Hyperhomocysteinemia is believed to be responsible for the development of v
ascular disease via several mechanisms, including the impairment of endothe
lial-cell functionality. In-vitro studies have demonstrated that homocystei
ne decreases the production or bioavailability of vasodilator autacoids, su
ch as prostacyclin and NO. Here, we show that the treatment of human endoth
elial cells with noncytotoxic homocysteine concentrations leads to a dose-d
ependent decrease in both the secretion of the vasoconstrictor agent endoth
elin-1 (ET-1) and the level of its mRNA. Homocysteine had an inhibitory eff
ect at pathophysiological (0.1 and 0.5 mmol.L-1) and pharmacological noncyt
otoxic (1.0 and 2.0 mmol.L-1) concentrations. Mean percentage variation fro
m control for ET-1 production was -36.2 +/- 18.9% for 0.5 mmol.L-1 homocyst
eine and -41.5 +/- 26.8% for 1.0 mmol.L-1 homocysteine, after incubation fo
r 8 h. Mean percentage variation from control for steady-state mRNA was - 1
7.3 +/- 7.1% for 0.5 mmol.L-1 homocysteine and -46.0 +/- 10.1 for 1.0 mmol
. L-1 homocysteine, after an incubation time of 2 h. ET-1 production was al
so reduced by incubation with various other thiol compounds containing free
thiol groups, but not by incubation with thiol compounds with no free thio
l group. Go-incubation of cells with homocysteine and the sulfhydryl inhibi
tor N-ethylmaleimide prevented the effect of homocysteine on ET-1 productio
n, confirming a sulfhydryl-dependent mechanism. Based on the reciprocal fee
dback mechanism controlling the synthesis of vasoactive mediators, these pr
eliminary data suggest a mechanism by which homocysteine may selectively im
pair endothelium-dependent vasodilation by primary inhibition of ET-1 produ
ction.