ABSTRACT

Metalloporphyrins exert a variety of effects on diverse physiological processes and enzyme systems. Metalloporphyrins inhibit heme oxygenase (1,2), block the effects of metabotropic glutamate receptor activation (3), inhibit long-term po­ tentiation (4,5), inhibit the allosteric activation of soluble guanylate cyclase (6), and repress hepatic б-aminolevulinate synthase (7). Metalloporphyrins have been administered for the therapy of neonatal hemolytic disease or hyperbilirubine­ mia (8,9). In lead poisoning, lead interferes with the incorporation of iron into heme and zinc then replaces iron to form zinc protoporphyrin IX (10). Zinc pro­ toporphyrin IX measured in whole blood fluorimetrically is considered a reliable indicator of the severity of lead poisoning. Elevations of zinc protoporphyrin IX concentrations also occur in patients suffering from iron deficiency anemia and erthyropoietic porphyria (10).