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1.
The present study was carried out to evaluate the occurrence of association between homocysteine, folic acid and vitamin B(12) in patients with preeclampsia. Fifty preeclamptic patients from gynecology ward were studied for estimation of serum homocysteine, folic acid and vitamin B(12) over a period of October 2007 to June 2010. Serum homocysteine and folic acid, and vitamin B(12) were determined by means of Immulite 1000 analyzer. The statistical analysis of study group of preeclampsia compared with normotensive control group, showed significant alterations in serum homocysteine, folic acid and vitamin B(12) concentrations in preeclampsia. Inverse association between serum homocysteine and folic acid, and vitamin B(12) levels were observed in preeclampsia. The present study found hyperhomocysteinemia and deficiency of folic acid and vitamin B(12) along with increased blood pressure as a risk factor for cardiovascular disease (CVD) in preeclampsia. 相似文献
2.
M. N. Sadananda Adiga Sunil Chandy Girija Ramaswamy L. Appaji B. S. Aruna Kumari Lakshmi Krishnamoorthy 《Indian journal of clinical biochemistry : IJCB》2009,24(3):257-261
Remethylation of homocysteine to methionine is dependent on an adequate supply of one or more of the B vitamins like folate,
vitamin B12 and vitamin B6. Plasma total homocysteine (tHcy) is also influenced by genetic factors such as polymorphisms in the methylenetetrahydrofolate
reductase (MTHFR) gene. MTHFR is a flavo enzyme and a key player in folate metabolism and changes in its activity could modify
the susceptibility to Acute Lymphoblastic Leukemia (ALL). In this case — control study we have examined the effect of riboflavin
status as measured by erythrocyte glutathione reductase activation coefficient (EGRAC) on homocysteine levels along with vitamin
B12 and folate in pediatric ALL. Folate and B12 levels were significantly lower among cases as compared to controls while EGRAC and tHcy did not differ significantly among
the groups. The multivariate regression analysis revealed that in the ALL group EGRAC significantly influences tHcy levels
suggesting that riboflavin availability may be a predictor of tHcy levels in patients with ALL. This finding may have implications
for tHcy lowering therapy. 相似文献
3.
Seema Bhargava Annsh Bhandari Sangeeta Choudhury 《Indian journal of clinical biochemistry : IJCB》2018,33(1):16-20
A high circulating concentration of the non proteinogenic amino acid homocysteine has been implicated as a risk factor for Alzheimer’s Disease and its prodromal stage, mild cognitive impairement. Furthermore, hyperhomocysteinaemia has been directly attributed to a deficiency in vitamins B12, folate, and B6. Several studies have demonstrated decrease in progression of mild cognitive impairement to Alzheimer’s Disease, and some have even shown an improvement in cognition after vitamin supplements with B12 and folate. Plausible mechanisms linking hyperhomocysteinaemia to Alzheimer’s and cognitive impairement have been hypothesized and demonstrated in hyperhomocysteinemic mice models. However, some studies have not elucidated any benefit of vitamin supplements in subjects with cognitive impairment. Hence, multicentric clinical studies need to be conducted to substantiate the mechanisms of neuronal degeneration due to hyperhomocysteinaemia and to demonstrate the beneficial effect of folate, B6 and B12 supplements on cognition. 相似文献
4.
A. S. Yadav V. R. Bhagwat I. M. Rathod 《Indian journal of clinical biochemistry : IJCB》2006,21(1):106-110
The present study was undertaken to explore the relationship of plasma homocysteine with other biochemical parameters in ischemic
heart disease. Plasma levels of total homocysteine was measured by HPLC—fluorescence detection with internal standard in 60
ischemic heart disease patients and were compared with 30 age matched normal healthy controls. The significant increase of
plasma homocysteine was observed in both myocardial infarction and chronic stable ischemic heart disease patients when compared
with the controls. The hyperhomocysteinemia appears be to due to increased body demand of vitamins such as folic acid, vitamin
B12, B6, B2 either alone or in combination to regulate normal homocysteine metabolism. 相似文献
5.
