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Elevated Serum Homocysteine (Hcy) Levels May Contribute to the Pathogenesis of Cerebral Infarction

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Abstract

The purpose of this meta-analysis was to investigate the correlation between serum homocysteine (Hcy) levels and the pathogenesis of cerebral infarction (CI). Relevant studies involving serum Hcy levels and the pathogenesis of CI were identified using electronic database search supplemented with manual search. The search result studies were screened in accordance with our strict inclusion and exclusion criteria. Statistical analyses were conducted with Comprehensive Meta Analysis 2.0 (CMA 2.0) software. A total of 13 studies were eligible for our meta-analysis and included 1206 patients with CI and 1202 healthy controls. Our meta-analysis revealed that the serum Hcy levels in CI patients were significantly higher than those in healthy controls. Subgroup analysis based on ethnicity showed that Caucasians and Asians had significantly higher serum Hcy levels in CI patients compared to healthy controls and Africans showed no significant differences in serum Hcy levels between CI patients and controls. In conclusion, our meta-analysis reveals a strong correlation between elevated serum Hcy levels and the pathogenesis of CI, suggesting that serum Hcy levels may be an important biomarker for the early diagnosis and treatment assessment of CI.

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References

  • Adinolfi LE, Zampino R, Restivo L et al (2014) Chronic hepatitis C virus infection and atherosclerosis: clinical impact and mechanisms. World J Gastroenterol 20:3410–3417

    Article  PubMed Central  PubMed  Google Scholar 

  • Bishop MJ, Plank G (2014) Simulating photon scattering effects in structurally detailed ventricular models using a Monte Carlo approach. Front Physiol 5:338

    Article  PubMed Central  PubMed  Google Scholar 

  • Chen SF, Cui CL, Wu P, Xie NZ (2013) Relationship of serum homocysteine level with nutritional status and HbA1c level in elderly inpatients. Int J Clin Exp Med 6:779–784

    CAS  PubMed Central  PubMed  Google Scholar 

  • Dougu N, Takashima S, Sasahara E et al (2011) Predictors of poor outcome in patients with acute cerebral infarction. J Clin Neurol 7:197–202

    Article  PubMed Central  PubMed  Google Scholar 

  • Egger M, Davey SG, Schneider M, Minder C (1997) Bias in meta-analysis detected by a simple, graphical test. BMJ 315:629–634

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Higgins JP, Thompson SG (2002) Quantifying heterogeneity in a meta-analysis. Stat Med 21:1539–1558

    Article  PubMed  Google Scholar 

  • Kalita J, Kumar G, Bansal V, Misra UK (2009) Relationship of homocysteine with other risk factors and outcome of ischemic stroke. Clin Neurol Neurosurg 111:364–367

    Article  PubMed  Google Scholar 

  • Kawamoto R, Kajiwara T, Oka Y, Takagi Y (2002) An association between plasma homocysteine concentrations and ischemic stroke in elderly Japanese. J Atheroscler Thromb 9:121–125

    Article  CAS  PubMed  Google Scholar 

  • Kim NK, Choi BO, Jung WS, Choi YJ, Choi KG (2003) Hyperhomocysteinemia as an independent risk factor for silent brain infarction. Neurology 61:1595–1599

    Article  CAS  PubMed  Google Scholar 

  • Kim OJ, Lee JH, Choi JK et al (2010) Association between tumor necrosis factor-alpha (-308G–>A and -238G–>A) polymorphisms and homocysteine levels in patients with ischemic strokes and silent brain infarctions. Cerebrovasc Dis 30:483–490

    Article  CAS  PubMed  Google Scholar 

  • Ma SG, Xu W, Wei CL et al (2011) Role of ischemia-modified albumin and total homocysteine in estimating symptomatic lacunar infarction in type 2 diabetic patients. Clin Biochem 44:1299–1303

    Article  CAS  PubMed  Google Scholar 

  • Madonna P, de Stefano V, Coppola A et al (2002) Hyperhomocysteinemia and other inherited prothrombotic conditions in young adults with a history of ischemic stroke. Stroke 33:51–56

    Article  CAS  PubMed  Google Scholar 

  • Naess H, Nyland H, Idicula T, Waje-Andreassen U (2013) C-reactive protein and homocysteine predict long-term mortality in young ischemic stroke patients. J Stroke Cerebrovasc Dis 22:e435–440

    Article  PubMed  Google Scholar 

  • Naureen A, Munazza B, Shaheen R, Khan SA, Fatima F (2012) Serum homocysteine as a risk factor for coronary heart disease. J Ayub Med Coll Abbottabad 24:59–62

    PubMed  Google Scholar 

  • O’Donnell MJ, Xavier D, Liu L et al (2010) Risk factors for ischaemic and intracerebral haemorrhagic stroke in 22 countries (the INTERSTROKE study): a case-control study. Lancet 376:112–123

    Article  PubMed  Google Scholar 

  • Okubadejo NU, Oladipo OO, Adeyomoye AA, Awosanya GO, Danesi MA (2008) Exploratory study of plasma total homocysteine and its relationship to short-term outcome in acute ischaemic stroke in Nigerians. BMC Neurol 8:26

    Article  PubMed Central  PubMed  Google Scholar 

  • Petras M, Tatarkova Z, Kovalska M et al (2014) Hyperhomocysteinemia as a risk factor for the neuronal system disorders. J Physiol Pharmacol 65:15–23

