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Published on: September 5, 2016
The molecular basis of homocysteine thiolactone-mediated vascular disease
1Department of Microbiology and Molecular Genetics, UMDNJ-New Jersey Medical School, International Center for Public Health, Newark, NJ 07101-1709, USA. jakubows@umdnj.edu
Insights
Homocysteine
Area of Science:
- Biochemistry
- Vascular Biology
- Metabolomics
Background:
- Elevated homocysteine (Hcy) levels are linked to vascular disease.
- Hcy-thiolactone, an Hcy metabolite, is implicated in atherogenesis and thrombosis.
- Hcy-thiolactone modifies proteins by forming isopeptide bonds with lysine residues.
Purpose of the Study:
- To review evidence linking Hcy-thiolactone to the pathophysiological effects of Hcy.
- To explore the role of protein N-homocysteinylation in vascular disease development.
Main Methods:
- Review of existing scientific literature on Hcy-thiolactone and its effects.
- Analysis of studies investigating protein modification by Hcy-thiolactone.
- Examination of pathophysiological responses to N-homocysteinylated proteins.
Main Results:
- Hcy-thiolactone is elevated in hyperhomocysteinemia.
- Key blood proteins like fibrinogen, LDL, and HDL are targets for Hcy-thiolactone modification.
- N-homocysteinylation of proteins contributes to thrombogenesis and autoimmune responses.
Conclusions:
- Hcy-thiolactone's modification of proteins is a key mechanism driving vascular pathology.
- Chronic N-homocysteinylation may lead to long-term vascular disease in hyperhomocysteinemia.
- Hcy-thiolactone is a significant contributor to the vascular effects of homocysteine.
Abstract:
Accumulating evidence suggests that a metabolite of homocysteine (Hcy), the thioester Hcy-thiolactone, plays an important role in atherogenesis and thrombosis. Hcy-thiolactone levels are elevated in hyperhomocysteinemic humans and mice. The thioester chemistry of Hcy-thiolactone underlies its ability to form isopeptide bonds with protein lysine residues, which impairs or alters the protein's function. Protein targets for the modification by Hcy-thiolactone in human blood include fibrinogen, low-density lipoprotein, and high-density lipoprotein. Protein N-homocysteinylation leads to pathophysiological responses, including increased susceptibility to thrombogenesis caused by N-Hcy-fibrinogen, and an autoimmune response elicited by N-Hcy-proteins. Chronic activation of these responses in hyperhomocysteinemia over many years could lead to vascular disease. This article reviews recent evidence supporting the hypothesis that Hcy-thiolactone contributes to pathophysiological effects of Hcy on the vascular system.
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