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Citations to this article

Determinants and vitamin responsiveness of intermediate hyperhomocysteinemia (> or = 40 micromol/liter). The Hordaland Homocysteine Study.
A B Guttormsen, … , S E Vollset, H Refsum
A B Guttormsen, … , S E Vollset, H Refsum
Published November 1, 1996
Citation Information: J Clin Invest. 1996;98(9):2174-2183. https://doi.org/10.1172/JCI119024.
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Determinants and vitamin responsiveness of intermediate hyperhomocysteinemia (> or = 40 micromol/liter). The Hordaland Homocysteine Study.

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Abstract

From 1992-93, we screened 18,043 subjects, aged 40-67 yr, and found 67 cases (0.4%) with total plasma homocysteine (tHcy) > or = 40 micromol/liter. Compared to 329 controls, the cases had lower plasma folate and cobalamin levels, lower intake of vitamin supplements, consumed more coffee, and were more frequently smokers. Homozygosity for the C677T mutation in the methylenetetrahydrofolate reductase gene was observed in 73.1% of the cases and 10.2% of the controls. Only seven cases with cobalamin deficiency and one with homocystinuria received specific therapeutic instructions. 2 yr after the screening, 58 subjects were reinvestigated. 41 still had tHcy > 20 micromol/liter, and in 37 of these, intervention with low dose folic acid (0.2 mg/d) was started. Notably, 34 of 37 (92%) had homozygosity for the C677T mutation. Plasma tHcy was reduced in all but two after 7 wk, and became normal within 7 mo in 21 of 37 subjects. Most of the remaining subjects obtained a normal tHcy level with 5 mg/d of folic acid. We conclude that most subjects with hyperhomocysteinemia > or = 40 micromol/liter in the general population have the C677T mutation combined with low folate status. Daily supplement of low dose folic acid will reduce and often normalize their tHcy level.

Authors

A B Guttormsen, P M Ueland, I Nesthus, O Nygård, J Schneede, S E Vollset, H Refsum

