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Circulation. 1989;79:1180-1188

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Circulation, Vol 79, 1180-1188, Copyright © 1989 by American Heart Association


ARTICLES

Prevalence of hyperhomocyst(e)inemia in patients with peripheral arterial occlusive disease

MR Malinow, SS Kang, LM Taylor, PW Wong, B Coull, T Inahara, D Mukerjee, G Sexton and B Upson
Oregon Regional Primate Research Center, Beavertno 97006.

A micromethod adapted for automated determinations was used to measure basal plasma levels of homocyst(e)ine [H(e)]. These levels included the sum of free and bound forms of homocysteine, its disulfide oxidation product, homocystine, and the homocysteine-cysteine-mixed disulfide. Two groups of subjects were studied: apparently healthy individuals (n = 103) and patients with peripheral arterial occlusive disease (PAOD) (n = 47). Because age in PAOD patients was higher than in control subjects, the control subjects were subdivided into younger and older groups (aged 60 years or less and more than 60 years, respectively). The H(e) levels in the younger groups were 11.18 +/- 3.58 (mean +/- SD, expressed as homocysteine) and 8.58 +/- 2.82 nmol/ml in men and women, respectively; in the older groups, the levels were 10.74 +/- 2.16 and 9.04 +/- 2.16 nmol/ml in men and women, respectively. There was a positive correlation of H(e) levels with age in the younger control women (r = 0.373; p less than 0.02); no significant correlations were present in the other three control groups. Levels of H(e) in PAOD patients (15.44 +/- 5.76 and 17.04 +/- 8.26 nmol/ml in men and women, respectively) were significantly higher than those indicated above in the older controls. Next, the PAOD patients were assigned to two subgroups: 1) those with normal levels of H(e) (within two standard deviations of the mean of the control values) and 2) those with elevated levels of H(e). Age, cholesterolemia, and the prevalence of smoking and diabetes were similar in both subgroups. These results suggest that elevated plasma H(e) is an independent risk factor for arterial occlusive disease.


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A. R. Folsom, F. J. Nieto, P. G. McGovern, M. Y. Tsai, M. R. Malinow, J. H. Eckfeldt, D. L. Hess, and C. E. Davis
Prospective Study of Coronary Heart Disease Incidence in Relation to Fasting Total Homocysteine, Related Genetic Polymorphisms, and B Vitamins : The Atherosclerosis Risk in Communities (ARIC) Study
Circulation, July 21, 1998; 98(3): 204 - 210.
[Abstract] [Full Text] [PDF]


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NEJMHome page
M. R. Malinow, P. B. Duell, D. L. Hess, P. H. Anderson, W. D. Kruger, B. E. Phillipson, R. A. Gluckman, P. C. Block, and B. M. Upson
Reduction of Plasma Homocyst(e)ine Levels by Breakfast Cereal Fortified with Folic Acid in Patients with Coronary Heart Disease
N. Engl. J. Med., April 9, 1998; 338(15): 1009 - 1015.
[Abstract] [Full Text] [PDF]


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NEJMHome page
G. N. Welch and J. Loscalzo
Homocysteine and Atherothrombosis
N. Engl. J. Med., April 9, 1998; 338(15): 1042 - 1050.
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CirculationHome page
K. Robinson, K. Arheart, H. Refsum, L. Brattstrom, G. Boers, P. Ueland, P. Rubba, R. Palma-Reis, R. Meleady, L. Daly, et al.
Low Circulating Folate and Vitamin B6 Concentrations : Risk Factors for Stroke, Peripheral Vascular Disease, and Coronary Artery Disease
Circulation, February 10, 1998; 97(5): 437 - 443.
[Abstract] [Full Text] [PDF]


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JAMAHome page
E. B. Rimm, W. C. Willett, F. B. Hu, L. Sampson, G. A. Colditz, J. E. Manson, C. Hennekens, and M. J. Stampfer
Folate and Vitamin B6 From Diet and Supplements in Relation to Risk of Coronary Heart Disease Among Women
JAMA, February 4, 1998; 279(5): 359 - 364.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
S. C. de Jong, C. D. A. Stehouwer, A. J. C. Mackaay, M. van den Berg, E. J. Bulterijs, F. C. Visser, J. Bax, and J. A. Rauwerda
High Prevalence of Hyperhomocysteinemia and Asymptomatic Vascular Disease in Siblings of Young Patients With Vascular Disease and Hyperhomocysteinemia
Arterioscler Thromb Vasc Biol, November 1, 1997; 17(11): 2655 - 2662.
[Abstract] [Full Text]


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Arterioscler. Thromb. Vasc. Bio.Home page
P. N. Hopkins, L. L. Wu, S. C. Hunt, B. C. James, G. M. Vincent, and R. R. Williams
Lipoprotein(a) Interactions With Lipid and Nonlipid Risk Factors in Early Familial Coronary Artery Disease
Arterioscler Thromb Vasc Biol, November 1, 1997; 17(11): 2783 - 2792.
[Abstract] [Full Text]


