Homocysteine levels in schizophrenia and affective disorders – focus on cognition

Although homocysteine (Hcy) has been widely implicated in the etiology of various physical health impairments, especially cardiovascular diseases, overwhelming evidence indicates that Hcy is also involved in the pathophysiology of schizophrenia and affective disorders. There are several mechanisms...

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Main Authors: Ahmed A. Moustafa, Doaa H Hewedi, Abeer M Eissa, Dorota eFrydecka, Błażej eMisiak
Format: Article
Language:English
Published: Frontiers Media S.A. 2014-10-01
Series:Frontiers in Behavioral Neuroscience
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fnbeh.2014.00343/full
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author Ahmed A. Moustafa
Doaa H Hewedi
Abeer M Eissa
Dorota eFrydecka
Błażej eMisiak
author_facet Ahmed A. Moustafa
Doaa H Hewedi
Abeer M Eissa
Dorota eFrydecka
Błażej eMisiak
author_sort Ahmed A. Moustafa
collection DOAJ
description Although homocysteine (Hcy) has been widely implicated in the etiology of various physical health impairments, especially cardiovascular diseases, overwhelming evidence indicates that Hcy is also involved in the pathophysiology of schizophrenia and affective disorders. There are several mechanisms linking Hcy to biological underpinnings of psychiatric disorders. It has been found that Hcy interacts with NMDA receptors, initiates oxidative stress, induces apoptosis, triggers mitochondrial dysfunction and leads to vascular damage. Elevated Hcy levels might also contribute to cognitive impairment that is widely observed among patients with affective disorders and schizophrenia. Supplementation of vitamins B and folic acid has been proved to be effective in lowering Hcy levels. There are also studies showing that this supplementation strategy might be beneficial for schizophrenia patients with respect to alleviating negative symptoms. However, there are no studies addressing the influence of add-on therapies with folate and vitamins B on cognitive performance of patients with schizophrenia and affective disorders. In this article, we provide an overview of Hcy metabolism in psychiatric disorders focusing on cognitive correlates and indicating future directions and perspectives.
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spelling doaj.art-76142501f05d4f4bb2c42425cc44ccf22022-12-22T00:21:08ZengFrontiers Media S.A.Frontiers in Behavioral Neuroscience1662-51532014-10-01810.3389/fnbeh.2014.00343109895Homocysteine levels in schizophrenia and affective disorders – focus on cognitionAhmed A. Moustafa0Doaa H Hewedi1Abeer M Eissa2Dorota eFrydecka3Błażej eMisiak4University of Western SydneyAin Shams UniversityAin Shams UniversityWroclaw Medical UniversityWroclaw Medical UniversityAlthough homocysteine (Hcy) has been widely implicated in the etiology of various physical health impairments, especially cardiovascular diseases, overwhelming evidence indicates that Hcy is also involved in the pathophysiology of schizophrenia and affective disorders. There are several mechanisms linking Hcy to biological underpinnings of psychiatric disorders. It has been found that Hcy interacts with NMDA receptors, initiates oxidative stress, induces apoptosis, triggers mitochondrial dysfunction and leads to vascular damage. Elevated Hcy levels might also contribute to cognitive impairment that is widely observed among patients with affective disorders and schizophrenia. Supplementation of vitamins B and folic acid has been proved to be effective in lowering Hcy levels. There are also studies showing that this supplementation strategy might be beneficial for schizophrenia patients with respect to alleviating negative symptoms. However, there are no studies addressing the influence of add-on therapies with folate and vitamins B on cognitive performance of patients with schizophrenia and affective disorders. In this article, we provide an overview of Hcy metabolism in psychiatric disorders focusing on cognitive correlates and indicating future directions and perspectives.http://journal.frontiersin.org/Journal/10.3389/fnbeh.2014.00343/fullBipolar DisorderCognitionDepressionHomocysteineSchizophreniaAffective Disorders
spellingShingle Ahmed A. Moustafa
Doaa H Hewedi
Abeer M Eissa
Dorota eFrydecka
Błażej eMisiak
Homocysteine levels in schizophrenia and affective disorders – focus on cognition
Frontiers in Behavioral Neuroscience
Bipolar Disorder
Cognition
Depression
Homocysteine
Schizophrenia
Affective Disorders
title Homocysteine levels in schizophrenia and affective disorders – focus on cognition
title_full Homocysteine levels in schizophrenia and affective disorders – focus on cognition
title_fullStr Homocysteine levels in schizophrenia and affective disorders – focus on cognition
title_full_unstemmed Homocysteine levels in schizophrenia and affective disorders – focus on cognition
title_short Homocysteine levels in schizophrenia and affective disorders – focus on cognition
title_sort homocysteine levels in schizophrenia and affective disorders focus on cognition
topic Bipolar Disorder
Cognition
Depression
Homocysteine
Schizophrenia
Affective Disorders
url http://journal.frontiersin.org/Journal/10.3389/fnbeh.2014.00343/full
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AT abeermeissa homocysteinelevelsinschizophreniaandaffectivedisordersfocusoncognition
AT dorotaefrydecka homocysteinelevelsinschizophreniaandaffectivedisordersfocusoncognition
AT błazejemisiak homocysteinelevelsinschizophreniaandaffectivedisordersfocusoncognition