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Lipid, Oxidative and Inflammatory Profile and Alterations in the Enzymes Paraoxonase and Butyrylcholinesterase in Plasma of Patients with Homocystinuria Due CBS Deficiency: The Vitamin B12 and Folic Acid Importance

dc.contributor.authorVanzin, C.S.
dc.contributor.authorMescka, C.P.
dc.contributor.authorDonida, B.
dc.contributor.authorHammerschimidt, T.G.
dc.contributor.authorRibas, G.S.
dc.contributor.authorKolling, J.
dc.contributor.authorScherer, E.B.
dc.contributor.authorVilarinho, Laura
dc.contributor.authorNogueira, Célia
dc.contributor.authorCoitinho, A.S.
dc.contributor.authorWajner, M.
dc.contributor.authorWyse, A.T.
dc.contributor.authorVargas, C.R.
dc.date.accessioned2016-03-30T11:47:38Z
dc.date.available2016-09-01T00:30:09Z
dc.date.issued2015-08
dc.description.abstractCystathionine-β-synthase (CBS) deficiency is the main cause of homocystinuria. Homocysteine (Hcy), methionine, and other metabolites of Hcy accumulate in the body of affected patients. Despite the fact that thromboembolism represents the major cause of morbidity in CBS-deficient patients, the mechanisms of cardiovascular alterations found in homocystinuria remain unclear. In this work, we evaluated the lipid and inflammatory profile, oxidative protein damage, and the activities of the enzymes paraoxonase (PON1) and butyrylcholinesterase (BuChE) in plasma of CBS-deficient patients at diagnosis and during the treatment (protein-restricted diet supplemented with pyridoxine, folic acid, betaine, and vitamin B12). We also investigated the effect of folic acid and vitamin B12 on these parameters. We found a significant decrease in HDL cholesterol and apolipoprotein A1 (ApoA-1) levels, as well as in PON1 activity in both untreated and treated CBS-deficient patients when compared to controls. BuChE activity and IL-6 levels were significantly increased in not treated patients. Furthermore, significant positive correlations between PON1 activity and sulphydryl groups and between IL-6 levels and carbonyl content were verified. Moreover, vitamin B12 was positively correlated with PON1 and ApoA-1 levels, while folic acid was inversely correlated with total Hcy concentration, demonstrating the importance of this treatment. Our results also demonstrated that CBS-deficient patients presented important alterations in biochemical parameters, possibly caused by the metabolites of Hcy, as well as by oxidative stress, and that the adequate adherence to the treatment is essential to revert or prevent these alterations.pt_PT
dc.description.sponsorshipThis work was supported in part by grants from CAPES, CNPq, and FIPE/HCPA-Brazil.pt_PT
dc.identifier.citationCell Mol Neurobiol. 2015 Aug;35(6):899-911. doi: 10.1007/s10571-015-0185-7. Epub 2015 Mar 25.pt_PT
dc.identifier.doi10.1007/s10571-015-0185-7pt_PT
dc.identifier.issn0272-4340
dc.identifier.urihttp://hdl.handle.net/10400.18/3759
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringer Verlag (Germany)pt_PT
dc.relation.publisherversionhttp://link.springer.com/article/10.1007%2Fs10571-015-0185-7pt_PT
dc.subjectDoenças Genéticaspt_PT
dc.subjectHomocysteinept_PT
dc.subjectLipid Profilept_PT
dc.subjectInflammationpt_PT
dc.subjectParaoxonasept_PT
dc.subjectButyrylcholinesterasept_PT
dc.subjectVitamin B12pt_PT
dc.subjectFolic Acidpt_PT
dc.titleLipid, Oxidative and Inflammatory Profile and Alterations in the Enzymes Paraoxonase and Butyrylcholinesterase in Plasma of Patients with Homocystinuria Due CBS Deficiency: The Vitamin B12 and Folic Acid Importancept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage911pt_PT
oaire.citation.startPage899pt_PT
oaire.citation.titleCellular and Molecular Neurobiologypt_PT
oaire.citation.volume35(6)pt_PT
rcaap.rightsembargoedAccesspt_PT
rcaap.typearticlept_PT

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