Objective-Homocysteine can accelerate the senescence of endothelial progenitor cells or endothelial cells (ECs) via telomerase inactivation and length shortening. However, the underlying mechanism is unclear. Here, we investigated whether homocysteine promotes endothelial senescence by reducing the expression and activity of human telomerase reverse transcriptase (hTERT) by DNA methylation to reduce ECs telomerase activity. Approach and Results-When compared with primary human umbilical vein endothelial cells grown under standard conditions, ECs with chronic homocysteine treatment showed accelerated upregulation of p16, p21, and p53, markers of cellular senescence, during 6 to 10 passages. Interestingly, homocysteine-stimulated but not angiotensin II-stimulated ECs senescence could be reversed by hypermethylation induced by folic acid or s-adenosylmethionine supplementation. Meanwhile, homocysteine promoted the shortening of telomere length specifically related to restoration of hTERT transcriptional expression and CCCTC-binding factor binding sites with hTERT promoter hypomethylation, as detected by quantitative real-time polymerase chain reaction, Western blot, methylation-specific polymerase chain reaction, and bisulfite sequencing assay. Electrophoretic mobility shift assay and chromatin immunoprecipitation results showed that homocysteine-reduced telomere activity and homocysteine-induced EC senescence might contribute to hTERT promoter demethylation by increasing CCCTC-binding factor repression and interfering in the SP1 binding to the demethylated hTERT promoter, which might relate with reduced of DNA methyltransferase 1. Furthermore, the CCCTC-binding factor-dependent mechanism of homocysteine-reduced hTERT expression via DNA demethylation was confirmed in aortic endothelia of mice with hyperhomocysteine levels. atherosclerosis-related genes. 6,12,13 Therefore, DNA demethylation of hTERT may be a candidate target of epigenetic regulation in homocysteine-induced EC senescence. However, homocysteine might reduce transcriptional hTERT expression by DNA hypomethylation, which reversed with homocysteine demethylation of soluble epoxide hydrolase or plateletderived growth factors and promoted their expression in our previous study. 12,13 This contradictory hypothesis prompted us to study how DNA methylation of the hTERT promoter can lead to its activation by homocysteine in ECs.
Conclusions-CCCTC-bindingIn the core region of the 5′-hTERT promoter (−200 to +100 bp), several binding sites for activators (c-Myc, Sp1, AP2, E2F, and E-box) or repressors (p53, Mad1, MZF-2, ZRF, WT1, and CCCTC-binding factor [CTCF]) might be methylated and coregulate the expression of hTERT in human ECs. Zinn et al 14 demonstrated high expression of hTERT, despite DNA hypermethylation in several cancer cells, which contrasts with low expression with DNA hypomethylation in nontransformed cells, so some repressors might play a major role in hTERT expression and activity especially for DNA hypermethylation in some cancer cells. Similar...