Medical References

Patients with elevated homocysteine levels and cardiovascular disease have a distinct nutritional need for folate, vitamin B6 and vitamin B12. The following are published studies regarding the relationship between elevated homocysteine levels and increased cardiovascular risk.


MTHFR C––> T Polymorphism


Common Mutation in Methylenetetrahydrofolate Reductase
Authors Deloughery, Thomas G., et al.
Publication Circulation 1996; 94:3074-3078
Study Abstract Download PDF (35k)
Homocysteine and cardiovascular disease: evidence on causality from a meta-analysis
Authors Wald, David S, et al.
Publication BMJ 2002;325:1202
Study Abstract Download PDF
MTHFR 677C––< T Polymorphism and Risk of Coronary Heart Disease
Authors Klerk M, et al.
Publication JAMA 2002;288:2023-2030
Study Abstract Download PDF

Bioavailability


Pharmacokinetic study on the utilisation of 5-methyltetrahydrofolate and folic acid in patients with coronary artery disease
Authors Willems, Frank F., et al.
Publication BMJ 2004; 141:825-830.
Study Abstract Download PDF

Homocysteine & Cardiovascular Disease


Decrease of carotid intima-media thickness in patients at risk to cerebral ischemia after supplementation with folic acid, Vitamin B6 and B12
Authors Till U, etal.
Publication Atherosclerosis 2005;181:131-135
Study Abstract Download PDF
Cost-effectiveness of vitamin therapy to lower plasma homocysteine levels for the prevention of coronary heart disease: effect of grain fortification and beyond
Authors Tice JA, Ross E, Coxson PG, Rosenberg I, Weinstein MC, Hunink MG, Goldman PA, Williams L, Goldman L
Publication JAMA. 2001 Aug 22-29; 286(8) : 936-43
Study Abstract Download PDF
Homocyst(e)ine and cardiovascular disease: a critical review of the epidemiologic evidence
Authors Eikelboom JW, Lonn E, Genest J Jr, Hankey G, Yusuf S
Publication Ann Intern Med. 1999 Sep 7; 131(5) : 363-75
Study Abstract Download PDF
Plasma Homocysteine Levels and Mortality in Patients with Coronary Artery Disease
Authors Ottar Nygrd, M.D., Jan Erik Nordrehaug, M.D., Helga Refsum, M.D., Per Magne Ueland, M.D., Mikael Farstad, M.D., and Stein Emil Vollset, M.D., Dr.P.H
Publication N Engl J Med. 1997 Nov 27;337(22):1631-2; author reply 1632-3
Study Abstract Download PDF
Plasma total homocysteine levels and prognosis in patients with previous premature myocardial infarction
Authors Retterstol L, Paus B, Bohn M, Bakken A, Erikssen J, Malinow MR, Berg K.
Publication J Intern Med. 2003 Mar; 253(3) : 284-92
Study Abstract Download PDF
What level of plasma homocyst(e)ine should be treated? Effects of vitamin therapy on progression of carotid atherosclerosis in patients with homocyst(e)ine levels above and below 14 -+?mol/L
Authors Hackam DG, Peterson JC, Spence JD
Publication Am J Hypertens. 2000 Jan;13(1 Pt 1):105-10
Study Abstract Download PDF

