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Folate dependence of hyperhomocysteinemia and vascular dysfunction in cystathionine beta-synthase-deficient mice

S R Lentz1, R A Erger, S Dayal

  • 1Veterans Affairs Medical Center, Iowa City 52246, USA. steven-lentz@uiowa.edu

Insights

Moderate hyperhomocysteinemia, a risk factor for cardiovascular events, impairs endothelial function. This study shows that cystathionine beta-synthase deficient mice develop hyperhomocysteinemia on a low-folate diet, leading to significant endothelial dysfunction.

Area of Science:

  • Cardiovascular Science
  • Metabolic Disorders
  • Vascular Biology

Background:

  • Hyperhomocysteinemia is a known risk factor for cardiovascular diseases like stroke and myocardial infarction.
  • The mechanisms linking hyperhomocysteinemia to endothelial dysfunction are not fully understood.
  • Endothelial dysfunction contributes to the pathogenesis of various cardiovascular conditions.

Purpose of the Study:

  • To investigate the relationship between moderate hyperhomocysteinemia and endothelial dysfunction using a mouse model.
  • To elucidate the mechanisms underlying endothelial dysfunction in the context of elevated homocysteine levels.
  • To assess the impact of dietary folate deficiency on homocysteine levels and vascular function.

Main Methods:

  • Genetic modification: Used heterozygous cystathionine beta-synthase-deficient (CBS +/-) mice and wild-type (CBS +/+) littermates.
  • Dietary intervention: Fed mice either a control diet or a diet deficient in folic acid for 6 weeks.
  • Vascular function assessment: Measured aortic ring relaxation in response to acetylcholine (endothelium-dependent) and sodium nitroprusside (endothelium-independent) vasodilators.

Main Results:

  • Dietary folate deficiency significantly increased plasma homocysteine levels in CBS +/- mice compared to controls.
  • CBS +/- mice on a low-folate diet exhibited impaired relaxation to acetylcholine, indicating endothelial dysfunction.
  • No significant differences in relaxation to sodium nitroprusside were observed, suggesting the dysfunction is endothelium-specific.

Conclusions:

  • CBS-deficient mice are susceptible to diet-induced hyperhomocysteinemia.
  • Moderate hyperhomocysteinemia, particularly when induced by folate deficiency, is associated with significant endothelial dysfunction in mice.
  • These findings highlight the detrimental role of homocysteine in vascular health and suggest potential therapeutic targets.

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