To the Editor: Several reports have indicated that elevatedplasma levels of the amino acid homocysteine are associatedwith, or are a primary risk factor for, coronary and vasculardisease and Alzheimer's disease. However, a number of additionalstudies do not show such a correlation.1 This discrepancy mayarise because there are multiple metabolic fates for homocysteine,depending on the nature and extent of cellular oxidative stress.
Most homocysteine is converted to methionine through folate-dependentand vitamin B12–dependent reactions. Compromise of thisconversion as a consequence of folate deficiency can lead toincreased export of homocysteine from cells, which . . . [Full Text of this Article]
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