Itemobong S. Ekaidem Monday I. Akpanabiatu Friday E. Uboh Offiong U. Eka 《Indian journal of clinical biochemistry : IJCB》2007,22(2):36-40
Folic acid and vitamin B12 are very important vitamins needed for normal cellular metabolic activities. The effects of folic acid and vitamin B12 on liver integrity of growing Wistar albino rats following therapeutic dose of phenytoin administration were investigated.
The activities of serum AST, ALT, ALP were investigated. Serum total protein level and lipid profile were also measured as
indices of biochemical changes. The ingestion of phenytoin alone in rats significantly reduced serum protein while AST, ALT
activities incresed as compared to the control (P<0.05). Supplementation of phenytoin with oral administration of 70microgram/kg
body wt of folic acid resulted in a significant reversal in serum total protein and suppression in serum AST and ALT activities.
Vitamin B12 supplementation did not afford any significant protection against the effect of phenytoin ingestion but rather phenytoin
toxicity was exacerbated in this study. However, the combined effects of vitamin B12 and folic acid ameliorated the effects of phenytoin on serum enzymes of experimental rats. The effect of combination of phenytoin
with folic acid or folic acid and vitamin B12 is an interesting finding. Supplementation of phenytoin with folic acid or combination of these vitamins may be recommended
for the purpose of ameliorating the adverse biochemical changes which are associated with phenytoin therapy. Further work
is ongoing to help elucidate the effects of phenytoin and these vitamins on oxidative stress inducing mechanism. 相似文献
6.
Tester F. Ashavaid Farah F. Eghlim Kavita K. Shalia Kappiareth G. Nair 《Indian journal of clinical biochemistry : IJCB》2003,18(2):106-110
Determination of plasma total homocysteine by high-pressure liquid chromatography (HPLC) usually requires reduction of protein
bound or free homocysteine-disulphides into thiols by a reducing agent and the liberated thiols are then derivatized by a
fluorescent marker. In this study we have standardized the HPLC method for homocysteine measurement using dithiothreitol (DTT)
as reductant.
The results of plasma total homocysteine values obtained by HPLC were compared with IMx method. The difference between the
two means was statistically insignificant [P=0.616847 (two tail)] Linear regression analysis showed strong correlation between
the two methods (r=0.983). Using this method we have analyzed 132 controls and 130 Coronary Heart Disease (CHD) patients for
plasma total homocysteine, wherein, the mean plasma total homocysteine levels were 10.51±8.36 and 11.51±10.06 μmol/L respectively.
Our research study suggests that DTT method is a simple and inexpensive assay for homocysteine determination in human plasma
for research application. 相似文献
7.
Sunil Chandy M. N. Sadananda Adiga Girija Ramaswamy C. Ramachandra Lakshmi Krishnamoorthy 《Indian journal of clinical biochemistry : IJCB》2008,23(3):258-261
Folate and cobalamin (Vitamin B12) are two essential micronutrients involved in one-carbon metabolism, which affects heart disease, neural tube defects and
cancer. Methylenetetrahydrofolate reductase, the key enzyme involved in one carbon metabolism produces methyl tetrahydrofolate
from methylene tetrahydrofolate, which in turn donates methyl group to homocysteine to generate methionine. There exist two
common low function polymorphic variants of the methylenetetrahydrofolate reductase gene involving nucleotides 677 C→T and
1298 A→C, which are associated with hyperhomocysteinemia. These polymorphisms are also linked with increased risk for certain
cancers such as breast cancer and at the same time providing a protective effect on colorectal cancer. In this case control
study, we have evaluated levels of folic acid, vitamin B12 and homocysteine in patients with colorectal cancer. Folate and homocysteine levels did not differ significantly between
the two groups; however an increasing trend was noticed with increase in homocysteine levels. Vitamin B12 levels were increased in cases compared to control group. 相似文献
8.
