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Correlates of plasma homocysteine, cysteine and cysteinyl-glycine in respondents in the British National Diet and Nutrition Survey of Young People Aged 4–18 Years, and a comparison with the Survey of People Aged 65 Years and Over

Published online by Cambridge University Press:  09 March 2007

C. J. Bates*
Affiliation:
MRC Human Nutrition Research, Elsie Widdowson Laboratory, Fulbourn Road, Cambridge CB1 9NL, UK
M. A. Mansoor
Affiliation:
Department of Clinical Chemistry, Central Hospital in Rogaland, Stavanger, Norway
Jan Gregory
Affiliation:
Office for National Statistics, Social Survey Division, 1 Drummond Gate, London SW1V 2QQ, UK
Kristina Pentieva
Affiliation:
Northern Ireland Centre for Diet and Health, School of Biomedical Sciences, University of Ulster, Coleraine, Co. Londonderry, Northern Ireland BT52 1SA, UK
Ann Prentice
Affiliation:
MRC Human Nutrition Research, Elsie Widdowson Laboratory, Fulbourn Road, Cambridge CB1 9NL, UK
*
*Corresponding author: Dr Chris Bates, fax +44 1223 437515, email Chris.Bates@mrc-hnr.cam.ac.uk
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Abstract

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Plasma total homocysteine (tHcy), cysteine and cysteinyl-glycine were measured in a representative sample of 922 young people aged 4–18 years, participating in the National Diet and Nutrition Survey in mainland Britain in 1997. Both tHcy and cysteine increased markedly with age; cysteinyl-glycine less so. Neither tHcy nor cysteine differed between genders; cysteinyl-glycine was higher in males. tHcy concentrations were lowest in the winter; cysteine and cysteinyl-glycine varied only slightly with season. In respondents aged >15 years, tHcy was higher in smokers, but in respondents aged 7–11 years, tHcy was higher in those whose mothers smoked. tHcy was inversely correlated with serum folate, serum vitamin B12 and vitamin B6 status, but neither cysteine nor cysteinyl-glycine shared these relationships. The relationships between tHcy and B-vitamin status indices ran parallel with those of the 65 years and over survey, but at much lower tHcy concentrations for any given B-vitamin concentration. Age-adjusted tHcy was not correlated with anthropometric indices, blood pressure, haematology, plasma creatinine, urea or cholesterol, but was directly correlated with fasting triacylglycerol. We conclude that disease-risk indices, like tHcy and perhaps cysteine, if established during early life, may be modulated by diet and lifestyle, thereby providing an opportunity for public health intervention.

Type
Research Article
Copyright
Copyright © The Nutrition Society 2002

References

Alfthan, G, Pekkanen, J, Jauhianen, M, Pitkaniemi, J, Karvonen, M, Tuomilehto, J, Salonen, JT & Ehnholm, C (1994) Relation of serum homocysteine and lipoprotein(a) concentrations to atherosclerotic disease in a prospective Finnish population based study. Atherosclerosis 106, 919.Google Scholar
Arnesen, E, Refsum, H, Bonna, K, Ueland, P & Forde, O (1995) Serum total homocysteine and coronary heart disease. International Journal of Epidemiology 24, 704709.Google Scholar
Balasa, V, Gruppo, R, Gartside, P & Kalinyak, K (1999) Correlation of the C677T MTHFR genotype with homocysteine levels in children with sickle cell disease. Journal of Pediatric Hematology and Oncology 21, 397400.Google Scholar
Bates, CJ, Mansoor, MA, van der Pols, J, Prentice, A, Cole, TJ & Finch, S (1997) Plasma total homocysteine in a representative sample of 972 British men and women aged 65 and over. European Journal of Clinical Nutrition 51, 17.CrossRefGoogle Scholar
Bates, CJ, Pentieva, KD, Matthews, N & Macdonald, A (1999 a) A simple, sensitive and reproducible assay for pyridoxal phosphate in human plasma. Clinica Chimica Acta 280, 101111.CrossRefGoogle ScholarPubMed
