenase 2 (HMOX2 or HO-2) is a constitutive isoform that is expressed under homeostatic conditions in the testes,
gastrointestinal tract, endothelial cells and the brain. HO-2 is encoded by the
HMOX2 gene. HO-2 is 36 kDa and shares 47% similarity with the HO-1 amino acid sequence; notably HO-2 has an extra N-terminal stretch of 20 amino acid residues.
Heme oxygenase 3 A controversial third heme oxygenase (HO-3) is considered to be catalytically inactive and has been speculated to work in heme sensing or detoxification. HO-3 is 33 kDa with greatest presence in the liver, prostate, and kidneys. However, attempts to isolate HO-3 yielded pseudogenes derived from HO-2 transcripts thereby raising questions about the existence of a third isoform. The
human microbiome contains dozens of unique microbial HMOX
homologues which use many different abbreviations exemplified by: Some heme-degrading prokaryotic enzymes produce products such as
formaldehyde rather than CO. As an example, certain pathogens such as
Escherichia coli O157:H7 can express the non-CO producing ChuW isoform. Many pathogens are susceptible to CO toxicity, therefore expressing non-CO producing heme degradation enzymes evades self-inflicted toxicity while meeting nutritional iron needs. Commensal microbiota generally have CO tolerance as they produce and respond to CO signals; upon excretion from the microbe, the CO either directly benefits the host or applies
selection pressure against pathogens thereby serving as a symbiotic currency. Although
chlorophyll is structurally similar to heme, it is unclear if any HMOX-like enzymes are capable of facilitating metabolism. The first attempt to describe HMOX in 1962 by Nakajima turned out to be a non-enzymatic pathway. The complexity of the non-enzymatic pathway has been coined quasi-enzymatic or pseudoenzymatic. ==Reaction==