Abstract
The body’s defence mechanisms are specific for each aberration in its metabolism. These function to compensate the aberration in the initial stages till the body metabolism corrects itself. When the metabolic changes cannot be compensated, pathophysiology results.
Hydrogen sulphide (H2S) is the downstream by-product of homocysteine metabolism by the transsulfuration pathway. It is the body’s defence against homocysteinemia-induced pathophysiology.
H2S is a gasotransmitter which has been shown to function as an endogenous signalling molecule which regulates a variety of physiological processes including cellular oxidative stress (especially in the blood vessel walls and renal tissue), smooth muscle relaxation (blood vessel wall and intestines), collagen synthesis and neuromodulation. It helps the body to sustain mitochondrial ATP generation in the hypoxic state as well. Thus, in the initial stages, it counters homocysteinemia-induced pathophysiology by several pathways, consequently attenuating the effects on vasculature, the brain and renal tissue especially.
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Bhargava, S. (2018). Hydrogen Sulphide: The Body’s Inherent Defence Against Homocysteinemia. In: The Clinical Application of Homocysteine. Springer, Singapore. https://doi.org/10.1007/978-981-10-7632-9_10
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DOI: https://doi.org/10.1007/978-981-10-7632-9_10
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