Baby yellow
Nature Structural Biology pp 215 - 220 and pp 221 - 225
If you visit the nursery in a hospital, you may see babies under fluorescent lamps these babies are undergoing treatment for jaundice, a condition caused by the abnormally high level of bilirubins in the bloodstream. Bilirubins can be neurotoxic, and accumulation of this compound in an infant's brain could cause irreversible damage.
Bilirubins are the breakdown product of heme the oxygen-binding factor of hemoglobin released from red blood cells that have been destroyed. However, they are not waste products that are completely bad for us. In fact, bilirubins are potent antioxidants made by the human body. Thus, the molecular details of how they are converted from heme are important for understanding how bilirubin production is regulated to benefit rather than harm us.
Heme is converted into bilirubins in two steps: it is first cleaved to produce unstable intermediates, biliverdins; these intermediates are then further processed to bilirubins by enzymes called biliverdin reductases. To understand how these enzymes convert biliverdins into bilirubins, Miquel Coll of the Institut de Biologia Molecular de Barcelona, Spain, and his colleagues at Trinity College, Ireland, as well as Akihiro Kikuchi and coworkers at the RIKEN Harima Institute, Japan, have determined the crystal structures of two different biliverdin reductases. These structures provide a wealth of information about the molecular details of bilirubin production.
Antony McDonagh at the University of California San Francisco discusses these findings in an associated News and Views.