Prevalence, determinants, and clinical significance of hyperhomocyst ...
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Prevalence, determinants, and clinical significance of hyperhomocyst ...
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Nephrol Dial Transplant (1998) 13: 2890–2893
Nephrology Dialysis Transplantation
Original Article
Prevalence, determinants, and clinical significance of hyperhomocyst(e)inaemia in renal-transplant recipients Didier Ducloux1, Christophe Ruedin1, Roger Gibey2, Pierre Vautrin1, Catherine Bresson-Vautrin1, Jean-Michel Rebibou1, and Jean-Marc Chalopin1 Departments of 1Nephrology and Renal Transplantation, and 2Biochemistry, Hopital Saint Jacques, Besanc¸on, France
Abstract Background. Previous studies have demonstrated that hyperhomocyst(e)inaemia is present in patients with impaired renal function and is correlated with cardiovascular disease. Because conflicting data are available on the prevalence, determinants, and clinical significance of hyperhomocyst(e)inaemia in renal-transplant recipients, we conducted the largest cross-sectional study on homocysteine determinants and clinical correlates in renal transplant recipients. Methods. Plasma homocyst(e)ine concentrations and factors known to influence homocysteine metabolism were analysed in 224 renal transplant recipients. Atherosclerotic complications were evaluated with respect to plasma homocysteine concentrations. Results. Mean plasma homocyst(e)ine was 21.3±9.7 mmol/l. After adjusting for age, gender, transplant duration, and creatinine clearance, patients with and without cyclosporin A (CsA) had similar plasma homocyst(e)ine concentrations (16.9±5.9 mmol/l in CsA(+) patients vs 16.3±5.2 mmol/l in CsA(−) patients; P=0.3). We found a significant inverse relationship between plasma homocyst(e)ine and folate concentrations in both CsA(+) (r=−0.243; P
