PMID- 15777559 OWN - NLM STAT- MEDLINE DCOM- 20050628 LR - 20220317 IS - 0021-9150 (Print) IS - 0021-9150 (Linking) VI - 179 IP - 2 DP - 2005 Apr TI - Folic acid reverses hyper-responsiveness of LPS-induced chemokine secretion from monocytes in patients with hyperhomocysteinemia. PG - 395-402 AB - Our previous study demonstrated that homocysteine (Hcy) mediated the expression and secretion of MCP-1 and IL-8 in human monocytes. In the present study, we investigated whether the responsiveness of isolated monocytes to lipopolysaccharide (LPS)-induced chemokine secretion was enhanced in patients with hyperhomocysteinemia (HHcy), and if so, whether this enhanced response could be inhibited by folic acid treatment. We studied 38 control subjects and 40 patients with HHcy. The results showed that MCP-1 secretion from isolated monocytes in response to low-dose LPS in patients with HHcy was significantly higher than that in controls. After patients with HHcy underwent low-dose folic acid treatment (0.8 mg/d) for 6 months, plasma Hcy levels were decreased and the hyper-responsiveness of MCP-1 and IL-8 secreted by isolated monocytes was significantly reversed. Furthermore, folic acid treatment at high concentrations (5 microM) significantly reduced the elevated levels of reactive oxygen species, NADPH oxidase activity and chemokines in response to Hcy in cultured human monocytes. HHcy may contribute to atherogenesis through enhancing the responsiveness of monocytes to inflammatory stimuli and promoting leukocyte recruitment into atherosclerotic plaque. In addition to lowering the plasma levels of Hcy, low-dose folic acid treatment exerts beneficial effects on patients with HHcy by inhibiting pro-inflammatory responses such as chemokine secretion from human monocytes. FAU - Wang, Guang AU - Wang G AD - Institute of Vascular Medicine, Peking University Third Hospital, Beijing 100083, PR China. FAU - Dai, Jing AU - Dai J FAU - Mao, Jieming AU - Mao J FAU - Zeng, Xiaokun AU - Zeng X FAU - Yang, Xiaoda AU - Yang X FAU - Wang, Xian AU - Wang X LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20050101 PL - Ireland TA - Atherosclerosis JT - Atherosclerosis JID - 0242543 RN - 0 (Chemokines) RN - 0 (Hematinics) RN - 0 (Lipopolysaccharides) RN - 935E97BOY8 (Folic Acid) RN - EC 1.6.3.- (NADPH Oxidases) SB - IM MH - Arteriosclerosis/*drug therapy/immunology MH - Case-Control Studies MH - Cell Culture Techniques MH - Chemokines/*metabolism MH - Folic Acid/*pharmacology MH - Hematinics/*pharmacology MH - Humans MH - Hyperhomocysteinemia MH - Inflammation MH - Lipopolysaccharides/*pharmacology MH - Monocytes/*physiology MH - NADPH Oxidases/pharmacology EDAT- 2005/03/22 09:00 MHDA- 2005/06/29 09:00 CRDT- 2005/03/22 09:00 PHST- 2004/01/22 00:00 [received] PHST- 2004/07/21 00:00 [revised] PHST- 2004/10/25 00:00 [accepted] PHST- 2005/03/22 09:00 [pubmed] PHST- 2005/06/29 09:00 [medline] PHST- 2005/03/22 09:00 [entrez] AID - S0021-9150(04)00570-2 [pii] AID - 10.1016/j.atherosclerosis.2004.10.033 [doi] PST - ppublish SO - Atherosclerosis. 2005 Apr;179(2):395-402. doi: 10.1016/j.atherosclerosis.2004.10.033. Epub 2005 Jan 1.