Bates, CJ, Pentieva, KD & Prentice, A (1999 b) An appraisal of vitamin B6 status indices and associated confounders, in young people aged 4–18 years and in people aged 65 years and over, in two national British surveys. Public Health Nutrition 2, 529535.Google Scholar
Boushey, CJ (1995) A quantitative assessment of plasma homocysteine as a risk factor for vascular disease Probable benefits of increasing folic acid intakes. Journal of the American Medical Association 274, 10491057.CrossRefGoogle ScholarPubMed
Brattstrom, L, Israelsson, B, Jeppson, J-O & Hultberg, B (1988) Folic acid – an innocuous means to reduce plasma homocysteine. Scandinavian Journal of Clinical and Laboratory Investigation 48, 215221.CrossRefGoogle ScholarPubMed
Danesh, J & Lewington, S (1998) Plasma homocysteine and coronary heart disease: systematic review of published epidemiological studies. Journal of Cardiovascular Risk 5, 229232.CrossRefGoogle ScholarPubMed
De Laet, C, Wautrecht, J-C, Brasseur, D, Dramaix, M, Boeynaems, J-M, Decuyper, J & Kahn, A (1999) Plasma homocysteine concentrations in a Belgian school-age population. American Journal of Clinical Nutrition 69, 968972.CrossRefGoogle Scholar
Delvin, EE, Rozen, R, Merouani, A, Genest, J Jr & Lambert, M (2000) Influence of methylenetetrahy-drofolate reductase genotype, age, vitamin B-12 and folate status on plasma homocysteine in children. American Journal of Clinical Nutrition 72, 14691473.CrossRefGoogle Scholar
El-Khairy, L, Ueland, P, Nygard, O, Refsum, H & Vollset, S (1999) Lifestyle and cardiovascular disease risk factors as determinants of total cysteine in plasma: the Hordaland Homocysteine Study. American Journal of Clinical Nutrition 70, 10161024.Google Scholar
El-Khairy, L, Ueland, P, Refsum, H, Graham, IM & Vollset, S (2001) Plasma total cysteine as a risk factor for vascular disease The European Concerted Action Project. Circulation 103, 2544.CrossRefGoogle ScholarPubMed
Enoiu, M, Aberkane, H, Salazar, JF, Leroy, P, Groffen, J, Siest, G & Wellman, M (2000) Evidence for the pro-oxidant effect of gamma-glutamyl transpeptidase-related enzyme. Free Radicals in Biology and Medicine 29, 825833.Google Scholar
Finch, S, Doyle, W, Lowe, C, Bates, CJ, Prentice, A, Smithers, G & Clarke, P (1998) Report of the Diet and Nutrition Survey vol. 1, National Diet and Nutrition Survey: People Aged 65 Years or Over, London: HM Stationery Office.Google Scholar
Fiore, M, Mitchell, J, Doan, T & Nelson, R (1988) The Abbott IMx™ Automated Benchtop Immunochemistry Analyzer System. Clinical Chemistry 34, 17261732.CrossRefGoogle ScholarPubMed
Fiskerstrand, T, Refsum, H, Kvalheim, G & Ueland, P (1993) Homocysteine and other thiols in plasma and urine: automated determination and sample stability. Clinical Chemistry 39, 263271.CrossRefGoogle ScholarPubMed
Greenlund, K, Srinivasan, S, Xu, J-H, Dalferes, E, Myers, L, Pickoff, A & Berenson, G (1999) Plasma homocysteine distribution and its association with parental history of coronary artery disease in black and white children. Circulation 99, 21442149.Google Scholar
Gregory, J, Lowe, S, Bates, C, Prentice, A, Jackson, L, Smithers, G, Wenlock, R & Farron, M (2000) Report of the Diet and Nutrition Survey vol. 1, National Diet and Nutrition Survey: Young People Aged 4 to 18 Years, London: The Stationery Office.Google Scholar
Hokanson, JE & Austin, MA (1996) Plasma triglyceride level is a risk factor for cardiovascular disease independent of high-density lipoprotein cholesterol: a meta-analysis of population based prospective studies. Journal of Cardiovascular Risk 3, 213219.CrossRefGoogle ScholarPubMed
Homocysteine-Lowering-Triallists'-Collaboration (1998) Lowering blood homocysteine with folic acid based supplements: meta-analysis of randomised trials. British Medical Journal 316, 894898.CrossRefGoogle Scholar
Israelsson, B, Brattstrom, L & Refsum, H (1993) Homocysteine in frozen plasma samples A short cut to establish hyper-homocysteinaemia as a risk factor for arteriosclerosis? Scandinavian Journal of Clinical and Laboratory Investigation 53, 465469.CrossRefGoogle Scholar
