UMKC investigator provides key expertise to international sepsis research

Ann Smith, Ph.D., School of Biological Sciences

Ann Smith, Ph.D., School of Biological Sciences

When a team of scientists in Portugal were looking for someone to fill in some key blanks in their recently published collaborative research on sepsis, they immediately set their sights on Ann Smith’s laboratory at UMKC. The research centered on the role of a specific protein in combating the types of bacterial infection that lead to sepsis, a condition characterized by a sudden drop in blood pressure and progressive organ failure. Sepsis is one of the most common causes of mortality in intensive care units worldwide and, even under the best possible medical conditions, mortality rates range between 30 and 70 percent.

The protein the researchers were looking at is hemopexin and it has been a focus of Smith’s research for the better part of the past 20 years. Smith is professor of Molecular Biology & Biochemistry at the UMKC School of Biological Sciences and is widely regarded as one of the world’s leading experts on hemopexin.  In a recent collaboration, hemopexin was shown to protect the brain from injury in stroke.

Hemopexin is what is known as a “binding protein,” and one of its major functions is to preserve the body’s iron. It does this by sequestering heme molecules that are released or lost by the turnover of heme proteins such as hemoglobin. Heme is a biological form of iron that is vital for cells and has numerous beneficial functions. In the presence of an infection, however, invading pathogenic bacteria can also pirate the heme before it is bound by hemopexin and use the iron from heme to help fuel bacterial growth. As the bacterial infection progresses, the protective hemopexin response becomes overwhelmed leading to the life-threatening infection that is sepsis.

The Portuguese study, which was co-authored by Smith and also included collaboration with another research team in Brazil, showed that providing hemopexin saved the lives of mice that would have otherwise died from an experimental model of sepsis. Furthermore, the authors  suggest that providing hemopexin has the potential to significantly reduce the risk of an infection progressing to the point of fatal sepsis in humans. The results of that study, “Targeting free heme to suppress the pathogenesis of severe sepsis,” were featured in a recent issue of Science Translational Medicine. Thus, these findings may lead to a new approach to treat severe sepsis.

Read more about Prof. Smith and her research here.

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