“…Haptoglobin (Hp), 2 an acute phase plasma protein, provides the first line of defense against the effects of liberated Hb (5). When Hb binds to Hp, Hb remains sequestered within the intravascular compartment, thus attenuating Hb-mediated vasoactivity, oxidative toxicity, and tissue peroxidation (6,7). Upon complex formation, Hp transforms the Hb ␣-dimer into a high affinity ligand that interacts with the Hb scavenger receptor CD163, which then clears the Hb-Hp complex from the circulation (8).…”