Homocysteine is thought to be a non-protein amino acid. However, in vitro studies suggest that homocysteine is likely to be incorporated by indirect mechanisms into proteins in living organisms. Here I show that homocysteine is a protein amino acid in humans. Homocysteine bound by amide or peptide linkages (Hcy-N-protein) is present in human hemoglobin, serum albumin, and ␥-globulins. 1 molecule of homocysteine per 1000 or 1670 molecules of methionine was present in hemoglobin or albumin, respectively. Other proteins, such as low density lipoprotein, high density lipoprotein, transferrin, antitrypsin, and fibrinogen, contained lower amounts of Hcy-N-protein. In human plasma, levels of Hcy-N-protein represented from 0.3 to 23% of total homocysteine. Thus, Hcy-N-protein is a significant component of homocysteine metabolism in humans, possibly contributing to adverse effects of homocysteine on human cells.It has been known for 4 decades that elevated levels of homocysteine (Hcy) 1 are harmful to humans (1, 2), but over the past decade it has been established that even a mild increase in Hcy level is a risk factor for cardiovascular disease and stroke in humans (3) and predicts mortality independently of traditional risk factors in patients with coronary artery disease (4). Plasma Hcy is also a risk factor for dementia and Alzheimer's disease (5). However, mechanisms by which Hcy can be harmful are largely unknown.In humans Hcy is formed from methionine as a by-product of biological methylation reactions (1, 2). If not removed by transsulfuration and transmethylation reactions, Hcy becomes toxic to human cells (1, 2), possibly due to its indirect incorporation into protein by methionyl-tRNA synthetase (MetRS)-mediated mechanisms involving S-nitroso-Hcy or Hcy-thiolactone (6 -11) (Fig. 1). A translational pathway includes: (a) reaction of Hcy with nitric oxide, forming S-nitroso-Hcy (12), (b) attachment of S-nitroso-Hcy to tRNA Met catalyzed by MetRS, forming S-nitroso-Hcy-tRNA Met (13), and (c) transfer of S-nitroso-Hcy from S-nitroso-Hcy-tRNAMet into growing polypeptide chains on ribosomes (13). Transnitrosylation of S-nitroso-Hcy-protein results in the formation of protein chains containing Hcy at positions normally occupied by methionine (13). A post-translational pathway involves: (a) metabolic conversion of Hcy to Hcy-thiolactone by MetRS (14 -16) and (b) acylation of protein lysine residues by . Because N-homocysteinylation leads to protein damage, we hypothesized that this aspect of Hcy metabolism provides a plausible chemical mechanism accounting at least in part for the toxicity of Hcy in humans (6 -11, 15-17).It is not known whether protein N-homocysteinylation occurs in humans. To determine this, human blood proteins were analyzed for the presence of Hcy bound by amide or peptide linkages (Hcy-N-protein) using protein chemistry and HPLC methods. As described in this communication, Hcy is a protein amino acid in humans.
MATERIALS AND METHODS
Preparation of L-[ 35 S]Hcy-thiolactone-[35 S]Hcy-thiolactone (...