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Arterioscler. Thromb. Vasc. Bio.Home page
S. R. Lentz, M. R. Malinow, D. J. Piegors, M. Bhopatkar-Teredesai, F. M. Faraci, and D. D. Heistad
Consequences of Hyperhomocyst(e)inemia on Vascular Function in Atherosclerotic Monkeys
Arterioscler Thromb Vasc Biol, November 1, 1997; 17(11): 2930 - 2934.
[Abstract] [Full Text]


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CLIN APPL THROMB HEMOSTHome page
K. Kottke-Marchant, R. Green, D. W. Jacobsen, A. Gupta, S. R. Savon, M. Secic, and K. Robinson
High Plasma Homocysteine: A Risk Factor for Arterial and Venous Thrombosis in Patients with Normal Coagulation Profiles
Clinical and Applied Thrombosis/Hemostasis, October 1, 1997; 3(4): 239 - 244.
[Abstract] [PDF]


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CirculationHome page
S. M. Schwartz, D. S. Siscovick, M. R. Malinow, F. R. Rosendaal, R. K. Beverly, D. L. Hess, B. M. Psaty, W. T. Longstreth Jr, T. D. Koepsell, T. E. Raghunathan, et al.
Myocardial Infarction in Young Women in Relation to Plasma Total Homocysteine, Folate, and a Common Variant in the Methylenetetrahydrofolate Reductase Gene
Circulation, July 15, 1997; 96(2): 412 - 417.
[Abstract] [Full Text]


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J. Biol. Chem.Home page
G. R. Upchurch Jr., G. N. Welch, A. J. Fabian, J. E. Freedman, J. L. Johnson, J. F. Keaney Jr., and J. Loscalzo
Homocyst(e)ine Decreases Bioavailable Nitric Oxide by a Mechanism Involving Glutathione Peroxidase
J. Biol. Chem., July 4, 1997; 272(27): 17012 - 17017.
[Abstract] [Full Text] [PDF]


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BloodHome page
A. D'Angelo and J. Selhub
Homocysteine and Thrombotic Disease
Blood, July 1, 1997; 90(1): 1 - 11.
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Arterioscler. Thromb. Vasc. Bio.Home page
M.R. Malinow, F.J. Nieto, W.D. Kruger, P.B. Duell, D.L. Hess, R.A. Gluckman, P.C. Block, C.R. Holzgang, P.H. Anderson, D. Seltzer, et al.
The Effects of Folic Acid Supplementation on Plasma Total Homocysteine Are Modulated by Multivitamin Use and Methylenetetrahydrofolate Reductase Genotypes
Arterioscler Thromb Vasc Biol, June 1, 1997; 17(6): 1157 - 1162.
[Abstract] [Full Text]


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CirculationHome page
H. Morita, J.-i. Taguchi, H. Kurihara, M. Kitaoka, H. Kaneda, Y. Kurihara, K. Maemura, T. Minamino, M. Ohno, K. Yamaoki, et al.
Genetic Polymorphism of 5,10-Methylenetetrahydrofolate Reductase (MTHFR) as a Risk Factor for Coronary Artery Disease
Circulation, April 15, 1997; 95(8): 2032 - 2036.
[Abstract] [Full Text]


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CirculationHome page
P. M. Ridker, C. H. Hennekens, J. Selhub, J. P. Miletich, M. R. Malinow, and M. J. Stampfer
Interrelation of Hyperhomocyst(e)inemia, Factor V Leiden, and Risk of Future Venous Thromboembolism
Circulation, April 1, 1997; 95(7): 1777 - 1782.
[Abstract] [Full Text]


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CirculationHome page
K. Robinson, A. Gupta, V. Dennis, K. Arheart, D. Chaudhary, R. Green, P. Vigo, E. L. Mayer, J. Selhub, M. Kutner, et al.
Hyperhomocysteinemia Confers an Independent Increased Risk of Atherosclerosis in End-Stage Renal Disease and Is Closely Linked to Plasma Folate and Pyridoxine Concentrations
Circulation, December 1, 1996; 94(11): 2743 - 2748.
[Abstract] [Full Text]


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CirculationHome page
J. Ma, M. J. Stampfer, C. H. Hennekens, P. Frosst, J. Selhub, J. Horsford, M. R. Malinow, W. C. Willett, and R. Rozen
Methylenetetrahydrofolate Reductase Polymorphism, Plasma Folate, Homocysteine, and Risk of Myocardial Infarction in US Physicians
Circulation, November 15, 1996; 94(10): 2410 - 2416.
[Abstract] [Full Text]


