Document Detail


Young stroke and basal plasma and post-methionine load homocysteine and cysteine levels 1 year after the acute event: do plasma folates make the difference?
MedLine Citation:
PMID:  15061829     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We conducted a case-control study to evaluate the relationship between ischemic stroke in young adults (<45 years of age) and plasma homocysteine (Hcy), plasma folate and vitamin B(12), after a methionine load. We studied 42 patients with a history of ischemic stroke and 29 controls with a negative clinical history of cardio- or cerebrovascular diseases, venous thrombosis and renal disease. A fasting blood sample was drawn from each participant; the second and third samples were collected, respectively, 120 and 240 min after the methionine load. Whilst there was no difference between controls and patients in basal total homocysteine (tHcy), we found a statistically significant difference in both the 120- and 240-min samples. We compared the basal and 240-min tHcy in patients and controls. We obtained a median value of 17.8 and 11.6 micromol/l in patients and controls, respectively. The difference between these two values was highly significant. The methionine loading test (MLT) reveals Hcy metabolism abnormalities that were not revealed by the basal sample. MLT may help identify and treat this new risk factor, which seems to be both atherogenic and prothrombotic, and is hypothesized to operate through various mechanisms.
Authors:
M Beccia; M C Mele; M Ferrari; M Ranieri; A Barini; M Rasura
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  European journal of neurology : the official journal of the European Federation of Neurological Societies     Volume:  11     ISSN:  1351-5101     ISO Abbreviation:  Eur. J. Neurol.     Publication Date:  2004 Apr 
Date Detail:
Created Date:  2004-04-05     Completed Date:  2004-05-24     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9506311     Medline TA:  Eur J Neurol     Country:  England    
Other Details:
Languages:  eng     Pagination:  269-75     Citation Subset:  IM    
Affiliation:
Department of Neurological Sciences, II Faculty of Medicine, University of Rome 'La Sapienza', Rome, Italy. mario.beccia@uniroma1.it
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MeSH Terms
Descriptor/Qualifier:
Adult
Case-Control Studies
Cysteine / blood*
Fasting
Female
Folic Acid / blood*
Follow-Up Studies
Homocysteine / blood*
Humans
Male
Methionine / administration & dosage*,  diagnostic use
Middle Aged
Stroke / blood*
Time Factors
Vitamin B 12 / blood
Chemical
Reg. No./Substance:
454-28-4/Homocysteine; 52-90-4/Cysteine; 59-30-3/Folic Acid; 63-68-3/Methionine; 68-19-9/Vitamin B 12

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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