PubMed: 26337933

Title
Leukocyte expression of heme oxygenase-1 [hmox1] varies inversely with severity of tricuspid regurgitation in acute pulmonary embolism.
Journal
Thrombosis research
Volume
136
Issue
None
Pages
769-74
Date
2015-10-01
Authors
Bonkovsky HL | Courtney M | Kline JA | Steuerwald NM | Watts JA

Evidence c9a7f5b54c

Humans with severe PE have increased arginase-1 and decreased plasma L-arginine concentrations.[14]

Evidence a483603735

Release of hemoglobin (and ultimately heme), and arginase-1 into the plasma results in binding of nitric oxide and also reduction in L-arginine, respectively, causing a relative reduction in vasodilatory effect.[14,29]

Evidence 96ef4c09b9

The median values and associated interquartile ranges for hmox-1 and haptoglobin show that patients with PE+TR+ had lower expression of these genes compared with patients who were PE+TR− or PE−

Evidence 0dc6e92bcf

Table 3 shows a significant increase in the median value for the plasma biomarker of hemolysis, arginase-1 in patients with PE+TR+ by pairwise comparison using the Kruskal-Wallis test.

Evidence 7244d5ced0

The inverse correlation between hmox-1 expression in circulating leukocytes and the TR jet velocity in patients with acute PE was significant (r2=0.45, p <0.001), but this significance was absent in patients without PE (r2=0.01, P=0.52).

Evidence 213900ebb9

We hypothesize acute moderate to severe PE causes turbulent flow across the tricuspid and pulmonic valves and in the pulmonary tree, causing rupture of a small percentage of red cells in or immediately proximal to or within the pulmonary vascular tree.

Evidence 6933388baa

The cyclooxygenase-2 gene was not significantly different between groups and had no correlation with the TR jet velocity in patients with PE (R2=0.03).

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