Since moderate hyperhomocysteinemia is an independent risk factor for vascu
lar disease by mean of its oxidant effect and glutathione plays a main role
as intracellular redox-regulating agent, we have studied for the first tim
e the total intracellular content of homocysteine in aging. Plasma homocyst
eine concentration, total intracellular and plasma glutathione, and other r
elated thiol compounds such as cysteine and the glutathione catabolite cyst
einglycine were also studied, Forty three healthy elderly subjects and twen
ty seven healthy young ones were studied. The total intracellular periphera
l blood mononuclear cell content was higher for homocysteine, cysteine and
cysteinglycine, whereas that of the total glutathione was greatly decreased
in elderly people with respect to young ones. Elderly subjects showed sign
ificantly higher levels than young ones of total plasma homocysteine and cy
steinglycine, but not cysteine, whereas total plasma glutathione levels wer
e increased. In addition, elderly subjects showed significantly decreased p
lasma vitamin E levels and increased concentrations of serum lipid peroxide
s measured as TEARS (reaction product of malondialdehyde with thiobarbituri
c acid). The intracellular glutathione content presented significantly nega
tive correlation with serum TEARS, and intracellular and plasma homocystein
e levels, These findings show an increase of homocysteine synthesis associa
ted with aging, which in turn can produce an augmented oxidant effect on en
dothelium, and an impaired intracellular antioxidant capacity leading to an
enhanced lipid peroxidation and decreased total intracellular glutathione
content. (C) 2000 Elsevier Science Inc, All rights reserved.