2003
DOI: 10.1046/j.1523-1755.63.s84.33.x
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Possible mechanisms of homocysteine toxicity

Abstract: Hyperhomocysteinemia is a risk factor for cardiovascular disease in the general population. In chronic renal failure (CRF), plasma homocysteine levels rise when the glomerular filtration rate (GFR) is reduced 50%, and in uremia the majority of patients are hyperhomocysteinemic. The purpose of this study was to review possible mechanisms of homocysteine toxicity. Homocysteine, a sulfur amino acid found in blood in micromolar concentrations, can have toxic effects through a handful of general possible mechanisms… Show more

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Cited by 110 publications
(93 citation statements)
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“…6 How homocysteine may produce its ill effects is unclear, but elevated concentrations may induce endothelial dysfunction or abnormalities of coagulation factors and platelets. 7 In normal subjects, homocysteine concentrations may be lowered easily by using folic acid. This B vitamin is converted into 5-methyltetrahydrofolate, which donates a methyl group to homocysteine and reconstitutes the methionine from which homocysteine has been derived.…”
Section: See P 369mentioning
confidence: 99%
“…6 How homocysteine may produce its ill effects is unclear, but elevated concentrations may induce endothelial dysfunction or abnormalities of coagulation factors and platelets. 7 In normal subjects, homocysteine concentrations may be lowered easily by using folic acid. This B vitamin is converted into 5-methyltetrahydrofolate, which donates a methyl group to homocysteine and reconstitutes the methionine from which homocysteine has been derived.…”
Section: See P 369mentioning
confidence: 99%
“…Severe hyperhomocysteinemia, on the other hand, is prevalently found in patients with rare genetic disorders or renal impairment [1][2][3][4]. In any case, total plasma homocysteine (Hcy) can be considered an effective marker of cardiovascular disease.…”
Section: Introductionmentioning
confidence: 99%
“…3 Most recently, we have reported that increases in plasma homocysteine (Hcys) levels resulted in proteinuria and glomerulosclerosis in Sprague Dawley rats, and hHcys participated in the development of arterial and glomerular sclerosis in Dahl salt-sensitive hypertensive (SS) rats. 4 However, the mechanisms leading to increases in plasma Hcys levels in SS rats remain unknown.…”
mentioning
confidence: 99%