Homocysteine & Diabetes


Factors Influencing Plasma Homocysteine Levels in Type 2 Diabetes
Authors Passaro A, D.Elia K, Pareschi P, Calzoni F, Carantoni M, Fellin R, Solini A
Publication Diabetes Care, 2000 March; 23(3): 420-421
Study Abstract Download PDF
Homocysteine: an aetiological contributor to peripheral vascular arterial disease
Authors Kuan YM, E Dear A, Grigg MJ
Publication ANZ J Surg. 2002 Sep; 72(9):668-71
Study Abstract Download PDF
Homocysteine and blood pressure in the Third National Health and Nutrition Examination Survey, 1988-1994
Authors Lim U, Cassano PA
Publication Am J Epidemiol. 2002 Dec 15; 156(12):1105-13
Study Abstract Download PDF
Homocysteine and cardiovascular disease: evidence on causality from a meta-analysis
Authors Wald DS, Law M, Morris JK
Publication BMJ. 2002 Nov 23;325(7374):1202
Study Abstract Download PDF
Homocysteine and cardiovascular disease in diabetes mellitus
Authors Audelin MC, Genest J Jr.
Publication Atherosclerosis. 2001 Dec; 159(2):497-511M
Study Abstract Download PDF
Hyperhomocysteinaemia is associated with coronary events in type 2 diabetes
Authors Becker A, Kostense PJ, Bos G, Heine RJ, Dekker JM, Nijpels G, Bouter LM, Stehouwer CD
Publication J Intern Med. 2003 Mar; 253(3):293-300
Study Abstract Download PDF
Hyperhomocysteinemia increases risk of death, especially in type 2 diabetes: 5-year follow-up of the Hoorn Study
Authors Hoogeveen EK, Kostense PJ, Jakobs C, Dekker JM, Nijpels G, Heine RJ, Bouter LM, Stehouwer CD
Publication Circulation. 2000 Apr 4;101(13):1506-11
Study Abstract Download PDF
Hyperhomocysteinemia is associated with an increased risk of cardiovascular disease, especially in non-insulin-dependent diabetes mellitus: a population-based study
Authors Hoogeveen EK, Kostense PJ, Beks PJ, Mackaay AJ, Jakobs C, Bouter LM, Heine RJ, Stehouwer CD
Publication Arterioscler Thromb Vasc Biol. 1998 Jan; 18(1):133-8
Study Abstract Download PDF
Hyperhomocysteinemia is associated with the presence of retinopathy in type 2 diabetes mellitus: the Hoorn study
Authors Hoogeveen EK, Kostense PJ, Eysink PE, Polak BC, Beks PJ, Jakobs C, Dekker JM, Nijpels G, Heine RJ, Bouter LM, Stehouwer CD
Publication Arch Intern Med. 2000 Oct 23; 160(19):2984-90
Study Abstract Download PDF
Impact of insulin resistance and nephropathy on homocysteine in type 2 diabetes
Authors Emoto M, Kanda H, Shoji T, Kawagishi T, Komatsu M, Mori K, Tahara H, Ishimura E, Inaba M, Okuno Y, Nishizawa Y
Publication Diabetes Care. 2001 Mar; 24(3):533-8
Study Abstract Download PDF
Impaired NO-dependent vasodilation in patients with Type II (non-insulin-dependent) diabetes mellitus is restored by acute administration of folate
Authors van Etten RW, de Koning EJ, Verhaar MC, Gaillard CA, Rabelink TJ
Publication Diabetologia. 2002 Jul; 45(7):1004-10
Study Abstract Download PDF
Relation between homocysteinaemia and diabetic neuropathy in patients with Type 2 diabetes mellitus
Authors Ambrosch A, Dierkes J, Lobmann R, Kuhne W, Konig W, Luley C, Lehnert H
Publication Diabet Med. 2001 Mar; 18(3):185-92
Study Abstract Download PDF

