PON1 status and homocysteine levels as potential biomarkers for cardiovascular disease
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Updated: Dec 11, 2025

Cell-free Biochemical Fluorometric Enzymatic Assay for High-throughput Measurement of Lipid Peroxidation in High Density Lipoprotein
Published on: October 12, 2017
N Ponce-Ruiz1, F E Murillo-González1, A E Rojas-García2
1Universidad Autónoma de Nayarit, Laboratorio de Contaminación y Toxicología, Secretaría de Investigación y Posgrado, Nayarit, Mexico; Posgrado en Ciencias Biológico Agropecuarias, Universidad Autónoma de Nayarit, Tepic, Nayarit, Mexico.
Insights
High homocysteine (Hcys) levels increase cardiovascular disease (CVD) risk, while paraoxonase 1 (PON1) activity and concentration decrease it. Vitamin B intake may modify these associations, suggesting potential biomarkers for CVD.
Area of Science:
- Biochemistry
- Cardiology
- Nutritional Science
Background:
- Cardiovascular disease (CVD) is a leading cause of mortality globally.
- Key risk factors include diabetes, hypertension, and elevated homocysteine (Hcys) levels.
- Paraoxonase 1 (PON1) is investigated for its antiatherogenic properties, including hydrolysis of oxidized low-density lipoproteins and Hcys-thiolactone.
Purpose of the Study:
- To investigate the association between homocysteine (Hcys) levels, paraoxonase 1 (PON1) activity and concentration, and dietary vitamin B intake with cardiovascular disease (CVD) risk.
- To explore PON1's enzymatic activities (Arylesterase, Lactonase, CMPA) in relation to CVD.
- To determine if vitamin B intake modifies the relationship between Hcys, PON1, and CVD.
Main Methods:
- A case-control study involving patients with CVD, arterial hypertension (AH), and healthy controls.
- Evaluation of lipid profiles, vitamin B intake, Hcys, serum amyloid A (SAA), PON1 concentration, and PON1 activities (ARE, LAC, CMPA).
Main Results:
- The CVD group exhibited significantly higher Hcys and SAA levels compared to AH and control groups.
- Arylesterase (ARE), Lactonase (LAC), and CMPA activities, along with PON1 concentration, were significantly lower in the CVD group.
- A strong independent association was found between elevated Hcys levels and CVD risk (OR=14.41 after adjustments).
- LAC and CMPA activities, and PON1 concentration showed an inverse association with CVD risk.
Conclusions:
- Lactonase (LAC) activity, PON1 concentration, and Hcys levels show potential as biomarkers for cardiovascular disease (CVD).
- Dietary vitamin B intake may influence the association between these biomarkers and CVD risk.
Background:
Cardiovascular disease (CVD) is the leading cause of death. The mainly risks factors for CVD are diabetes, hypertension and high levels of homocysteine (Hcys), among others. Paraoxonase 1 (PON1) has been proposed as an antiatherogenic target for its ability to hydrolyzing oxi-Low-Density-Lipoproteins (LDL) and Hcys-thiolactone. Thus, the aim of the present study was to evaluate the association of Hcys levels, and the activities and concentration of PON1, as well as vitamin B from the diet with a risk for CVD.
Methods:
A case-control study was carry out in patients with cardiovascular diseases (CVD), Arterial hypertension, but not CVD (AH), and in healthy controls (control group) from the Mexican Institute of Social Security. Lipid profile, intake of vitamin B, Hcys, serum amyloid A (SAA), PON1 concentration, and PON1 activities (Arylesterase activity (ARE), Lactonase activity (LAC), and CMPA activity (CMPA)) were evaluated.
Results:
The CVD group had the highest concentration of Hcys and SAA than in the AH and control groups (p < 0.01). ARE, LAC, and CMPA activities and PON1 concentration were lowest in the CVD group. A positive-independent association between Hcys levels and CVD was found (OR = 2.09; 95% CI: 1.69-2.56) and this increase when it was adjusted by age, BMI, ApoA1, vitamin B intake, SAA, and PON1 (OR = 14.41; 95% CI: 1.75-118.71). LAC and CMPA, as well as PON1 concentration, were inversely associated with CVD.
Conclusion:
LAC activity, PON1 concentration, and Hcys levels might be good biomarkers for CVD and their association could be modified by the intake of vitamin B.
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