PMID- 21126196 OWN - NLM STAT- MEDLINE DCOM- 20111201 LR - 20220316 IS - 1557-7716 (Electronic) IS - 1523-0864 (Print) IS - 1523-0864 (Linking) VI - 15 IP - 7 DP - 2011 Oct 1 TI - Mechanisms of cardiovascular remodeling in hyperhomocysteinemia. PG - 1927-43 LID - 10.1089/ars.2010.3721 [doi] AB - In hypertension, an increase in arterial wall thickness and loss of elasticity over time result in an increase in pulse wave velocity, a direct measure of arterial stiffness. This change is reflected in gradual fragmentation and loss of elastin fibers and accumulation of stiffer collagen fibers in the media that occurs independently of atherosclerosis. Similar results are seen with an elevated level of homocysteine (Hcy), known as hyperhomocysteinemia (HHcy), which increases vascular thickness, elastin fragmentation, and arterial blood pressure. Studies from our laboratory have demonstrated a decrease in elasticity and an increase in pulse wave velocity in HHcy cystathionine beta synthase heterozygote knockout (CBS(-/+)) mice. Nitric oxide (NO) is a potential regulator of matrix metalloproteinase (MMP) activity in MMP-NO-TIMP (tissue inhibitor of metalloproteinase) inhibitory tertiary complex. We have demonstrated the contribution of the NO synthase (NOS) isoforms, endothelial NOS and inducible NOS, in the activation of latent MMP. The differential production of NO contributes to oxidative stress and increased oxidative/nitrative activation of MMP resulting in vascular remodeling in response to HHcy. The contribution of the NOS isoforms, endothelial and inducible in the collagen/elastin switch, has been demonstrated. We have showed that an increase in inducible NOS activity is a key contributor to HHcy-mediated collagen/elastin switch and resulting decline in aortic compliance. In addition, increased levels of Hcy compete and suppress the gamma-amino butyric acid-receptor, N-methyl-d-aspartate-receptor, and peroxisome proliferator-activated receptor. The HHcy causes oxidative stress by generating nitrotyrosine, activating the latent MMPs and decreasing the endothelial NO concentration. The HHcy causes elastinolysis and decrease elastic complicance of the vessel wall. The treatment with gamma-amino butyric acid-receptor agonist (muscimol), N-methyl-d-aspartate-receptor antagonist (MK-801), and peroxisome proliferator-activated receptor agonists (ciprofibrate and ciglitazone) mitigates the cardiovascular dysfunction in HHcy [corrected]. FAU - Steed, Mesia M AU - Steed MM AD - Department of Physiology and Biophysics, University of Louisville School of Medicine, 500 South Preston Street, Louisville, KY 40202, USA. FAU - Tyagi, Suresh C AU - Tyagi SC LA - eng GR - HL 71010/HL/NHLBI NIH HHS/United States GR - HL-74185/HL/NHLBI NIH HHS/United States GR - HL-88012/HL/NHLBI NIH HHS/United States GR - NS-51568/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review DEP - 20110421 PL - United States TA - Antioxid Redox Signal JT - Antioxidants & redox signaling JID - 100888899 RN - 0 (Reactive Nitrogen Species) RN - 0 (Reactive Oxygen Species) RN - 0LVT1QZ0BA (Homocysteine) RN - AE28F7PNPL (Methionine) RN - EC 1.14.13.39 (Nitric Oxide Synthase) RN - EC 3.4.24.- (Matrix Metalloproteinases) SB - IM EIN - Antioxid Redox Signal. 2013 Feb 10;18(5):601 MH - Animals MH - Cardiovascular Diseases/*etiology/metabolism MH - Cardiovascular System/metabolism/*pathology/physiopathology MH - Homocysteine/metabolism MH - Humans MH - Hyperhomocysteinemia/*complications/metabolism MH - Matrix Metalloproteinases/metabolism MH - Methionine/metabolism MH - Nitric Oxide Synthase/metabolism MH - Oxidation-Reduction MH - Oxidative Stress MH - Reactive Nitrogen Species/metabolism MH - Reactive Oxygen Species/metabolism PMC - PMC3159179 EDAT- 2010/12/04 06:00 MHDA- 2011/12/13 00:00 PMCR- 2012/10/01 CRDT- 2010/12/04 06:00 PHST- 2010/12/04 06:00 [entrez] PHST- 2010/12/04 06:00 [pubmed] PHST- 2011/12/13 00:00 [medline] PHST- 2012/10/01 00:00 [pmc-release] AID - 10.1089/ars.2010.3721 [pii] AID - 10.1089/ars.2010.3721 [doi] PST - ppublish SO - Antioxid Redox Signal. 2011 Oct 1;15(7):1927-43. doi: 10.1089/ars.2010.3721. Epub 2011 Apr 21.