Tin protoporphyrin (SnPP) and analogs are being studied as possible agents for
the prevention of neonatal hyperbilirubinemia through inhibition of heme oxygenase.
Because SnPP is a photosensitizer, we studied its role in the photogeneration of carbon
monoxide (CO) from organic compounds in vitro. Generation of CO occurred in the presence
of 5 \iM SnPP and cool white light (19 pW/cnri/nm or 29 W/m2) from SnPP alone,
human serum albumin, glucose, histidine, ethanolamine, medium-chain triglycerides, the
reduced form of nicotinamide-adenine dinucleotide phosphate (NADPH), and human plasma.
More detailed studies with human serum albumin and NADPH established that the
photogeneration of CO is nearly linear with time and irradiance. It is curvilinear with respect
to the SnPP concentration at the concentrations tested, and it is dependent on the presence
of O2 in the reactor headspace. Cool white light generated less CO from human serum
albumin and NADPH than equidistantly placed blue and green phototherapy light sources.
Comparison of SnPP with other metalloporphyrin heme oxygenase inhibitors indicates that
tin mesoporphyrin is most and zinc protoporphyrin least photoreactive.