R Abraham M Joseph John R Calton J Dhanoa 《Indian journal of clinical biochemistry : IJCB》2006,21(1):95-100
Homocysteine(Hcy) has been implicated as a novel risk factor of Coronary Artery Disease (CAD) among Asian Indians, but many
studies done in India failed to reveal any direct correlation. It has also been reported that Folic acid and Vitamin B12 levels
inversely affect serum levels of homocysteine. In this study, we looked at the levels of homocysteine among patients with
CAD. The effect of Vitamin B12, Folate and other risk factors on homocysteine levels were also evaluated. Mean homocysteine
levels in cases (22.81±13.9, n=70) were significantly higher (p=<0.001) than the controls (7.77±7.3, n=70). However no statistically
significant correlation could be deduced between homocysteine Vitamin B12, and Folate. Cumulative analysis have indicated
an increase in homocysteine levels among patients with CAD with every additional risk factor. 相似文献
9.
Uma S. Bhartiya Yogita S. Raut Lebana J. Joseph Rohini W. Hawaldar Badanidiyoor S. Rao 《Indian journal of clinical biochemistry : IJCB》2008,23(4):382-386
The aim of this study was to evaluate the radioprotective effect of turmeric extract (40 mg/kg body weight) and vitamin E
(α- tocopherol acetate, 400 IU/kg body weight) supplementation on lipid peroxidation, reduced glutathione and antioxidant
defense enzymes in various organs like liver, kidney and salivary glands at 24 h in adult Swiss mice. 131Iodine exposure significantly increased lipid peroxidation in kidney and salivary glands in comparison to control animals.
Pre supplementation with turmeric extract for 15 days showed significant lowering of lipid peroxidation in kidney. On the
other hand vitamin E pre supplementation showed marked reduction in lipid peroxidation in salivary glands. Reduced glutathione
levels decreased significantly in liver after radiation exposure. However, pre supplementation with turmeric extract and vitamin
E did not improve glutathione levels in liver. In conclusion, we have observed differential radioprotective effect of turmeric
extract and vitamin E in kidney and salivary glands. However, Vitamin E seems to offer better radioprotection for salivary
glands which is known to be the major site of cellular destruction after radioiodine therapy in patients. 相似文献
10.
Hanaa H. Elsaid Khaled A. El-Hefnawy Saffaa M. Elalawi 《Indian journal of clinical biochemistry : IJCB》2021,36(2):213
Homocysteine concentration affected by the activities of the enzymes methylene tetra-hyrdofolate reductase (MTHFR). Polymorphisms in MTHFR gene associated with an impairment of MTHFR activity. Hyperhomocysteinemia is a result of single nucleotide polymorphisms (SNPs) in MTHFR 677 C>T that can cause homocysteine levels in the blood to increase. The purpose of this study is to investigate the relationships between MTHFR C677T (rs1801133) gene polymorphism, changes in homocysteine concentrations and progress of renal impairment in young adult hypertensive patients. Two hundred young hypertensive patients (age 21–24 years) were involved in this study; they were classified into patients with and without renal impairment in addition to 200 age and sex matched healthy controls. All participants were submitted to laboratory investigations as assay of MTHFR gene polymorphism C677T (rs1801133) by PCR/RFLP, determination of lipid profile, homocysteine and folic acid concentrations in addition to urinary albumin creatinine ratio (UACR). The levels of both homocysteine and UACR in the TT genotype patients were higher than those in the CC genotype group. Individuals who carry the T allele were more risky to hypertension and progress to early renal impairment in young age compared with those carrying the C allele [OR 2.02 (1.33–3.08), P < 0.001]. Genetic variants of C677T MTHFR gene and hyperhomocysteinemia may be responsible for rapid progress of renal impairment in Egyptian young age hypertensive patients. TT genotype or T allele may be considered as a predisposing factor for both elevated Hcy levels and the development of renal impairment. This study believed that lowering of homocysteine level can reduce renal impairment of hypertensive patients. 相似文献
11.