Jacques, P, Rosenberg, I, Rogers, G, Selhub, J, Bowman, B, Gunter, E, Wright, J & Johnson, C (1999) Serum total homocysteine concentrations in adolescent and adult Americans: results from the third National Health and Nutrition Examination Survey. American Journal of Clinical Nutrition 69, 482489.CrossRefGoogle ScholarPubMed
Khaw, K & Woodhouse, P (1995) Interrelation of vitamin C, infection, haemostatic factors, and cardiovascular disease. British Medical Journal 310, 15591563.CrossRefGoogle ScholarPubMed
Koch, H, Nabel, P, Junker, R, Auberger, K, Schobess, R, Homberger, A, Linnebank, M & Nowak-Gottl, U (1999) The 677T genotype of the common MTHFR thermolabile variant and fasting homocysteine in childhood venous thrombosis. European Journal of Pediatrics 158, Suppl. 3, S113S116.CrossRefGoogle ScholarPubMed
Kuemmerle, S, Boltinghouse, G, Delby, S, Lane, T & Simondsen, R (1992) Automated assay of vitamin B-12 by the Abbott IMx™ analyzer. Clinical Chemistry 38, 20732077.CrossRefGoogle ScholarPubMed
Malinow, MR, Duell, PB, Hess, DL, Anderson, PH, Kruger, WD, Phillipson, BE, Gluckman, RA, Block, PC & Upson, BM (1998) Reduction of plasma homcyst(e)ine levels by breakfast cereal fortified with folic acid in patients with coronary heart disease. New England Journal of Medicine 15, 10091015.CrossRefGoogle Scholar
Mansoor, M, Svardal, A & Ueland, P (1992) Determination of the in vivo redox status of cysteine, cysteinylglycine, homocysteine and glutathione in human plasma. Analytical Biochemistry 200, 218229.CrossRefGoogle ScholarPubMed
Mansoor, MA, Bergmark, C, Haswell, SJ, Savage, IF, Evans, PH, Berge, RK, Svardal, AM & Kristenson, O (2000) Correlation between plasma total homocysteine and copper in patients with peripheral vascular disease. Clinical Chemistry 46, 385391.CrossRefGoogle ScholarPubMed
Mansoor, MA, Bergmark, C, Svardal, AM, Lonning, PE & Ueland, PM (1995) Redox status and protein binding of plasma homocysteine and other aminothiols in patients with early-onset peripheral vascular disease. Arteriosclerosis, Thrombosis and Vascular Biology 15, 232240.Google Scholar
Mansoor, MA, Kristensen, O, Hervig, T, Bates, CJ, Pentieva, K, Vefring, H, Osland, A, Berge, T, Drablos, PA, Hetland, O & Rolfsen, S (1999) Plasma total homocysteine response to oral doses of folic acid and pyridoxine hydrochloride (vitamin B6) in healthy individuals. Oral doses of vitamin B6 reduce concentrations of serum folate. Scandinavian Journal of Clinical and Laboratory Investigation 59, 139146.Google Scholar
Moat, S, Bonham, J, Cragg, R & Powers, H (2000) Elevated plasma homocysteine elicits an increase in antioxidant enzyme activity. Free Radical Research 32, 171179.CrossRefGoogle ScholarPubMed
Moller, J, Rasmussen, K & Christensen, L (1999) External quality assessment of methylmalonic acid and total homocysteine. Clinical Chemistry 45, 15361542.CrossRefGoogle ScholarPubMed
Nygard, O, Vollset, S, Refsum, H, Brattstrom, L & Ueland, P (1999) Total homocysteine and cardiovascular disease. Journal of Internal Medicine 246, 425454.Google Scholar
Omenn, GS, Beresford, SAA & Motulsky, AG (1998) Preventing coronary heart disease: B-vitamins and homocysteine. Circulation 97, 421424.CrossRefGoogle ScholarPubMed
Osganian, S, Stampfer, M, Spiegelman, D, Rimm, E, Cutler, J, Feldman, H, Montgomery, D, Webber, L, Lytle, L, Bausserman, L & Nader, P (1999) Distribution of and factors associated with serum homocysteine levels in children. Child and adolescent trial for cardiovascular health. Journal of the American Medical Association 281, 11891196.Google Scholar
Pietrzik, K & Bronstrup, A (1998) Vitamins B12 B6 and folate as determinants of homocysteine concentration in the healthy population. European Journal of Pediatrics 157, (Suppl. 2), S135S138.CrossRefGoogle ScholarPubMed
Raslova, K, Bederova, A, Gasparovic, J, Blazicek, P & Smolkova, B (2000) Effect of diet and 677 C→T 5,10-methylenetetrahy-drofolate reductase genotypes on plasma homocysteine concentrations in Slovak adolescent population. Physiological Research 49, 651658.Google Scholar
