The effect of hyperhomocysteinemia on aortic distensibility in healthy individuals

Ioanna Eleftheriadou1, Pinelopi Grigoropoulou, Ioannis Moyssakis

  • 1First Department of Propaedeutic and Internal Medicine, Athens University Medical School, Athens, Greece.

Insights

Acute hyperhomocysteinemia (HHCY) from methionine intake reduces aortic elasticity and impairs heart function in healthy individuals. This study investigated the immediate impact of HHCY on cardiovascular health.

Area of Science:

  • Cardiovascular Physiology
  • Metabolic Medicine
  • Vascular Biology

Background:

  • Elevated plasma homocysteine (HCY) is linked to cardiovascular disease risk.
  • Aortic distensibility and pulse wave velocity (PWV) measure aortic elasticity.
  • The acute effects of hyperhomocysteinemia (HHCY) on aortic elasticity and myocardial function in healthy individuals remain unclear.

Purpose of the Study:

  • To assess the impact of acute methionine-induced HHCY on aortic distensibility and PWV in healthy subjects.
  • To evaluate the effect of acute HHCY on left ventricular myocardial performance using the Tei index.

Main Methods:

  • A randomized crossover study involving 30 healthy volunteers.
  • Administration of oral methionine (100 mg/kg) or water load on separate days.
  • Non-invasive ultrasonography and applanation tonometry to measure aortic distensibility, Tei index, and PWV at baseline and follow-up intervals.

Main Results:

  • Methionine ingestion significantly increased plasma HCY levels.
  • Aortic distensibility decreased, and the Tei index increased 3 hours post-methionine load, indicating impaired aortic and myocardial function.
  • No significant changes in PWV were observed after methionine or water consumption.

Conclusions:

  • Acute HHCY induced by methionine significantly reduces aortic distensibility and worsens myocardial performance in healthy individuals.
  • Further investigation is needed to understand the long-term cardiovascular effects of HHCY.
Abstract

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