“…High levels of homocysteine can induce oxidative stress, inflammation, ER stress, and epigenetic changes, cause endothelial dysfunction (Lai & Kan, ) and vascular smooth muscle cell dysplasia (Luo et al, ), and accelerate thrombosis (Dionisio, Jardin, Salido, & Rosado, ) and foam cell formation (Chernyavskiy, Veeranki, Sen, & Tyagi, ), thus promoting atherogenesis. Although some studies have shown that folic acid supplementation reduced atherosclerotic plaque size in ApoE‐knockout mice (Cui et al, ) or LDL receptor‐knockout mice (Pan et al, ), it did not reduce early atherosclerosis with HHcy in humans (Cacciapuoti, ). H 2 S donors per se can decrease atherosclerosis.…”