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Review

Hyperhomocysteinemia and Cardiovascular Disease: Is the Adenosinergic System the Missing Link?

1
C2VN, INSERM, INRAE, Aix-Marseille University, F-13005 Marseille, France
2
Department of Cardiology, North Hospital, F-13015 Marseille, France
3
Laboratory of Biochemistry, Timone Hospital, F-13005 Marseille, France
4
Department of Cardiology, Timone Hospital, F-13005 Marseille, France
*
Author to whom correspondence should be addressed.
These authors contributed equally to this work.
Int. J. Mol. Sci. 2021, 22(4), 1690; https://doi.org/10.3390/ijms22041690
Submission received: 14 January 2021 / Revised: 30 January 2021 / Accepted: 4 February 2021 / Published: 8 February 2021

Abstract

The influence of hyperhomocysteinemia (HHCy) on cardiovascular disease (CVD) remains unclear. HHCy is associated with inflammation and atherosclerosis, and it is an independent risk factor for CVD, stroke and myocardial infarction. However, homocysteine (HCy)-lowering therapy does not affect the inflammatory state of CVD patients, and it has little influence on cardiovascular risk. The HCy degradation product hydrogen sulfide (H2S) is a cardioprotector. Previous research proposed a positive role of H2S in the cardiovascular system, and we discuss some recent data suggesting that HHCy worsens CVD by increasing the production of H2S, which decreases the expression of adenosine A2A receptors on the surface of immune and cardiovascular cells to cause inflammation and ischemia, respectively.
Keywords: adenosine; adenosine A2A receptors; cardiovascular disease; hydrogen sulfide; hyperhomocysteinemia adenosine; adenosine A2A receptors; cardiovascular disease; hydrogen sulfide; hyperhomocysteinemia

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MDPI and ACS Style

Paganelli, F.; Mottola, G.; Fromonot, J.; Marlinge, M.; Deharo, P.; Guieu, R.; Ruf, J. Hyperhomocysteinemia and Cardiovascular Disease: Is the Adenosinergic System the Missing Link? Int. J. Mol. Sci. 2021, 22, 1690. https://doi.org/10.3390/ijms22041690

AMA Style

Paganelli F, Mottola G, Fromonot J, Marlinge M, Deharo P, Guieu R, Ruf J. Hyperhomocysteinemia and Cardiovascular Disease: Is the Adenosinergic System the Missing Link? International Journal of Molecular Sciences. 2021; 22(4):1690. https://doi.org/10.3390/ijms22041690

Chicago/Turabian Style

Paganelli, Franck, Giovanna Mottola, Julien Fromonot, Marion Marlinge, Pierre Deharo, Régis Guieu, and Jean Ruf. 2021. "Hyperhomocysteinemia and Cardiovascular Disease: Is the Adenosinergic System the Missing Link?" International Journal of Molecular Sciences 22, no. 4: 1690. https://doi.org/10.3390/ijms22041690

APA Style

Paganelli, F., Mottola, G., Fromonot, J., Marlinge, M., Deharo, P., Guieu, R., & Ruf, J. (2021). Hyperhomocysteinemia and Cardiovascular Disease: Is the Adenosinergic System the Missing Link? International Journal of Molecular Sciences, 22(4), 1690. https://doi.org/10.3390/ijms22041690

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