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CirculationHome page
B. Lubec, O. Labudova, H. Hoeger, A. Muehl, S. Fang-Kircher, M. Marx, W. Mosgoeller, and J. Gialamas
Homocysteine Increases Cyclin-Dependent Kinase in Aortic Rat Tissue
Circulation, November 15, 1996; 94(10): 2620 - 2625.
[Abstract] [Full Text]


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Arterioscler. Thromb. Vasc. Bio.Home page
F. M.T. Loehrer, C. P. Angst, W. E. Haefeli, P. P. Jordan, R. Ritz, and B. Fowler
Low Whole-Blood S-Adenosylmethionine and Correlation Between 5-Methyltetrahydrofolate and Homocysteine in Coronary Artery Disease
Arterioscler Thromb Vasc Biol, June 1, 1996; 16(6): 727 - 733.
[Abstract] [Full Text]


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VASC ENDOVASCULAR SURGHome page
P. J. Levy, C. A. Hornung, and D. S. Rush
Lower Extremity Amputations in Adults Less Than Forty Years of Age: An Underestimated Risk from Premature Atherosclerosis
Vascular and Endovascular Surgery, January 1, 1996; 30(1): 21 - 27.
[Abstract] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
M. van den Berg, C. D.A. Stehouwer, E. Bierdrager, and J. A. Rauwerda
Plasma Homocysteine and Severity of Atherosclerosis in Young Patients With Lower-Limb Atherosclerotic Disease
Arterioscler Thromb Vasc Biol, January 1, 1996; 16(1): 165 - 171.
[Abstract] [Full Text]


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CirculationHome page
K. Robinson, E. L. Mayer, D. P. Miller, R. Green, F. van Lente, A. Gupta, K. Kottke-Marchant, S. R. Savon, J. Selhub, S. E. Nissen, et al.
Hyperhomocysteinemia and Low Pyridoxal Phosphate : Common and Independent Reversible Risk Factors for Coronary Artery Disease
Circulation, November 15, 1995; 92(10): 2825 - 2830.
[Abstract] [Full Text]


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JAMAHome page
C. J. Boushey, S. A. A. Beresford, G. S. Omenn, and A. G. Motulsky
A Quantitative Assessment of Plasma Homocysteine as a Risk Factor for Vascular Disease: Probable Benefits of Increasing Folic Acid Intakes
JAMA, October 4, 1995; 274(13): 1049 - 1057.
[Abstract] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
P. N. Hopkins, L. L. Wu, J. Wu, S. C. Hunt, B. C. James, G. M. Vincent, and R. R. Williams
Higher Plasma Homocyst(e)ine and Increased Susceptibility to Adverse Effects of Low Folate in Early Familial Coronary Artery Disease
Arterioscler Thromb Vasc Biol, September 1, 1995; 15(9): 1314 - 1320.
[Abstract] [Full Text]


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StrokeHome page
A. Lindgren, L. Brattstrom, B. Norrving, B. Hultberg, A. Andersson, and B. B. Johansson
Plasma Homocysteine in the Acute and Convalescent Phases After Stroke
Stroke, May 1, 1995; 26(5): 795 - 800.
[Abstract] [Full Text]


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CirculationHome page
P. H. Rolland, A. Friggi, A. Barlatier, P. Piquet, V. Latrille, M. M. Faye, J. Guillou, P. Charpiot, H. Bodard, O. Ghiringhelli, et al.
Hyperhomocysteinemia-Induced Vascular Damage in the Minipig : Captopril-Hydrochlorothiazide Combination Prevents Elastic Alterations
Circulation, February 15, 1995; 91(4): 1161 - 1174.
[Abstract] [Full Text]


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Arch NeurolHome page
J. Rio, J. Montalban, M. Tintore, A. Codina, and M. R. Malinow
Serum Homocysteine Levels in Multiple Sclerosis
Arch Neurol, December 1, 1994; 51(12): 1181 - 1181.
[Abstract] [PDF]


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JAMAHome page
M. J. Stampfer, M. R. Malinow, W. C. Willett, L. M. Newcomer, B. Upson, D. Ullmann, P. V. Tishler, and C. H. Hennekens
A Prospective Study of Plasma Homocyst(e)ine and Risk of Myocardial Infarction in US Physicians
JAMA, August 19, 1992; 268(7): 877 - 881.
[Abstract] [PDF]


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Circ. Res.Home page
S. Dayal, T. Bottiglieri, E. Arning, N. Maeda, M. R. Malinow, C. D. Sigmund, D. D. Heistad, F. M. Faraci, and S. R. Lentz
Endothelial Dysfunction and Elevation of S-Adenosylhomocysteine in Cystathionine {beta}-Synthase-Deficient Mice
Circ. Res., June 8, 2001; 88(11): 1203 - 1209.
[Abstract] [Full Text] [PDF]