高同型半胱氨酸与缺血性卒中相关性的研究进展

被引:12
作者
周静
章成国
机构
[1] 佛山市第一人民医院神经内科
关键词
同型半胱氨酸; 缺血性卒中; 高同型半胱氨酸血症;
D O I
暂无
中图分类号
R743.3 [急性脑血管疾病(中风)];
学科分类号
1002 ;
摘要
<正>当前,缺血性卒中的发病率在中国以每年8.7%的速度增长,且卒中二级预防能降低卒中再发风险接近90%,卒中的一级、二级预防成为当前国内外研究的热点。自从1969年McCully首次提出高同型半胱氨酸血症与动脉粥样硬化及血栓形成有关联的假说后,血浆中同型半胱氨酸(homocysteine,Hcy)水平与心脑血管疾病的关系一直成为国内外学者的研究焦点。然而,近年来大量通过降低Hcy水平来预防心脑血管疾病的干预治疗均未得到一致的阳性结果。因此,Hcy在心脑血管疾病一级、二级预防中的地位开始受到质疑:到底Hcy与心脑血管疾病的关系是不是因果关系?
引用
收藏
页码:317 / 319
相关论文
共 11 条
[1]   Effect of enalapril on plasma homocysteine levels in patients with essential hypertension [J].
Fangfang FANYong HUOXu WANGXin XUBinyan WANGXiping XUJianping LIDepartment of CardiologyPeking University First HospitalBeijing ChinaInstitute of BiomedicineAnhui Medical UniversityHefei China .
Journal of Zhejiang University-Science B(Biomedicine & Biotechnology), 2010, 11 (08) :583-591
[2]   复方I类新药依那普利叶酸片的创新思路 [J].
陈光亮 ;
霍勇 ;
李建平 ;
刘力生 ;
徐希平 .
中国新药杂志, 2009, (17) :1590-1593+1604
[3]   Meta-Analysis of Folic Acid Supplementation Trials on Risk of Cardiovascular Disease and Risk Interaction With Baseline Homocysteine Levels [J].
Miller, Edgar R., III ;
Juraschek, Stephen ;
Pastor-Barriuso, Roberto ;
Bazzano, Lydia A. ;
Appel, Lawrence J. ;
Guallar, Eliseo .
AMERICAN JOURNAL OF CARDIOLOGY, 2010, 106 (04) :517-527
[4]   Homocysteine-mediated thrombosis and angiostasis in vascular pathobiology [J].
Loscalzo, Joseph .
JOURNAL OF CLINICAL INVESTIGATION, 2009, 119 (11) :3203-3205
[5]   Homocysteine inhibits neoangiogenesis in mice through blockade of annexin A2-dependent fibrinolysis [J].
Jacovina, Andrew T. ;
Deora, Arunkurnar B. ;
Ling, Qi ;
Broekman, M. Johan ;
Almeida, Dena ;
Greenberg, Caroline B. ;
Marcus, Aaron J. ;
Smith, Jonathan D. ;
Hajjar, Katherine A. .
JOURNAL OF CLINICAL INVESTIGATION, 2009, 119 (11) :3384-3394
[6]  
The controversial role of B-vitamins in cardiovascular risk: An update[J] . George Ntaios,Christos Savopoulos,Dimitrios Grekas,Apostolos Hatzitolios.Archives of Cardiovascular Diseases . 2009 (12)
[7]   Relation of Plasma Homocysteine to Arterial Stiffness in Black and White Young Adults (from the Bogalusa Heart Study) [J].
Ruan, Litao ;
Chen, Wei ;
Srinivasan, Sathanur R. ;
Xu, Jihua ;
Sun, Meihung ;
Toprak, Ahmet ;
Berenson, Gerald S. .
AMERICAN JOURNAL OF CARDIOLOGY, 2009, 103 (07) :985-988
[8]  
Homocysteine-Lowering Therapy and Stroke Risk, Severity, and Disability: Additional Findings From the HOPE 2 Trial[J] . Gustavo Saposnik,Joel G. Ray,Patrick Sheridan,Matthew McQueen,Eva Lonn.Stroke . 2009 (4)
[9]  
Serum total homocysteine, folate, 5,10-methylenetetrahydrofolate reductase (MTHFR) 677C→T genotype and subclinical atherosclerosis[J] . Panayiotou,Nicolaides,Griffin,Tyllis,Georgiou,Martin,Bond,Tziakouri-Shiakalli,Fessas,Deltas.Expert Opinion on Therapeutic Targets . 2009 (1)
[10]  
Efficacy of folic acid supplementation in stroke prevention: a meta-analysis[J] . Xiaobin Wang,Xianhui Qin,Hakan Demirtas,Jianping Li,Guangyun Mao,Yong Huo,Ningling Sun,Lisheng Liu,Xiping Xu.The Lancet . 2007 (9576)