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Homocysteine affects cardiomyocyte viability: concentration-dependent effects on reversible flip-flop, apoptosis and
Jessica A Sipkens1, Paul A J Krijnen, Christof Meischl
1Department of Pathology, VU University Medical Centre, Room 0E46, De Boelelaan 1117, Amsterdam, 1081 HV, The Netherlands. j.sipkens@vumc.nl
Insights
High homocysteine (Hcy) concentrations cause concentration-dependent damage to cardiomyocytes, leading to cell death. This research clarifies Hcy
Area of Science:
- Cardiovascular Science
- Cell Biology
- Biochemistry
Background:
- Hyperhomocysteinaemia (HHC) is a potential risk factor for cardiovascular diseases, including heart failure.
- Limited research exists on the specific effects of homocysteine (Hcy) on cardiac cells.
- This study investigates the direct impact of Hcy on cardiomyocytes.
Purpose of the Study:
- To analyze the effects of varying homocysteine (Hcy) concentrations on isolated cardiomyocytes.
- To identify the cellular mechanisms and mediators involved in Hcy-induced cardiotoxicity.
Main Methods:
- H9c2 rat cardiomyoblast cells and adult rat cardiomyocytes were exposed to different concentrations of Hcy.
- Cell viability assays were performed.
- Intracellular mediators including NOX2, reactive oxygen species (ROS), mitochondrial membrane potential (ΔΨm), and ATP concentrations were quantified.
Main Results:
- Low Hcy concentrations increased mitochondrial membrane potential and ATP levels.
- Intermediate Hcy concentrations caused reversible plasma membrane phospholipid changes without inducing apoptosis.
- High Hcy concentrations led to apoptosis and necrosis, characterized by mitochondrial dysfunction, ATP depletion, NOX2 expression, ROS production, and increased S-adenosylhomocysteine.
Conclusions:
- Homocysteine exerts concentration-dependent effects on cardiomyocytes.
- Hcy can induce reversible membrane changes, apoptosis, and necrosis in cardiac cells.
- These findings highlight the direct cardiotoxic potential of Hcy, particularly at higher concentrations.
Background:
Hyperhomocysteinaemia (HHC) is thought to be a risk factor for cardiovascular disease including heart failure. While numerous studies have analyzed the role of homocysteine (Hcy) in the vasculature, only a few studies investigated the role of Hcy in the heart. Therefore we have analyzed the effects of Hcy on isolated cardiomyocytes.
Methods:
H9c2 cells (rat cardiomyoblast cells) and adult rat cardiomyocytes were incubated with Hcy and were analyzed for cell viability. Furthermore, we determined the effects of Hcy on intracellular mediators related to cell viability in cardiomyocytes, namely NOX2, reactive oxygen species (ROS), mitochondrial membrane potential (DeltaPsi (m)) and ATP concentrations.
Results:
We found that incubation of H9c2 cells with 0.1 mM D,L-Hcy (= 60 microM L-Hcy) resulted in an increase of DeltaPsi (m) as well as ATP concentrations. 1.1 mM D,L-Hcy (= 460 microM L-Hcy) induced reversible flip-flop of the plasma membrane phospholipids, but not apoptosis. Incubation with 2.73 mM D,L-Hcy (= 1.18 mM L-Hcy) induced apoptosis and necrosis. This loss of cell viability was accompanied by a thread-to-grain transition of the mitochondrial reticulum, ATP depletion and nuclear NOX2 expression coinciding with ROS production as evident from the presence of nitrotyrosin residues. Notably, only at this concentration we found a significant increase in S-adenosylhomocysteine which is considered the primary culprit in HHC.
Conclusion:
We found concentration-dependent effects of Hcy in cardiomyocytes, varying from induction of reversible flip-flop of the plasma membrane phospholipids, to apoptosis and necrosis.
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