PMID- 31853248 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220411 IS - 1671-5411 (Print) IS - 1671-5411 (Linking) VI - 16 IP - 11 DP - 2019 Nov TI - Endogenous hydrogen sulfide and ERK1/2-STAT3 signaling pathway may participate in the association between homocysteine and hypertension. PG - 822-834 LID - 10.11909/j.issn.1671-5411.2019.11.007 [doi] AB - BACKGROUND: Homocysteine (Hcy) is a risk factor for hypertension, although the mechanisms are poorly understood. METHODS: We first explored the relationship between Hcy levels and blood pressure (BP) by analyzing the clinical data of primary hypertensive patients admitted to our hospital. Secondly, we explored a rat model to study the effect of Hcy on blood pressure and the role of H(2)S. An hyperhomocysteinemia (HHcy) rat model was induced to explore the effect of Hcy on blood pressure and the possible mechanism. We carried out tissue histology, extraction and examination of RNA and protein. Finally, we conducted cell experiments to determine a likely mechanism through renin-angiotensin-aldosterone system (RAAS) and extracellular signal-regulated kinase 1/2 (ERK1/2) signaling pathway. RESULTS: In primary hypertensive inpatients with HHcy, blood pressure was significantly higher as compared with inpatient counterparts lacking HHcy. In the rat model, blood pressure of the Wistar rats was significantly increased with increases in serum Hcy levels and decreased after folate treatment. Angiotensin converting enzyme 1 (ACE1) expression in the Wistar Hcy group was enhanced comparing to controls, but was decreased in the Wistar folate group. Angiotensin II receptor type 1 (AGTR1) levels in the kidney tissue increased in the Wistar folate group. Both serum H(2)S and kidney cystathionine gamma-lyase decreased with elevated levels of serum Hcy. In vitro, increased concentrations and treatment times for Hcy were associated with increased expression of collagen type 1 and AGTR1. This dose and time dependent response was also observed for p-STAT3 and p-ERK1/2 expression. CONCLUSION: Endogenous H(2)S might mediate the process of altered blood pressure in response to changes in serum Hcy levels, in a process that is partly dependent on activated RAAS and ERK1/2-STAT3 signaling pathway. CI - Institute of Geriatric Cardiology. FAU - Shi, Lin AU - Shi L AD - Hypertension Research Laboratory, Department of Cardiology, Peking University People's Hospital, Beijing, China. FAU - Liu, Xiao-Yun AU - Liu XY AD - Hypertension Research Laboratory, Department of Cardiology, Peking University People's Hospital, Beijing, China. FAU - Huang, Zhi-Gang AU - Huang ZG AD - Hypertension Research Laboratory, Department of Cardiology, Peking University People's Hospital, Beijing, China. AD - Emergency Department, Peking University Shenzhen Hospital, Shenzhen, China. FAU - Ma, Zhi-Yi AU - Ma ZY AD - Hypertension Research Laboratory, Department of Cardiology, Peking University People's Hospital, Beijing, China. FAU - Xi, Yang AU - Xi Y AD - Hypertension Research Laboratory, Department of Cardiology, Peking University People's Hospital, Beijing, China. FAU - Wang, Lu-Yan AU - Wang LY AD - Hypertension Research Laboratory, Department of Cardiology, Peking University People's Hospital, Beijing, China. FAU - Sun, Ning-Ling AU - Sun NL AD - Hypertension Research Laboratory, Department of Cardiology, Peking University People's Hospital, Beijing, China. LA - eng PT - Journal Article PL - China TA - J Geriatr Cardiol JT - Journal of geriatric cardiology : JGC JID - 101237881 PMC - PMC6911803 OTO - NOTNLM OT - Angiotensin converting enzyme 1 OT - Blood pressure OT - ERK1/2-STAT3 signaling pathway OT - Homocysteine OT - Hydrogen sulfide EDAT- 2019/12/20 06:00 MHDA- 2019/12/20 06:01 PMCR- 2019/11/01 CRDT- 2019/12/20 06:00 PHST- 2019/12/20 06:00 [entrez] PHST- 2019/12/20 06:00 [pubmed] PHST- 2019/12/20 06:01 [medline] PHST- 2019/11/01 00:00 [pmc-release] AID - jgc-16-11-822 [pii] AID - 10.11909/j.issn.1671-5411.2019.11.007 [doi] PST - ppublish SO - J Geriatr Cardiol. 2019 Nov;16(11):822-834. doi: 10.11909/j.issn.1671-5411.2019.11.007.