DOES RISK OF HYPERHOMOCYSTEINEMIA DEPEND ON THIOL-DISULFIDE EXCHANGE REACTIONS OF ALBUMIN AND HOMOCYSTEINE?

Autor: Lucia Coppo, Simona Scheggi, Graziella DeMontis, Raffaella Priora, Simona Frosali, Antonio Margaritis, Domenico Summa, Danila Di Giuseppe, Monica Ulivelli, Paolo Di Simplicio
Rok vydání: 2022
Předmět:
Zdroj: Antioxidantsredox signaling.
ISSN: 1557-7716
Popis: Increased plasma concentrations of total homocysteine (tHcy) (mild-moderate hyperhomocysteinemia: 15-50 µM tHcy) are considered an independent risk factor for onset/progression of various diseases, but it is not known how the increase in tHcy causes pathological conditions.Reduced Hcy (HSH ~1% of tHcy) is presumed to be toxic, unlike homocystine (~9%) and HSS-ALB (Hcy-albumin mixed disulfide, ~90%). This and other notions make it difficult to explain the pathogenicity of Hcy because: i) lowering tHcy does not improve pathological outcomes; ii) damage due to HSH usually emerges at supraphysiological doses; iii) it is not known why tiny increments in plasma concentrations of HSH can be pathological. Critical Issue: Albumin may have a role in Hcy toxicity because HSS-ALB could release toxic HSH via thiol-disulfide exchange reactions in cells. Similarly, thiol-disulfide exchange processes of reduced albumin (HS-ALB) or N-homocysteinylated albumin are plausible alternatives for initiating Hcy pathological events. Adverse effects of albumin and other data reviewed here suggest the hypothesis of a role of albumin in Hcy toxicity.HSS-ALB might be involved in disruption of the antioxidant/oxidant balance in critical tissues (brain, liver, kidney). Since homocysteine-albumin mixed disulfide is a possible intermediate of thiol-disulfide exchange reactions, we suggest that homocysteinylated albumin could be a new pathological factor, and that studies on the redox role of albumin and mixed disulfide production via thiol-disulfide exchange reactions could offer new therapeutic insights for reducing Hcy toxicity.
Databáze: OpenAIRE