PMID- 37909141 OWN - NLM STAT- MEDLINE DCOM- 20240125 LR - 20240125 IS - 0371-0874 (Print) IS - 0371-0874 (Linking) VI - 75 IP - 5 DP - 2023 Oct 25 TI - [Research progress on the role and mechanism of endothelial dysfunction in hyperhomocysteine-induced atherosclerosis]. PG - 703-713 AB - Hyperhomocysteinemia (HHcy) is considered to be an independent risk factor for cardiovascular diseases, but the molecular mechanisms underlying its pathogenesis are not fully understood. Endothelial dysfunction is a key initiating factor in the pathogenesis of atherosclerosis, which is commonly observed in almost all HHcy-induced vascular diseases. HHcy promotes oxidative stress, inhibits nitric oxide production, suppresses hydrogen sulfide signaling pathway, promotes endothelial mesenchymal transition, activates coagulation pathways, and promotes protein N-homocysteination and cellular hypomethylation, all of which can cause endothelial dysfunction. This article reviews the specific links between HHcy and endothelial dysfunction, and highlights recent evidence that endothelial mesenchymal transition contributes to HHcy-induced vascular damage, with a hope to provide new ideas for the clinical treatment of HHcy-related vascular diseases. FAU - Wu, Cheng-Yan AU - Wu CY AD - Department of Cardiology, The First Affiliated Hospital of Xinxiang Medical University; Heart Center of Xinxiang Medical University, Xinxiang 453100, China. FAU - Duan, Xu-Lei AU - Duan XL AD - Department of Cardiology, The First Affiliated Hospital of Xinxiang Medical University; Heart Center of Xinxiang Medical University, Xinxiang 453100, China. FAU - Wang, Li-Bo AU - Wang LB AD - Department of Cardiology, The First Affiliated Hospital of Xinxiang Medical University; Heart Center of Xinxiang Medical University, Xinxiang 453100, China. FAU - Wang, Xue-Hui AU - Wang XH AD - Department of Cardiology, The First Affiliated Hospital of Xinxiang Medical University; Heart Center of Xinxiang Medical University, Xinxiang 453100, China. 121045@xxmu.edu.cn. LA - chi PT - English Abstract PT - Journal Article PT - Review PL - China TA - Sheng Li Xue Bao JT - Sheng li xue bao : [Acta physiologica Sinica] JID - 20730130R RN - 0LVT1QZ0BA (Homocysteine) SB - IM MH - Humans MH - *Atherosclerosis MH - *Cardiovascular Diseases MH - Endothelium, Vascular MH - Homocysteine/metabolism MH - *Hyperhomocysteinemia/complications MH - Oxidative Stress MH - Risk Factors EDAT- 2023/11/01 06:43 MHDA- 2023/11/02 12:43 CRDT- 2023/11/01 04:33 PHST- 2023/11/02 12:43 [medline] PHST- 2023/11/01 06:43 [pubmed] PHST- 2023/11/01 04:33 [entrez] PST - ppublish SO - Sheng Li Xue Bao. 2023 Oct 25;75(5):703-713.