Higher homocysteine and lower betaine increase the risk of microangiopathy in patients with diabetes mellitus carrying the GG genotype of PEMT G774C
Background Diabetes represents one of the greatest medical and socioeconomic threats worldwide. The pathogenesis involved is complicated. The effect of methyl donors and genetic polymorphisms in metabolic enzymes on the risk of microangiopathy in patients with diabetes is not well understood. This s...
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Published in | Diabetes/metabolism research and reviews Vol. 29; no. 8; pp. 607 - 617 |
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Main Authors | , , , , , , , , , |
Format | Journal Article |
Language | English |
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England
Blackwell Publishing Ltd
01.11.2013
Wiley Subscription Services, Inc |
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Abstract | Background
Diabetes represents one of the greatest medical and socioeconomic threats worldwide. The pathogenesis involved is complicated. The effect of methyl donors and genetic polymorphisms in metabolic enzymes on the risk of microangiopathy in patients with diabetes is not well understood. This study investigates the association of homocysteine, choline and betaine levels and phosphatidylethanolamine N‐methyltransferase (PEMT) G774C (rs12325817) genotypes with the risk of diabetes and its related microangiopathic complications.
Methods
Between January 2009 and June 2010, 184 diabetic patients and 188 non‐diabetic control subjects were enrolled in the hospital‐based case‐control study. Serum concentrations of betaine and choline were determined by high‐performance liquid chromatography (HPLC)–mass spectrometry. Serum concentrations of homocysteine were assayed using HPLC. PEMT gene mutations were detected by polymerase chain reaction and restriction fragment length polymorphism.
Results
After adjustment for potential confounders, serum total homocysteine had a significant dose‐dependent positive association, and serum choline had an inverse association with the risks of diabetes and its microangiopathic complications (both p < 0.001). Although serum betaine was not associated with the risk of diabetes, it had a significant inverse association with diabetic microangiopathy. Compared with GG genotype, the CC genotype of PEMT G774C was associated with a decreased risk of diabetes (OR 0.559, 95% CI 0.338, 0.926) and its microangiopathy (OR 0.452, 95% CI 0.218, 0.937).
Conclusion
The GG genotype of the PEMT G774C polymorphism, higher levels of serum homocysteine and lower levels of serum betaine are associated with an increased risk of microangiopathy in patients with diabetes. Copyright © 2013 John Wiley & Sons, Ltd. |
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AbstractList | Diabetes represents one of the greatest medical and socioeconomic threats worldwide. The pathogenesis involved is complicated. The effect of methyl donors and genetic polymorphisms in metabolic enzymes on the risk of microangiopathy in patients with diabetes is not well understood. This study investigates the association of homocysteine, choline and betaine levels and phosphatidylethanolamine N-methyltransferase (PEMT) G774C (rs12325817) genotypes with the risk of diabetes and its related microangiopathic complications.BACKGROUNDDiabetes represents one of the greatest medical and socioeconomic threats worldwide. The pathogenesis involved is complicated. The effect of methyl donors and genetic polymorphisms in metabolic enzymes on the risk of microangiopathy in patients with diabetes is not well understood. This study investigates the association of homocysteine, choline and betaine levels and phosphatidylethanolamine N-methyltransferase (PEMT) G774C (rs12325817) genotypes with the risk of diabetes and its related microangiopathic complications.Between January 2009 and June 2010, 184 diabetic patients and 188 non-diabetic control subjects were enrolled in the hospital-based case-control study. Serum concentrations of betaine and choline were determined by high-performance liquid chromatography (HPLC)-mass spectrometry. Serum concentrations of homocysteine were assayed using HPLC. PEMT gene mutations were detected by polymerase chain reaction and restriction fragment length polymorphism.METHODSBetween