PMID- 22912384 OWN - NLM STAT- MEDLINE DCOM- 20130107 LR - 20220317 IS - 1524-4571 (Electronic) IS - 0009-7330 (Linking) VI - 111 IP - 10 DP - 2012 Oct 26 TI - Hyperhomocysteinemia exaggerates adventitial inflammation and angiotensin II-induced abdominal aortic aneurysm in mice. PG - 1261-73 LID - 10.1161/CIRCRESAHA.112.270520 [doi] AB - RATIONALE: A number of epidemiological studies have suggested an association of hyperhomocysteinemia (HHcy) and abdominal aortic aneurysm (AAA), but discrepancies exist. In addition, we lack direct evidence supporting a causal role. OBJECTIVE: We determined the association and contribution of HHcy to AAA formation. METHODS AND RESULTS: We first performed a meta-analysis of studies involving 1489 subjects and found a strong association of HHcy and AAA (odds ratio, 7.39). Next, we used angiotensin II-infused male apolipoprotein E-deficient mice and tested whether HHcy contributes to AAA pathogenesis. Homocysteine (Hcy) supplement (1.8 g/L) in drinking water resulted in mild HHcy. Intriguingly, HHcy greatly increased the incidence of angiotensin II-induced AAA and aortic dissection in apolipoprotein E-deficient mice (vehicle versus Hcy: 50% versus 100%; P<0.05). Histology indicated HHcy markedly exaggerated aortic adventitial inflammation. Increased levels of proinflammatory interleukin-6 and monocyte chemoattractant protein-1 were preferentially colocalized within adventitial fibroblasts in HHcy plus angiotensin II mice, which suggested the importance of adventitial fibroblasts activation in Hcy-aggravated AAA. Hcy sequentially stimulated adventitial fibroblasts transformation into myofibroblasts, secretion of interleukin-6 and monocyte chemoattractant protein-1, and consequent recruitment of monocytes/macrophages to adventitial fibroblasts, which was abolished by the NADPH oxidase inhibitor diphenyliodonium. NADPH oxidase 4, but not other homologs of NADPH oxidase, was significantly upregulated by Hcy in adventitial fibroblasts, whereas NADPH oxidase 4 small interfering RNA silencing diminished Hcy-induced adventitial fibroblasts activation. Finally, folic acid supplement (0.071 mug/g per day) markedly reduced HHcy-aggravated angiotensin II-induced AAA formation in apolipoprotein E-deficient mice. CONCLUSIONS: HHcy may aggravate AAA formation at least partially via activating adventitial fibroblast NADPH oxidase 4. FAU - Liu, Ziyi AU - Liu Z AD - Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Peking University, Beijing 100191, China . FAU - Luo, Hongzhi AU - Luo H FAU - Zhang, Lu AU - Zhang L FAU - Huang, Yaqian AU - Huang Y FAU - Liu, Bo AU - Liu B FAU - Ma, Kongyang AU - Ma K FAU - Feng, Juan AU - Feng J FAU - Xie, Jinsheng AU - Xie J FAU - Zheng, Jingang AU - Zheng J FAU - Hu, Jing AU - Hu J FAU - Zhan, Siyan AU - Zhan S FAU - Zhu, Yi AU - Zhu Y FAU - Xu, Qingbo AU - Xu Q FAU - Kong, Wei AU - Kong W FAU - Wang, Xian AU - Wang X LA - eng PT - Journal Article PT - Meta-Analysis PT - Research Support, Non-U.S. Gov't DEP - 20120821 PL - United States TA - Circ Res JT - Circulation research JID - 0047103 RN - 0 (Apolipoproteins E) RN - 0 (Ccl2 protein, mouse) RN - 0 (Chemokine CCL2) RN - 0 (Interleukin-6) RN - 0 (Reactive Oxygen Species) RN - 0 (Smad2 Protein) RN - 0 (Smad2 protein, mouse) RN - 0 (Smad3 Protein) RN - 0 (Smad3 protein, mouse) RN - 0 (Vasoconstrictor Agents) RN - 11128-99-7 (Angiotensin II) RN - EC 1.6.3.- (NADPH Oxidase 4) RN - EC 1.6.3.- (NADPH Oxidases) RN - EC 1.6.3.- (Nox4 protein, mouse) SB - IM MH - Adventitia/immunology MH - Angiotensin II/pharmacology MH - Animals MH - Aortic Aneurysm, Abdominal/chemically induced/*epidemiology/*immunology MH - Apolipoproteins E/genetics MH - Chemokine CCL2/metabolism MH - Disease Models, Animal MH - Female MH - Fibroblasts/enzymology/immunology/metabolism MH - Humans MH - Hyperhomocysteinemia/*epidemiology/*immunology/metabolism MH - Incidence MH - Interleukin-6/metabolism MH - Male MH - Mice MH - Mice, Mutant Strains MH - Middle Aged MH - NADPH Oxidase 4 MH - NADPH Oxidases/metabolism MH - Reactive Oxygen Species/metabolism MH - Risk Factors MH - Signal Transduction/immunology MH - Smad2 Protein/metabolism MH - Smad3 Protein/metabolism MH - Vasculitis/*epidemiology/*immunology/metabolism MH - Vasoconstrictor Agents/pharmacology EDAT- 2012/08/23 06:00 MHDA- 2013/01/08 06:00 CRDT- 2012/08/23 06:00 PHST- 2012/08/23 06:00 [entrez] PHST- 2012/08/23 06:00 [pubmed] PHST- 2013/01/08 06:00 [medline] AID - CIRCRESAHA.112.270520 [pii] AID - 10.1161/CIRCRESAHA.112.270520 [doi] PST - ppublish SO - Circ Res. 2012 Oct 26;111(10):1261-73. doi: 10.1161/CIRCRESAHA.112.270520. Epub 2012 Aug 21.