Evidence map›Paper›PMID 38585264›Full record

ReviewFrontiers in immunology2024

The clinical relevance of heme detoxification by the macrophage heme oxygenase system.

Scott Yeudall, Clint M Upchurch, Norbert Leitinger

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in immunology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
4.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 21 citations in OpenAlex.

  1. Trial
  2. Article
  3. International journal of molecular sciences · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Antioxidant efficacy ofAvicenna journal of phytomedicine · 2026
    Article
  14. Article
  15. Review
  16. Oral Exposure To SiOCardiovascular toxicology · 2025
    Article
  17. Review
  18. Article
  19. Cocaine abuse and its impact on the thymus and spleen.Histology and histopathology · 2025
    Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Scott YeudallDepartment of Pharmacology, University of Virginia School of Medicine, Charlottesville, VA, United States.
Clint M UpchurchDepartment of Neuroscience, Center for Brain Immunology and Glia (BIG), University of Virginia School of Medicine, Charlottesville, VA, United States.
Norbert LeitingerDepartment of Pharmacology, University of Virginia School of Medicine, Charlottesville, VA, United States.
University of Virginia · US

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007267 · NIGMS · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI GARCIA-BLANCO, MARIANO A. · 1985 to 2024
$13.4M
Training in the Pharmacological SciencesT32GM148379 · NIGMS · UNIVERSITY OF VIRGINIA · PI Michelle L Bland, Thurl E. Harris · 2023 to 2026
$1.3M
Metabolic adaption of macrophages to heme detoxification in systemic vascular inflammationR56HL158886 · NHLBI · UNIVERSITY OF VIRGINIA · PI LEITINGER, NORBERT · 2022 to 2022
$517k
Macrophage and Monocyte Metabolic Adaptation in Hemolysis and Sickle Cell DiseaseF30HL154554 · NHLBI · UNIVERSITY OF VIRGINIA · PI YEUDALL, SCOTT · 2021 to 2022
$87k
NHLBI NIH HHS F30 HL154554NHLBI NIH HHS R56 HL158886NIGMS NIH HHS T32 GM007267NIGMS NIH HHS T32 GM148379
6 · The paper itself

Abstract

Heme degradation by the heme oxygenase (HMOX) family of enzymes is critical for maintaining homeostasis and limiting heme-induced tissue damage. Macrophages express HMOX1 and 2 and are critical sites of heme degradation in healthy and diseased states. Here we review the functions of the macrophage heme oxygenase system and its clinical relevance in discrete groups of pathologies where heme has been demonstrated to play a driving role. HMOX1 function in macrophages is essential for limiting oxidative tissue damage in both acute and chronic hemolytic disorders. By degrading pro-inflammatory heme and releasing anti-inflammatory molecules such as carbon monoxide, HMOX1 fine-tunes the acute inflammatory response with consequences for disorders of hyperinflammation such as sepsis. We then discuss divergent beneficial and pathological roles for HMOX1 in disorders such as atherosclerosis and metabolic syndrome, where activation of the HMOX system sits at the crossroads of chronic low-grade inflammation and oxidative stress. Finally, we highlight the emerging role for HMOX1 in regulating macrophage cell death via the iron- and oxidation-dependent form of cell death, ferroptosis. In summary, the importance of heme clearance by macrophages is an active area of investigation with relevance for therapeutic intervention in a diverse array of human diseases.

Indexed as

HemeHeme Oxygenase (Decyclizing)Clinical RelevanceHumansInflammationIronMacrophagesHemeHeme Oxygenase (Decyclizing)Ironcardiometabolic diseaseferroptosishemehemoglobinhemolysisinflammationironoxidative stress

Identifiers

PMID38585264
PMCPMC10995405
OpenAlexW4393077074

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.