Hyperhomocysteinemia and its role in the development of atherosclerosis

A B Lawrence de Koning1, Geoff H Werstuck, Ji Zhou

  • 1Department of Pathology and Molecular Medicine, McMaster University and the Henderson Research Centre, Hamilton, Ontario, Canada.

Clinical Biochemistry
|September 3, 2003
PubMed

Insights

High homocysteine levels (HHcy) are a major risk factor for cardiovascular disease. Animal models confirm HHcy causes endothelial dysfunction and atherosclerosis, aiding research into treatments.

Area of Science:

  • Cardiovascular Science
  • Metabolic Disease Research
  • Vascular Biology

Background:

  • Hyperhomocysteinemia (HHcy) is a recognized risk factor for cardiovascular disease.
  • HHcy arises from impaired homocysteine metabolism due to enzyme or vitamin cofactor deficiencies.
  • Proposed mechanisms linking HHcy to cardiovascular disease include oxidative stress, ER stress, and inflammation.

Purpose of the Study:

  • To investigate the causal relationship between HHcy and cardiovascular pathology.
  • To utilize animal models for understanding HHcy's cellular mechanisms in cardiovascular disease.
  • To identify potential therapeutic targets for HHcy-related cardiovascular conditions.

Main Methods:

  • Employing genetic and diet-induced animal models to establish HHcy.
  • Assessing endothelial dysfunction in HHcy models.
  • Evaluating the progression of atherosclerosis in HHcy models.

Main Results:

  • Demonstrated a direct causal link between HHcy and endothelial dysfunction.
  • Confirmed HHcy's role in accelerating atherosclerosis development.
  • Validated animal models as effective tools for studying HHcy's cardiovascular impact.

Conclusions:

  • HHcy is a direct cause of endothelial dysfunction and atherosclerosis.
  • Animal models are crucial for elucidating HHcy's pathogenic mechanisms.
  • These models offer a platform for developing novel cardiovascular disease therapies.

Related Concept Videos

Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers01:19

Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers

Cardiac biomarkers are critical in diagnosing, prognosing, and managing cardiovascular diseases. Routine measurement of specific biomarkers such as B-type natriuretic peptide (BNP), C-reactive protein (CRP), and homocysteine (Hcy) is common practice in clinical settings to evaluate heart function and predict cardiovascular events.
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
Atherosclerosis I: Introduction01:30

Atherosclerosis I: Introduction

Atherosclerosis is a progressive disorder characterized by the buildup of plaques on the arterial inner wall, causing them to narrow and harden over time. These plaques comprise lipids, calcium, blood components, carbohydrates, and fibrous tissue. The process primarily affects the intima of large and medium-sized arteries, reducing blood flow in any artery.Etiology and risk factorsThe cause of atherosclerosis is multifactorial, involving a complex interplay among endothelial injury, lipid...
Coronary Artery Disease I: Introduction01:30

Coronary Artery Disease I: Introduction

Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
Coronary Artery Disease II: Pathophysiology01:26

Coronary Artery Disease II: Pathophysiology

Coronary Artery Disease (CAD) originates from a series of events that impair the function of coronary arteries, the blood vessels responsible for delivering oxygen-rich blood to the heart muscle. The pathophysiology of CAD is closely linked to atherosclerosis, a chronic inflammatory and lipid-driven condition affecting the vascular endothelium.1. Endothelial DamageThe process begins with damage to the vascular endothelium, which serves as a protective barrier between the blood and the vessel...
Atherosclerosis III: Management01:26

Atherosclerosis III: Management

Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
Cholesterol: Significance and Regulation01:29

Cholesterol: Significance and Regulation

Although not a source of energy, cholesterol plays a significant role as a foundational structure for bile salts, steroid hormones, and vitamin D, as well as being a crucial component of plasma membranes. Approximately 15% of blood cholesterol is derived from our diet, with the remainder synthesized from acetyl CoA by the liver and intestines. Cholesterol is eliminated from the body through its conversion into bile salts, which are eventually discarded in the feces.
Considering cholesterol and...