Open Access

Heme oxygenase‑1 improves the survival of ischemic skin flaps (Review)

  • Authors:
    • Yinhua Zheng
    • Zhenlan Li
    • Min Yin
    • Xu Gong
  • View Affiliations

  • Published online on: January 26, 2021     https://doi.org/10.3892/mmr.2021.11874
  • Article Number: 235
  • Copyright: © Zheng et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Heat shock protein 32 (Hsp32), also known as heme oxygenase‑1 (HO‑1), is an enzyme that exists in microsomes. HO‑1 can be induced by a variety of stimuli, including heavy metals, heat shock, inflammatory stimuli, heme and its derivatives, stress, hypoxia, and biological hormones. HO‑1 is the rate‑limiting enzyme of heme catabolism, which splits heme into biliverdin, carbon monoxide (CO) and iron. The metabolites of HO‑1 have anti‑inflammatory and anti‑oxidant effects, and provide protection to the cardiovascular system and transplanted organs. This review summarizes the biological characteristics of HO‑1 and the functional significance of its products, and specifically elaborates on its protective effect on skin flaps. HO‑1 improves the survival rate of ischemic skin flaps through anti‑inflammatory, anti‑oxidant and vasodilatory effects of enzymatic reaction products. In particular, this review focuses on the role of carbon monoxide (CO), one of the primary metabolites of HO‑1, in flap survival and discusses the feasibility and existing challenges of HO‑1 in flap surgery.
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April-2021
Volume 23 Issue 4

Print ISSN: 1791-2997
Online ISSN:1791-3004

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Copy and paste a formatted citation
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Spandidos Publications style
Zheng Y, Li Z, Yin M and Gong X: Heme oxygenase‑1 improves the survival of ischemic skin flaps (Review). Mol Med Rep 23: 235, 2021.
APA
Zheng, Y., Li, Z., Yin, M., & Gong, X. (2021). Heme oxygenase‑1 improves the survival of ischemic skin flaps (Review). Molecular Medicine Reports, 23, 235. https://doi.org/10.3892/mmr.2021.11874
MLA
Zheng, Y., Li, Z., Yin, M., Gong, X."Heme oxygenase‑1 improves the survival of ischemic skin flaps (Review)". Molecular Medicine Reports 23.4 (2021): 235.
Chicago
Zheng, Y., Li, Z., Yin, M., Gong, X."Heme oxygenase‑1 improves the survival of ischemic skin flaps (Review)". Molecular Medicine Reports 23, no. 4 (2021): 235. https://doi.org/10.3892/mmr.2021.11874