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Folate Reverses NF-κB p65/Rela/IL-6 Level Induced by Hyperhomocysteinemia in Spontaneously Hypertensive Rats
Lihua Zhang1,2, Zhongliang Li3, Changcheng Xing4
1Cheeloo College of Medicine, Shandong Qianfoshan Hospital, Shandong University, Jinan, China.
Insights
Hyperhomocysteinemia (HHcy) worsens hypertension-induced arterial damage via inflammation. Folate (FA) supplementation mitigates this damage by reducing inflammation and oxidative stress in hypertensive rats.
Area of Science:
- Cardiovascular Research
- Metabolic Diseases
- Inflammation and Immunology
Background:
- Hyperhomocysteinemia (HHcy), a disorder of homocysteine (Hcy) metabolism, is linked to metabolic diseases.
- HHcy exacerbates cardiovascular disease (CVD) risk, particularly when combined with hypertension.
- The precise mechanisms by which HHcy worsens hypertensive arterial damage and the role of folate (FA) remain unclear.
Purpose of the Study:
- To investigate the synergistic effect of HHcy and hypertension on arterial damage in rats.
- To elucidate the underlying mechanisms involving oxidative stress and inflammation.
- To evaluate the therapeutic efficacy of folate supplementation in this context.
Main Methods:
- Establishment of rat models for HHcy and co-existing hypertension with HHcy.
- Measurement of blood pressure, plasma Hcy, serum superoxide dismutase (SOD), and malondialdehyde (MDA).
- Pathological analysis of thoracic aorta and assessment of oxidative stress and inflammatory markers (IL-6, NF-κB) using qRT-PCR and Western blotting.
Main Results:
- Hypertension combined with HHcy showed the highest levels of oxidative stress and inflammation.
- HHcy significantly upregulated IL-6 and NF-κB p65/Rela expression in hypertensive rats.
- Folate treatment reduced HHcy, MDA, IL-6, and NF-κB levels, while increasing SOD levels.
Conclusions:
- HHcy synergistically aggravates hypertensive arterial damage through immune and inflammatory responses.
- Folate exhibits anti-inflammatory properties, effectively reversing HHcy-induced NF-κB/IL-6 upregulation in hypertensive rats.
- These findings highlight folate's potential as a therapeutic agent for managing hypertension complicated by HHcy.
Abstract:
Hyperhomocysteinemia (HHcy) is derived from the abnormal metabolism of homocysteine (Hcy) and is related to metabolic-related diseases. In addition, HHcy combined with hypertension increases the risk of cardiovascular diseases (CVD). However, the mechanism of HHcy aggravating hypertensive arterial damage and the efficacy of folate (FA) as a beneficial supplement have not been fully elucidated. In this study, we established a rat HHcy model and a hypertension combined with HHcy model. Rat tail artery blood pressure (BP), plasma Hcy, serum superoxide dismutase (SOD), and malondialdehyde (MDA) were measured. Rat thoracic aorta was for pathological analysis after 12 weeks of the experiment. The relative expression levels of oxidative stress and immune/inflammation in rat arterial tissues were detected by quantitative real-time polymerase chain reaction (qRT-PCR) and western blotting. The results demonstrated that the relative expression levels of oxidative stress and immune/inflammation were the highest in the hypertension combined with HHcy group, followed by the hypertension group. Compared with the hypertension group, the hypertension combined with HHcy group up-regulated the expression levels of interleukin-6 (IL-6) and nuclear factor-κ-gene binding (NF-κB) p65/Rela, but not NADPH oxidase (Nox). Furthermore, folate inhibited the expression of IL-6 and NF-κB p65/Rela, reduced the levels of MDA and HHcy, but significantly increased the SOD level. In conclusion, HHcy synergistically aggravated the arterial damage factor of hypertension through immune/inflammatory response. However, folate demonstrated anti-inflammatory properties and reversed the NF-κB p65/Rela/IL-6 level induced by HHcy in hypertensive rats.
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