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.
引用
收藏
页码:445 / 450
页数:6
相关论文
共 40 条
[11]   Plasma homocysteine as a risk factor for vascular disease - The European concerted action project [J].
Graham, IM ;
Daly, LE ;
Refsum, HM ;
Robinson, K ;
Brattstrom, LE ;
Ueland, PM ;
PalmaReis, RJ ;
Boers, GHJ ;
Sheahan, RG ;
Israelsson, B ;
Uiterwaal, CS ;
Meleady, R ;
McMaster, D ;
Verhoef, P ;
Witteman, J ;
Rubba, P ;
Bellet, H ;
Wautrecht, JC ;
deValk, HW ;
Luis, ACS ;
ParrotRoulaud, FM ;
Tan, KS ;
Higgins, I ;
Garcon, D ;
Medrano, MJ ;
Candito, M ;
Evans, AE ;
Andria, G .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1997, 277 (22) :1775-1781
[12]   Efficacy and safety of memantine treatment for reduction of changes associated with experimental glaucoma in monkey, II: Structural measures [J].
Hare, WA ;
WoldeMussie, E ;
Weinreb, RN ;
Ton, H ;
Ruiz, G ;
Wijono, M ;
Feldmann, B ;
Zangwill, L ;
Wheeler, L .
INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE, 2004, 45 (08) :2640-2651
[13]  
Jacques PF, 2001, AM J CLIN NUTR, V73, P613
[14]  
Joosten E, 1996, EUR J HAEMATOL, V57, P222
[15]   C677T variant in the methylentetrahydrofolate reductase gene is a genetic risk factor for primary open-angle glaucoma [J].
Jünemann, AGM ;
von Ahsen, N ;
Reulbach, U ;
Roedl, J ;
Bönsch, D ;
Kornhuber, J ;
Kruse, FE ;
Bleich, S .
AMERICAN JOURNAL OF OPHTHALMOLOGY, 2005, 139 (04) :721-723
[16]  
KANG SS, 1991, AM J HUM GENET, V48, P546
[17]   Transforming growth factor-β-regulated gene transcription and protein expression in human GFAP-negative lamina cribrosa cells [J].
Kirwan, RP ;
Leonard, MO ;
Murphy, M ;
Clark, AF ;
O'Brien, CJ .
GLIA, 2005, 52 (04) :309-324
[18]  
KUCHLE M, 1994, INVEST OPHTH VIS SCI, V35, P748
[19]   Possible role for memantine in protecting retinal ganglion cells from glaucomatous damage [J].
Lipton, SA .
SURVEY OF OPHTHALMOLOGY, 2003, 48 :S38-S46
[20]   Neurotoxicity associated with dual actions of homocysteine at the N-methyl-D-aspartate receptor [J].
Lipton, SA ;
Kim, WK ;
Choi, YB ;
Kumar, S ;
DEmilia, DM ;
Rayudu, PV ;
Arnelle, DR ;
Stamler, JS .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 1997, 94 (11) :5923-5928