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Proceedings of the Nutrition Society 2000
Genetic polymorphism of 5,10-methylenetetrahydrofolate increases risk of myocardial infarction and is correlated to elevated levels of homocysteine in the Japanese general population
K Nakai, T Fusazaki, T Suzuki, M Ohsawa, N Ogiu, J Kamata, K Kawazoe, K Nakai, C Itoh, M Yanagisawa, T Ishida, K Hiramori
Coronary Artery Disease 2000
Preventive health care, 2000 update: screening and management of hyperhomocysteinemia for the prevention of coronary artery disease events. The Canadian Task Force on Preventive Health Care
GL Booth, EE Wang
CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne 2000
Plasma atherogenic markers in congestive heart failure and posttransplant (heart) patients
GE Cooke, GM Eaton, G Whitby, RA Kennedy, PF Binkley, ML Moeschberger, CV Leier
Journal of the American College of Cardiology 2000
Hyperhomocyst(e)inemia
NS Key
Current Treatment Options in Cardiovascular Medicine 2000
The effect of 677C → T and 1298A → C mutations on plasma homocysteine and 5,10-methylenetetrahydrofolate reductase activity in healthy subjects
A Chango, A Chango, F Boisson, F Barbé, D Quilliot, S Droesch, M Pfister, N Fillon-Emery, D Lambert, S Frémont, DS Rosenblatt, JP Nicolas
British Journal of Nutrition 2000
Methylenetetrahydrofolate reductase mutation (677C → T) negatively influences plasma homocysteine response to marginal folate intake in elderly women
GP Kauwell, CE Wilsky, JJ Cerda, K Herrlinger-Garcia, AD Hutson, DW Theriaque, A Boddie, GC Rampersaud, LB Bailey
Metabolism 2000
CLINICAL AND LABORATORY FEATURES AND SEQUELAE OF DEFICIENCY OF FOLIC ACID (FOLATE) AND VITAMIN B12 (COBALAMIN) IN PREGNANCY AND GYNECOLOGY
EP Frenkel, DA Yardley
Hematology/Oncology Clinics of North America 2000
Reducción de concentraciones elevadas de homocisteína con ácido fólico y vitaminas B en pacientes con tromboembolia venosa: relación entre respuesta y genotipo C677T de la metilén tetrahidrofólico reductasa (MTHFR)
ÁJ Ordóñez, JM Rodríguez, CR Álvarez, JS García, JM Carreira, MV Martínez, EC García
Medicina Clínica 2000
Riboflavin as a determinant of plasma total homocysteine: effect modification by the methylenetetrahydrofolate reductase C677T polymorphism
S Hustad, PM Ueland, SE Vollset, Y Zhang, AL Bjørke-Monsen, J Schneede
Clinical chemistry 2000
The controversy over homocysteine and cardiovascular risk
PM Ueland, H Refsum, SA Beresford, SE Vollset
The American journal of clinical nutrition 2000
Plasma total homocysteine, pregnancy complications, and adverse pregnancy outcomes: the Hordaland Homocysteine study
SE Vollset, H Refsum, LM Irgens, BM Emblem, A Tverdal, HK Gjessing, AL Monsen, PM Ueland
The American journal of clinical nutrition 2000
Homocysteine levels during fasting and after methionine loading in adolescents with diabetic retinopathy and nephropathy
F Chiarelli, M Pomilio, A Mohn, S Tumini, M Vanelli, G Morgese, A Spagnoli, A Verrotti
The Journal of Pediatrics 2000
METHYLENETETRAHYDROFOLATE REDUCTASE POLYMORPHISMS IN PREECLAMPSIA AND THE HELLP SYNDROME
PL Zusterzeel, W Visser, HJ Bolm, WH Peters, SG Heil, EA Steegers, EA Steegers
Hypertension in Pregnancy 2000
Homocysteine as a Risk Factor for Atherosclerosis
ME Temple, AB Luzier, DJ Kazierad
The Annals of pharmacotherapy 2000
Influence of methylenetetrahydrofolate reductase genotype, age, vitamin B-12, and folate status on plasma homocysteine in children
EE Delvin, R Rozen, A Merouani, J Genest, M Lambert
The American journal of clinical nutrition 2000
Methylenetetrahydrofolate Reductase 677 C → T Mutation and Coronary Heart Disease Risk in UK Indian Asians
JC Chambers, H Ireland, E Thompson, P Reilly, OA Obeid, H Refsum, P Ueland, DA Lane, JS Kooner
Arteriosclerosis, thrombosis, and vascular biology 2000
Homocysteine and Vascular Disease
K Robinson
2000
Total homocysteine and cardiovascular disease
O Nygard, SE Vollset, H Refsum, L Brattstrom, PM Ueland
Journal of Internal Medicine 1999
Hypercoagulable state mutation analysis in white patients with early first-trimester recurrent pregnancy loss
