Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2001-1-4
pubmed:abstractText
Hyperhomocysteinemia has been associated with premature atherothrombotic vascular disease. It is not known whether hyperhomocysteinemia induces a distinct type of vascular disease. Its interaction, if any, with traditional risk factors also remains unclear. The pathophysiological mechanisms linking hyperhomocysteinemia to vascular disease have been extensively studied in vitro and in animals. From these studies, it has been suggested that homocysteine limits the bioavailability of nitric oxide (NO), increases oxidative stress, stimulates smooth cell proliferation, and alters elastic wall properties. The relevance of these proposed mechanisms in vivo is unclear, because clinical studies have yielded controversial results with regard to the relation between plasma homocysteine levels and indices of endothelial function, such as brachial artery flow-mediated vasodilatation and plasma levels of endothelium-derived marker proteins. Up till now, there have been no controlled data on the effects of homocysteine-lowering treatment on vascular function or clinical end points. The precise mechanisms (if any) by which homocysteine mediates its adverse vascular effects are in fact unknown but may relate to impaired endothelial and smooth muscle cell function.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
0094-6176
pubmed:author
pubmed:issnType
Print
pubmed:volume
26
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
281-9
pubmed:dateRevised
2006-3-7
pubmed:meshHeading
pubmed-meshheading:11011845-Adult, pubmed-meshheading:11011845-Animals, pubmed-meshheading:11011845-Arteriosclerosis, pubmed-meshheading:11011845-Biological Markers, pubmed-meshheading:11011845-Blood Vessels, pubmed-meshheading:11011845-Cardiovascular Diseases, pubmed-meshheading:11011845-Carotid Stenosis, pubmed-meshheading:11011845-Child, pubmed-meshheading:11011845-Comorbidity, pubmed-meshheading:11011845-Coronary Angiography, pubmed-meshheading:11011845-Endothelium, Vascular, pubmed-meshheading:11011845-Female, pubmed-meshheading:11011845-Genetic Predisposition to Disease, pubmed-meshheading:11011845-Genotype, pubmed-meshheading:11011845-Homocystinuria, pubmed-meshheading:11011845-Humans, pubmed-meshheading:11011845-Hyperhomocysteinemia, pubmed-meshheading:11011845-Hyperplasia, pubmed-meshheading:11011845-Hypertension, pubmed-meshheading:11011845-Kidney Failure, Chronic, pubmed-meshheading:11011845-Male, pubmed-meshheading:11011845-Methionine, pubmed-meshheading:11011845-Middle Aged, pubmed-meshheading:11011845-Muscle, Smooth, Vascular, pubmed-meshheading:11011845-Nitric Oxide, pubmed-meshheading:11011845-Oxidative Stress, pubmed-meshheading:11011845-Prevalence, pubmed-meshheading:11011845-Rabbits, pubmed-meshheading:11011845-Rats, pubmed-meshheading:11011845-Vasodilation
pubmed:year
2000
pubmed:articleTitle
Hyperhomocysteinemia, vascular pathology, and endothelial dysfunction.
pubmed:affiliation
Department of Internal Medicine, University Hospital and Institute for Cardiovascular Research Vrije Universiteit, Amsterdam, The Netherlands. CDA.stehouwer@azvu.nl
pubmed:publicationType
Journal Article, Review