Carotid narrowing degree and plasma thiol levels in carotid endarterectomy patients
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Ciriaco Carru
Abstract
The aim of this work was to study the association between plasma thiol levels and percentage carotid narrowing in a group of 68 patients who underwent a carotid endarterectomy, pertained as a risk factor for vascular and cardiovascular disease. Total plasma thiols were measured by capillary electrophoresis laser-induced fluorescence. The mean values of the hematological parameters studied were within normal limits and 25% of the patients were hyperhomocysteinemic (homocysteine >15μmol/L). Pearson's correlation between carotid narrowing degree and the most common risk factors for atherosclerosis showed a positive relationship only between carotid narrowing degree and cysteine levels (r=0.252; p<0.05). Stepwise multiple linear regression with carotid narrowing degree as the dependent variable, and cysteine, homocysteine, age, triglyceride and low-density lipoprotein-cholesterol as independent variables confirmed that cysteine was significantly associated with these variables. By regrouping the population according to cysteine and homocysteine concentration percentiles, we found positive correlation between these parameters and median values of carotid narrowing degree. Our study provides experimental evidence to confirm that plasma homocysteine and cysteine are involved in carotid narrowing after carotid endarterectomy intervention, suggesting that cysteine may be involved in the deleterious molecular mechanisms active in carotid stenosis.
References
1. Serruys PW, Luijten HE, Beatt KJ, Di Mario C, de Feyter PJ, Essed CE, et al. Incidence of restenosis after successful coronary angioplasty: a time-related phenomenon: a quantitative angiographic study in 342 consecutive patients at 1, 2, 3, and 4months. Circulation 1988; 77:361–71.10.1161/01.CIR.77.2.361Search in Google Scholar
2. Stangl K, Cascorbi I, Stangl V, Laule M, Dschietzig T, Richter C, et al. Hyperhomocysteinaemia and adverse events complicating coronary catheter interventions. Int J Cardiol 2000; 76:211–7.10.1016/S0167-5273(00)00380-6Search in Google Scholar
3. Selhub J, Jacques PF, Bostom AG, D'Agostino RB, Wilson PW, Belanger AJ, et al. Association between plasma homocysteine concentrations and extracranial carotid-artery stenosis. N Engl J Med 1995; 332:286–91.10.1056/NEJM199502023320502Search in Google Scholar PubMed
4. den Heijer M, Koster T, Blom HJ, Bos GM, Briet E, Reitsma PH, et al. Hyperhomocysteinemia as a risk factor for deep vein thrombosis. N Engl J Med 1996; 334:759–62.10.1056/NEJM199603213341203Search in Google Scholar PubMed
5. Toutouzas K, Colombo A, Stefanadis C. Inflammation and restenosis after percutaneous coronary interventions. Eur Heart J 2004; 25:1679–87.10.1016/j.ehj.2004.06.011Search in Google Scholar PubMed
6. Moore WS, Kempczinski RF, Nelson JJ, Toole JF. Recurrent carotid stenosis: results of the asymptomatic carotid atherosclerosis study. Stroke 1998; 29:2018–25.10.1161/01.STR.29.10.2018Search in Google Scholar
7. Liapis CD, Paraskevas KI. Factors affecting recurrent carotid stenosis. Vasc Endovasc Surg 2005; 39:83–95.10.1177/153857440503900108Search in Google Scholar PubMed
8. Mullenix PS, Andersen CA, Starnes BW. Atherosclerosis as inflammation. Ann Vasc Surg 2005; 19:130–8.10.1007/s10016-004-0153-zSearch in Google Scholar PubMed
9. Ridker PM. Inflammation in atherothrombosis: how to use high-sensitivity C-reactive protein (hsCRP) in clinical practice. Am Heart Hosp J 2004; 2:4–9.Search in Google Scholar
10. Charo IF, Taubman MB. Chemokines in the pathogenesis of vascular disease. Circ Res 2004; 95:858–66.10.1161/01.RES.0000146672.10582.17Search in Google Scholar PubMed
