PMID- 18020970 OWN - NLM STAT- MEDLINE DCOM- 20080401 LR - 20161018 IS - 1434-6621 (Print) IS - 1434-6621 (Linking) VI - 45 IP - 12 DP - 2007 TI - Hyperhomocysteinemia and high-density lipoprotein metabolism in cardiovascular disease. PG - 1652-9 AB - Hyperhomocysteinemia (HHcy) is a significant and independent risk factor for cardiovascular disease (CVD) and the underlying mechanism is unclear. We and others have reported that homocysteine (Hcy) is inversely correlated with plasma high-density lipoprotein cholesterol (HDL-C) and apolipoprotein AI (apoA-I) in patients with coronary heart disease (CHD). We confirmed this negative correlation in mice with targeted deletions of the genes for apolipoprotein E (apoE) and cystathionine beta-synthase (CBS). Severe HHcy (plasma Hcy 210 micromol/L) accelerates spontaneous arthrosclerosis in the CBS(-/-)/apoE(-/-) mice, reduces the concentration of circulating HDL, apoA-I, and large HDL particles, inhibits HDL function, and enhances HDL-C clearance. We have demonstrated further that Hcy (0.5-2 mmol/L) reduces apoA-I protein synthesis and secretion, but not RNA transcription in mouse primary hepatocytes. A different mechanism was proposed based on studies using the HepG2 cells showing that Hcy (5-10 mmol/L) inhibits apoA-I transcription via peroxisome proliferator-activated receptor-alpha (PPARalpha)-inhibition-dependent and -independent mechanisms. These studies suggest that Hcy-induced HDL-C and apoA-I inhibition represent a novel mechanism by which Hcy induces atherosclerotic CVD. FAU - Liao, Dan AU - Liao D AD - Department of Surgery, Baylor College of Medicine, Houston, TX, USA. FAU - Yang, Xiaofeng AU - Yang X FAU - Wang, Hong AU - Wang H LA - eng PT - Journal Article PT - Review PL - Germany TA - Clin Chem Lab Med JT - Clinical chemistry and laboratory medicine JID - 9806306 RN - 0 (Apolipoprotein A-I) RN - 0 (Lipoproteins, HDL) RN - 0 (Receptors, Scavenger) SB - IM MH - Apolipoprotein A-I/genetics MH - Cardiovascular Diseases/complications/*metabolism MH - Humans MH - Hyperhomocysteinemia/complications/*metabolism MH - Lipoproteins, HDL/*metabolism MH - Protein Biosynthesis MH - Receptors, Scavenger/metabolism RF - 69 EDAT- 2007/11/21 09:00 MHDA- 2008/04/02 09:00 CRDT- 2007/11/21 09:00 PHST- 2007/11/21 09:00 [pubmed] PHST- 2008/04/02 09:00 [medline] PHST- 2007/11/21 09:00 [entrez] AID - 10.1515/CCLM.2007.358 [doi] PST - ppublish SO - Clin Chem Lab Med. 2007;45(12):1652-9. doi: 10.1515/CCLM.2007.358.