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Hypothetical Molecular Mechanisms Underlying Hyperhomocysteinemia-Mediated Vascular Disorders Hyperhomocysteinemia-Mediated Oxidant Stress through Imbalanced Thiol Redox Status Numerous studies indicate that oxidant stress plays a role in the development of occlusive atherosclerotic lesions that are observed primarily in homozygotes for the CBS defect (McCully, 1983) and later in experimental hyperhomocysteinemia

Fox CK, Kaizer AM, Rudser KD, Nathan BM, Gross AC, Sunni M, et al

doi: 10.1016/j.metabol.2020.154334 267

10.1016/j.tig.2018.09.004 Trends Genet

Reverse research inducing cirrhosis in mice showed that cirrhosis leads to dysfunction of the intestinal barrier, and found that FXR agonists can ameliorate the translocation of gut bacteria to the liver by restoring the integrity of the gut-vascular barrier (Sorribas et al., 2019)