11. Ikeda U. Inflammation and coronary artery disease. Curr Vasc Pharmacol 2003; 1:65–70.10.2174/1570161033386727Search in Google Scholar PubMed
12. Ferroni P, Basili S, Davi G. Platelet activation, inflammatory mediators and hypercholesterolemia. Curr Vasc Pharmacol 2003; 1:157–69.10.2174/1570161033476772Search in Google Scholar
13. Hansrani M, Gillespie JI, Stansby G. Homocysteine in myointimal hyperplasia. Eur J Vasc Endovasc Surg 2002; 23:3–10.10.1053/ejvs.2001.1526Search in Google Scholar
14. Austin RC, Lentz SR, Werstuck GH. Role of hyperhomocysteinemia in endothelial dysfunction and atherothrombotic disease. Cell Death Differ 2004; 11:S56–64.10.1038/sj.cdd.4401451Search in Google Scholar
15. Splaver A, Lamas GA, Hennekens CH. Homocysteine and cardiovascular disease: biological mechanisms, observational epidemiology, and the need for randomized trials. Am Heart J 2004; 148:34–40.10.1016/j.ahj.2004.02.004Search in Google Scholar
16. Kalra DK. Homocysteine and cardiovascular disease. Curr Atheroscler Rep 2004; 6:101–6.10.1007/s11883-004-0097-3Search in Google Scholar
17. Ozkan Y, Ozkan E, Simsek B. Plasma total homocysteine and cysteine levels as cardiovascular risk factors in coronary heart disease. Int J Cardiol 2002; 82:269–77.10.1016/S0167-5273(02)00010-4Search in Google Scholar
18. El-Khairy L, Ueland PM, Refsum H, Graham IM, Vollset SE. Plasma total cysteine as a risk factor for vascular disease: The European Concerted Action Project. Circulation 2001; 103:2544–9.10.1161/01.CIR.103.21.2544Search in Google Scholar
19. Zinellu A, Carru C, Galistu F, Usai MF, Pes GM, Baggio G, et al. N-Methyl-D-glucamine improves the laser-induced fluorescence capillary electrophoresis performance in the total plasma thiols measurement. Electrophoresis 2003; 24:2796–804.10.1002/elps.200305570Search in Google Scholar
20. Stamler JS, Slivka A. Biological chemistry of thiols in the vasculature and in vascular-related disease. Nutr Rev 1996; 54:1–30.Search in Google Scholar
21. Nishiuch Y, Sasaki M, Nakayasu M, Oikawa A. Cytotoxicity of cysteine in culture media. In Vitro 1976;12:635–8.10.1007/BF02797462Search in Google Scholar
22. Dudman NP, Hicks C, Wang J, Wilcken DE. Human arterial endothelial cell detachment in vitro: its promotion by homocysteine and cysteine. Atherosclerosis 1991; 91:77–83.10.1016/0021-9150(91)90189-ASearch in Google Scholar
23. Saez G, Thornalley PJ, Hill HA, Hems R, Bannister JV. The production of free radicals during the autoxidation of cysteine and their effect on isolated rat hepatocytes. Biochim Biophys Acta 1982; 719:24–31.10.1016/0304-4165(82)90302-6Search in Google Scholar
24. Ikeda M, Hirose Y, Miyoshi K, Kodama H. Nuclear factor kappaB (NF-kappaB) activation by hydrogen peroxide in human epidermal keratinocytes and the restorative effect of interleukin-10. J Dermatol Sci 2002; 28:159–70.10.1016/S0923-1811(01)00164-5Search in Google Scholar
25. Lakshminarayanan V, Lewallen M, Frangogiannis NG, Evans AJ, Wedin KE, Michael LH, et al. Reactive oxygen intermediates induce monocyte chemotactic protein-1 in vascular endothelium after brief ischemia. Am J Pathol 2001; 159:1301–11.10.1016/S0002-9440(10)62517-5Search in Google Scholar
26. Samson RH, Yungst Z, Showalter DP. Homocysteine, a risk factor for carotid atherosclerosis, is not a risk factor for early recurrent carotid stenosis following carotid endarterectomy. Vasc Endovasc Surg 2004; 38:345–8.10.1177/153857440403800406Search in Google Scholar
27. Rockman CB, Svahn JK, Willis DJ, Lamparello PJ, Adelman MA, Jacobowitz GR, et al. Carotid endarterectomy in patients 55years of age and younger. Ann Vasc Surg 2001; 15:557–62.10.1007/s10016-001-0029-4Search in Google Scholar
