Role of homocysteine in aortic calcification and osteogenic cell differentiation

Ann Van Campenhout1, Corey S Moran, Adam Parr

  • 1Vascular Biology Unit, School of Medicine, James Cook University, Townsville, QLD4811, Australia.

Atherosclerosis
|July 8, 2008
PubMed

Insights

High homocysteine levels are linked to vascular calcification. This study found homocysteine in human atheroma and showed it promotes osteogenic cell differentiation, explaining its association with atherosclerosis.

Area of Science:

  • Cardiovascular Research
  • Biochemistry
  • Vascular Biology

Background:

  • The precise role of homocysteine in atherosclerosis remains incompletely understood.
  • Investigating the link between plasma homocysteine and aortic calcification is crucial.

Purpose of the Study:

  • To examine the association between plasma homocysteine and infrarenal aortic calcification.
  • To determine the presence of homocysteine in human atheroma.
  • To investigate the effect of homocysteine on osteogenic differentiation in vitro.

Main Methods:

  • 194 patients with peripheral artery disease or abdominal aortic aneurysm underwent Computer Tomography Angiography.
  • Atheroma biopsies from 16 patients undergoing endarterectomy were analyzed for homocysteine.
  • In vitro studies utilized mesenchymal stem cells and monocytic THP1 cells exposed to homocysteine.

Main Results:

  • Fasting plasma total homocysteine was independently associated with infrarenal aortic calcification severity (OR 1.91).
  • Homocysteine was detected in all atheroma biopsies, with higher concentrations in calcified samples (p=0.003).
  • In vitro, homocysteine significantly increased calcium deposition in mesenchymal stem cells and promoted aortic smooth muscle cell calcification.

Conclusions:

  • Homocysteine plays a significant role in vascular calcification through various mechanisms.
  • The presence of homocysteine in atheroma and its pro-osteogenic effects contribute to its association with atherosclerotic events.
Abstract

Related Concept Videos

Role of Vitamins in Maintaining Bone Health01:25

Role of Vitamins in Maintaining Bone Health

The growth and maintenance of bone are regulated by a combination of nutritional factors, including vitamins, such as vitamin A, B12, C, D, and K.
Vitamin A
Vitamin A is involved in the process of bone remodeling. Retinoic acid, the active metabolite of Vitamin A, has nuclear receptors in osteoblasts and osteoclasts, which are involved in bone remodeling.
Vitamin B12
Vitamin B12 acts as a cofactor during the formation of osteoblast-related proteins, such as osteocalcin. Vitamin B12 plays a role...
Hormones and Bone Tissue01:17

Hormones and Bone Tissue

The endocrine system produces and secretes hormones, which interact with the skeletal system. These hormones control bone growth, maintain bone once it is formed, and remodel it.
Hormones That Influence Osteoblasts and/or Maintain the Matrix
Several hormones are necessary for controlling bone growth and maintaining the bone matrix. The pituitary gland secretes growth hormone (GH), which, as its name implies, controls bone growth. This happens in several ways: first, it triggers chondrocyte...
Osteoclasts in Bone Remodeling01:31

Osteoclasts in Bone Remodeling

Osteoclasts are cells responsible for bone resorption and remodeling. They originate from hematopoietic progenitor cells present in the bone marrow. Numerous progenitor cells fuse to form multinucleated cells, each with 10-20 nuclei. A single osteoclast has a diameter of 150 to 200 µM. These cells have ruffled borders that break down the underlying bone tissue and release minerals such as calcium into the blood in bone resorption. Osteoclasts cling to bones with their ruffled edges during bone...
Growth of Cartilage and Bone Tissue01:27

Growth of Cartilage and Bone Tissue

Chondrocytes form a temporary cartilaginous model by dividing and secreting a thick gel-like extracellular matrix. Once the chondrocytes undergo programmed cell death, osteoblasts enter the site of the cartilaginous model. The process of replacing the temporary cartilaginous model with bone in an ordered manner is called endochondral ossification. In endochondral ossification, not all of the cartilage is replaced by bone tissue. Some cartilage that performs a protective and supportive function...
Synthesis and Functions of Calcitonin00:51

Synthesis and Functions of Calcitonin

Calcitonin, a vital polypeptide hormone, regulates calcium levels within body fluids. It is released by the parafollicular cells, also known as C cells, situated in the follicular epithelium of the thyroid gland. Calcitonin responds to fluctuations in blood calcium levels and the influence of gastrointestinal hormones like gastrin and cholecystokinin.
The exact mechanisms by which calcitonin operates in calcium homeostasis remain elusive, but its significance is evident in several vital...
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...