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.

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