28. Levy PJ, Olin JW, Piedmonte MR, Young JR, Hertzer NR. Carotid endarterectomy in adults 50years of age and younger: a retrospective comparative study. J Vasc Surg 1997; 25:326–31.10.1016/S0741-5214(97)70354-9Search in Google Scholar
29. Martin GH, Allen RC, Noel BL, Talkington CM, Garrett WV, Smith BL, et al. Carotid endarterectomy in patients less than 50 years old. J Vasc Surg 1997; 26:447–54 (discussion 454–5).10.1016/S0741-5214(97)70037-5Search in Google Scholar
30. Ballotta E, Da Giau G, Renon L. Early and late outcomes of young patients after carotid endarterectomy. Surgery 1999; 125:581–6.10.1016/S0039-6060(99)70220-5Search in Google Scholar
31. Metz R, Teijink JA, van de Pavoordt HD, Ackerstaff RG, de Borst GJ, Kelder JC, et al. Carotid endarterectomy in octogenarians with symptomatic high-grade internal carotid artery stenosis: long-term clinical and duplex follow-up. Vasc Endovascular Surg 2002; 36:409–14.10.1177/153857440203600601Search in Google Scholar PubMed
©2005 by Walter de Gruyter Berlin New York
Articles in the same Issue
- Homocysteine research – where do we stand and where are we going?
- Hyperhomocysteinemia and arteriosclerosis: historical perspectives
- Homocysteine and heart failure: a review of investigations from the Framingham Heart Study
- Homocysteine and vascular disease in diabetes: a double hit?
- Reduced adenosine receptor stimulation as a pathogenic factor in hyperhomocysteinemia
- Effects of homocysteine on vascular and tissue adenosine: a stake in homocysteine pathogenicity?
- Anti-N-homocysteinylated protein autoantibodies and cardiovascular disease
- Carotid narrowing degree and plasma thiol levels in carotid endarterectomy patients
- Impairment of homocysteine metabolism in patients with retinal vascular occlusion and non-arteritic ischemic optic neuropathy
- Hyperhomocysteinaemia in chronic kidney disease: focus on transmethylation
- Hyperhomocysteinemia and macromolecule modifications in uremic patients
- Hyperhomocysteinemia and response of methionine cycle intermediates to vitamin treatment in renal patients
- Vitamin B12 deficiency is the dominant nutritional cause of hyperhomocysteinemia in a folic acid-fortified population
- Homocysteine, folic acid and vitamin B12 in relation to pre- and postnatal health aspects
- Evaluation of the technical performance of novel holotranscobalamin (holoTC) assays in a multicenter European demonstration project
- A laboratory algorithm with homocysteine as the primary parameter reduces the cost of investigation of folate and cobalamin deficiency
- Betaine: a key modulator of one-carbon metabolism and homocysteine status
- Molecular targeting by homocysteine: a mechanism for vascular pathogenesis
- Anti-inflammatory compound resveratrol suppresses homocysteine formation in stimulated human peripheral blood mononuclear cells in vitro
- Homocysteine in relation to cognitive performance in pathological and non-pathological conditions
- Homocysteine and B vitamins in mild cognitive impairment and dementia
- Homocysteine, type 2 diabetes mellitus, and cognitive performance: The Maine-Syracuse Study
- Plasma homocysteine levels in L-dopa-treated Parkinson's disease patients with cognitive dysfunctions
- Homocysteine – a newly recognised risk factor for osteoporosis
- Relation between homocysteine and biochemical bone turnover markers and bone mineral density in peri- and post-menopausal women
- Elevated levels of asymmetric dimethylarginine (ADMA) as a marker of cardiovascular disease and mortality
- Measurement of asymmetric dimethylarginine in plasma: methodological considerations and clinical relevance
- Concentrations of homocysteine, related metabolites and asymmetric dimethylarginine in preeclamptic women with poor nutritional status
- Asymmetric dimethylarginine, homocysteine and renal function – is there a relation?
