HYPERHOMOCYSTEINEMIA IN CIRRHOSIS OF THE LIVER
Keywords:
Keywords: homocysteine, metabolism, liver, cirrhosis, vitamins B6, B12.Abstract
Abstract:Numerous clinical and epidemiological studies have identified
elevated plasma homocysteine levels as a risk factor for atherosclerotic vascular
diseases and thromboembolism. Hyperhomocysteinemia may develop due to defects in
genes that metabolize homocysteine; dietary conditions that lead to a deficiency of
vitamins B6, B12, or folic acid; or chronic alcohol use. Homocysteine is an
intermediate product of methionine metabolism, which occurs mainly in the liver.
Impaired liver function leads to changes in the metabolism of methionine and
homocysteine; however, the molecular basis of such changes is not fully understood.
In addition, the mechanisms of cellular toxicity caused by homocysteineare not fully
defined.
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