Original Articles
Physiologic concentrations of homocysteine inhibit the human plasma GSH peroxidase that reduces organic hydroperoxides,☆☆

https://doi.org/10.1067/mlc.2000.107692Get rights and content

Abstract

The plasma reduced glutathione (GSH) selenoperoxidase is a highly conserved enzyme. Furthermore, a small clinical study reported that patients with severe atherosclerosis had low peroxidase activities. Together these observations suggest that the peroxidase is important in preventing atherosclerosis. Yet others have reported that when the assay was run in Tris buffer, it was inactive with the concentrations of GSH found in the plasma. Second, it is known that hyperhomocysteinemia increases the rate of atherogenesis. Because there is some homology between homocysteine and the cysteine in GSH, the question is whether the hyperhomocysteinemia effect may be due to inhibition of the peroxidase. We purified the peroxidase from human plasma and determined its activity by a coupled spectrophotometric assay and a substrate disappearance chemiluminescence assay. When the peroxidase activity was determined in phosphate-buffered saline solution (PBS), there was significant activity with the reported plasma GSH concentrations (5 to 20 μmol/L). The peroxidase was exclusively in the HDL fraction. There was no correlation between the peroxidase activity and the HDL or LDL cholesterol concentrations. Finally, at physiologic concentrations of GSH (9 μmol/L), the peroxidase was inhibited by physiologic, free homocysteine concentrations (1 to 5 μmol/L). These data suggest that the peroxidase is active in vivo and may be important in protecting the endothelium from atherosclerosis by preventing oxidant injury. The homocysteine inhibition of the peroxidase suggests a possible biochemical basis for the observed association between hyperhomocysteinemia and cardiovascular disease. Our studies imply that low concentrations of this peroxidase may be an independent risk factor for atherosclerosis. (J Lab Clin Med 2000;136:58-65)

Section snippets

Materials

SDS, acrylamide, tert -butyl hydroperoxide, and GSH were purchased from Sigma Chemical Co, St Louis, MO. All other chemicals were ACS reagent grade.

Determination of GSH peroxidase activity

Peroxidase activity was determined by two independent methods. In the first we utilized a coupled, kinetic, spectrophotometric assay in which the incubation mixture (0.7 mL) containing PBS (pH 7.6), NADPH (1 mmol/L), GSH (4.5 μmol/L to 1 mmol/L), GSH reductase (3.0 U/mL), and tert -butyl hydroperoxide (400 μmol/L) were preincubated for 10 minutes at

Results

The purified plasma enzyme used in these studies was homogeneous as determined by silver stained, SDS-PAGE gels (Fig 1).

. Silver stain of the purified plasma GSH peroxidase. Channels 1 and 2 represent the native gel of purified peroxidase; channels 3 and 4 represent the reduced gel.

The peroxidase is a tetramer in nondenaturing gels, with a Mr of 88 kd (Fig 1, channels 1 and 2 ), while in a denaturing gel it migrates as a monomer with a Mr of 22 kd (Fig 1; channels 3 and 4 ). Seven tryptic

Discussion

We feel that these data indicate two new and important points. The first is that this peroxidase does show significant enzymatic activity with the concentrations of GSH that have been reported to be in the plasma. This would indicate, contrary to the studies of Bjornstedt et al,25 that it is not necessary to postulate an alternative source of reducing equivalents to catalyze the peroxidase activity.

Second, we feel that the most important finding in these studies is that high physiologic plasma

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    Supported in part by the General Medical Research Service of the Department of Veterans Affairs and by a grant from the Minnesota Affiliate of the American Heart Association.

    ☆☆

    Reprint requests: Jordan L. Holtzman, MD, PhD, Chief, Section on Therapeutics (111T), Veterans Affairs Medical Center, One Veterans Drive, Minneapolis, MN 55417.

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