January 2009 and June 2010, 184 diabetic patients and 188 non-diabetic control subjects were enrolled in the hospital-based case-control study. Serum concentrations of betaine and choline were determined by high-performance liquid chromatography (HPLC)-mass spectrometry. Serum concentrations of homocysteine were assayed using HPLC. PEMT gene mutations were detected by polymerase chain reaction and restriction fragment length polymorphism.After adjustment for potential confounders, serum total homocysteine had a significant dose-dependent positive association, and serum choline had an inverse association with the risks of diabetes and its microangiopathic complications (both p < 0.001). Although serum betaine was not associated with the risk of diabetes, it had a significant inverse association with diabetic microangiopathy. Compared with GG genotype, the CC genotype of PEMT G774C was associated with a decreased risk of diabetes (OR 0.559, 95% CI 0.338, 0.926) and its microangiopathy (OR 0.452, 95% CI 0.218, 0.937).RESULTSAfter adjustment for potential confounders, serum total homocysteine had a significant dose-dependent positive association, and serum choline had an inverse association with the risks of diabetes and its microangiopathic complications (both p < 0.001). Although serum betaine was not associated with the risk of diabetes, it had a significant inverse association with diabetic microangiopathy. Compared with GG genotype, the CC genotype of PEMT G774C was associated with a decreased risk of diabetes (OR 0.559, 95% CI 0.338, 0.926) and its microangiopathy (OR 0.452, 95% CI 0.218, 0.937).The GG genotype of the PEMT G774C polymorphism, higher levels of serum homocysteine and lower levels of serum betaine are associated with an increased risk of microangiopathy in patients with diabetes.CONCLUSIONThe GG genotype of the PEMT G774C polymorphism, higher levels of serum homocysteine and lower levels of serum betaine are associated with an increased risk of microangiopathy in patients with diabetes. Background Diabetes represents one of the greatest medical and socioeconomic threats worldwide. The pathogenesis involved is complicated. The effect of methyl donors and genetic polymorphisms in metabolic enzymes on the risk of microangiopathy in patients with diabetes is not well understood. This study investigates the association of homocysteine, choline and betaine levels and phosphatidylethanolamine N-methyltransferase (PEMT) G774C (rs12325817) genotypes with the risk of diabetes and its related microangiopathic complications. Methods Between January 2009 and June 2010, 184 diabetic patients and 188 non-diabetic control subjects were enrolled in the hospital-based case-control study. Serum concentrations of betaine and choline were determined by high-performance liquid chromatography (HPLC)-mass spectrometry. Serum concentrations of homocysteine were assayed using HPLC. PEMT gene mutations were detected by polymerase chain reaction and restriction fragment length polymorphism. Results After adjustment for potential confounders, serum total homocysteine had a significant dose-dependent positive association, and serum choline had an inverse association with the risks of diabetes and its microangiopathic complications (both p<0.001). Although serum betaine was not associated with the risk of diabetes, it had a significant inverse association with diabetic microangiopathy. Compared with GG genotype, the CC genotype of PEMT G774C was associated with a decreased risk of diabetes (OR 0.559, 95% CI 0.338, 0.926) and its microangiopathy (OR 0.452, 95% CI 0.218, 0.937). Conclusion The GG genotype of the PEMT G774C polymorphism, higher levels of serum homocysteine and lower levels of serum betaine are associated with an increased risk of microangiopathy in patients with diabetes. Copyright © 2013 John Wiley & Sons, Ltd. [PUBLICATION ABSTRACT] Background Diabetes represents one of the greatest medical and socioeconomic threats worldwide. The pathogenesis involved is complicated. The effect of methyl donors and genetic polymorphisms in metabolic enzymes on the risk of microangiopathy in patients with diabetes is not well understood. This study investigates the association of homocysteine, choline and betaine levels and phosphatidylethanolamine N‐methyltransferase (PEMT) G774C (rs12325817) genotypes with the risk of diabetes and its related microangiopathic complications. Methods Between January 2009 and June 2010, 184 diabetic patients and 188 non‐diabetic control subjects were enrolled in the hospital‐based case‐control study. Serum concentrations of betaine and choline were determined by high‐performance liquid chromatography (HPLC)–mass spectrometry. Serum concentrations of homocysteine were assayed using HPLC. PEMT gene mutations were detected by polymerase chain reaction and restriction fragment length polymorphism. Results After adjustment for potential confounders, serum total homocysteine had a significant dose‐dependent positive association, and serum choline had an inverse association with the risks of diabetes and its microangiopathic complications (both p < 0.001). Although serum betaine was not associated with the risk of diabetes, it had a significant inverse association with diabetic microangiopathy. Compared with GG genotype, the CC genotype of PEMT G774C was associated with a decreased risk of diabetes (OR 0.559, 95% CI 0.338, 0.926) and its microangiopathy (OR 0.452, 95% CI 0.218, 0.937). Conclusion The GG genotype of the PEMT G774C polymorphism, higher levels of serum homocysteine and lower levels of serum betaine are associated with an increased risk of microangiopathy in patients with diabetes. Copyright © 2013 John Wiley & Sons, Ltd. Diabetes represents one of the greatest medical and socioeconomic threats worldwide. The pathogenesis involved is complicated. The effect of methyl donors and genetic polymorphisms in metabolic enzymes on the risk of microangiopathy in patients with diabetes is not well understood. This study investigates the association of homocysteine, choline and betaine levels and phosphatidylethanolamine N-methyltransferase (PEMT) G774C (rs12325817) genotypes with the risk of diabetes and its related microangiopathic complications. Between January 2009 and June 2010, 184 diabetic patients and 188 non-diabetic control subjects were enrolled in the hospital-based case-control study. Serum concentrations of betaine and choline were determined by high-performance liquid chromatography (HPLC)-mass spectrometry. Serum concentrations of homocysteine were assayed using HPLC. PEMT gene mutations were detected by polymerase chain reaction and restriction fragment length polymorphism. After adjustment for potential confounders, serum total homocysteine had a significant dose-dependent positive association, and serum choline had an inverse association with the risks of diabetes and its microangiopathic complications (both p < 0.001). Although serum betaine was not associated with the risk of diabetes, it had a significant inverse association with diabetic microangiopathy. Compared with GG genotype, the CC genotype of PEMT G774C was associated with a decreased risk of diabetes (OR 0.559, 95% CI 0.338, 0.926) and its microangiopathy (OR 0.452, 95% CI 0.218, 0.937). The GG genotype of the PEMT G774C polymorphism, higher levels of serum homocysteine and lower levels of serum betaine are associated with an increased risk of microangiopathy in patients with diabetes. |
Author | Wei, Jun Zhou, Jing-ya Chen, Yu-ming Zhu, Hui-lian Ling, Wen-hua Chen, Yan-ming Tan, Yao-zong Chen, Li Wang, Li-jun Yang, Yang |
Author_xml | – sequence: 1 givenname: Li surname: Chen fullname: Chen, Li organization: Guangdong Provincial Key Laboratory of Food, Nutrition and Health, School of Public Health, Sun Yat-sen University, Guangzhou, China – sequence: 2 givenname: Yan-ming surname: Chen fullname: Chen, Yan-ming organization: Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China – sequence: 3 givenname: Li-jun surname: Wang fullname: Wang, Li-jun organization: Guangdong Provincial Key Laboratory of Food, Nutrition and Health, School of Public Health, Sun Yat-sen University, Guangzhou, China – sequence: 4 givenname: Jun surname: Wei fullname: Wei, Jun organization: Guangdong Provincial Key Laboratory of Food, Nutrition and Health, School of Public Health, Sun Yat-sen University, Guangzhou, China – sequence: 5 givenname: Yao-zong surname: Tan fullname: Tan, Yao-zong organization: Guangdong Provincial Key Laboratory of Food, Nutrition and Health, School of Public Health, Sun Yat-sen University, Guangzhou, China – sequence: 6 givenname: Jing-ya