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. 2011 Oct 1;15(7):1927–1943. doi: 10.1089/ars.2010.3721

Table 2.

Mechanisms of Hyperhomocysteinemia-Induced Pathogenesis

Molecular effects of HHcy Cellular effects of HHcy
Decreased NO production Endothelial dysfunction
Decreased NO bioavailability Impaired EC vasorelaxation
Oxidative stress Mitochondrial damage
Lipid peroxidation SMC proliferation
Coagulation ECM degradation
Clotting DNA and RNA damage
Inflammation Apoptosis

HHcy, hyperhomocysteinemia; NO, nitric oxide; EC, endothelial cell; SMC, smooth muscle cell; ECM, extracellular matrix.