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Nathan Goodyear

Homocysteine and MTHFR Mutations - 0 views

  • The most common MTHFR mutation is called the MTHFR C677T mutation
  • Another common mutation is called MTHFR A1298C
  • Having only one mutation, ie, being heterozygous, is, from a medical perspective, irrelevant. Even when 2 MTHFR mutations are present (eg, 2 C677T mutations, or one C677T mutation and one A1298C mutation)
  • ...4 more annotations...
  • Although these mutations do impair the regulation of homocysteine, adequate folate levels essentially “cancel out” this defect.
  • Regardless of whether you have an MTHFR mutation in both genes or not, the treatment for elevated homocysteine is the same—dietary intervention and supplementation with folic acid and vitamins B6 and B12
  • Overall, evidence from these studies indicates that, so long as the homocysteine level is normal, MTHFR mutations do not significantly increase the risk of heart attack or stroke
  • Studies investigating the association of MTHFR mutations and venous blood clots have been inconsistent, with some studies showing a slight association, but most studies have not shown any association
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    Good review of MTHFR and homocysteine.
Nathan Goodyear

Homocysteine, folate, methylation, and monoamine metabolism in depression -- Bottiglier... - 0 views

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    elevated homocysteine associated with a 2 x higher incidence of depression versus those with low homocysteine.  Methylation plays a role in depression.
Nathan Goodyear

Decreased Rate of Coronary Restenosis after Lowering of Plasma Homocysteine Levels - NEJM - 0 views

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    lowering homocysteine reduced the rate of coronary restenosis.  A combination of folic acid, Vitamin B12, and Vitamin B6 were used to lower homocysteine.
Nathan Goodyear

Homocysteine Lowering and Cardiovascular Events after Acute Myocardial Infarction - NEJM - 0 views

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    NORVIT trial showed that vitamin B12, B6, and folic acid reduced homocysteine levels by 27%, however it did not lower MI, stroke,or mortality rate.  ONe variable to consider is the polypharmacy of the study group ie.  they were taking statins, beta blockers, diuretics, coumadin... so was the lack of change in mortality the result of polypharmacy?  And was the polypharmacy blocking the increased CVD risks associated with elevated homocysteine that would have been treatable with vitamin B12, B6, and folic acid.
Nathan Goodyear

Plasma Total Homocysteine in Hyper- and Hypothyroid Patients before and durin... - 0 views

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    hypothyroid patients have higher homocysteine levels than hyperthyroid patients; Elevated homocysteine is predictive of cardiovascular disease
Nathan Goodyear

ScienceDirect - American Heart Journal : Plasma total cysteine and total homocysteine a... - 0 views

  • Fasting homocysteine was positively associated with MI risk
  • Fasting plasma concentration of total homocysteine, but not total cysteine, was positively associated with MI risk.
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    homocysteine associated with MI risk
Nathan Goodyear

Plasma Homocysteine as a Risk Factor for Vascular Disease, June 11, 1997, Graham et al.... - 0 views

  • An increased plasma total homocysteine level confers an independent risk of vascular disease similar to that of smoking or hyperlipidemia. It powerfully increases the risk associated with smoking and hypertension. It is time to undertake randomized controlled trials of the effect of vitamins that reduce plasma homocysteine levels on vascular disease risk.
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    homocysteine levels increase vascular disease risk.
Nathan Goodyear

http://joe.endocrinology-journals.org/content/179/1/35.full.pdf - 0 views

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    study finds no correlation between gonadotropin levels, increasing Testosterone levels and homocysteine levels.  The treatment group had significant decline in folic acid and B12 after 6 months of treatment and this correlated with the decline in homocysteine.
Nathan Goodyear

JAMA Network | Archives of Internal Medicine | Plasma Total Homocysteine Level and Bone... - 0 views

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    elevated homocysteine and low folic acid levels associated with decreasing BMD in women.
Nathan Goodyear

Plasma total homocysteine and cardiovascular and noncardiovascular mortality: the Horda... - 0 views

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    conclusion says it all: "homocysteine is a strong predictor of both cardiovascular and non cardiovascular mortality..."
Nathan Goodyear

http://jpmph.org/upload/pdf/jpmph-45-387.pdf - 0 views

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    Blood lead levels correlate with homocysteine levels.  Methylation (B12, Folate, B6) plays a role regulating homocysteine levels as well. 
Nathan Goodyear

Blood Lead Is a Predictor of Homocysteine Levels: Abstract and Introduction - 0 views

  • These results suggest that homocysteine could be a mechanism that underlies the effects of lead on the cardiovascular and central nervous systems, possibly offering new targets for intervention to prevent the long-term consequences of lead exposure
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    Lead, homocysteine, and cardiovascular disease, oh my
Nathan Goodyear

Blood Lead Is a Predictor of Homocysteine Levels in a Population-Based Study of Older A... - 0 views

  • These results suggest that homocysteine could be a mechanism that underlies the effects of lead on the cardiovascular and central nervous systems
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    your elevated homocysteine maybe be just a marker for elevated lead
Nathan Goodyear

Abstract 21277: Homocysteine and Cardiovascular Risk in Low Risk Healthy Adults - An An... - 0 views

  • Homocysteine significantlyimproves risk prediction of cardiovascular events in healthyadults
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    homocysteine found to be helpful in predicting cardiovascular events in healthy adults
Nathan Goodyear

ScienceDirect - Clinical Biochemistry : Correlation between total homocysteine, low-den... - 0 views

  • usefulness of LDL-C, HDL-C and serum total homocysteine as prognostic markers in myocardial infarction patients
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    homocysteine shown to be a good prognostic marker for patients with prior heart attacks
Nathan Goodyear

HOMOCYSTEINE AND CARDIOVASCULAR DISEASE - Annual Review of Medicine, 49(1):31 - 0 views

  • An elevated level of total homocysteine (tHcy) in blood, denoted hyperhomocysteinemia, is emerging as a prevalent and strong risk factor for atherosclerotic vascular disease in the coronary, cerebral, and peripheral vessels, and for arterial and venous thromboembolism
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    elevated homocysteine increases risk for artherosclerosis, cardiovascular disease, and thromboembolism
Nathan Goodyear

Plasma Homocysteine Levels and Mortality in Patients with Coronary Artery Disease - NEJM - 0 views

  • Plasma total homocysteine levels are a strong predictor of mortality in patients with angiographically confirmed coronary artery disease
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    elevated homocysteine strong predictor of mortality
Nathan Goodyear

Homocysteine and cardiovascular disease: evidence on causality from a meta-analysis -- ... - 0 views

  • There were significant associations between homocysteine and the three diseases
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    elevated homocysteine associated with ischemic heart disease, DVT, and stroke
Nathan Goodyear

Homocysteine and Endothelial Dysfunction: A Link with Cardiovascular Disease - 0 views

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    No surprise that homocysteine is associated with vascular dysfunction, when elevated;  But the mechanism is elucidated here through ROS generation.
Nathan Goodyear

IJMS | Free Full-Text | Defective Homocysteine Metabolism: Potential Implications for S... - 0 views

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    very nice review of homocysteine pathways.
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