VASCULAR EFFECTS OF HOMOCYSTEINE IN HUMANS

Summary

Principal Investigator: WILLIAM HAYNES
Abstract: Modest elevations in plasma homocysteine are associated with an increased risk of atherosclerotic disease. Impaired endothelial vasodilator function appears to play an important role in progression and complications of atherosclerosis. Thus, homocysteine-induced endothelial dysfunction is a plausible mechanism for predisposition to atherosclerosis. In previous studies funded by this R01, we have demonstrated that induction of experimental hyperhomocysteinemia by methionine loading rapidly produces profound endothelial dysfunction in human subjects, which can be reversed by anti-oxidants. We have also shown that high protein diets cause post-prandial hyperhomocysteinemia. In addition, we have developed a series of novel pharmacological models to characterize endothelial mediators and several putative mechanisms of oxidant stress. We therefore plan to test the following specific aims: 1) To explore endothelial mediators affected by experimental hyperhomocysteinemia in humans (specifically test the hypothesis that homocysteine selectively impairs nitric oxide activity and that there is compensatory upregulation of endothelium-derived hyperpolarizing factor); 2) To test potential oxidant mechanisms underlying the endothelial dysfunction (specifically xanthine oxidase, cyclooxygenase and inducible nitric oxide synthase); and 3) To examine the effect of dietary interventions with varying protein and folate intakes on plasma homocysteine and endothelial function, particularly in subjects with genetic (MTHFR mutation) or renal (transplant recipients) predisposition to hyperhomocysteinemia. Endothelial function will be tested in conduit and resistance vessels in vivo using flow mediated vasodilatation and forearm blood flow responses to intra-arterial administration of vasoactive agents. This patient-orientated research should lead to new understanding of the pathophysiological mechanisms linking homocysteine to vascular disease in humans. The results may also suggest novel potential therapeutic approaches to be tested in future outcome trials.
Funding Period: 1998-05-01 - 2007-04-30
more information: NIH RePORT

Top Publications

  1. ncbi Effect of hyperhomocysteinemia induced by methionine administration on flow-mediated dilatation of the brachial artery in healthy subjects
    Moutasim H Al-Shaer
    Department of Internal Medicine, University of Iowa, Iowa City, Iowa, USA
    Am J Cardiol 95:428-30. 2005
  2. ncbi Effects of aging and atherosclerosis on endothelial and vascular smooth muscle function in humans
    Moutasim H Al-Shaer
    University of Iowa, Internal Medicine, Bettendorf, 52242, USA
    Int J Cardiol 109:201-6. 2006
  3. ncbi A role for plasminogen activator inhibitor-1 in obesity: from pie to PAI?
    Marcelo L G Correia
    Arterioscler Thromb Vasc Biol 26:2183-5. 2006
  4. ncbi Obesity and insulin resistance but not hyperandrogenism mediates vascular dysfunction in women with polycystic ovary syndrome
    Anuja Dokras
    Department of Obstetrics and Gynecology, Carver College of Medicine, University of Iowa, Iowa City, Iowa 52246, USA
    Fertil Steril 86:1702-9. 2006
  5. ncbi What is the most appropriate methodology for detection of conduit artery endothelial dysfunction?
    Sasidhar Guthikonda
    Department of Cardiology, Baylor College of Medicine, Houston, Tex, USA
    Arterioscler Thromb Vasc Biol 27:1172-6. 2007

Scientific Experts

  • A Dokras
  • William G Haynes
  • Moutasim H Al-Shaer
  • Marcelo L G Correia
  • Christine A Sinkey
  • Sasidhar Guthikonda
  • Therese A Barenz
  • Nabil E Choueiri
  • Geetha Raghuveer
  • Catherine Chenard
  • Roger Browning
  • Phyllis Stumbo

Detail Information

Publications5

  1. ncbi Effect of hyperhomocysteinemia induced by methionine administration on flow-mediated dilatation of the brachial artery in healthy subjects
    Moutasim H Al-Shaer
    Department of Internal Medicine, University of Iowa, Iowa City, Iowa, USA
    Am J Cardiol 95:428-30. 2005
    ..The investigators tested whether oral methionine impairs brachial artery compliance in addition to endothelial function...
  2. ncbi Effects of aging and atherosclerosis on endothelial and vascular smooth muscle function in humans
    Moutasim H Al-Shaer
    University of Iowa, Internal Medicine, Bettendorf, 52242, USA
    Int J Cardiol 109:201-6. 2006
    ..We tested the hypothesis that aging blunts both basal and receptor-mediated endothelial nitric oxide release in humans...
  3. ncbi A role for plasminogen activator inhibitor-1 in obesity: from pie to PAI?
    Marcelo L G Correia
    Arterioscler Thromb Vasc Biol 26:2183-5. 2006
  4. ncbi Obesity and insulin resistance but not hyperandrogenism mediates vascular dysfunction in women with polycystic ovary syndrome
    Anuja Dokras
    Department of Obstetrics and Gynecology, Carver College of Medicine, University of Iowa, Iowa City, Iowa 52246, USA
    Fertil Steril 86:1702-9. 2006
    ....
  5. ncbi What is the most appropriate methodology for detection of conduit artery endothelial dysfunction?
    Sasidhar Guthikonda
    Department of Cardiology, Baylor College of Medicine, Houston, Tex, USA
    Arterioscler Thromb Vasc Biol 27:1172-6. 2007
    ..We studied whether upper or lower arm occlusions differ in their ability to detect endothelial dysfunction in cigarette smokers, and its improvement with an antioxidant strategy...