Hyperhomocysteinemia (HHcy) is an independent risk factor for cardiovascular disease. However, the mechanisms of HHcy-induced arteriosclerosis are largely unknown. In this study, we investigated the role and mechanism of HHcy on vascular remodeling in a carotid arterial vein patch model.
We assessed the effect of HHcy on vascular remodeling using a carotid arterial vein patch model in mice with the gene deletion of cystathionine-β-synthase (Cbs, plasma Hcy 310 μM). Vein grafts were harvested 4 weeks after surgery. Cross sections of the transplanted vessel segment were analyzed using Verhoeff-van Gieson staining and Masson’s Trichrome staining for morphological analysis and total collagen protein level assessment. Further, the vessel sections were immunostained with antibodies against α-smooth muscle actin (α-SMA), type 1 collagen, CD45 (leukocyte marker), and Proliferating Cell Nuclear Antigen (PCNA). The effect of Hcy on collagen secretion was examined in cultured rat aortic smooth muscle cells (RASMC) by Western blot analysis. We found that Cbs−/− mice with severe HHcy exhibited thicker neointima and a higher percentage of luminal narrowing in the vein graft. In addition, severe HHcy increased elastin, total collagen, and type 1 collagen deposition in the neointima. Further, severe HHcy increases CD45 positive cells and proliferative cells in the lesions of vein grafts in Cbs−/− mice. Finally, Hcy increases collagen secretion in cultured rat aortic smooth muscle cells (RASMC).
These results demonstrate that HHcy increases neointima formation, elastin and collagen deposition following a carotid arterial vein patch. The capacity of Hcy to promote vascular fibrosis and inflammation may contribute to the development of vascular remodeling.