Human monocytes avidly ingest malarial pigment, hemozoin. Phagocytosed hemo
zoin persists in the monocyte for a long time and modifies important monocy
te functions. Stability of phagocytosed hemozoin may depend on modification
s of the hemozoin heme moiety or reduced ability to express heme-inducible
heme oxygenase. We show here that the spectral characteristics of alkali-so
lubilized hemozoin were identical to those of authentic heme, although hemo
zoin was solubilized by alkali much more slowly than authentic heme. Alkali
-solubilized hemozoin was a substrate of microsomal rat heme oxygenase and
bilirubin reductase, with bilirubin as the main final product. Hemozoin fee
ding to human monocytes did not induce heme oxygenase, but authentic heme a
nd alkali-solubilized hemozoin supplemented to hemozoin-fed monocytes induc
ed heme oxygenase and were degraded normally. Lysosomes isolated from hemoz
oin-fed monocytes released only traces of heme while lysosomes from erythro
cyte-fed monocytes liberated considerable quantities of heme. Lack of heme
release from hemozoin did not depend on proteolysis-resistant, heme-binding
proteins, since lysosomal proteases fully degraded hemozoin-associated pro
teins but did not solubilize hemozoin. In conclusion, our data indicate tha
t lack of induction of HO1 is due to the intrinsic structural characteristi
cs of hemozoin and not to hemozoin-mediated impairment of the mechanism of
HO1 induction. (C) 1999 Elsevier Science B.V. All rights reserved.