PMID- 30781581 OWN - NLM STAT- MEDLINE DCOM- 20190529 LR - 20231006 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 20 IP - 4 DP - 2019 Feb 17 TI - The Contribution of Homocysteine Metabolism Disruption to Endothelial Dysfunction: State-of-the-Art. LID - 10.3390/ijms20040867 [doi] LID - 867 AB - Homocysteine (Hcy) is a sulfur-containing non-proteinogenic amino acid formed during the metabolism of the essential amino acid methionine. Hcy is considered a risk factor for atherosclerosis and cardiovascular disease (CVD), but the molecular basis of these associations remains elusive. The impairment of endothelial function, a key initial event in the setting of atherosclerosis and CVD, is recurrently observed in hyperhomocysteinemia (HHcy). Various observations may explain the vascular toxicity associated with HHcy. For instance, Hcy interferes with the production of nitric oxide (NO), a gaseous master regulator of endothelial homeostasis. Moreover, Hcy deregulates the signaling pathways associated with another essential endothelial gasotransmitter: hydrogen sulfide. Hcy also mediates the loss of critical endothelial antioxidant systems and increases the intracellular concentration of reactive oxygen species (ROS) yielding oxidative stress. ROS disturb lipoprotein metabolism, contributing to the growth of atherosclerotic vascular lesions. Moreover, excess Hcy maybe be indirectly incorporated into proteins, a process referred to as protein N-homocysteinylation, inducing vascular damage. Lastly, cellular hypomethylation caused by build-up of S-adenosylhomocysteine (AdoHcy) also contributes to the molecular basis of Hcy-induced vascular toxicity, a mechanism that has merited our attention in particular. AdoHcy is the metabolic precursor of Hcy, which accumulates in the setting of HHcy and is a negative regulator of most cell methyltransferases. In this review, we examine the biosynthesis and catabolism of Hcy and critically revise recent findings linking disruption of this metabolism and endothelial dysfunction, emphasizing the impact of HHcy on endothelial cell methylation status. FAU - Esse, Ruben AU - Esse R AD - Department of Biochemistry, Boston University School of Medicine, Boston, MA 02118, USA. ruben.esse@gmail.com. FAU - Barroso, Madalena AU - Barroso M AUID- ORCID: 0000-0002-1600-890X AD - University Children's Research@Kinder-UKE, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany. m.barroso@uke.de. FAU - Tavares de Almeida, Isabel AU - Tavares de Almeida I AD - Laboratory of Metabolism and Genetics, Faculty of Pharmacy, University of Lisbon, 1649-003 Lisbon, Portugal. italmeida@ff.ul.pt. FAU - Castro, Rita AU - Castro R AUID- ORCID: 0000-0002-4585-0741 AD - Institute for Medicines and Pharmaceutical Sciences (iMed.UL), Faculty of Pharmacy, University of Lisbon, 1649-003 Lisbon, Portugal. mum689@psu.edu. AD - Department of Biochemistry and Human Biology, Faculty of Pharmacy, University of Lisbon, 1649-003 Lisbon, Portugal. mum689@psu.edu. AD - Department of Nutritional Sciences, The Pennsylvania State University, University Park, PA 16802, USA. mum689@psu.edu. LA - eng PT - Journal Article PT - Review DEP - 20190217 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Reactive Oxygen Species) RN - 0LVT1QZ0BA (Homocysteine) RN - 31C4KY9ESH (Nitric Oxide) RN - 979-92-0 (S-Adenosylhomocysteine) RN - AE28F7PNPL (Methionine) RN - YY9FVM7NSN (Hydrogen Sulfide) SB - IM MH - Atherosclerosis/*metabolism/pathology MH - Cardiovascular Diseases/*metabolism/pathology MH - Endothelial Cells/metabolism/pathology MH - Homocysteine/*metabolism/toxicity MH - Humans MH - Hydrogen Sulfide/metabolism MH - Hyperhomocysteinemia/*metabolism/pathology MH - Methionine/metabolism MH - Nitric Oxide/metabolism MH - Reactive Oxygen Species/metabolism MH - S-Adenosylhomocysteine/metabolism PMC - PMC6412520 OTO - NOTNLM OT - S-adenosylhomocysteine OT - atherosclerosis OT - cellular methylation COIS- The authors declare no conflict of interest. EDAT- 2019/02/20 06:00 MHDA- 2019/05/30 06:00 PMCR- 2019/02/01 CRDT- 2019/02/21 06:00 PHST- 2019/01/18 00:00 [received] PHST- 2019/02/05 00:00 [revised] PHST- 2019/02/12 00:00 [accepted] PHST- 2019/02/21 06:00 [entrez] PHST- 2019/02/20 06:00 [pubmed] PHST- 2019/05/30 06:00 [medline] PHST- 2019/02/01 00:00 [pmc-release] AID - ijms20040867 [pii] AID - ijms-20-00867 [pii] AID - 10.3390/ijms20040867 [doi] PST - epublish SO - Int J Mol Sci. 2019 Feb 17;20(4):867. doi: 10.3390/ijms20040867.