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[Investigation of hyperhomocysteinemia]
Charlotte Veyrat-Durebex1, Hélène Blasco, Julie Crinier
1Laboratoire de biochimie et biologie moléculaire, CHRU de Tours, Tours, France, Inserm U930, Equipe neurogénétique et neurométabolomique, Université François Rabelais, Tours, France.
Insights
Hyperhomocysteinemia, an elevated homocysteine (Hcy) level, is linked to blood clots and neurological issues. This study outlines clinical signs and a biological strategy for diagnosing hyperhomocysteinemia effectively.
Area of Science:
- Biochemistry
- Clinical Medicine
- Genetics
Context:
- Hyperhomocysteinemia is a known risk factor for thromboembolic events.
- Emerging evidence suggests a role in neurodegenerative and neuropsychiatric disorders.
- Homocysteine (Hcy) toxicity is increasingly recognized.
Purpose:
- To address the need for a systematic investigation tool for hyperhomocysteinemia.
- To elucidate the complexity of homocysteine metabolism.
- To improve the etiologic diagnosis of hyperhomocysteinemia, differentiating genetic and nutritional causes.
Summary:
- Presents a brief overview of the clinical manifestations of hyperhomocysteinemia.
- Proposes a strategic approach for biological investigation.
- Aims to facilitate accurate diagnosis by understanding homocysteine metabolism.
Impact:
- Enhances understanding of hyperhomocysteinemia's diverse clinical implications.
- Provides a framework for improved diagnostic strategies.
- Facilitates the identification of underlying causes, guiding targeted interventions.
Abstract:
Hyperhomocysteinemia has been described as a risk factor for venous and arterial thromboembolic diseases but may be also involved in neurodegenerative and neuropsychiatric disorders. Considering some arguments for homocysteine (Hcy) toxicity, a systematic investigation tool of hyperhomocysteinemia is needed. Understanding of the complexity of homocysteine metabolism can help to improve etiologic diagnosis of hyperhomocysteinemia, especially in determining the genetic or nutritional origin of the anomaly. We propose here a brief description of different clinical presentations and a strategy for biological investigation of hyperhomocysteinemia.
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