Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0012739 (disseminated intravascular coagulation)
 8,673 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Acutely, hemin sensitizes endothelial cells to oxidants but chronically protects the endothelium through the induction of ferritin. By releasing its heme, methemoglobin can sensitize endothelial cells in a fashion similar to free hemin. Furthermore, prolonged incubation with the endothelium allows methemoglobin to induce heme oxygenase and ferritin and concomitantly to modulate oxidant-mediated cytotoxicity. Methemoglobin but not hemoglobin, metmyoglobin or cytochrome c induces heme oxygenase and ferritin. Heme needs to be released from methemoglobin, since sodium cyanide, haptoglobin, and hemopexin inhibit the induction of these proteins. Neutrophils can oxidize hemoglobin to methemoglobin, which can subsequently induce both heme oxygenase and ferritin. We speculate that in shock with disseminated intravascular coagulation, marginated PMNs oxidize hemoglobin to heme-releasing methemoglobin. If critical defenses such as haptoglobin and hemopexin are overwhelmed, heme enters the endothelin cells, sensitizing them to oxidant damage. Endothelial cell adaptation via heme-induced heme oxygenase and ferritin production might limit ultimate progression to pulmonary and other vascular leak syndromes.
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PMID:Endothelial cell heme oxygenase and ferritin induction by heme proteins: a possible mechanism limiting shock damage. 130 86

Two Asian small-clawed otters (Amblonyx cinereus) died acutely in their exhibit within a 4-day period. Neither animal had significant gross lesions at necropsy. Histologic findings were consistent with acute vascular shock and disseminated intravascular coagulation, and a toxic etiology was suspected. The animals' exhibit contained opened, uneaten loquat (Eriobotrya japonica) fruit with the seeds removed and large quantities of undigested loquat seed material in the feces of the remaining animals. Cyanide was detected in the stomach contents collected at necropsy and in fresh loquat seeds from the exhibit. Loquat is related to other cyanide-containing fruit trees, including cherries, peaches, and almonds.
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PMID:Cyanide toxicosis in Asian small-clawed otters (Amblonyx cinereus) secondary to ingestion of loquat (Eriobotrya japonica). 1239 4