Low folate levels may be an atherogenic factor regardless of homocysteine levels in young healthy nonsmokers

Abstract Low folate and high homocysteine levels are emerging as important risk factors for atherosclerosis and predictors of early coronary heart disease. We evaluated folate and homocysteine levels, compared them with endothelial function, and analyzed their association with the methylenetetrahydr...

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Veröffentlicht in:Metabolism, clinical and experimental clinical and experimental, 2010-05, Vol.59 (5), p.728-733
Hauptverfasser: Imamura, Akiko, Murakami, Ryuichiro, Takahashi, Ryotaro, Cheng, Xian Wu, Numaguchi, Yasushi, Murohara, Toyoaki, Okumura, Kenji
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container_end_page 733
container_issue 5
container_start_page 728
container_title Metabolism, clinical and experimental
container_volume 59
creator Imamura, Akiko
Murakami, Ryuichiro
Takahashi, Ryotaro
Cheng, Xian Wu
Numaguchi, Yasushi
Murohara, Toyoaki
Okumura, Kenji
description Abstract Low folate and high homocysteine levels are emerging as important risk factors for atherosclerosis and predictors of early coronary heart disease. We evaluated folate and homocysteine levels, compared them with endothelial function, and analyzed their association with the methylenetetrahydrofolate reductase (MTHFR) and endothelial nitric oxide synthase genotypes. We recruited 71 young healthy male nonsmokers without overt cardiovascular or renal disease. Plasma homocysteine levels were enhanced 2-fold in the subjects with the MTHFR 677T/T compared with the others ( P = .0001) and also enhanced in the subjects with the endothelial nitric oxide synthase −786C allele ( P = .031). Homocysteine levels were independently predicted only by the MTHFR genotype. A relationship between folate and homocysteine levels was not significant. Plasma folate levels were associated independently either with high-density lipoprotein cholesterol levels or with endothelial function in the brachial artery. These results suggest that low folate levels may be a risk factor for cardiovascular diseases regardless of homocysteine levels and that the subjects with lower folate levels should be recommended for dietary folic acid supplementation to elevate endothelial function and probably increase high-density lipoprotein cholesterol levels.
doi_str_mv 10.1016/j.metabol.2009.09.017
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We evaluated folate and homocysteine levels, compared them with endothelial function, and analyzed their association with the methylenetetrahydrofolate reductase (MTHFR) and endothelial nitric oxide synthase genotypes. We recruited 71 young healthy male nonsmokers without overt cardiovascular or renal disease. Plasma homocysteine levels were enhanced 2-fold in the subjects with the MTHFR 677T/T compared with the others ( P = .0001) and also enhanced in the subjects with the endothelial nitric oxide synthase −786C allele ( P = .031). Homocysteine levels were independently predicted only by the MTHFR genotype. A relationship between folate and homocysteine levels was not significant. Plasma folate levels were associated independently either with high-density lipoprotein cholesterol levels or with endothelial function in the brachial artery. 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Psychology</topic><topic>Glycated Hemoglobin A - metabolism</topic><topic>Homocysteine - blood</topic><topic>Homocysteine - metabolism</topic><topic>Humans</topic><topic>Insulin - blood</topic><topic>Male</topic><topic>Methylenetetrahydrofolate Reductase (NADPH2) - genetics</topic><topic>Methylenetetrahydrofolate Reductase (NADPH2) - metabolism</topic><topic>Nitric Oxide Synthase Type III - genetics</topic><topic>Nitric Oxide Synthase Type III - metabolism</topic><topic>Polymerase Chain Reaction</topic><topic>Polymorphism, Restriction Fragment Length</topic><topic>Polymorphism, Single Nucleotide</topic><topic>Statistics, Nonparametric</topic><topic>Triglycerides - blood</topic><topic>Ultrasonography, Doppler</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Imamura, Akiko</creatorcontrib><creatorcontrib>Murakami, Ryuichiro</creatorcontrib><creatorcontrib>Takahashi, Ryotaro</creatorcontrib><creatorcontrib>Cheng, Xian Wu</creatorcontrib><creatorcontrib>Numaguchi, Yasushi</creatorcontrib><creatorcontrib>Murohara, Toyoaki</creatorcontrib><creatorcontrib>Okumura, Kenji</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Metabolism, clinical and experimental</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Imamura, Akiko</au><au>Murakami, Ryuichiro</au><au>Takahashi, Ryotaro</au><au>Cheng, Xian Wu</au><au>Numaguchi, Yasushi</au><au>Murohara, Toyoaki</au><au>Okumura, Kenji</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Low folate levels may be an atherogenic factor regardless of homocysteine levels in young healthy nonsmokers</atitle><jtitle>Metabolism, clinical and experimental</jtitle><addtitle>Metabolism</addtitle><date>2010-05-01</date><risdate>2010</risdate><volume>59</volume><issue>5</issue><spage>728</spage><epage>733</epage><pages>728-733</pages><issn>0026-0495</issn><eissn>1532-8600</eissn><abstract>Abstract Low folate and high homocysteine levels are emerging as important risk factors for atherosclerosis and predictors of early coronary heart disease. We evaluated folate and homocysteine levels, compared them with endothelial function, and analyzed their association with the methylenetetrahydrofolate reductase (MTHFR) and endothelial nitric oxide synthase genotypes. We recruited 71 young healthy male nonsmokers without overt cardiovascular or renal disease. Plasma homocysteine levels were enhanced 2-fold in the subjects with the MTHFR 677T/T compared with the others ( P = .0001) and also enhanced in the subjects with the endothelial nitric oxide synthase −786C allele ( P = .031). Homocysteine levels were independently predicted only by the MTHFR genotype. A relationship between folate and homocysteine levels was not significant. Plasma folate levels were associated independently either with high-density lipoprotein cholesterol levels or with endothelial function in the brachial artery. These results suggest that low folate levels may be a risk factor for cardiovascular diseases regardless of homocysteine levels and that the subjects with lower folate levels should be recommended for dietary folic acid supplementation to elevate endothelial function and probably increase high-density lipoprotein cholesterol levels.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>19913857</pmid><doi>10.1016/j.metabol.2009.09.017</doi><tpages>6</tpages></addata></record>
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source MEDLINE; Elsevier ScienceDirect Journals Complete
subjects Adult
Atherosclerosis - blood
Atherosclerosis - diagnostic imaging
Atherosclerosis - metabolism
Biological and medical sciences
Blood Glucose - metabolism
Brachial Artery - diagnostic imaging
Brachial Artery - metabolism
Cholesterol - blood
DNA - chemistry
DNA - genetics
Endocrinology & Metabolism
Endothelium, Vascular - diagnostic imaging
Endothelium, Vascular - enzymology
Endothelium, Vascular - metabolism
Feeding. Feeding behavior
Folic Acid - blood
Folic Acid - metabolism
Fundamental and applied biological sciences. Psychology
Glycated Hemoglobin A - metabolism
Homocysteine - blood
Homocysteine - metabolism
Humans
Insulin - blood
Male
Methylenetetrahydrofolate Reductase (NADPH2) - genetics
Methylenetetrahydrofolate Reductase (NADPH2) - metabolism
Nitric Oxide Synthase Type III - genetics
Nitric Oxide Synthase Type III - metabolism
Polymerase Chain Reaction
Polymorphism, Restriction Fragment Length
Polymorphism, Single Nucleotide
Statistics, Nonparametric
Triglycerides - blood
Ultrasonography, Doppler
Vertebrates: anatomy and physiology, studies on body, several organs or systems
title Low folate levels may be an atherogenic factor regardless of homocysteine levels in young healthy nonsmokers
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