Related Experiment Video
Updated: Jul 10, 2026

The Antihypertensive Effects and Mechanisms of Huotan Jiedu Tongluo Decoction in Rats with H-Type Hypertension
Published on: May 17, 2024
Synergism between AT1 receptor and hyperhomocysteinemia during vascular remodeling
Utpal Sen1, Markus Herrmann, Wolfgang Herrmann
1Department of Physiology and Biophysics, University of Louisville School of Medicine, Louisville, KY 40202, USA.
Insights
High homocysteine (HHcy) activates the angiotensin II type 1 (AT1) receptor, leading to vascular remodeling via ERK/STAT3 pathways. This study clarifies HHcy
Area of Science:
- Cardiovascular Disease Research
- Molecular Biology
- Endothelial Cell Signaling
Background:
- Hyperhomocysteinemia (HHcy) is a known cardiovascular disease risk factor.
- Extracellular signal-regulated kinase-1/2 (ERK-1/2) and signal transducer and activator of transcription 3 (STAT3) pathways are implicated in matrix remodeling.
- The role of these pathways in HHcy-mediated matrix metalloproteinase-9 (MMP-9) induction and vascular pathologies, particularly concerning the renin-angiotensin system, remains unclear.
Purpose of the Study:
- To investigate the hypothesis that homocysteine (Hcy) activates the angiotensin II type 1 (AT1) receptor, potentiating STAT3 via ERK-1/2 phosphorylation.
- To elucidate the role of Hcy-induced AT1 receptor activation in modulating MMP-9 and collagen, leading to vascular remodeling.
Main Methods:
- Mouse aortic endothelial cells (MAEC) were exposed to varying concentrations and durations of Hcy.
- Levels of AT1 receptor, ERK-1/2, STAT3, MMP-9, and collagen type-1 were quantified using immunoblot analysis.
- Activation of ERK-1/2 and STAT3 was assessed by measuring their respective phosphorylation states.
Main Results:
- Hcy induced a dose-dependent increase in AT1 receptor expression in MAECs, with significant elevation at 100 μM after 48 hours.
- Hcy-mediated activation of AT1 receptor led to subsequent phosphorylation of ERK-1/2 and STAT3.
- STAT3 activation was found to regulate Hcy-induced MMP-9 and collagen type-1 expression, effects attenuated by an AT1 receptor blocker (valsartan) and a STAT3 inhibitor.
Conclusions:
- This study provides the first evidence for the involvement of the AT1 receptor in HHcy-induced atherosclerotic diseases.
- HHcy activates the AT1 receptor, which subsequently modulates MMP-9 and collagen type-1 expression through ERK-1/2 and STAT3 signaling cascades, contributing to vascular remodeling.
Background:
Hyperhomocysteinemia (HHcy) is an independent risk factor of cardiovascular diseases. Extracellular signal-regulated kinase-1/2 (ERK-1/2) and the JAK/STAT pathway kinase, signal transducer and activator of transcription 3 (STAT3), are involved in matrix metalloproteinase-9 (MMP-9) induction and matrix remodeling. However, their role in homocysteine (Hcy)-mediated MMP-9 induction and matrix remodeling is unclear. Clinical and experimental evidence indicates that HHcy and activation of the renin-angiotensin system, mediated by angiotensin II type 1 (AT1) receptor, are involved in a variety of vascular pathologies. Despite this fact, the relationship between HHcy and activation of the renin-angiotensin system has not been comprehensively characterized. Therefore, we hypothesized that Hcy activates AT1 receptor that potentiates STAT3 via ERK-1/2 phosphorylation. STAT3 modulates target MMP-9 and collagen, resulting in vascular remodeling.
Methods:
Mouse aortic endothelial cells (MAEC) were treated with various doses of Hcy for different time periods. The levels of AT1 receptor, ERK-1/2, STAT3, MMP-9 and collagen type-1 were measured by immunoblot analyses. The activation of ERK-1/2 and STAT3 were determined by measuring ERK-1/2 phosphorylation and phosphoserine (727) STAT3.
Results:
Although Hcy dose-dependently induced AT1 receptor expression in the endothelial cells, a significant induction was observed at 100 microM at 48 h. We investigated Hcy-induced ERK-1/2 and STAT3 phosphorylation through AT1 receptor induction, and our results suggest that Hcy activated AT1 receptor which led to ERK-1/2 and STAT3 phosphorylation. In addition, findings of this study suggest that Hcy-mediated STAT3 activation regulated MMP-9 and collagen type-1. However, AT1 receptor blocker, valsartan, and the specific STAT3 inhibitor peptide attenuated MMP-9 and collagen type-1 induction.
Conclusions:
These findings demonstrate for the first time the contribution of AT1 receptor in HHcy-induced atherosclerotic diseases; Hcy-induced activation of AT1 receptor involves MMP-9 and collagen type-1 modulation using ERK-1/2 and STAT3 signaling cascades.
Related Concept Videos
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
Hypertension II: Pathophysiology
Antihypertensive Drugs: Angiotensin II Receptor Blockers
Heart Failure II: Pathophysiology
Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
Pathophysiology of Heart Failure