For more than 30 years, we reported that experimental atherosclerosis similar to that of human beings was produced in monkeys by Vitamin B6 deprived diet. However, as the effect of Vitamin B6 on forming atherosclerotic lesion was not obvious, we examined the effect of Vitamin B6 and its antagonists on the cultured endothelial cells from fetal bovine aorta. The patients with homocystinuria, who lack the activity of cystathione synthetase which needs Vitamin B6 as a cofactor, have the tendency to suffer from atherosclerosis in their early life. So it was considered that the impairment of sulfurcontaining amino acid metabolism might play a role in the formation of atherosclerosis in monkeys fed on Vitamin B6 deprived diet. Because the patients with cystathionine synthetase deficiency had homocysteine in their blood at higher concentrations, we also studied the effect of homocysteine and its precursor, S-adenosyl-1-homocysteine.We evaluated the effect of the above substances on the cultured endothelial cells with cell detachment assay by modifying the method of Harker et al. When seeded endothelial cells became confluent in 24 multiwell plate (Corning 25820), test media were added. After 24-hour incubation, each well was washed with PBS and still-adherent cells were counted. Results were expressed as percent detachment compared to control: % Detachment =(Control—Test)/Control×100.We used isoniazid and deoxypyridoxine as Vitamin B6 antagonists. When isoniazid was added, the results were 27.2±1.7%, 49.4±5.7%, 52.8±3.5% at concentration 1mM, 2.5mM, 5mM, respectively. When deoxypyridoxine was added, the results were 12.3±8.3%, 25.4±7.0%, 41.9±2.7% at concentration 0.5mM, 1mM, 2.5mM, respectively. On the other hand, we used pyriodoxal phosphate, active form of Vitamin B6, and pyridoxal HCl as Vitamin B6. When pyridoxal phosphate was added, the results were 0.9±3.6%, 4.4±2.5%, 8.1±2.2% at concentration 0.01mM, 0.1mM, 1mM, respectively. When pyridoxal HCl was added, the results were 7.5±1.5%, 11.7±4.1%, 18.9±2.6% at concentration 0.01mM, 0.1mM, 1mM, respectively. Also sulfur containing amino acids, DL-homocysteine and S-adenosyl-1-homocysteine was tested. When DL-homocysteine was added, the results were 2.8±6.4%, 19.0±6.3%, 16.5±6.3% at concentration 0.5mM, 1mM, 2mM, respectively. When S-adenosyl-1-homo-cysteine was added, the results were 24.2±9.1%, 32.9±7.3%, 33.2±8.1% at concentration 0.5mM, 1mM, 2mM, respectively.The role of Vitamin B6 deficiency in the formation of atherosclerosis is not clear in this study, which uses endothelial cells alone in vitro. However, it was interesting that Vitamin B6 itself, as well as its antagonists, had endothelial detaching potential, although tested drug concentrations had to be taken into consideration. It was supposed that the atherosclerosis may be caused by the impairment of multiple factors, for example, not only endothelial cells but also smooth muscle cells, platelets, coagulants and their interactions in vivo. Vitamin B6 depletion may also take part in the formation of atherosclerosis by influencing many factors but many problems regarding these mechanisms still remain to be clarified.
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