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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.
Objective:
Elevated plasma homocysteine (HCY) levels have been associated with increased risk for cardiovascular disease. Aortic distensibility and aortic pulse wave velocity (PWV) are indices of aortic elasticity. The potential effect of acute hyperhomocysteinemia (HHCY) on the elastic properties of the aorta in healthy individuals is not known. The aim of the present study was to determine the effect of acute methionine-induced HHCY on aortic distensibility and PWV in healthy individualsand the effect of acute HHCY on myocardial performance of the left ventricle (Tei index).
Methods:
Thirty healthy volunteers were included in this crossover study. An oral methionine (100 mg/kg) or water load was given in random order on separate days at weekly intervals. Aortic distensibility and Tei index were determined non-invasively by ultrasonography at baseline and 3 h after methionine or water consumption, while PWV was measured by applanation tonometry at baseline and every 1 h for the same time interval.
Results:
Oral methionine induced an increase in total plasma HCY concentrations (P < 0.001), whereas HCY concentrations did not change after water consumption. Aortic distensibility decreased 3 h after methionine load (P < 0.001) and Tei index increased (P < 0.001), suggesting worsening compared with baseline values. Water consumption had no effect on aortic distensibility or Tei index values. PWV values did not change after either methionine or water consumption.
Conclusions:
Acute methionine-induced HHCY reduces aortic distensibility and worsens myocardial performance in healthy individuals. Further research is warranted to examine in the long term the direct effects of HHCY on cardiovascular function and the indirect effects on structural remodeling.
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