The molecular basis of homocysteine thiolactone-mediated vascular disease

Hieronim Jakubowski1

  • 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.

Related Concept Videos

Preparation and Reactions of Thiols02:33

Preparation and Reactions of Thiols

Thiols are prepared using the hydrosulfide anion as a nucleophile in a nucleophilic substitution reaction with alkyl halides. For instance, bromobutane reacts with sodium hydrosulfide to give butanethiol.
Hypertension II: Pathophysiology01:29

Hypertension II: Pathophysiology

Hypertension is a chronic condition in which the blood's force against artery walls is excessively high, posing risks such as heart disease. The condition's underlying mechanisms involve complex interactions among the cardiovascular, kidney, and autonomic nervous systems.Renin-Angiotensin-Aldosterone System (RAAS): This system significantly influences blood pressure regulation. When blood pressure decreases, the kidneys secrete renin. This enzyme transforms angiotensinogen, a plasma protein,...
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...
Anticoagulant Drugs: Low-Molecular-Weight Heparins01:30

Anticoagulant Drugs: Low-Molecular-Weight Heparins

Hemostasis is a crucial process that prevents excessive blood loss from damaged blood vessels. It involves various mechanisms such as vasoconstriction, platelet adhesion and activation, and fibrin formation. The importance of each mechanism depends on the type of vessel injury. In contrast, thrombosis is the abnormal formation of a blood clot within the blood vessels, leading to potential complications if the clot obstructs blood flow. Thrombosis can be caused by increased coagulability of the...
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...
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...