WH Kutteh, VM Park, SR Deitcher
Fertility and Sterility 1999
Thrombophilia-associated pregnancy wastage
Z Blumenfeld, B Brenner
Fertility and Sterility 1999
Current international literature citation–nutrition
GK Grimble
Nutrition 1999
Factor V Leiden and other hypercoagulable state mutations are not associated with osteonecrosis during or after treatment for pediatric malignancy
AM Kechli, JA Wilimas, CH Pui, VM Park, S Tonkel, SR Deitcher
The Journal of Pediatrics 1999
The C677T Methylenetetrahydrofolate Reductase Polymorphism Influences the Homocysteine-Lowering Effect of Hormone Replacement Therapy
CA Brown, KQ McKinney, KB Young, HJ Norton
Molecular Genetics and Metabolism 1999
Homocyst(e)ine and Cardiovascular Disease: A Critical Review of the Epidemiologic Evidence
JW Eikelboom, E Lonn, J Genest, G Hankey, S Yusuf
Annals of internal medicine 1999
Metabolic markers of vitamin nutritional status
JB Ubbink
The American journal of clinical nutrition 1999
Plasma Total Homocyst(e)ine May Not Be the Most Appropriate Index for Cardiovascular Disease Risk
EB Stamm, RD Reynolds
The Journal of nutrition 1999
Low-dose folic acid supplementation decreases plasma homocysteine concentrations: a randomized trial
IA Brouwer, M van Dusseldorp, CM Thomas, M Duran, JG Hautvast, TK Eskes, RP Steegers-Theunissen
The American journal of clinical nutrition 1999
Reply to PB Duell and MR Malinow
JV Woodside, IS Young, JW Yarnell, D McMaster, CC Patterson, EE McCrum, A Evans, KF Gey, DL Harmon, AS Whitehead
The American journal of clinical nutrition 1999
Plasma homocysteine concentrations in a Belgian school-age population
CD Laet, JC Wautrecht, D Brasseur, M Dramaix, JM Boeynaems, J Decuyper, A Kahn
The American journal of clinical nutrition 1999
Association of dietary protein intake and coffee consumption with serum homocysteine concentrations in an older population
RZ Stolzenberg-Solomon, ER Miller, MG Maguire, J Selhub, LJ Appel
The American journal of clinical nutrition 1999
Homocyst(e)ine, Diet, and Cardiovascular Diseases: A Statement for Healthcare Professionals From the Nutrition Committee, American Heart Association
MR Malinow, AG Bostom, RM Krauss
Circulation 1999
Determinants of Fasting and Post-Methionine Homocysteine Levels in Families Predisposed to Hyperhomocysteinemia and Premature Vascular Disease
SC de Jong, CD Stehouwer, M van den Berg, PJ Kostense, D Alders, C Jakobs, G Pals, JA Rauwerda
Arteriosclerosis, thrombosis, and vascular biology 1999
Inherited Prothrombotic Conditions and Premature Ischemic Stroke: Sex Difference in the Association With Factor V Leiden
M Margaglione, G DAndrea, N Giuliani, V Brancaccio, DD Lucia, E Grandone, VD Stefano, PA Tonali, GD Minno
Arteriosclerosis, thrombosis, and vascular biology 1999
Recent data are not in conflict with homocysteine as a cardiovascular risk factor
H Refsum, PM Ueland
Current Opinion in Lipidology 1998
C677T (thermolabile alanine/valine) polymorphism in methylenetetrahydrofolate reductase (MTHFR): its frequency and impact on plasma homocysteine concentration in different European populations
V Gudnason, D Stansbie, J Scott, A Bowron, V Nicaud, S Humphries
Atherosclerosis 1998
Homocysteine as a risk factor for cardiovascular and related disease: nutritional implications
DG Weir, JM Scott
Nutrition Research Reviews 1998
HOMOCYSTEINE AND CARDIOVASCULAR DISEASE
HR MD, PM MD, ON MD, SE Dr.PH
Annual Review of Medicine 1998
Isoelectrofocusing Phenotype and Relative Concentration of Transcobalamin II Isoproteins Related to the Codon 259 Arg/Pro Polymorphism
F Namour, M Guy, I Aimone-Gastin, M Nonancourt, N Mrabet, JL Guéant
Biochemical and Biophysical Research Communications 1998
Additional genetic risk factors for venous thromboembolismin carriers of the factor V Leiden mutation
A Tosetto, F Rodeghiero, I Martinelli, VD Stefano, E Missiaglia, P Chiusolo, PM Mannucci
British Journal of Haematology 1998
A common methylenetetrahydrofolate reductase gene mutation and longevity
L Brattström, Y Zhang, M Hurtig, H Refsum, S Östensson, L Fransson, K Jonés, F Landgren, L Brudin, PM Ueland
