PMID- 28386844 OWN - NLM STAT- MEDLINE DCOM- 20180709 LR - 20181113 IS - 1573-4919 (Electronic) IS - 0300-8177 (Linking) VI - 433 IP - 1-2 DP - 2017 Sep TI - Toll-like receptor 4 mediates vascular remodeling in hyperhomocysteinemia. PG - 177-194 LID - 10.1007/s11010-017-3026-9 [doi] AB - Although hyperhomocysteinemia (HHcy) is known to promote downstream pro-inflammatory cytokine elevation, the precise mechanism is still unknown. One of the possible receptors that could have significant attention in the field of hypertension is toll-like receptor 4 (TLR-4). TLR-4 is a cellular membrane protein that is ubiquitously expressed in all cell types of the vasculature. Its mutation can attenuate the effects of HHcy-mediated vascular inflammation and mitochondria- dependent cell death that suppresses hypertension. In this review, we observed that HHcy induces vascular remodeling through immunological adaptation, promoting inflammatory cytokine up-regulation (IL-1beta, IL-6, TNF-alpha) and initiation of mitochondrial dysfunction leading to cell death and chronic vascular inflammation. The literature suggests that HHcy promotes TLR-4-driven chronic vascular inflammation and mitochondria-mediated cell death inducing peripheral vascular remodeling. In the previous studies, we have characterized the role of TLR-4 mutation in attenuating vascular remodeling in hyperhomocysteinemia. This review includes, but is not limited to, the physiological synergistic aspects of the downstream elevation of cytokines found within the vascular inflammatory cascade. These events subsequently induce mitochondrial dysfunction defined by excessive mitochondrial fission and mitochondrial apoptosis contributing to vascular remodeling followed by hypertension. FAU - Familtseva, Anastasia AU - Familtseva A AD - Department of Physiology, School of Medicine, Health Sciences Centre, University of Louisville, A-1215, 500, South Preston Street, Louisville, KY, 40202, USA. FAU - Jeremic, Nevena AU - Jeremic N AD - Department of Physiology, School of Medicine, Health Sciences Centre, University of Louisville, A-1215, 500, South Preston Street, Louisville, KY, 40202, USA. n0jere01@louisville.edu. FAU - Kunkel, George H AU - Kunkel GH AD - Department of Physiology, School of Medicine, Health Sciences Centre, University of Louisville, A-1215, 500, South Preston Street, Louisville, KY, 40202, USA. FAU - Tyagi, Suresh C AU - Tyagi SC AD - Department of Physiology, School of Medicine, Health Sciences Centre, University of Louisville, A-1215, 500, South Preston Street, Louisville, KY, 40202, USA. LA - eng GR - HL-74185/National Institutes of Health/ PT - Journal Article PT - Review DEP - 20170406 PL - Netherlands TA - Mol Cell Biochem JT - Molecular and cellular biochemistry JID - 0364456 RN - 0 (Cytokines) RN - 0 (TLR4 protein, human) RN - 0 (Toll-Like Receptor 4) SB - IM MH - Animals MH - Chronic Disease MH - Cytokines/genetics/*immunology MH - Humans MH - Hyperhomocysteinemia/genetics/*immunology/pathology MH - Toll-Like Receptor 4/genetics/*immunology MH - Vascular Remodeling/*immunology MH - Vasculitis/genetics/*immunology/pathology OTO - NOTNLM OT - Homocysteine OT - Immunity OT - Inflammation OT - Remodeling OT - Toll-like receptor 4 EDAT- 2017/04/08 06:00 MHDA- 2018/07/10 06:00 CRDT- 2017/04/08 06:00 PHST- 2016/12/12 00:00 [received] PHST- 2017/04/01 00:00 [accepted] PHST- 2017/04/08 06:00 [pubmed] PHST- 2018/07/10 06:00 [medline] PHST- 2017/04/08 06:00 [entrez] AID - 10.1007/s11010-017-3026-9 [pii] AID - 10.1007/s11010-017-3026-9 [doi] PST - ppublish SO - Mol Cell Biochem. 2017 Sep;433(1-2):177-194. doi: 10.1007/s11010-017-3026-9. Epub 2017 Apr 6.