PMID- 36854487 OWN - NLM STAT- MEDLINE DCOM- 20230828 LR - 20230923 IS - 2059-8696 (Electronic) IS - 2059-8688 (Print) IS - 2059-8688 (Linking) VI - 8 IP - 4 DP - 2023 Aug TI - Homocysteine impedes neurite outgrowth recovery after intracerebral haemorrhage by downregulating pCAMK2A. PG - 335-348 LID - 10.1136/svn-2022-002165 [doi] AB - Hyperhomocysteinemia (HHcy) is independently associated with poorer long-term prognosis in patients with intracerebral haemorrhage (ICH); however, the effect and mechanisms of HHcy on ICH are still unclear. Here, we evaluated neurite outgrowth and neurological functional recovery using simulated models of ICH with HHcy in vitro and in vivo. We found that the neurite outgrowth velocity and motor functional recovery in the ICH plus HHcy group were significantly slower than that in the control group, indicating that homocysteine (Hcy) significantly impedes the neurite outgrowth recovery after ICH. Furthermore, phosphoproteomic data and signalome analysis of perihematomal brain tissues suggested that calmodulin-dependent protein kinases 2 (CAMK2A) kinase substrate pairs were significantly downregulated in ICH with HHcy compared with autologous blood injection only, both western blot and immunofluorescence staining confirmed this finding. Additionally, upregulation of pCAMK2A significantly increased neurite outgrowth recovery in ICH with HHcy. Collectively, we clarify the mechanism of HHcy-hindered neurite outgrowth recovery, and pCAMK2A may serve as a therapeutic strategy for promoting neurological recovery after ICH. CI - (c) Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. FAU - Guo, Guangyu AU - Guo G AD - Department of Neurology, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, Hubei, China. FAU - Yang, Jingfei AU - Yang J AD - Department of Neurology, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, Hubei, China. FAU - Guo, Wenliang AU - Guo W AD - Department of Neurology, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, Hubei, China. FAU - Deng, Hong AU - Deng H AD - Department of Neurology, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, Hubei, China. FAU - Yu, Haihan AU - Yu H AD - Department of Neurology, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, Hubei, China. FAU - Bai, Shuang AU - Bai S AD - Department of Neurology, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, Hubei, China. FAU - Li, Gaigai AU - Li G AD - Department of Neurology, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, Hubei, China. FAU - Tang, Yingxin AU - Tang Y AD - Department of Neurology, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, Hubei, China. FAU - Zhang, Ping AU - Zhang P AD - Department of Neurology, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, Hubei, China. FAU - Xu, Yuming AU - Xu Y AUID- ORCID: 0000-0003-2689-9897 AD - Department of Neurology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China. AD - NHC Key Laboratory of Prevention and Treatment of Cerebrovascular Diseases, Zhengzhou, China. FAU - Pan, Chao AU - Pan C AD - Department of Neurology, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, Hubei, China ddjtzp@163.com punctualpc@163.com. FAU - Tang, Zhouping AU - Tang Z AUID- ORCID: 0000-0002-4153-8590 AD - Department of Neurology, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, Hubei, China ddjtzp@163.com punctualpc@163.com. LA - eng PT - Journal Article DEP - 20230228 PL - England TA - Stroke Vasc Neurol JT - Stroke and vascular neurology JID - 101689996 RN - 0LVT1QZ0BA (Homocysteine) SB - IM MH - Humans MH - *Homocysteine MH - *Cerebral Hemorrhage/complications MH - Up-Regulation MH - Neuronal Outgrowth PMC - PMC10512087 OTO - NOTNLM OT - Cerebrovascular Disorders OT - Hemorrhage OT - Stroke COIS- Competing interests: None declared. EDAT- 2023/03/01 06:00 MHDA- 2023/08/28 06:42 PMCR- 2023/02/28 CRDT- 2023/02/28 20:43 PHST- 2022/11/14 00:00 [received] PHST- 2023/02/13 00:00 [accepted] PHST- 2023/08/28 06:42 [medline] PHST- 2023/03/01 06:00 [pubmed] PHST- 2023/02/28 20:43 [entrez] PHST- 2023/02/28 00:00 [pmc-release] AID - svn-2022-002165 [pii] AID - 10.1136/svn-2022-002165 [doi] PST - ppublish SO - Stroke Vasc Neurol. 2023 Aug;8(4):335-348. doi: 10.1136/svn-2022-002165. Epub 2023 Feb 28.