PMID- 34205914 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210714 IS - 2218-1989 (Print) IS - 2218-1989 (Electronic) IS - 2218-1989 (Linking) VI - 11 IP - 6 DP - 2021 Jun 1 TI - Effects of Hyperhomocysteinemia on the Platelet-Driven Contraction of Blood Clots. LID - 10.3390/metabo11060354 [doi] LID - 354 AB - Hyperhomocysteinemia (HHcy) is associated with thrombosis, but the mechanistic links between them are not understood. We studied effects of homocysteine (Hcy) on clot contraction in vitro and in a rat model of HHcy. Incubation of blood with exogenous Hcy for 1 min enhanced clot contraction, while 15-min incubation led to a dose-dependent suppression of contraction. These effects were likely due to direct Hcy-induced platelet activation followed by exhaustion, as revealed by an increase in fibrinogen-binding capacity and P-selectin expression determined by flow cytometry. In the blood of rats with HHcy, clot contraction was enhanced at moderately elevated Hcy levels (10-50 muM), while at higher Hcy levels (>50 muM), the onset of clot contraction was delayed. HHcy was associated with thrombocytosis combined with a reduced erythrocyte count and hypofibrinogenemia. These data suggest that in HHcy, platelets get activated directly and indirectly, leading to enhanced clot contraction that is facilitated by the reduced content and resilience of fibrin and erythrocytes in the clot. The excessive platelet activation can lead to exhaustion and impaired contractility, which makes clots larger and more obstructive. In conclusion, HHcy modulates blood clot contraction, which may comprise an underappreciated pro- or antithrombotic mechanism. FAU - Litvinov, Rustem I AU - Litvinov RI AUID- ORCID: 0000-0003-0643-1496 AD - Department of Cell and Developmental Biology, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA. AD - Institute of Fundamental Medicine and Biology, Kazan Federal University, 420008 Kazan, Russia. FAU - Peshkova, Alina D AU - Peshkova AD AD - Institute of Fundamental Medicine and Biology, Kazan Federal University, 420008 Kazan, Russia. FAU - Le Minh, Giang AU - Le Minh G AD - Institute of Fundamental Medicine and Biology, Kazan Federal University, 420008 Kazan, Russia. FAU - Khaertdinov, Nail N AU - Khaertdinov NN AD - Institute of Fundamental Medicine and Biology, Kazan Federal University, 420008 Kazan, Russia. FAU - Evtugina, Natalia G AU - Evtugina NG AD - Institute of Fundamental Medicine and Biology, Kazan Federal University, 420008 Kazan, Russia. FAU - Sitdikova, Guzel F AU - Sitdikova GF AUID- ORCID: 0000-0001-5412-2204 AD - Institute of Fundamental Medicine and Biology, Kazan Federal University, 420008 Kazan, Russia. FAU - Weisel, John W AU - Weisel JW AD - Department of Cell and Developmental Biology, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA. LA - eng GR - HL148227, HL148014/NH/NIH HHS/United States GR - 20-15-00100/Russian Science Foundation/ PT - Journal Article DEP - 20210601 PL - Switzerland TA - Metabolites JT - Metabolites JID - 101578790 PMC - PMC8228611 OTO - NOTNLM OT - blood clotting OT - contraction of blood clots OT - homocysteine OT - hyperhomocysteinemia OT - platelets OT - retraction of blood clots COIS- The authors declare no conflict of interest. EDAT- 2021/07/03 06:00 MHDA- 2021/07/03 06:01 PMCR- 2021/06/01 CRDT- 2021/07/02 01:26 PHST- 2021/04/07 00:00 [received] PHST- 2021/05/21 00:00 [revised] PHST- 2021/05/30 00:00 [accepted] PHST- 2021/07/02 01:26 [entrez] PHST- 2021/07/03 06:00 [pubmed] PHST- 2021/07/03 06:01 [medline] PHST- 2021/06/01 00:00 [pmc-release] AID - metabo11060354 [pii] AID - metabolites-11-00354 [pii] AID - 10.3390/metabo11060354 [doi] PST - epublish SO - Metabolites. 2021 Jun 1;11(6):354. doi: 10.3390/metabo11060354.