“…In the brain, HHCy induces the disruption of the bloodbrain barrier (39), a reduction of the cerebral blood flow (40), an increase in oxidative and nitrosative stress (39), and an increase in cerebral inflammation (39,40). The fact that all the consequences of HHCy on the vasculature, the myocardium, and the brain are counteracted by H2S donors (12,39,40) suggests that H2S deficiency is the major mechanism leading to tissue injury in HHCy. This is reinforced by the study showing that a triple gene therapy (CBS-CSE-3-MST) blocks the effects of HHCy on vasorelaxation in an ex vivo renal artery culture; this approach also restores the levels of vascular endothelial growth factor (VEGF), CD31 and reduces elevated endostatin levels (79).…”