Homocysteine, hydrogen sulfide (H2S) and NMDA-receptor in heart failure

Neetu Tyagi1, Paras K Mishra, Suresh C Tyagi

  • 1Department of Physiology & Biophysics, School of Medicine University of Louisville Louisville, KY 40202, USA.

Insights

Hyperhomocysteinemia (HHcy) increases mitochondrial oxidative stress, but homocysteine (Hcy) can be converted to protective hydrogen sulfide (H2S). Gene therapy increasing cystathionine beta-synthase (CBS) may mitigate HHcy

Area of Science:

  • Cardiovascular Science
  • Mitochondrial Biology
  • Biochemistry

Background:

  • Mitochondrial matrix metalloproteinase (MMP) activation and oxidative stress mechanisms remain unclear.
  • Hyperhomocysteinemia (HHcy) elevates mitochondrial oxidative stress, contributing to cardiovascular remodeling and heart failure.
  • Homocysteine (Hcy) can be converted to hydrogen sulfide (H2S), a potent antioxidant, by cystathionine beta-synthase (CBS) and cystathionine gamma-lyase (CGL).

Purpose of the Study:

  • To elucidate the role of mitochondria in HHcy-induced cardiovascular damage.
  • To investigate the potential cardioprotective effects of H2S generated from Hcy.
  • To explore the therapeutic implications of enhancing Hcy to H2S conversion in vascular tissues.

Main Methods:

  • Mitochondrial localization and activation of MMPs by peroxynitrite.
  • Assessment of oxidative stress markers in mitochondria under HHcy conditions.
  • Analysis of Hcy metabolism to H2S via CBS and CGL enzyme activity.

Main Results:

  • MMPs are localized to mitochondria and activated by peroxynitrite, causing cardiovascular damage.
  • Elevated Hcy levels increase mitochondrial oxidative stress.
  • Hcy can be converted to cardioprotective H2S, but CBS is not ubiquitously present in vascular tissues.

Conclusions:

  • HHcy-induced mitochondrial oxidative stress contributes to cardiovascular dysfunction.
  • Hcy's paradoxical cardioprotective role is mediated by H2S production.
  • Gene therapy strategies to enhance CBS and CGL activity in vascular tissues hold potential for mitigating HHcy detrimental effects.

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