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Published on: July 10, 2018
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.
Abstract:
Mitochondrial mechanism of oxidative stress and matrix metalloproteinase (MMP) activation was unclear. Our recent data suggested that MMPs are localized to mitochondria and activated by peroxynitrite, which causes cardiovascular remodeling and failure. Recently, we have demonstrated that elevated levels of homocysteine (Hcy), known as hyperhomocysteinemia (HHcy) increase oxidative stress in the mitochondria. Although HHcy causes heart failure, interestingly, it is becoming very clear that Hcy can generate hydrogen sulfide (H2S), if the enzymes cystathionine beta-synthase (CBS) and cystathionine gamma-lyase (CGL) are present. H2S is a strong anti-oxidant and vasorelaxing agent. Paradoxically, it is interesting that Hcy, a precursor of H2S can be cardioprotective. The CGL is ubiquitous, while the CBS is not present in the vascular tissues. Therefore, under normal condition, only half of Hcy can be converted to H2S. However, there is strong potential for gene therapy of CBS to vascular tissue that can mitigate the detrimental effects of Hcy by converting it to H2S. This scenario is possible, if the activities of both the enzymes (CBS and CGL) are increased in tissues by gene therapy.
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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