PMID- 38358083 OWN - NLM STAT- Publisher LR - 20240515 IS - 1474-9726 (Electronic) IS - 1474-9718 (Linking) DP - 2024 Feb 15 TI - Homocysteine potentiates amyloid beta -induced death receptor 4- and 5-mediated cerebral endothelial cell apoptosis, blood brain barrier dysfunction and angiogenic impairment. PG - e14106 LID - 10.1111/acel.14106 [doi] AB - Cerebrovascular dysfunction has been implicated as a major contributor to Alzheimer's Disease (AD) pathology, with cerebral endothelial cell (cEC) stress promoting ischemia, cerebral-blood flow impairments and blood-brain barrier (BBB) permeability. Recent evidence suggests that cardiovascular (CV)/cerebrovascular risk factors, including hyperhomocysteinemia (Hhcy), exacerbate AD pathology and risk. Yet, the underlying molecular mechanisms for this interaction remain unclear. Our lab has demonstrated that amyloid beta 40 (Abeta40) species, and particularly Abeta40-E22Q (AbetaQ22; vasculotropic Dutch mutant), promote death receptor 4 and 5 (DR4/DR5)-mediated apoptosis in human cECs, barrier permeability, and angiogenic impairment. Previous studies show that Hhcy also induces EC dysfunction, but it remains unknown whether Abeta and homocysteine function through common molecular mechanisms. We tested the hypotheses that Hhcy exacerbates Abeta-induced cEC DR4/5-mediated apoptosis, barrier dysfunction, and angiogenesis defects. This study was the first to demonstrate that Hhcy specifically potentiates AbetaQ22-mediated activation of the DR4/5-mediated extrinsic apoptotic pathway in cECs, including DR4/5 expression, caspase 8/9/3 activation, cytochrome-c release and DNA fragmentation. Additionally, we revealed that Hhcy intensifies the deregulation of the same cEC junction proteins mediated by Abeta, precipitating BBB permeability. Furthermore, Hhcy and AbetaQ22, impairing VEGF-A/VEGFR2 signaling and VEGFR2 endosomal trafficking, additively decrease cEC angiogenic capabilities. Overall, these results show that the presence of the CV risk factor Hhcy exacerbates Abeta-induced cEC apoptosis, barrier dysfunction, and angiogenic impairment. This study reveals specific mechanisms through which amyloidosis and Hhcy jointly operate to produce brain EC dysfunction and death, highlighting new potential molecular targets against vascular pathology in comorbid AD/CAA and Hhcy conditions. CI - (c) 2024 The Authors. Aging Cell published by the Anatomical Society and John Wiley & Sons Ltd. FAU - Carey, Ashley AU - Carey A AD - Department of Neural Sciences, Alzheimer's Center at Temple, Temple University Lewis Katz School of Medicine, Philadelphia, Pennsylvania, USA. FAU - Parodi-Rullan, Rebecca AU - Parodi-Rullan R AUID- ORCID: 0000-0002-0466-1047 AD - Department of Neural Sciences, Alzheimer's Center at Temple, Temple University Lewis Katz School of Medicine, Philadelphia, Pennsylvania, USA. FAU - Vazquez-Torres, Rafael AU - Vazquez-Torres R AD - Department of Neural Sciences, Alzheimer's Center at Temple, Temple University Lewis Katz School of Medicine, Philadelphia, Pennsylvania, USA. FAU - Canepa, Elisa AU - Canepa E AD - Department of Neural Sciences, Alzheimer's Center at Temple, Temple University Lewis Katz School of Medicine, Philadelphia, Pennsylvania, USA. FAU - Fossati, Silvia AU - Fossati S AUID- ORCID: 0000-0002-2047-222X AD - Department of Neural Sciences, Alzheimer's Center at Temple, Temple University Lewis Katz School of Medicine, Philadelphia, Pennsylvania, USA. LA - eng GR - R01 AG062572/AG/NIA NIH HHS/United States GR - R01 NS104127/NS/NINDS NIH HHS/United States PT - Journal Article DEP - 20240215 PL - England TA - Aging Cell JT - Aging cell JID - 101130839 SB - IM OTO - NOTNLM OT - Alzheimer's disease OT - amyloid beta OT - angiogenesis OT - apoptosis OT - blood brain barrier OT - cardiovascular risk OT - cerebral amyloid angiopathy OT - cerebrovascular dysfunction OT - endothelial cells OT - hyperhomocysteinemia EDAT- 2024/02/15 12:43 MHDA- 2024/02/15 12:43 CRDT- 2024/02/15 08:28 PHST- 2024/01/10 00:00 [revised] PHST- 2023/12/05 00:00 [received] PHST- 2024/01/17 00:00 [accepted] PHST- 2024/02/15 12:43 [medline] PHST- 2024/02/15 12:43 [pubmed] PHST- 2024/02/15 08:28 [entrez] AID - 10.1111/acel.14106 [doi] PST - aheadofprint SO - Aging Cell. 2024 Feb 15:e14106. doi: 10.1111/acel.14106.