Zhang Lihua, Li Zhongliang, Xing Changcheng, Gao Ning, Xu Rui
Cheeloo College of Medicine, Shandong Qianfoshan Hospital, Shandong University, Jinan, China.
Department of Medicine, Jinan Maternity and Child Care Hospital Affiliated to Shandong First Medical University, Jinan, China.
Front Pharmacol. 2021 Sep 16;12:651582. doi: 10.3389/fphar.2021.651582. eCollection 2021.
Hyperhomocysteinemia (HHcy) is derived from the abnormal metabolism of homocysteine (Hcy) and is related to metabolic-related diseases. In addition, HHcy combined with hypertension increases the risk of cardiovascular diseases (CVD). However, the mechanism of HHcy aggravating hypertensive arterial damage and the efficacy of folate (FA) as a beneficial supplement have not been fully elucidated. In this study, we established a rat HHcy model and a hypertension combined with HHcy model. Rat tail artery blood pressure (BP), plasma Hcy, serum superoxide dismutase (SOD), and malondialdehyde (MDA) were measured. Rat thoracic aorta was for pathological analysis after 12 weeks of the experiment. The relative expression levels of oxidative stress and immune/inflammation in rat arterial tissues were detected by quantitative real-time polymerase chain reaction (qRT-PCR) and western blotting. The results demonstrated that the relative expression levels of oxidative stress and immune/inflammation were the highest in the hypertension combined with HHcy group, followed by the hypertension group. Compared with the hypertension group, the hypertension combined with HHcy group up-regulated the expression levels of interleukin-6 (IL-6) and nuclear factor-κ-gene binding (NF-κB) p65/Rela, but not NADPH oxidase (Nox). Furthermore, folate inhibited the expression of IL-6 and NF-κB p65/Rela, reduced the levels of MDA and HHcy, but significantly increased the SOD level. In conclusion, HHcy synergistically aggravated the arterial damage factor of hypertension through immune/inflammatory response. However, folate demonstrated anti-inflammatory properties and reversed the NF-κB p65/Rela/IL-6 level induced by HHcy in hypertensive rats.
高同型半胱氨酸血症(HHcy)源于同型半胱氨酸(Hcy)的代谢异常,与代谢相关疾病有关。此外,HHcy合并高血压会增加心血管疾病(CVD)的风险。然而,HHcy加重高血压动脉损伤的机制以及叶酸(FA)作为有益补充剂的疗效尚未完全阐明。在本研究中,我们建立了大鼠HHcy模型和高血压合并HHcy模型。测量大鼠尾动脉血压(BP)、血浆Hcy、血清超氧化物歧化酶(SOD)和丙二醛(MDA)。实验12周后,取大鼠胸主动脉进行病理分析。通过定量实时聚合酶链反应(qRT-PCR)和蛋白质印迹法检测大鼠动脉组织中氧化应激和免疫/炎症的相对表达水平。结果表明,氧化应激和免疫/炎症的相对表达水平在高血压合并HHcy组中最高,其次是高血压组。与高血压组相比,高血压合并HHcy组上调了白细胞介素-6(IL-6)和核因子-κ基因结合(NF-κB)p65/Rela的表达水平,但未上调烟酰胺腺嘌呤二核苷酸磷酸氧化酶(Nox)的表达水平。此外,叶酸抑制IL-6和NF-κB p65/Rela的表达,降低MDA和HHcy水平,但显著提高SOD水平。总之,HHcy通过免疫/炎症反应协同加重高血压的动脉损伤因素。然而,叶酸具有抗炎特性,并逆转了HHcy在高血压大鼠中诱导的NF-κB p65/Rela/IL-6水平。