Homocysteine levels in aqueous humor and plasma of patients with primary open-angle glaucoma

被引:48
作者
Roedl, J. B.
Bleich, S.
Reulbach, U.
von Ahsen, N.
Schloetzer-Schrehardt, U.
Rejdak, R.
Naumann, G. O. H.
Kruse, F. E.
Kornhuber, J.
Juenemann, A. G. M.
机构
[1] Univ Erlangen Nurnberg, Dept Ophthalmol, D-91054 Erlangen, Germany
[2] Univ Erlangen Nurnberg, Hosp Eye, D-91054 Erlangen, Germany
[3] Univ Erlangen Nurnberg, Dept Psychiat & Psychotherapy, D-91054 Erlangen, Germany
[4] Univ Erlangen Nurnberg, Dept Med Informat Biometry & Epidemiol, D-91054 Erlangen, Germany
[5] Univ Gottingen, Dept Clin Chem, D-3400 Gottingen, Germany
[6] Univ Eye Hosp, Dept Ophthalmol 1, Lublin, Poland
[7] Polish Acad Sci, Med Res Ctr, Warsaw, Poland
关键词
D O I
10.1007/s00702-006-0556-9
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We determined homocysteine (Hcy) levels in aqueous humor (AH) and plasma and their association with B-vitamin levels in patients with primary open-angle glaucoma (POAG) and controls. Both AH Hcy and plasma Hcy levels were significantly increased in POAG, and elevation of AH Hcy and plasma Hcy was a significant risk factor for POAG. In contrast to controls, neither plasma nor AH Hcy of POAG patients demonstrated a significant association with important non-genetic determinants of elevated Hcy such as low B-vitamin levels, increasing age and caffeine consumption. Considering that Hcy is a neurotoxin that induces apoptotic retinal ganglion cell death via stimulation of the N-methyl-D-asparate (NMDA) receptor, increased Hcy concentrations in AH and plasma might contribute to the optic nerve damage in POAG.
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收藏
页码:445 / 450
页数:6
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