Atherosclerosis 1998
LABORATORY EVALUATION OF HYPERCOAGULABLE STATES
EM van Cott, M Laposata
Hematology/Oncology Clinics of North America 1998
Reduction of Plasma Homocyst(e)ine Levels by Breakfast Cereal Fortified with Folic Acid in Patients with Coronary Heart Disease
MR Malinow, PB Duell, DL Hess, PH Anderson, WD Kruger, BE Phillipson, RA Gluckman, PC Block, BM Upson
New England Journal of Medicine 1998
The C677T mutation in the methylenetetrahydrofolate reductase gene predisposes to hyperhomocysteinemia in children with familial hypercholesterolemia treated with cholestyramine
S Tonstad, H Refsum, L Ose, PM Ueland
The Journal of Pediatrics 1998
Hyperhomocysteinemia after an oral methionine load acutely impairs endothelial function in healthy adults
MF Bellamy, IF McDowell, MW Ramsey, M Brownlee, C Bones, RG Newcombe, MJ Lewis
Circulation 1998
Methylenetetrahydrofolate Reductase Polymorphism Affects the Change in Homocysteine and Folate Concentrations Resulting from Low Dose Folic Acid Supplementation in Women with Unexplained Recurrent Miscarriages
WL Nelen, HJ Blom, CM Thomas, EA Steegers, GH Boers, TK Eskes
The Journal of nutrition 1998
Methylenetetrahydrofolate Reductase Gene Polymorphism and Ischemic Stroke in Japanese
H Morita, H Kurihara, S Tsubaki, T Sugiyama, C Hamada, Y Kurihara, T Shindo, Y Oh-hashi, K Kitamura, Y Yazaki
Arteriosclerosis, thrombosis, and vascular biology 1998
Common Methylenetetrahydrofolate Reductase Gene Mutation Leads to Hyperhomocysteinemia but Not to Vascular Disease: The Result of a Meta-Analysis
L Brattström, DE Wilcken, J Öhrvik, L Brudin
Circulation 1998
Preventing Coronary Heart Disease: B Vitamins and Homocysteine
GS Omenn, SA Beresford, AG Motulsky
Circulation 1998
Methylenetetrahydrofolate Reductase C677T Mutation, Plasma Homocysteine, and Folate in Subjects From Northern Italy With or Without Angiographically Documented Severe Coronary Atherosclerotic Disease: Evidence for an Important Genetic-Environmental Interaction
D Girelli, S Friso, E Trabetti, O Olivieri, C Russo, R Pessotto, G Faccini, PF Pignatti, A Mazzucco, R Corrocher
Blood 1998
Effective Treatment of Cobalamin Deficiency With Oral Cobalamin
AM Kuzminski, EJ Giacco, RH Allen, SP Stabler, J Lindenbaum
Blood 1998
Kinetics of Plasma Total Homocysteine in Patients Receiving High-Dose Methotrexate Therapy
AB Guttormsen, PM Ueland, PE Lønning, O Mella, H Refsum
Clinical chemistry 1998
Variability and determinants of total homocysteine concentrations in plasma in an elderly population
R Clarke, P Woodhouse, A Ulvik, C Frost, P Sherliker, H Refsum, PM Ueland, KT Khaw
Clinical chemistry 1998
Simultaneous determination of methylenetetrahydrofolate reductase C677T and factor V G1691A genotypes by mutagenically separated PCR and multiple-injection capillary electrophoresis
A Ulvik, J Ren, H Refsum, PM Ueland
Clinical chemistry 1998
Should All Elderly People Receive Folate Supplements?:
JB Ubbink
Drugs & Aging 1998
Hyperhomocysteinemia: A risk factor for arterial and venous thrombotic disease
M Cattaneo
International Journal of Clinical & Laboratory Research 1997
HOMOCYSTEINE AND VASCULAR DYSFUNCTION
SR Lentz
Life Sciences 1997
Recommendations on folate intake
R Whitehead, C Bates
The Lancet 1997
Approaches to defining the optimal dietary folate intake for cardiovascular health
IF McDowell, P Ashfield-Watt
Nutrition & Food Science 1997
Les nouvelles causes de thrombophilie constitutionnelle
I Quéré, J Emmerich
La Revue de Médecine Interne 1997
Association Between Plasma Total Homocysteine and Parental History of Cardiovascular Disease in Children With Familial Hypercholesterolemia
S Tonstad, H Refsum, PM Ueland
Circulation 1997
Assessment of homocysteine status
H Refsum, T Fiskerstrand, AB Guttormsen, PM Ueland
Journal of Inherited Metabolic Disease 1997
Multiple Risk Factors in Cardiovascular Disease
AM Gotto, C Lenfant, AL Catapano, R Paoletti
1995
Replacement of Renal Function by Dialysis
W Drukker, FM Parsons, JF Maher
1979

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