Vasudha Shukla Manish Vashistha Som Nath Singh 《Indian journal of clinical biochemistry : IJCB》2009,24(1):70-75
Aqueous and alcoholic extracts of amalki (Emblica officinalis), spirulina and wheatgrass were prepared and analyzed for antioxidant
vitamin content (vitamin C and E), total phenolic compounds. Antioxidant status, reducing power and effect on glutathione
S-transferase (GST) activity were evaluated in vitro. Vitamin C content of crude amalaki powder was found to be 5.38 mg/g,
while very less amount 0.22 mg/g was detected in wheat grass. Amalki was rich in vitamin E like activity, total phenolic content,
reducing power and antioxidant activity. Total antioxidant activity of aqueous extract of amalki, spirulina and wheat grass
at 1mg/ml concentration were 7.78, 1.33 and 0.278 mmol/l respectively. At similar concentrations the total antioxidant activity
of alcoholic extract of amalaki, spirulina and wheat grass was 6.67, 1.73 and 0.380 mmol/l respectively. Amalki was also found
to be rich source of phenolic compounds (241mg/g gallic acid equivalent). Alcoholic extract of wheat grass showed 50 % inhibition
in FeCl2- ascorbic acid induced lipid peroxidation of rat liver homogenates in vitro. Both aqueous and alcoholic extracts of amalaki
inhibited activity of rat liver glutathione S-transferase (GST) in vitro in dose dependant manner. Since GST acts as powerful
drug metabolizing enzyme its inhibition by amalaki offers possibility of its use for lowering therapeutic dose of herbal preparations.
The aqueous extracts of both amalki and spirulina also showed protection against t-BOOH induced cytotoxicity and production
of ROS in cultured C6 glial cells. 相似文献
12.
Soma Gupta K. K. Singh V. J. Vyas V. N. Chaturvedi M. V. R. Reddy B. C. Harinath 《Indian journal of clinical biochemistry : IJCB》2000,15(1):52-55
Oxidative stress was studied by estimating plasma levels of malondialdehyde (MDA), beta carotene, vitamin E and erythrocytic
superoxide dismutase(E-SOD) activity in 50 cases of carcinoma of upper digestive tract which included carcinoma of oral cavity,
pharynx and oesophagus. While plasma MDA level was found to be increased (3.5±1.0 nmole/ml), a significant decrease in beta
carotene (81.2±14.5mg%), vitamin E (8.5±1.1 mg/L) level and E-SOD activity (657.0±80.6 U/G Hb) were observed in carcinoma
of upper digestive tract. Patients were treated with radiotherapy which itself was toxic enough and produced its deleterious
effects by generation of reactive oxygen species (ROS). As antioxdiants can detoxify ROS, beneficial effect if any, of antioxidant
administration during radiotherapy was studied in two groups of patients, group A (n=5, supplemented with antioxidants) and
group B (n=5, without antioxidant supplementation). Plasma MDA level was found to be elevated in both the groups but the increase
in group B was significant, compared to pretreatment level. Further, body weight was found to be significantly decreased in
group B patients, which was maintained in group A patients. Moreover, group A patients showed significant elevation in beta
carotene concentration, thus showing beneficial effect of administration of antioxidants during radiotherapy without disturbing
the desirable therapeutic effect of radiotherapy. 相似文献
13.
Amit Kumar Mani Tiwari Abbas Ali Mahdi Sanjay Mishra 《Indian journal of clinical biochemistry : IJCB》2018,33(1):31-37
Iron deficiency anemia is one of the causes that lead to significant mortality and morbidity among pregnant women and fetus. The present study was undertaken to explore oral iron supplementation can modify the metal contents in pregnant anemic women. Iron and folic acid supplementations was given to 500 anemic women (mild = 200, moderate = 200, and severe = 100) and 100 age matched non-anemic controls daily for 100 days. Blood index values and plasma trace minerals were estimated as per standard protocols. Haemoglobin and ferritin levels were found significantly increased (p < 0.001) in anemic and control subjects after treatment. Moreover, the serum transferring receptor levels and total iron binding capacity were found significantly decreased in all treated groups. Iron (Fe), zinc (Zn) and copper (Cu) levels were found increased (p < 0.01) after oral iron supplementation groups. Moreover, selenium (Se) manganese (Mn) and were found to be decreased in all treated groups. Data provides the conclusion that iron and folic acid supplementation recovered the essential trace minerals, except manganese, which may lead to various complications including peroxidation of vital body molecules resulting in increased risk for pregnant women as well as fetus. 相似文献
14.
