PMID- 23430482 OWN - NLM STAT- MEDLINE DCOM- 20140212 LR - 20240322 IS - 1559-1182 (Electronic) IS - 0893-7648 (Print) IS - 0893-7648 (Linking) VI - 48 IP - 1 DP - 2013 Aug TI - Synergy of homocysteine, microRNA, and epigenetics: a novel therapeutic approach for stroke. PG - 157-68 LID - 10.1007/s12035-013-8421-y [doi] AB - Homocysteine (Hcy) is a thiol-containing amino acid formed during methionine metabolism. Elevated level of Hcy is known as hyperhomocysteinemia (HHcy). HHcy is an independent risk factor for cerebrovascular diseases such as stroke, dementia, Alzheimer's disease, etc. Stroke, which is caused by interruption of blood supply to the brain, is one of the leading causes of death and disability in a number of people worldwide. The HHcy causes an increased carotid artery plaque that may lead to ischemic stroke but the mechanism is currently not well understood. Though mutations or polymorphisms in the key genes of Hcy metabolism pathway have been well elucidated in stroke, emerging evidences suggested epigenetic mechanisms equally play an important role in stroke development such as DNA methylation, chromatin remodeling, RNA editing, noncoding RNAs (ncRNAs), and microRNAs (miRNAs). However, there is no review available yet that describes the role of genetics and epigenetics during HHcy in stroke. The current review highlights the role of genetics and epigenetics in stroke during HHcy and the role of epigenetics in its therapeutics. The review also highlights possible epigenetic mechanisms, potential therapeutic molecules, putative challenges, and approaches to deal with stroke during HHcy. FAU - Kalani, Anuradha AU - Kalani A AD - Department of Physiology and Biophysics, School of Medicine, University of Louisville, Louisville, KY 40202, USA. FAU - Kamat, Pradeep K AU - Kamat PK FAU - Tyagi, Suresh C AU - Tyagi SC FAU - Tyagi, Neetu AU - Tyagi N LA - eng GR - R01 HL107640/HL/NHLBI NIH HHS/United States GR - R01 NS051568/NS/NINDS NIH HHS/United States GR - HL-107640/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 - 20130222 PL - United States TA - Mol Neurobiol JT - Molecular neurobiology JID - 8900963 RN - 0 (MicroRNAs) RN - 0LVT1QZ0BA (Homocysteine) SB - IM MH - Animals MH - *Epigenesis, Genetic MH - Homocysteine/*metabolism MH - Humans MH - Hyperhomocysteinemia/complications MH - MicroRNAs/*genetics/metabolism MH - RNA Editing/genetics MH - Stroke/complications/*genetics/*therapy PMC - PMC3695063 MID - NIHMS448501 EDAT- 2013/02/23 06:00 MHDA- 2014/02/13 06:00 PMCR- 2014/08/01 CRDT- 2013/02/23 06:00 PHST- 2012/12/14 00:00 [received] PHST- 2013/01/30 00:00 [accepted] PHST- 2013/02/23 06:00 [entrez] PHST- 2013/02/23 06:00 [pubmed] PHST- 2014/02/13 06:00 [medline] PHST- 2014/08/01 00:00 [pmc-release] AID - 10.1007/s12035-013-8421-y [doi] PST - ppublish SO - Mol Neurobiol. 2013 Aug;48(1):157-68. doi: 10.1007/s12035-013-8421-y. Epub 2013 Feb 22.