Atherosclerosis 212 (2010) 268–273
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Atherosclerosis
journal homepage: www.elsevier.com/locate/atherosclerosis
Cysteinemia, rather than homocysteinemia, is associated with plasma
apolipoprotein A-I levels in hyperhomocysteinemia
Lipid metabolism in cystathionine -synthase deficiency
Mario Nu ˜ no-Ayala
a
, Natalia Guillén
a,g
, María A. Navarro
a,g
, Jose M. Lou-Bonafonte
b
,
Carmen Arnal
e,g
, Sonia Gascón
a,g
, Cristina Barranquero
a,g
, Javier Godino
a
, María Royo-Ca ˜ nas
a
,
Alfonso J. Sarría
c,g
, Mario A. Guzmán
a
, Esther Hernandez
d
, Miguel A. Bregante
d
,
María A. García-Gimeno
f
, Jesús Osada
a,g,∗
a
Departamento de Bioquímica y Biología Molecular y Celular, Facultad de Veterinaria, Instituto Aragonés de Ciencias de la Salud
(Universidad de Zaragoza-Salud del Gobierno de Aragón), Spain
b
Departamento de Farmacología y Fisiología, Facultad de Ciencias de la Salud y del Deporte, Universidad de Zaragoza, Spain
c
Departamento de Bioquímica y Biología Molecular y Celular, Facultad de Ciencias de la Salud y del Deporte, Universidad de Zaragoza, Spain
d
Departamento de Farmacología y Fisiología, Facultad de Veterinaria, Universidad de Zaragoza, Spain
e
Departamento de Patología Animal, Facultad de Veterinaria, Universidad de Zaragoza, Spain
f
Departamento de Química Analítica, Facultad de Veterinaria, Universidad de Zaragoza, Spain
g
CIBER de Fisiopatología de la Obesidad y Nutrición, Instituto de Salud Carlos III, Spain
article info
Article history:
Received 27 August 2009
Received in revised form 15 April 2010
Accepted 23 April 2010
Available online 26 May 2010
Keywords:
Apolipoproteins
Cystathionine -synthase deficient mice
Cysteine
Homocysteine
Methionine
abstract
Objective: Genetic and dietary hyperhomocysteinemia has been found to decrease high density lipopro-
teins (HDL) and their apolipoprotein A1 (APOA1). To test the hypothesis that the presence of cysteine
could normalize HDL levels in hyperhomocysteinemic cystathionine -synthase (Cbs)-deficient mice and
that the inclusion of glycine would block this effect.
Methods: Lipids and HDL cholesterol were studied in Cbs-deficient mice and wild-type animals fed a
low-methionine diet supplemented with cysteine and glycine and in Cbs-deficient mice on the same diet
supplemented only with cysteine.
Results: Triglyceride and homocysteine levels were significantly decreased and increased, respectively
in Cbs-deficient mice irrespective of treatment. However, plasma cholesterol, glucose and APOA1 were
significantly decreased in homozygous Cbs-deficient mice when they received the cysteine and glycine-
enriched beverage. This group of mice also showed decreased mRNA levels and increased hepatic content
of APOA1 protein, the latter increase was observed in endothelial cells. A significant, inverse relationship
was observed between plasma and hepatic APOA1 concentrations while a positive one was found between
plasma levels of cysteine and APOA1.
Conclusion: These data suggest an altered hepatic management of APOA1 and that cysteine may be
involved in the control of this apolipoprotein at this level. Overall these findings represent a new aspect
of dietary regulation of HDL at the hepatic transendothelial transport.
© 2010 Elsevier Ireland Ltd. All rights reserved.
Abbreviations: Apo, apolipoprotein; CBS, cystathionine -synthase; FPLC, fast
protein liquid chromatography; GSH, Glutathione; Hcy, homocysteine; HDL, high
density lipoproteins; IL-6, interleukin 6; MCP-1, monocyte chemotactic protein-1;
PCR, polymerase chain reaction; RT, reverse transcriptase; TG, triglycerides; TNF,
tumor necrosis factor ; tPAI-1, tissue plasminogen activator inhibitor 1; UPR,
unfolding protein response.
∗
Corresponding author at: Department of Biochemistry and Molecular Biology,
Veterinary School, University of Zaragoza, Miguel Servet, 177, E-50013 Zaragoza,
Spain. Tel.: +34 976 761644; fax: +34 976 761612.
E-mail address: Josada@unizar.es (J. Osada).
1. Introduction
Homocysteine (Hcy) was first implicated as a risk factor
for cardiovascular disease in the late 60s when it was noticed
that homocystinuric patients displayed thrombosis that increased
mortality from vascular diseases [1]. Several epidemiological stud-
ies have shown an association between elevated plasma Hcy
and vascular disease, and hyperhomocysteinemia is considered
as an independent risk factor for cardiovascular diseases [2,3].
Indeed, a 5 M increase in plasma Hcy is associated with a
42% increased risk of ischemic heart disease, and with a 60% of
stroke [3].
0021-9150/$ – see front matter © 2010 Elsevier Ireland Ltd. All rights reserved.
doi:10.1016/j.atherosclerosis.2010.04.028