Heme metabolism: The janus nature of precursorsand porphyrins
Porphyrias comprise a group of metabolic disorders of the heme biosynthesis pathway resulting in a specific accumulation and excretion of intermediates which are responsible for their pathophysiology. Acute porphyrias are characterized by acute neurovisceral symptoms due to the overproduction and ac...
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todo:paper_03252957_v50_n4_p547_Rossetti2023-10-03T15:23:44Z Heme metabolism: The janus nature of precursorsand porphyrins Rossetti, M.V. Buzaleh, A.M. Parera, V.E. Fukuda, H. Lombardo, M.E. Lavandera, J. Gerez, E.N. Melito, V.A. Zuccoli, J.R. Ruspini, S.F. Puente, V.R. Diez, B.A. Teijo, M.J. Cerbino, G.N. Varela, L.S. Guolo, M.N. Del Carmen Batlle, A.M. D-aminolevulinic acid Heme metabolism Photodynamic therapy Porphyrias Porphyrins Trypanosoma cruzi Volatile anaesthetics Porphyrias comprise a group of metabolic disorders of the heme biosynthesis pathway resulting in a specific accumulation and excretion of intermediates which are responsible for their pathophysiology. Acute porphyrias are characterized by acute neurovisceral symptoms due to the overproduction and accumulation of d-aminolevulinic acid (ALA) which leads to an oxidative damage resulting from the formation of reactive oxygen species (ROS). In cutaneous porphyrias, the symptomatology is a result of porphyrin accumulation which also induces ROS moulding. In both cases, their clinical signs are precipitated by endogenous factors (stress, hormones, low calories intake) and/or exogenous drugs, in particular some anaesthetics. A review of the biochemical and genetic results obtained from patients with different porphyrias, diagnosed at the CIPYP during the last 38 years is presented here, aimed at obtaining additional evidence about the molecular nature of these disorders. The achievements obtained from experimental porphyria models -pharmacologically or genetically induced- are also described, which contributed to the classification of some drugs as prohibited for their use in porphyric patients. Finally, as porphyrins produce ROS and therefore cellular death, they can be used to treat infections by heme-deficient organisms like Trypanosoma cruzi and also as photosensitizers in photodynamic therapy (TFD). Fil:Rossetti, M.V. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales; Argentina. Fil:Buzaleh, A.M. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales; Argentina. Fil:Parera, V.E. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales; Argentina. Fil:Fukuda, H. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales; Argentina. Fil:Lombardo, M.E. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales; Argentina. Fil:Lavandera, J. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales; Argentina. Fil:Gerez, E.N. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales; Argentina. Fil:Diez, B.A. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales; Argentina. Fil:Teijo, M.J. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales; Argentina. Fil:Guolo, M.N. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales; Argentina. Fil:Del Carmen Batlle, A.M. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales; Argentina. JOUR info:eu-repo/semantics/openAccess http://creativecommons.org/licenses/by/2.5/ar http://hdl.handle.net/20.500.12110/paper_03252957_v50_n4_p547_Rossetti |
institution |
Universidad de Buenos Aires |
institution_str |
I-28 |
repository_str |
R-134 |
collection |
Biblioteca Digital - Facultad de Ciencias Exactas y Naturales (UBA) |
topic |
D-aminolevulinic acid Heme metabolism Photodynamic therapy Porphyrias Porphyrins Trypanosoma cruzi Volatile anaesthetics |
spellingShingle |
D-aminolevulinic acid Heme metabolism Photodynamic therapy Porphyrias Porphyrins Trypanosoma cruzi Volatile anaesthetics Rossetti, M.V. Buzaleh, A.M. Parera, V.E. Fukuda, H. Lombardo, M.E. Lavandera, J. Gerez, E.N. Melito, V.A. Zuccoli, J.R. Ruspini, S.F. Puente, V.R. Diez, B.A. Teijo, M.J. Cerbino, G.N. Varela, L.S. Guolo, M.N. Del Carmen Batlle, A.M. Heme metabolism: The janus nature of precursorsand porphyrins |
topic_facet |
D-aminolevulinic acid Heme metabolism Photodynamic therapy Porphyrias Porphyrins Trypanosoma cruzi Volatile anaesthetics |
description |
Porphyrias comprise a group of metabolic disorders of the heme biosynthesis pathway resulting in a specific accumulation and excretion of intermediates which are responsible for their pathophysiology. Acute porphyrias are characterized by acute neurovisceral symptoms due to the overproduction and accumulation of d-aminolevulinic acid (ALA) which leads to an oxidative damage resulting from the formation of reactive oxygen species (ROS). In cutaneous porphyrias, the symptomatology is a result of porphyrin accumulation which also induces ROS moulding. In both cases, their clinical signs are precipitated by endogenous factors (stress, hormones, low calories intake) and/or exogenous drugs, in particular some anaesthetics. A review of the biochemical and genetic results obtained from patients with different porphyrias, diagnosed at the CIPYP during the last 38 years is presented here, aimed at obtaining additional evidence about the molecular nature of these disorders. The achievements obtained from experimental porphyria models -pharmacologically or genetically induced- are also described, which contributed to the classification of some drugs as prohibited for their use in porphyric patients. Finally, as porphyrins produce ROS and therefore cellular death, they can be used to treat infections by heme-deficient organisms like Trypanosoma cruzi and also as photosensitizers in photodynamic therapy (TFD). |
format |
JOUR |
author |
Rossetti, M.V. Buzaleh, A.M. Parera, V.E. Fukuda, H. Lombardo, M.E. Lavandera, J. Gerez, E.N. Melito, V.A. Zuccoli, J.R. Ruspini, S.F. Puente, V.R. Diez, B.A. Teijo, M.J. Cerbino, G.N. Varela, L.S. Guolo, M.N. Del Carmen Batlle, A.M. |
author_facet |
Rossetti, M.V. Buzaleh, A.M. Parera, V.E. Fukuda, H. Lombardo, M.E. Lavandera, J. Gerez, E.N. Melito, V.A. Zuccoli, J.R. Ruspini, S.F. Puente, V.R. Diez, B.A. Teijo, M.J. Cerbino, G.N. Varela, L.S. Guolo, M.N. Del Carmen Batlle, A.M. |
author_sort |
Rossetti, M.V. |
title |
Heme metabolism: The janus nature of precursorsand porphyrins |
title_short |
Heme metabolism: The janus nature of precursorsand porphyrins |
title_full |
Heme metabolism: The janus nature of precursorsand porphyrins |
title_fullStr |
Heme metabolism: The janus nature of precursorsand porphyrins |
title_full_unstemmed |
Heme metabolism: The janus nature of precursorsand porphyrins |
title_sort |
heme metabolism: the janus nature of precursorsand porphyrins |
url |
http://hdl.handle.net/20.500.12110/paper_03252957_v50_n4_p547_Rossetti |
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