PMID- 22886392 OWN - NLM STAT- MEDLINE DCOM- 20130517 LR - 20211021 IS - 1573-4919 (Electronic) IS - 0300-8177 (Print) IS - 0300-8177 (Linking) VI - 371 IP - 1-2 DP - 2012 Dec TI - Homocysteine alters cerebral microvascular integrity and causes remodeling by antagonizing GABA-A receptor. PG - 89-96 LID - 10.1007/s11010-012-1425-5 [doi] AB - High levels of homocysteine (Hcy), known as hyperhomocysteinemia (HHcy), are associated with cerebrovascular diseases, such as vascular dementia, stroke, and Alzheimer's disease. The gamma-amino butyric acid (GABA) is an inhibitory neurotransmitter and a ligand of GABA-A receptor. By inhibiting excitatory response, it may decrease complications associated with vascular dementia and stroke. Hcy specifically competes with the GABA-A receptors and acts as an excitotoxic neurotransmitter. Previously, we have shown that Hcy increases levels of NADPH oxidase and reactive oxygen species (ROS), and decreases levels of thioredoxin and peroxiredoxin by antagonizing the GABA-A receptor. Hcy treatment leads to activation of matrix metalloproteinases (MMPs) in cerebral circulation by inducing redox stress and ROS. The hypothesis is that Hcy induces MMPs and suppresses tissue inhibitors of metalloproteinase (TIMPs), in part, by inhibiting the GABA-A receptor. This leads to degradation of the matrix and disruption of the blood brain barrier. The brain cortex of transgenic mouse model of HHcy (cystathionine beta-synthase, CBS-/+) and GABA-A receptor null mice treated with and without muscimol (GABA-A receptor agonist) was analysed. The mRNA levels were measured by Q-RT-PCR. Levels of MMP-2, -9, -13, and TIMP-1, -2, -3, and -4 were evaluated by in situ labeling and PCR-gene arrays. Pial venular permeability to fluorescence-labeled albumin was assessed with intravital fluorescence microscopy. We found that Hcy increases metalloproteinase activity and decreases TIMP-4 by antagonizing the GABA-A receptor. The results demonstrate a novel mechanism in which brain microvascular permeability changes during HHcy and vascular dementias, and have therapeutic ramifications for microvascular disease in Alzheimer's patients. FAU - Lominadze, David AU - Lominadze D AD - Department of Physiology and Biophysics, University of Louisville School of Medicine, Bldg. A, Room 1115, 500 South Preston Street, Louisville, KY 40202, USA. david.lominadze@louisville.edu FAU - Tyagi, Neetu AU - Tyagi N FAU - Sen, Utpal AU - Sen U FAU - Ovechkin, Alexander AU - Ovechkin A FAU - Tyagi, Suresh C AU - Tyagi SC LA - eng GR - HL-80394/HL/NHLBI NIH HHS/United States GR - R01 HL080394/HL/NHLBI NIH HHS/United States GR - R01 HL071010/HL/NHLBI NIH HHS/United States GR - R01 NS051568/NS/NINDS NIH HHS/United States GR - NS-51568/NS/NINDS NIH HHS/United States GR - HL-71010/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20120812 PL - Netherlands TA - Mol Cell Biochem JT - Molecular and cellular biochemistry JID - 0364456 RN - 0 (GABA-A Receptor Agonists) RN - 0 (Receptors, GABA-A) RN - 0 (Tissue Inhibitor of Metalloproteinases) RN - 0LVT1QZ0BA (Homocysteine) RN - 2763-96-4 (Muscimol) RN - EC 3.4.24.- (Matrix Metalloproteinases) RN - EC 4.2.1.22 (Cystathionine beta-Synthase) SB - IM MH - Animals MH - Blood-Brain Barrier/metabolism MH - *Capillary Permeability MH - Cerebrovascular Circulation/physiology MH - Cystathionine beta-Synthase/metabolism MH - GABA-A Receptor Agonists MH - Homocysteine/*metabolism/pharmacology MH - Hyperhomocysteinemia/metabolism MH - Matrix Metalloproteinases/metabolism MH - Mice MH - Mice, Transgenic MH - Muscimol/pharmacology MH - Receptors, GABA-A/*metabolism MH - Tissue Inhibitor of Metalloproteinases/metabolism PMC - PMC3484206 MID - NIHMS400373 EDAT- 2012/08/14 06:00 MHDA- 2013/05/18 06:00 PMCR- 2013/12/01 CRDT- 2012/08/14 06:00 PHST- 2012/04/05 00:00 [received] PHST- 2012/08/01 00:00 [accepted] PHST- 2012/08/14 06:00 [entrez] PHST- 2012/08/14 06:00 [pubmed] PHST- 2013/05/18 06:00 [medline] PHST- 2013/12/01 00:00 [pmc-release] AID - 10.1007/s11010-012-1425-5 [doi] PST - ppublish SO - Mol Cell Biochem. 2012 Dec;371(1-2):89-96. doi: 10.1007/s11010-012-1425-5. Epub 2012 Aug 12.