- Homocysteine-dependent alterations in mitochondrial gene expression, function and structure. Homocysteine and H2O2 act synergistically to enhance mitochondrial damage. Austin, R.C., Sood, S.K., Dorward, A.M., Singh, G., Shaughnessy, S.G., Pamidi, S., Outinen, P.A., Weitz, J.I. J. Biol. Chem. (1998)