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Homocitrulline is an amino acid and a product of carbamylation, a post-translational modification of proteins and amino acids.1,2 It is formed by the adduction of isocyanic acid, a product of urea degradation or thiocyanate oxidation induced by myeloperoxidase (MPO), to the ε-amino group of lysine residues.2 Protein-bound homocitrulline levels are increased in the aortas of transgenic Ldlr-/- mice expressing human MPO fed a high-fat atherogenic diet.3 Intra-articular injection of homocitrulline-containing peptides induce the development of arthritis in mice.4 Homocitrulline-containing peptide and anti-homocitrulline antibody levels are increased in whole blood from patients with erosive rheumatoid arthritis compared to patients with non-erosive rheumatoid arthritis.
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1. Autoantibodies recognizing carbamylated proteins are present in sera of patients with rheumatoid arthritis and predict joint damage. Proc. Natl. Acad. Sci. USA 108(42), 17372-17377 (2011).
2. Protein carbamylation and cardiovascular disease. Kidney Int. 88(3), 474-478 (2015).
3. Protein carbamylation links inflammation, smoking, uremia and atherogenesis. Nat. Med. 13(1), 1176-1184 (2007).
4. Carbamylation-