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Titlebook: Homocysteine; Related Vitamins and Christina Bolander-Gouaille,Teodoro Bottiglieri Book 2003Latest edition Springer-Verlag France 2003 Vita

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楼主: adulation
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Why do Homocysteine Levels increase?,iseases and drugs can, directly or indirectly, disturb Hcy metabolism. Therefore, in most cases, elevated homocysteine levels are not caused by a single factor, but are the result of a cluster of factors, fig. 8.
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Clinical Impact of Enzyme Defects,ne β-synthase (CBS) gene, over 90 mutations have been identified so far. A few of these, often fairly common mutations, increase the enzyme activity, and thereby reduce tHcy levels. Others reduce the activity and may have a synergistic tHcy-increasing effect with, for instance, the C677T polymorphism.
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Introduction,The importance of homocysteine as a risk factor or risk marker is becoming a familiar concept. Since the early 1990s a constantly increasing number of studies have been published on homocysteine. It has also been the topic of three international conferences, in 1995, 1998, and 2001.
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Homocysteine Metabolism,Homocysteine is metabolised through two major pathways: transsulphuration and methylation. Normally, about 50% is re-methylated to form methionine, from which it originally derives.
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How can Homocysteine be Neurotoxic?,The proposed pathogenetic mechanisms, by which hyperhomocysteinemia may cause vascular damage, cognitive impairment, psychiatric and neurological complications, congenital defects, and pregnancy complications, converge.
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How to interpret the Test Results and how to handle Hyperhomocysteinemia?,Each laboratory uses a central 95% reference range based upon results from a general population. The reference limits are generally within the range of 5 and 13–15 µmol/L.
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