- Interactions between folate and aging for carcinogenesis
- The potential cocarcinogenic effect of vitamin B12 deficiency
- The vegetarian lifestyle and DNA methylation
Articles in the same Issue
- Homocysteine research – where do we stand and where are we going?
- Hyperhomocysteinemia and arteriosclerosis: historical perspectives
- Homocysteine and heart failure: a review of investigations from the Framingham Heart Study
- Homocysteine and vascular disease in diabetes: a double hit?
- Reduced adenosine receptor stimulation as a pathogenic factor in hyperhomocysteinemia
- Effects of homocysteine on vascular and tissue adenosine: a stake in homocysteine pathogenicity?
- Anti-N-homocysteinylated protein autoantibodies and cardiovascular disease
- Carotid narrowing degree and plasma thiol levels in carotid endarterectomy patients
- Impairment of homocysteine metabolism in patients with retinal vascular occlusion and non-arteritic ischemic optic neuropathy
- Hyperhomocysteinaemia in chronic kidney disease: focus on transmethylation
- Hyperhomocysteinemia and macromolecule modifications in uremic patients
- Hyperhomocysteinemia and response of methionine cycle intermediates to vitamin treatment in renal patients
- Vitamin B12 deficiency is the dominant nutritional cause of hyperhomocysteinemia in a folic acid-fortified population
- Homocysteine, folic acid and vitamin B12 in relation to pre- and postnatal health aspects
- Evaluation of the technical performance of novel holotranscobalamin (holoTC) assays in a multicenter European demonstration project
- A laboratory algorithm with homocysteine as the primary parameter reduces the cost of investigation of folate and cobalamin deficiency
- Betaine: a key modulator of one-carbon metabolism and homocysteine status
- Molecular targeting by homocysteine: a mechanism for vascular pathogenesis
- Anti-inflammatory compound resveratrol suppresses homocysteine formation in stimulated human peripheral blood mononuclear cells in vitro
- Homocysteine in relation to cognitive performance in pathological and non-pathological conditions
- Homocysteine and B vitamins in mild cognitive impairment and dementia
- Homocysteine, type 2 diabetes mellitus, and cognitive performance: The Maine-Syracuse Study
- Plasma homocysteine levels in L-dopa-treated Parkinson's disease patients with cognitive dysfunctions
- Homocysteine – a newly recognised risk factor for osteoporosis
- Relation between homocysteine and biochemical bone turnover markers and bone mineral density in peri- and post-menopausal women
- Elevated levels of asymmetric dimethylarginine (ADMA) as a marker of cardiovascular disease and mortality
- Measurement of asymmetric dimethylarginine in plasma: methodological considerations and clinical relevance
- Concentrations of homocysteine, related metabolites and asymmetric dimethylarginine in preeclamptic women with poor nutritional status
- Asymmetric dimethylarginine, homocysteine and renal function – is there a relation?
- Interactions between folate and aging for carcinogenesis
- The potential cocarcinogenic effect of vitamin B12 deficiency
- The vegetarian lifestyle and DNA methylation