“…Under hemolytic conditions such as malaria, sickle cell anemia (SCD), β-thalassemia, and hemorrhage, or in case of severe cellular damage, heme is released in enormous amounts as a result of hemoglobin degradation, leading to a pool of labile heme (Ascenzi et al, 2005;Roumenina et al, 2016). In this case, the heme-detoxifying scavenger proteins, in particular hemopexin, become saturated, which allows heme to execute its wide-ranging effects (Chiabrando et al, 2014;Roumenina et al, 2016;Detzel et al, 2020). The response to heme in this context leads to cytotoxic, procoagulant, vasculotoxic, and proinflammatory effects, as well as an activation of the complement system (Dutra and Bozza, 2014;Roumenina et al, 2016).…”