Circulation Journal Official Journal of the Japanese Circulation Society http://www. j-circ.or.jp aging-related diseases. Particularly, clinical epidemiological studies and studies of telomerase-deficient mice have shown a direct link between telomere shortening and hypertension. 6 In addition, experimental evidence reveals that both elevated Hcy level and hypertension are related to DNA methylation of leukocytes and are associated with the burden of oxidative stress, inflammation, altered elasticity of the vascular wall, and renal function; all key contributors to age-dependent shortening of leukocyte telomere length (LTL). 7 Our previous in vivo and in vitro studies demonstrated that Hcy could promote the recruitment of methylation-sensitive transcription factors to demethylated promoters of atherosclerosis-related genes by reducing DNA methyltransferase 1 activity. 8, 9 The human telomerase reverse transcriptase (hTERT) gene might regulate telomerase activity and maintain telomere length by encoding the catalytic subunit of the telomerase holoenzyme. 5 The hTERT level is tightly regulated by DNA methssential hypertension (EH) is a complex disorder involving approximately one-third of the adult population worldwide. 1,2 Epidemiological studies have documented that aging as well as genetic and environmental factors such as physical inactivity, obesity, high sodium and low potassium diet, and alcohol consumption are associated with the development of hypertension. 3,4 In addition, dysregulated methionine metabolism leading to high plasma homocysteine (Hcy) levels (≥10 mmol/L), known as hyperhomocysteinemia-type EH (HHcy-EH), might play a role. 5 However, the mechanisms underlying HHcy-EH and its adverse complications remain unknown.
Editorial p 1828Telomere dynamics (telomere length and its age-dependent shortening) provide valuable insights into the pathogenesis of Background: Elevated homocysteine (Hcy) levels might play a role in the development of essential hypertension (EH). Telomere dynamics provide valuable insight into the pathogenesis of age-related diseases. The contribution of Hcy to leukocyte telomere length (LTL) shortening in EH and the underlying mechanism was examined.