Thirty patients with thalassemia major receiving repeated blood transfusion were studied to see their serum parathyroid hormone
(PTH) and calcium status. Serum PTH, serum and 24 h urinary calcium, and serum alkaline phosphatase, phosphorus, and albumin-corrected
calcium levels were determined. Half of these patients, in addition to transfusion, were also supplemented with vitamin D
(60,000 IU for 10d) and calcium (1500 mg/day for 3 months). Serum PTH, and serum and 24 h urinary calcium concentrations of
the patients receiving transfusions were found to be significantly reduced while their serum alkaline phosphatase, phosphorus,
and albumin-corrected calcium levels were not significantly altered when compared to the respective mean values for the control
group. Vitamin D and calcium supplementation significantly increased their serum PTH and calcium levels. Supplementations
also increased urinary excretion of calcium. The results thus suggest that patients with thalassemia have hypoparathyroidism
and reduced serum calcium concentrations that in turn were improved with vitamin D and calcium supplementation. 相似文献
15.
Patients with type II Diabetes Mellitus (NIDDM) are more prone to Ischaemic Heart Disease (IHD). Although, oxygen free radicals
are known to contribute to the development of IHD, conflicting reports are available regarding the antioxidant status in patients
of NIDDM complicated with IHD. This study was undertaken to investigate the oxidative status in patients of NIDDM and to assess
their correlation with plasma glucose, glycosylated haemoglobin and duration of diabetes. The levels of malondialdehyde were
significantly increased where as levels of superoxide dismutase, Glutathione peroxidase and vitamin C were significantly decreased
in diabetics without complications and non-diabetics with IHD when compared with the controls. The levels of malondialdehyde
and Glutathione peroxidase were significantly increased where as levels of superoxide dismutase and vitamin C were significantly
decreased in diabetics with IHD when compared with diabetics without complications and non-diabetics with IHD. The implications
of the results are discussed. 相似文献
16.
S. Vasisht R. Gulati R. Narang N. Srivastava L. M. Srivastava S. C. Manchanda D. P. Agarwal 《Indian journal of clinical biochemistry : IJCB》2002,17(1):99-107
An elevated level of plasma homocysteine, sulfur containing amino acid generated through demethylation of methionine has been
widely accepted as a risk factor for cardiovascular disease (CVD). The increase can result from genetic and/or nutrient related
disturbances in the remethylation or transsulfuration pathways for homocysteine metabolism. A common mutation (C677T) in the
gene encoding for the enzyme 5, 10-methylenetetrahydrofolate reductase (MTHFR) or deficiency of the B vitamins namely folic
acid, B12, B6 can lead to hyperhomocysteinemia.
In the present study, we have investigated the incidence of the (C677T) MTHFR polymorphism in the North Indian males. 141
angiographically proven coronary artery disease (CAD) patients and 55 age and sex matched healthy volunteers were examined
for the association between MTHFR gene polymorphism and CAD. The MTHFR genotyping was performed using polymerase chain reaction
(PCR) followed by restriction-isotyping with Hinf 1 endonuclease. A trend for higher ‘T’ allele frequency (0.19) was observed
in patients than in controls (0.16). However no significant association was found between C677T mutation and CAD severity.
The lack of statistical significance could be due to the small sample size studied. Hence a larger study including various
ethnic groups is warranted. 相似文献
17.
