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Circulation. 2001;103:2717-2723

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(Circulation. 2001;103:2717.)
© 2001 American Heart Association, Inc.


Basic Science Reports

Homocysteine Induces Expression and Secretion of Monocyte Chemoattractant Protein-1 and Interleukin-8 in Human Aortic Endothelial Cells

Implications for Vascular Disease

Presented in part at the 70th Scientific Sessions of the American Heart Association, Orlando, Fla, November 9–12, 1997, and at the Second International Conference on Homocysteine Metabolism, Nijmegen, the Netherlands, April 26–29, 1998, and published in abstract form (Circulation. 1997;96:I-286) (Neth J Med. 1998;52[suppl]:S1).

Ranjana Poddar, PhD; Natarajan Sivasubramanian, PhD; Patricia M. DiBello, MS; Killian Robinson, MD; Donald W. Jacobsen, PhD

From the Departments of Cell Biology (R.P., P.M.D., D.W.J.) and Molecular Cardiology (N.S.), Lerner Research Institute, and Department of Cardiology, Cleveland Clinic Foundation (K.R.), Cleveland, Ohio. Dr Poddar is now at the Department of Genetics, Yale University School of Medicine, New Haven, Conn; Dr Sivasubramanian is now at the Winters Center for Heart Failure Research, Section of Cardiology, Department of Medicine, Baylor College of Medicine, Veterans Affairs Medical Center, Houston, Tex; Dr Robinson is now at the Department of Cardiology, Wake Forest University, Baptist Medical Center, Winston Salem, NC.

Correspondence to Donald W. Jacobsen, PhD, Department of Cell Biology, NC10, The Lerner Research Institute, The Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH 44195. E-mail jacobsd{at}ccf.org

Background—Proinflammatory cytokines play key roles in atherogenesis and disease progression. Because hyperhomocysteinemia is an independent risk factor for cardiovascular disease, we hypothesized that homocysteine could be atherogenic by altering the expression of specific cytokines in vascular endothelial cells.

Methods and Results—Northern blot and RNase protection assays showed that DL-homocysteine induced mRNA expression of the proinflammatory cytokines monocyte chemoattractant protein-1 (MCP-1) and interleukin-8 (IL-8) in cultured human aortic endothelial cells (HAECs). Homocysteine had no effect on expression of other cytokines, namely tumor necrosis factor-{alpha}, granulocyte-macrophage colony–stimulating factor, interleukin-1ß, and transforming growth factor-ß. MCP-1 mRNA expression increased 1 hour after homocysteine treatment, reached a maximum within 2 to 4 hours, and declined to basal levels over the next 24 hours. Induction of mRNA expression for both chemokines was observed with as little as 10 µmol/L DL-homocysteine, and maximal expression was achieved with 50 µmol/L DL-homocysteine. Homocysteine also triggered the release of MCP-1 and IL-8 protein from HAECs into the culture medium. The induction was specific for homocysteine, because equimolar concentrations of L-homocystine, L-cysteine, and L-methionine had no effect on mRNA levels and protein release. Furthermore, L-homocysteine induced chemokine expression, but D-homocysteine did not, thus demonstrating enantiomeric specificity. The culture medium from homocysteine-treated HAECs promoted chemotaxis in human peripheral blood monocytes and U937 cells. Anti–human recombinant MCP-1 antibody blocked the migration.

Conclusions—Pathophysiological levels of L-homocysteine alter endothelial cell function by upregulating MCP-1 and IL-8 expression and secretion. This suggests that L-homocysteine may contribute to the initiation and progression of vascular disease by promoting leukocyte recruitment.


Key Words: homocysteine • peptides • endothelium • cells • cardiovascular diseases




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