The importance of homocysteine levels in the prognosis of patients with chronic renal disease and in hemodialysis patients

ABSTRACT Introduction: Homocysteine (Hcy) is one of the metabolites of methionine (Met), an essential diet-derived amino acid. There is a close relationship between high plasma Hcy levels and declining renal function. Plasma and urinary Hcy level has been the target of studies as a biomarker that f...

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Main Authors: Bruna M. Martella, Glaucia Raquel L. Veiga, Beatriz C. A. Alves, Ligia A. Azzalis, Virginia B. C. Junqueira, Flavia S. Gehrkei, Fernando Luiz A. Fonseca, Marcelo R. Bacci
Format: Article
Language:English
Published: Sociedade Brasileira de Patologia Clínica 2018-06-01
Series:Jornal Brasileiro de Patologia e Medicina Laboratorial
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442018000300170&tlng=en
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author Bruna M. Martella
Glaucia Raquel L. Veiga
Beatriz C. A. Alves
Ligia A. Azzalis
Virginia B. C. Junqueira
Flavia S. Gehrkei
Fernando Luiz A. Fonseca
Marcelo R. Bacci
author_facet Bruna M. Martella
Glaucia Raquel L. Veiga
Beatriz C. A. Alves
Ligia A. Azzalis
Virginia B. C. Junqueira
Flavia S. Gehrkei
Fernando Luiz A. Fonseca
Marcelo R. Bacci
author_sort Bruna M. Martella
collection DOAJ
description ABSTRACT Introduction: Homocysteine (Hcy) is one of the metabolites of methionine (Met), an essential diet-derived amino acid. There is a close relationship between high plasma Hcy levels and declining renal function. Plasma and urinary Hcy level has been the target of studies as a biomarker that forecasts poor outcome in renal patients and in hemodialysis patients. This review evaluates the main studies that sought to correlate Hcy and poor prognosis in renal disease as well as the treatments proposed for the reduction of plasma Hcy levels in these patients. Conclusion: Hcy could be an important biomarker of renal disease progression mainly in hemodialysis patients. We emphasize the importance of normalizing plasma levels of this amino acid to ensure a better prognosis in kidney disease.
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spelling doaj.art-a1e47a4e9d6b43c7883f5b6af7d1c1252022-12-22T04:12:39ZengSociedade Brasileira de Patologia ClínicaJornal Brasileiro de Patologia e Medicina Laboratorial1678-47742018-06-0154317017610.5935/1676-2444.20180030The importance of homocysteine levels in the prognosis of patients with chronic renal disease and in hemodialysis patientsBruna M. MartellaGlaucia Raquel L. VeigaBeatriz C. A. AlvesLigia A. AzzalisVirginia B. C. JunqueiraFlavia S. GehrkeiFernando Luiz A. FonsecaMarcelo R. BacciABSTRACT Introduction: Homocysteine (Hcy) is one of the metabolites of methionine (Met), an essential diet-derived amino acid. There is a close relationship between high plasma Hcy levels and declining renal function. Plasma and urinary Hcy level has been the target of studies as a biomarker that forecasts poor outcome in renal patients and in hemodialysis patients. This review evaluates the main studies that sought to correlate Hcy and poor prognosis in renal disease as well as the treatments proposed for the reduction of plasma Hcy levels in these patients. Conclusion: Hcy could be an important biomarker of renal disease progression mainly in hemodialysis patients. We emphasize the importance of normalizing plasma levels of this amino acid to ensure a better prognosis in kidney disease.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442018000300170&tlng=enhomocysteinemetabolismchronic kidney failure
spellingShingle Bruna M. Martella
Glaucia Raquel L. Veiga
Beatriz C. A. Alves
Ligia A. Azzalis
Virginia B. C. Junqueira
Flavia S. Gehrkei
Fernando Luiz A. Fonseca
Marcelo R. Bacci
The importance of homocysteine levels in the prognosis of patients with chronic renal disease and in hemodialysis patients
Jornal Brasileiro de Patologia e Medicina Laboratorial
homocysteine
metabolism
chronic kidney failure
title The importance of homocysteine levels in the prognosis of patients with chronic renal disease and in hemodialysis patients
title_full The importance of homocysteine levels in the prognosis of patients with chronic renal disease and in hemodialysis patients
title_fullStr The importance of homocysteine levels in the prognosis of patients with chronic renal disease and in hemodialysis patients
title_full_unstemmed The importance of homocysteine levels in the prognosis of patients with chronic renal disease and in hemodialysis patients
title_short The importance of homocysteine levels in the prognosis of patients with chronic renal disease and in hemodialysis patients
title_sort importance of homocysteine levels in the prognosis of patients with chronic renal disease and in hemodialysis patients
topic homocysteine
metabolism
chronic kidney failure
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442018000300170&tlng=en
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