PMID- 30272816 OWN - NLM STAT- MEDLINE DCOM- 20191231 LR - 20191231 IS - 1097-4644 (Electronic) IS - 0730-2312 (Linking) VI - 120 IP - 1 DP - 2019 Jan TI - Remote ischemic conditioning as a cytoprotective strategy in vasculopathies during hyperhomocysteinemia: An emerging research perspective. PG - 77-92 LID - 10.1002/jcb.27603 [doi] AB - Higher levels of nonprotein amino acid homocysteine (Hcy), that is, hyperhomocysteinemia (HHcy) (~5% of general population) has been associated with severe vasculopathies in different organs; however, precise molecular mechanism(s) as to how HHcy plays havoc with body's vascular networks are largely unknown. Interventional modalities have not proven beneficial to counter multifactorial HHcy's effects on the vascular system. An ancient Indian form of exercise called 'yoga' causes transient ischemia as a result of various body postures however the cellular mechanisms are not clear. We discuss a novel perspective wherein we argue that application of remote ischemic conditioning (RIC) could, in fact, deliver anticipated results to patients who are suffering from chronic vascular dysfunction due to HHcy. RIC is the mechanistic phenomenon whereby brief episodes of ischemia-reperfusion events are applied to distant tissues/organs; that could potentially offer a powerful tool in mitigating chronic lethal ischemia in target organs during HHcy condition via simultaneous reduction of inflammation, oxidative and endoplasmic reticulum stress, extracellular matrix remodeling, fibrosis, and angiogenesis. We opine that during ischemic conditioning our organs cross talk by releasing cellular messengers in the form of exosomes containing messenger RNAs, circular RNAs, anti-pyroptotic factors, protective cytokines like musclin, transcription factors, small molecules, anti-inflammatory, antiapoptotic factors, antioxidants, and vasoactive gases. All these could help mobilize the bone marrow-derived stem cells (having tissue healing properties) to target organs. In that context, we argue that RIC could certainly play a savior's role in an unfortunate ischemic or adverse event in people who have higher levels of the circulating Hcy in their systems. CI - (c) 2018 Wiley Periodicals, Inc. FAU - Majumder, Avisek AU - Majumder A AUID- ORCID: 0000-0002-6761-2242 AD - Department of Physiology, School of Medicine, University of Louisville, Louisville, Kentucky. AD - Department of Biochemistry and Molecular Genetics, School of Medicine, University of Louisville, Louisville, Kentucky. FAU - Singh, Mahavir AU - Singh M AD - Department of Physiology, School of Medicine, University of Louisville, Louisville, Kentucky. AD - Eye and Vision Science Laboratory, University of Louisville, Louisville, Kentucky. FAU - George, Akash K AU - George AK AD - Department of Physiology, School of Medicine, University of Louisville, Louisville, Kentucky. AD - Eye and Vision Science Laboratory, University of Louisville, Louisville, Kentucky. FAU - Homme, Rubens Petit AU - Homme RP AD - Department of Physiology, School of Medicine, University of Louisville, Louisville, Kentucky. AD - Eye and Vision Science Laboratory, University of Louisville, Louisville, Kentucky. FAU - Laha, Anwesha AU - Laha A AD - Department of Physiology, School of Medicine, University of Louisville, Louisville, Kentucky. FAU - Tyagi, Suresh C AU - Tyagi SC AD - Department of Physiology, School of Medicine, University of Louisville, Louisville, Kentucky. LA - eng PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review DEP - 20180911 PL - United States TA - J Cell Biochem JT - Journal of cellular biochemistry JID - 8205768 RN - 0 (Cytokines) RN - 0 (Reactive Oxygen Species) RN - 0LVT1QZ0BA (Homocysteine) RN - EC 2.1.1.10 (Homocysteine S-Methyltransferase) SB - IM MH - Animals MH - Cytokines/metabolism MH - Endoplasmic Reticulum Stress MH - Homocysteine/*metabolism MH - Homocysteine S-Methyltransferase/metabolism MH - Humans MH - Hyperhomocysteinemia/complications/*metabolism/*therapy MH - Inflammation/metabolism MH - Ischemia/metabolism MH - Mesenchymal Stem Cells/metabolism MH - Mice MH - Oxidative Stress MH - Reactive Oxygen Species/metabolism MH - Reperfusion/*methods MH - Vascular Diseases/complications/*metabolism/*therapy OTO - NOTNLM OT - cardio protection OT - inflammation OT - ischemia OT - ischemic preconditioning OT - oxidative stress EDAT- 2018/10/03 06:00 MHDA- 2020/01/01 06:00 CRDT- 2018/10/02 06:00 PHST- 2018/04/18 00:00 [received] PHST- 2018/08/07 00:00 [accepted] PHST- 2018/10/03 06:00 [pubmed] PHST- 2020/01/01 06:00 [medline] PHST- 2018/10/02 06:00 [entrez] AID - 10.1002/jcb.27603 [doi] PST - ppublish SO - J Cell Biochem. 2019 Jan;120(1):77-92. doi: 10.1002/jcb.27603. Epub 2018 Sep 11.