Reddy, M (1997) Reference ranges for total homocysteine in children. Clinica Chimica Acta 262, 153155.Google Scholar
Refsum, H, Ueland, PM, Nygaard, O & Vollset, SE (1998) Homocysteine and cardiovascular disease. Annual Review of Medicine 49, 3162.Google Scholar
Robinson, K, Arheart, K, Refsum, H, Brattström, L, Boers, G, Ueland, P, Rubba, P, Palma-Reis, R, Meleady, R, Daly, L, Witteman, J & Graham, I (1998) Low circulating folate and vitamin B6 concentrations. Risk factors for stroke, peripheral vascular disease and coronary artery disease. Circulation 97, 437443.CrossRefGoogle ScholarPubMed
Rosenberg, IH (1996) Homocysteine, vitamins and arterial occlusive disease: an overview. Journal of Nutrition 126, Suppl., 1235S1237S.Google Scholar
Selhub, J (1999) Homocysteine metabolism. Annual Review of Nutrition 19, 217246.Google Scholar
Stampfer, M, Krauss, R & Ma, J (1996) A prospective study of triglyceride level, low-density lipoprotein particle diameter, and risk of myocardial infarction. Journal of the American Medical Association 276, 882888.Google Scholar
Tonstad, S, Refsum, H, Sivertsen, M, Christophersen, B, Ose, L & Ueland, P (1996) Relation of total homocysteine and lipid levels in children to premature cardiovascular death in male relatives. Pediatric Research 40, 4752.Google Scholar
Tonstad, S, Refsum, H & Ueland, P (1997) Association between plasma total homocysteine and parental history of cardiovascular disease in children with familial hypercholesterolemia. Circulation 96, 18031808.CrossRefGoogle ScholarPubMed
Ueland, P, Refsum, H & Brattstrom, L (1992) Plasma homocysteine and cardiovascular disease. In Atherosclerotic Cardiovascular Disease, Hemostasis and Endothelial Function, pp. 183236 [Francis, RBJ, editor]. New York: Marcel Dekker Inc.Google Scholar
Ueland, PM, Mansoor, MA, Guttormsen, AB, Muller, F, Aukrust, P, Refsum, H & Svardal, AM (1996) Reduced, oxidized and protein-bound forms of homocysteine and other aminothiols in plasma comprise the redox thiol status – a possible element of the extracellular antioxidant defense system. Journal of Nutrition 126, 1281S1284S.CrossRefGoogle ScholarPubMed
Verhoef, P, Stampfer, MJ, Buring, JE, Gaziano, JM, Allen, RH, Stabler, SP, Reynolds, RD, Kok, FJ, Hennekens, CH & Willett, WC (1996) Homocysteine metabolism and risk of myocardial infarction: relation with vitamins B6, B12, and folate. American Journal of Epidemiology 143, 845859.CrossRefGoogle ScholarPubMed
Vilaseca, M, Moyano, D, Ferrer, I & Artuch, R (1997) Total homocysteine in pediatric patients. Clinical Chemistry 43, 690692.CrossRefGoogle ScholarPubMed
Welch, GN & Loscalzo, J (1998) Homocysteine and atherosclerosis. New England Journal of Medicine 338, 10421050.CrossRefGoogle Scholar
Wilcken, D, Wang, X, Adachi, T, Hara, H, Duarte, N, Green, K & Wilcken, B (2000) Relationship between homocysteine and superoxide dismutase in homocystinuria. Possible relevance to cardiovascular disease. Arteriosclerosis, Thrombosis and Vascular Biology 20, 11991202.CrossRefGoogle Scholar
Wilson, D, Herrmann, R, Hsu, S, Biegalski, T, Sohn, L, Forsythe, C, Novotny, M, Beggs, M & Mandarino, G (1995) Ion capture assay for folate with the Abbott IMx™ analyzer. Clinical Chemistry 41, 17801781.Google Scholar
Woodhouse, P, Khaw, K & Plummer, M (1993 a) Seasonal variation of blood pressure and its relationship to ambient temperature in an elderly population. Journal of Hypertension 11, 12671274.Google Scholar
Woodhouse, P, Khaw, K & Plummer, M (1993 b) Seasonal variation of serum lipids in an elderly population. Age and Ageing 22, 273278.CrossRefGoogle Scholar
Woodhouse, PR, Khaw, KT, Plummer, M, Foley, A & Meade, TW (1994) Seasonal variations of plasma fibrinogen and factor VII activity in the elderly: winter infections and death from cardioivascular disease. Lancet 343, 435439.Google Scholar