PMID- 24125430 OWN - NLM STAT- MEDLINE DCOM- 20140529 LR - 20131015 IS - 1879-1484 (Electronic) IS - 0021-9150 (Linking) VI - 231 IP - 1 DP - 2013 Nov TI - Homocysteine-related hTERT DNA demethylation contributes to shortened leukocyte telomere length in atherosclerosis. PG - 173-9 LID - S0021-9150(13)00505-4 [pii] LID - 10.1016/j.atherosclerosis.2013.08.029 [doi] AB - AIMS: Leukocyte telomere length (LTL) is shortened in patients with clinical atherosclerosis (AS). Here we aimed to explore the contribution of elevated homocysteine (Hcy) level to LTL shortening in AS patients and the underlying mechanism. METHODS: Circulating leukocytes were collected from 197 patients with AS and 165 sex- and age-matched healthy subjects for LTL determination. mRNA expression or DNA methylation of human telomerase reverse transcriptase (hTERT) was determined by real-time PCR and methylation-specific PCR assay, respectively. We established a hyperhomocysteinemia (HHcy) mice model to confirm human results. RESULTS: Hcy was negatively correlated with LTL shortening in AS patients (r = -0.179, p = 0.015) and controls (r = -0.146, p = 0.031). Serum folate and high-sensitivity C-reactive protein levels significantly interacted with Hcy in LTL shortening. Hcy was related to hTERT mRNA downregulation and promoter demethylation, which combined was associated with LTL shortening in AS patients. Hcy-induced LTL shortening did not differ by sites of AS lesions or infarction. Similar to clinical observations, our HHcy mice model suggested that Hcy induced DNA demethylation and downregulation of mouse TERT and further contributed to LTL shortening. CONCLUSIONS: Elevated Hcy level induced DNA demethylation of hTERT and was closely related with hTERT downregulation, which led to LTL shortening in AS. These findings provide novel insights into an epigenetic mechanism for Hcy-related AS. CI - Copyright (c) 2013 Elsevier Ireland Ltd. All rights reserved. FAU - Zhang, Donghong AU - Zhang D AD - Department of Clinical Laboratory, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, 1 Shuaifuyuan, Beijing 100730, China. FAU - Wen, Xuemei AU - Wen X FAU - Wu, Wei AU - Wu W FAU - Xu, Ermu AU - Xu E FAU - Zhang, Yujuan AU - Zhang Y FAU - Cui, Wei AU - Cui W LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130905 PL - Ireland TA - Atherosclerosis JT - Atherosclerosis JID - 0242543 RN - 0LVT1QZ0BA (Homocysteine) RN - EC 2.7.7.49 (TERT protein, human) RN - EC 2.7.7.49 (Telomerase) RN - Homocysteinemia SB - IM MH - Animals MH - Atherosclerosis/genetics/metabolism MH - Epigenesis, Genetic MH - Homocysteine/metabolism MH - Humans MH - Hyperhomocysteinemia/blood MH - Leukocytes/metabolism MH - Mice MH - Telomerase/*metabolism MH - Telomere/metabolism MH - *Telomere Shortening OTO - NOTNLM OT - Atherosclerosis OT - DNA methyaltion OT - Homocysteine OT - Leukocyte OT - Telomere length OT - hTERT EDAT- 2013/10/16 06:00 MHDA- 2014/05/30 06:00 CRDT- 2013/10/16 06:00 PHST- 2013/07/19 00:00 [received] PHST- 2013/08/16 00:00 [revised] PHST- 2013/08/26 00:00 [accepted] PHST- 2013/10/16 06:00 [entrez] PHST- 2013/10/16 06:00 [pubmed] PHST- 2014/05/30 06:00 [medline] AID - S0021-9150(13)00505-4 [pii] AID - 10.1016/j.atherosclerosis.2013.08.029 [doi] PST - ppublish SO - Atherosclerosis. 2013 Nov;231(1):173-9. doi: 10.1016/j.atherosclerosis.2013.08.029. Epub 2013 Sep 5.