Perna AF, Luciano MG, Pulzella P, Satta E, Capasso R, Lombardi C, Ingrosso D, De Santo NG. Is homocysteine toxic in uremia?
J Ren Nutr 2008;
18:12-7. [PMID:
18089438 DOI:
10.1053/j.jrn.2007.10.005]
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Abstract
High levels of homocysteine have been implicated as a cardiovascular risk factor in the general population and in patients with chronic renal failure, and particularly patients on hemodialysis. To classify a risk factor as causally related to a certain disease, both strong epidemiologic data and sound basic-science studies establishing a mechanism are needed. Among the latter, the hypomethylation of proteins and DNA, and protein homocysteinylation, have been investigated in uremia, providing for an array of toxic effects in this disease.
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