2021
DOI: 10.3390/ijms22041690
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Hyperhomocysteinemia and Cardiovascular Disease: Is the Adenosinergic System the Missing Link?

Abstract: The influence of hyperhomocysteinemia (HHCy) on cardiovascular disease (CVD) remains unclear. HHCy is associated with inflammation and atherosclerosis, and it is an independent risk factor for CVD, stroke and myocardial infarction. However, homocysteine (HCy)-lowering therapy does not affect the inflammatory state of CVD patients, and it has little influence on cardiovascular risk. The HCy degradation product hydrogen sulfide (H2S) is a cardioprotector. Previous research proposed a positive role of H2S in the … Show more

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Cited by 53 publications
(45 citation statements)
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References 220 publications
(246 reference statements)
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“…Synthetic vascular smooth muscle cells accumulate in atheromas and secrete extracellular matrix proteins. Smooth muscle cells and collagen are important components of the fibrous cap that covers the atherosclerotic plaque [12].…”
Section: Cardiovascular Disease: Risk Factors and The Mechanism Of Developmentmentioning
confidence: 99%
See 1 more Smart Citation
“…Synthetic vascular smooth muscle cells accumulate in atheromas and secrete extracellular matrix proteins. Smooth muscle cells and collagen are important components of the fibrous cap that covers the atherosclerotic plaque [12].…”
Section: Cardiovascular Disease: Risk Factors and The Mechanism Of Developmentmentioning
confidence: 99%
“…High blood pressure is often associated with metabolic deregulation, which leads to high blood cholesterol levels that, such as glucose in type 2 diabetes, damage blood vessels and lead to atherosclerosis. The mutual interaction between hypertension and hypercholesterolemia and their influence on the development of atherosclerosis include the renin-angiotensin-aldosterone system and endothelial dysfunction [12,15].…”
Section: Cardiovascular Disease: Risk Factors and The Mechanism Of Developmentmentioning
confidence: 99%
“…Homocysteine is a non-proteinogenic amino acid that is a natural by-product of amino-acid metabolism. High plasma levels (above 15 µM) of homocysteine were recognized as important risk factors for the development of several disorders such as cardiovascular and kidney diseases as well as neurodegeneration [ 49 , 50 , 51 ]. Hyperhomocysteinemia arises from folic acid and vitamin B12 deficiency, adverse effects induced by drugs affecting the folic acid metabolism such as methotrexate or trimethoprim and by an unhealthy life-style with smoking, alcohol, overweight and physical inactivity.…”
Section: The Role Of H 2 S In Glomerular Pathophys...mentioning
confidence: 99%
“…Lipoproteins enter the subendothelial space of arteries and activate endothelial cells. Meanwhile, monocytes in the vascular wall differentiate into macrophages, which engulf lipoproteins and become the so-called foam cells characteristic of atherosclerotic plaque [ 24 ]. Thus, atherosclerosis is a lipid-driven, chronic inflammatory disease, which is a principle predisposing factor for heart disease and stroke.…”
Section: Cvd: Prevalence Pathogenesis and Risk Factorsmentioning
confidence: 99%