    CAS  PubMed  Google Scholar 

  • Sen S, Rabinstein AA, Elkind MS, Powers WJ (2012) Recent developments regarding human immunodeficiency virus infection and stroke. Cerebrovasc Dis 33:209–218

    Article  CAS  PubMed  Google Scholar 

  • Sobol AB, Bald E, Loba J (2005) Fractions of total plasma homocysteine in patients with ischemic stroke before the age of 55 years. Angiology 56:201–209

    Article  PubMed  Google Scholar 

  • Song IU, Kim JS, Ryu SY et al (2009) Are plasma homocysteine levels related to neurological severity and functional outcome after ischemic stroke in the Korean population? J Neurol Sci 278:60–63

    Article  CAS  PubMed  Google Scholar 

  • Sterne JA, Egger M (2001) Funnel plots for detecting bias in meta-analysis: guidelines on choice of axis. J Clin Epidemiol 54:1046–1055

    Article  CAS  PubMed  Google Scholar 

  • Tan Y, Zhang JC, Hu XX (2009) Clinical value of serum Hcy and thrombo- precursor protein (TpP) levels determination of early diagnosis of acute cerebral infarction. J Radioimmunol 67–68

  • Towfighi A, Saver JL (2011) Stroke declines from third to fourth leading cause of death in the United States: historical perspective and challenges ahead. Stroke 42:2351–2355

    Article  PubMed  Google Scholar 

  • Tranchina L, Centofanti M, Oddone F et al (2011) Levels of plasma homocysteine in pseudoexfoliation glaucoma. Graefes Arch Clin Exp Ophthalmol 249:443–448

    Article  CAS  PubMed  Google Scholar 

  • Tu WJ, Zhao SJ, Liu TG, Yang DG, Chen H (2013) Combination of high-sensitivity C-reactive protein and homocysteine predicts the short-term outcomes of Chinese patients with acute ischemic stroke. Neurol Res 35:912–921

    Article  CAS  PubMed  Google Scholar 

  • Turaj W, Slowik A, Wnuk M, Szczudlik A (2009) Gender-related differences in diagnostic evaluation and outcome of ischemic stroke in Poland. Stroke 40:980–982

    Article  PubMed  Google Scholar 

  • Wang QY, Wang WJ, Wu L, Liu L, Han LZ (2013) Meta-analysis of APOE epsilon2/epsilon3/epsilon4 polymorphism and cerebral infarction. J Neural Transm 120:1479–1489

    Article  CAS  PubMed  Google Scholar 

  • Wang RY (2014) Clinical significance of homocystein in the diagnosis of acute cerebral infarction. Lab Med Clinic 902-903

  • Wikstrom EA, Naik S, Lodha N, Cauraugh JH (2009) Balance capabilities after lateral ankle trauma and intervention: a meta-analysis. Med Sci Sports Exerc 41:1287–1295

    Article  PubMed  Google Scholar 

  • Wu XQ, Ding J, Ge AY, Liu FF, Wang X, Fan W (2013) Acute phase homocysteine related to severity and outcome of atherothrombotic stroke. Eur J Intern Med 24:362–367

    Article  CAS  PubMed  Google Scholar 

  • Xiang GQ, Feng DY, Zhao HC, Wang XJ (2014) Serum lipid and homocysteine levels in ischemic cerebrovascular disease. Chin J Health Lab Technol. 390-391

  • Xu SF, Xu YH (2013) Homocysteine, D-dimer and fibrinogen in patients with acute cerebral infarction. J Clin Transfusion Lab Med 241-242

  • Xu X, Li X, Li J, Ou R, Sheng W (2010) Meta-analysis of association between variation in the PDE4D gene and ischemic cerebral infarction risk in Asian populations. Neurogenetics 11:327–333

    Article  PubMed  Google Scholar 

  • Ye YL, Fei XM (2014) Homocysteine and fibrinogen in the diagnosis of acute cerebral infarction. Chin J Health Lab Technol 87-89

  • Yoldas T, Gonen M, Godekmerdan A, Ilhan F, Bayram E (2007) The serum high-sensitive C reactive protein and homocysteine levels to evaluate the prognosis of acute ischemic stroke. Mediators Inflamm 2007:15929

    PubMed Central  PubMed  Google Scholar 

  • Zhang W, Zhang X (2014) Correlation between the youth cerebral infarction in different TOAST classifications and high homocysteine. Cell Biochem Biophys

  • Zhong C, Lv L, Liu C et al (2014) High homocysteine and blood pressure related to poor outcome of acute ischemia stroke in Chinese population. PLoS One 9:e107498

    Article  PubMed Central  PubMed  Google Scholar 

  • Zintzaras E, Ioannidis JP (2005a) HEGESMA: genome search meta-analysis and heterogeneity testing. Bioinformatics 21:3672–3673

    Article  CAS  PubMed  Google Scholar 

  • Zintzaras E, Ioannidis JP (2005b) Heterogeneity testing in meta-analysis of genome searches. Genet Epidemiol 28:123–137

    Article  PubMed  Google Scholar 

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Acknowledgments

We would like to appreciate the reviewers for their helpful comments on this paper.

Conflict of Interest

The authors have proclaimed that there are no existing competing interests.

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Correspondence to Zhan Gao.

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Fu, HJ., Zhao, LB., Xue, JJ. et al. Elevated Serum Homocysteine (Hcy) Levels May Contribute to the Pathogenesis of Cerebral Infarction. J Mol Neurosci 56, 553–561 (2015). https://doi.org/10.1007/s12031-015-0497-6

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  • DOI: https://doi.org/10.1007/s12031-015-0497-6

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