We reported previously that homocysteine (Hcy) inhibits endothelial cell (EC) growth by transcriptional inhibition of the cyclin A gene via a hypomethylationrelated mechanism. In this study, we examined the effect of Hcy on epigenetic modification of the cyclin A gene and its biologic role in human ECs. Cyclin A mRNA levels were significantly suppressed by Hcy and a DNA methyltransferase inhibitor. The cyclin A promoter contains a CpG island spanning a 477-bp region (؊277/200). Bisulfite sequencing followed by polymerase chain reaction (PCR) amplification of the cyclin A promoter (؊267/37) showed that Hcy eliminated methylation at 2 CpG sites in the cyclin A promoter, one of which is located on the cycle-dependent element (CDE). Mutation of CG sequence on the CDE leads to a 6-fold increase in promoter activity. Hcy
IntroductionHyperhomocysteinemia (HHcy) is an independent risk factor for cardiovascular disease (CVD), but the underlying mechanisms remain unclear. Although numerous studies have established that homocysteine (Hcy) has atherogenic effects on cultured vascular cells and in animal models of HHcy, the biochemical basis by which HHcy contributes to arteriosclerosis remains largely undefined.We initially proposed hypomethylation as a specific biochemical mechanism by which Hcy induces vascular injury. 1,2 Hcy can use adenosine, a normal constituent of all body fluids, to form S-adenosyl-homocysteine (SAH), a potent inhibitor of cellular methylation. We have demonstrated that Hcy, but not cysteine, arrested cell growth and increased cellular SAH concentration in endothelial cells (ECs), but not in vascular smooth muscle cells (VSMCs). 3 The hypomethylation hypothesis is supported by clinical studies showing that elevated Hcy levels in patients are linked to increased SAH and impaired erythrocyte membrane protein methylation, 4 and by animal studies showing that cystathionine -synthase (CBS)-deficient mice have increased SAH levels and decreased DNA methylation. 5,6 Because damage to and impaired regeneration of ECs is a key feature of arteriosclerosis, growth inhibition of ECs may represent an important mechanism by which Hcy induces atherosclerosis.Our recent work suggested that the cyclin A gene is an important molecular target that mediates Hcy-induced EC growth inhibition. 7 Cyclin A (also named cyclin A2 as opposed to the male germ cell-specific cyclin A1) promotes both G1/S and G2/M transitions of the cell cycle in somatic cells. Cyclin A is expressed in late G1 and throughout S phase, and is controlled mainly at the transcriptional level. We have shown that the cyclin A gene is differentially regulated at a transcriptional level by Hcy in vascular cells. In ECs, clinically relevant concentrations of Hcy (10-50 M) arrested the cell cycle at G1/S transition via cyclinAtranscriptional inhibition. 7 In contrast, a supraphysiological concentration of Hcy (1 mM) activated cyclin A and promoted cell proliferation of VSMCs. 8 Because cyclin A transcriptional inhibition by Hcy is associated with SAH accum...