Endothelial Function


Effects of Oral Folic Acid Supplementation on Endothelial Function in Familial Hypercholesterolemia
Authors Marianne C. Verhaar, MD; Robert M.F. Wever, PharmD; John J. P. Kastelein, MD, PhD; Douwe van Loon, PhD; Sheldon Milstein, PhD; Hein A. Koomans, MD, PhD; Ton J. Rabelink, MD, PhD
Publication Circulation. 1999; 100: 335-338
Study Abstract Download PDF
Folate Improves Endothelial Function in Coronary Artery Disease
Authors Sagar N. Doshi, Ian F.W. McDowell, Stuart J. Moat, Derek Lang, Robert G. Newcombe, Mahmud B. Kredan, Malcolm J. Lewis, Jonathan Goodfellow
Publication Arterioscler Thromb Vasc Biol. 2001;21:1196-1202
Study Abstract Download PDF
Folic Acid Improves Endothelial Function in Coronary Artery Disease via Mechanisms Largely Independent of Homocysteine Lowering
Authors Sagar N. Doshi, BSc MBChB; Ian F.W. McDowell, MD MRCP FRCPath; Stuart J. Moat, BSc PhD; Nicola Payne, BSc; Hilary J. Durrant, PhD MBChB MRCP; Malcolm J. Lewis, PhD DSc FESC; Jonathan Goodfello
Publication Circulation, 2001; 105:22-26
Study Abstract Download PDF
Improved Vascular Endothelial Function After Oral B Vitamins - An effect Mediated Through Reduced Concentrations of Free Plasma Homocysteine
Authors John C. Chambers, MD; Per M. Ueland, MD; Omar A. Obeid, PhD; Jane Wrigley, RGN; Helga Refsum, MD; Jaspal S. Kooner, MD, FRCp
Publication Circulation. 2000; 102 : 2479-2483
Study Abstract Download PDF
Short-Term Oral Folic Acid Supplementation Enhances Endothelial Function in Patients With Type 2 Diabetes
Authors Arduino A. Mangoni, Roy A. Sherwood, Belinda Asonganyi, Cameron G. Swift, Stephen Thomas, and Stephen H.D. Jackson
Publication American Journal of Hypertension; 2005;18:220-226.
Study Abstract Download PDF

Medications that increase Homocysteine


Do patients with rheumatoid arthritis established on methotrexate and folic acid 5 mg daily need to continue folic acid supplements long term?
Authors Griffith SM, Fisher J, Clarke S, Montgomery B, Jones PW, Saklatvala J, Dawes PT, Shadforth MF, Hothersall TE, Hassell AB, Hay EM.
Publication Rheumatology (Oxford). 2000 Oct;39(10):1102-9
Study Abstract Download PDF
Drugs affecting homocysteine metabolism: impact on cardiovascular risk
Authors Desouza C, Keebler M, McNamara DB, Fonseca V.
Publication Drugs. 2002; 62(4): 605-16.
Study Abstract Download PDF
Effects of short-term treatment with metformin on serum concentrations of homocysteine, folate and vitamin B12 in type 2 diabetes mellitus: a randomized, placebo-controlled trial
Authors Wulffele MG, Kooy A, Lehert P, Bets D, Ogterop JC, Borger van der Burg B, Donker AJ, Stehouwer CD
Publication J Intern Med. 2003 Nov; 254(5): 455-63
Study Abstract Download PDF
Folate Supplementation Prevents Plasma Homocysteine Increase After Fenofibrate Therapy
Authors Thomas Stulc, MD; Vojitech Melenovsky, MD; Barbora Grauova, MD, PhD; Viktor Kozich, MD, PhD; and Richard Ceska, MD, PdD
Publication Nutrition. 2001 Sep; 17(9): 721-3
Study Abstract Download PDF
Niacin Treatment Increases Plasma Hcy Levels
Authors Rekha Garg, MD, MS; M. Rene Malinow, MD; Mary Pettinger, MS; Barbara Upson, BS; Donald Hunninghake, MD
Publication American Heart Journal. 1999 Dec, part 1; 138(6)
Study Abstract Download PDF

Homocysteine and Diabetic Neuropathy


Short-Term Oral Folic Acid Supplementation Enhances Endothelial Function in Patients With Type 2 Diabetes
Authors Arduino A. Mangoni, Roy A. Sherwood, Belinda Asonganyi, Cameron G. Swift, Stephen Thomas, and Stephen H.D. Jackson
Publication American Journal of Hypertension; 2005;18:220-226.
Study Abstract Download PDF
Effects of methylcobalamin on diabetic neuropathy
Authors Basim A. Yaqub, Abdulaziz Siddiqueb and Riad Sulimani
Publication Clinical Neurology and Neurosurgery, 94 (1992) I05-111
Study Abstract Download PDF
Relation between homocysteinaemia and diabetic neuropathy in patients with Type 2 diabetes mellitus
Authors A. Ambrosch, J. Dierkes, R. Lobmann, W. K++hne, W. K++?nig, C. Luley and H. Lehnert
Publication Diabet. Med. 18, 185-192 (2001)
Study Abstract Download PDF