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Heme prosthetic group (None commonly used (abbreviated as "heme" in literature, but no standard abbreviation like for protein targets))

Target
None commonly used (abbreviated as "heme" in literature, but no standard abbreviation like for protein targets)
Molecular classification
Other (Prosthetic group / cofactor)
01

Overview

The **heme prosthetic group** is an iron-containing macrocyclic molecule (protoporphyrin IX with a central iron ion) that acts as a non-protein cofactor in a wide range of biologically critical proteins, called hemoproteins. Heme enables these proteins to transport oxygen (hemoglobin, myoglobin), carry out electron transfer in cellular respiration (cytochromes), catalyze redox reactions (peroxidases, catalases, cytochrome P450s), and regulate signaling pathways. It is synthesized in the liver and bone marrow; its biosynthesis and degradation are tightly controlled as free heme can generate reactive oxygen species and is harmful to cells. While essential for many life-sustaining processes, the *heme group itself* is not a therapeutic target, but its role within drugs' actual molecular targets is critical for pharmacology and toxicology.

Other names
HemeHaem (British spelling)Iron-porphyrin cofactorFerroprotoporphyrin IX
02

Mechanism of action

For drugs targeting *heme* in proteins: Competitive binding to heme iron (e.g., CO competes with O₂ on hemoglobin); Inhibition of heme-containing enzymes (e.g., suicide inhibition of cytochrome P450s); Induction or inhibition of heme synthesis or degradation (e.g., barbiturates induce ALAS1 via CYP-hardware demand).

03

Biological functions

Oxygen transport (e.g., hemoglobin, myoglobin)Electron transport (cytochromes in respiratory chain)Catalysis (peroxidases, catalases, cytochrome P450 enzymes)Redox reactionsSignal transduction and cellular regulation (e.g., regulates transcription factors, kinase activity)Iron reservoir
04

Disease associations

Cardiovascular disease (e.g., abnormal hemoglobin, atherosclerosis, oxidative stress from free heme)InflammationNeurodegenerative disease (indirect via oxidative stress)Other (numerous, depends on the heme protein)
05

Safety considerations

Free heme is cytotoxic, pro-oxidant, and can cause oxidative damageDisruption of heme synthesis or catabolism can cause porphyrias, anemias, or liver injuryDrugs that interfere with heme homeostasis may cause anemia or hepatotoxicity
06

Interacting drugs

Heme-oxygenase inhibitors (tin protoporphyrin, zinc protoporphyrin)

2 more in the full profile.

07

Biomarkers

Not typically used as a direct biomarker, but changes in heme-containing enzyme activities (e.g., CYPs in pharmacogenomics, myoglobin in muscle injury) or free heme in plasma (e.g., hemolysis marker) may be measured

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