Anissa Kaleemullah Shariff Sangita R. Patil Pramod S. Shukla Ajit V. Sontakke Anup S. Hendre Anand K. Gudur 《Indian journal of clinical biochemistry : IJCB》2009,24(3):307-311
The objectives of the present study were to ascertain the variations in the serum levels of malondialdehyde and total antioxidant
status, in head and neck malignancies with different stages, with and without oral antioxidant supplementation, before and
after radiotherapy, and to validate the protective effects of an antioxidant supplementation during radiotherapy. The pretreatment
values of serum malondialdehyde were significantly raised, while that of serum total antioxidant status were significantly
declined in all the stages of head and neck malignancies, when compared with the healthy controls values (P<0.001). A significant
correlation was observed related to the studied parameters and different stages of the disease. The study suggests that an
oral antioxidant supplementation during radiotherapy is an effective mode in reducing oxidative stress. Antioxidant supplementation
during radiotherapy may serve as an adjuvant therapy in malignancies offering a protection to normal cells that may further
reduce the risk of developing secondary cancers. 相似文献
18.
Harish Rao B V. Govindaraju C. N. Manjunath 《Indian journal of clinical biochemistry : IJCB》2007,22(1):18-21
Majority of patients who experience a Coronary Heart disease event have one or more of the conventional risk factors for atherosclerosis
and so do many people who have not yet experienced such an event. Thus predictive models based on conventional risk factors
have lower than the desired accuracy, providing a stimulus to search for new factors to predict accurately the risk of CHD.
In this regard newer risk factors like homocysteine, Lp(a), insulin resistances are the important ones and are called as ‘novel
risk factors’. The study was undertaken to find the prediction of CHD risk by homocysteine in comparison with other conventional
risk factors. The data obtained suggests a very high sensitivity, specificity and accuracy with above 90% positive prediction
value for homocysteine in CHD patients when compared to commonest conventional risk factors. 相似文献
19.
K. Kaur G. Bedi M. Kaur Anil Vij Inderpreet Kaur 《Indian journal of clinical biochemistry : IJCB》2008,23(1):33-37
Coronary Artery Disease is the major cause of mortality and morbidity worldwide. Traditional risk factors account for only
half of the morbidity and mortality from coronary artery disease. There is substantial evidence that oxidative stress plays
the major role in the atherosclerotic process. The present study was undertaken to evaluate the level of lipid peroxidation
(by measuring malondialdehyde) and antioxidant enzymes (ceruloplasmin, glutathione, superoxide dismutase) in coronary artery
disease. Serum malondialdehyde levels and serum ceruloplasmin levels were significantly raised in all the subgroups of study
group as compared to control group (p<0.001). Whole blood glutathione levels and hemolysate superoxide dismutase activity
was significantly decreased in all the subgroups of study group as compared to control group (p<0.001). Above results suggests
that the patients of coronary artery disease show increased oxidative stress and decreased levels of antioxidant enzymes.
So it is recommended that the management protocol for coronary artery disease patients should include antioxidant supplementation
along with simultaneous lowering of lipid peroxidation. 相似文献
20.
Increased oxidative stress is a widely accepted participant in the development and progression of diabetes and its complications.
The present study has been undertaken to evaluate oxidative stress in type 2 diabetes mellitus and effect of vitamin E supplementation
on oxidative stress. In all 120 subjects were enrolled in the present study, 40 subjects are age and sex matched controls.
Test group comprised of clinically diagnosed (n = 80) type 2 diabetic patients. Biochemical parameters like serum MDA, nitric oxide, superoxide dismutase, erythrocyte reduced
glutathione and platelet aggregation were analyzed in control and diabetic group. Test group is further categorized as Group
I (n = 40) diabetics were treated by only hypoglycemic drugs and Group II (n = 40) diabetics were treated by hypoglycemic drugs with vitamin E supplementation. All above biochemical parameters were
again reassessed after 3 months follow-up in both group and its values were compared with its respective baseline levels.
The study shows, reduction of oxidative stress, improvement in antioxidant enzymes and endothelial dysfunction in group II,
those were on treatment of hypoglycemic drugs along with vitamin E supplementation. Hence the present study may conclude that
vitamin E supplementation along with hypoglycemic drugs may be beneficial to type 2 DM patients to minimize vascular complications. 相似文献