surname: Zhou fullname: Zhou, Jing-ya organization: Guangdong Provincial Key Laboratory of Food, Nutrition and Health, School of Public Health, Sun Yat-sen University, Guangzhou, China – sequence: 7 givenname: Yang surname: Yang fullname: Yang, Yang organization: Guangdong Provincial Key Laboratory of Food, Nutrition and Health, School of Public Health, Sun Yat-sen University, Guangzhou, China – sequence: 8 givenname: Yu-ming surname: Chen fullname: Chen, Yu-ming organization: Guangdong Provincial Key Laboratory of Food, Nutrition and Health, School of Public Health, Sun Yat-sen University, Guangzhou, China – sequence: 9 givenname: Wen-hua surname: Ling fullname: Ling, Wen-hua organization: Guangdong Provincial Key Laboratory of Food, Nutrition and Health, School of Public Health, Sun Yat-sen University, Guangzhou, China – sequence: 10 givenname: Hui-lian surname: Zhu fullname: Zhu, Hui-lian email: Correspondence to: Hui-lian Zhu, Guangdong Provincial Key Laboratory of Food, Nutrition and Health, School of Public Health, Sun Yat-Sen University, Guangzhou 510080, China., zhuhl@mail.sysu.edu.cn organization: Guangdong Provincial Key Laboratory of Food, Nutrition and Health, School of Public Health, Sun Yat-sen University, Guangzhou, China |
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Keywords | homocysteine choline microangiopathy polymorphism betaine diabetes |
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Serum vitamin B12 not reflecting vitamin B12 status in patients with type 2 diabetes. Biochimie 2012. pii: S0300-9084(12)00447-6. Yang W, Lu J, Weng J, et al. Prevalence of diabetes among men and women in China. N Engl J Med 2010; 362(12): 1090-1101. Haffner SM, Lehto S, Rönnemaa T, Pyörälä K, Laakso M. Mortality from coronary heart disease in subjects with type 2 diabetes and in nondiabetic subjects with and without prior myocardial infarction. N Engl J Med 1998; 339(4): 229-234. Audelin MC, Genest J Jr. Homocysteine and cardiovascular disease in diabetes mellitus. Atherosclerosis 2001; 159(2): 497-511. de Jager J, Kooy A, Lehert P, et al. Long term treatment with metformin in patients with type 2 diabetes and risk of vitamin B-12 deficiency: randomised placebo controlled trial. BMJ 2010; 340: c2181. Buysschaert M, Dramais AS, Wallemacq PE, Hermans MP. Hyperhomocysteinemia in type 2 diabetes: relationship to macroangiopathy, nephropathy, and insulin resistance. Diabetes Care 2000; 23(12): 1816-1822. Kerins DM, Koury MJ, Capdevila A, Rana S, Wagner C. Plasma S-adenosylhomocysteine is a more sensitive indicator of cardiovascular disease than plasma homocysteine. Am J Clin Nutr 2001; 74(6): 723-9. Finkelstein JD, Martin JJ. Methionine metabolism in mammals. distribution of homocysteine between competing pathways. J Biol Chem 1984; 259(15): 9508-9513. da Costa KA, Gaffney CE, Fischer LM, Zeisel SH. Choline deficiency in mice and humans is associated with increased plasma homocysteine concentration after a methionine load. Am J Clin Nutr 2005; 81(2): 440-444. Durand P, Prost M, Loreau N, Lussier-Cacan S, Blache D. Impaired homocysteine metabolism and atherothrombotic disease. Lab Invest 2001; 81(5): 645-672. Franken DG, Boers GH, Blom HJ, Trijbels FJ, Kloppenborg PW. Treatment of mild hyperhomocysteinemia in vascular disease patients. Arterioscler Thromb 1994; 14(3): 465-470. Olthof MR, Verhoef P. Effects of betaine intake on plasma homocysteine concentrations and consequences for health. Curr Drug Metab 2005; 6(1): 15-22. Al-Maskari MY, Waly MI, Ali A, Al-Shuaibi YS, Ouhtit A. Folate and vitamin B12 deficiency and hyperhomocysteinemia promote oxidative stress in adult type 2 diabetes. Nutrition 2012; 28(7-8): e23-26. Satyanarayana A, Balakrishna N, Pitla S, Reddy PY, Mudili S. Status of B-vitamins and homocysteine in diabetic retinopathy: association with vitamin-B12 deficiency and hyperhomocysteinemia. PLoS One 2011; 6: e26747. Lheto S, Rönnemaa T, Pyörälä K, Laakso M. Cardiovascular risk factors clustering with endogenous hyperinsulinaemia predict death from coronary heart disease in patients with type 2 diabetes. Diabetologia 2000; 43(2): 148-155. Zeisel SH, Mar MH, Howe JC, Holden JM. Concentrations of choline-containing compounds and betaine in common foods. J Nutr 2003; 133(5): 1302-1307. da Costa KA, Kozyreva OG, Song J, et al. Common genetic polymorphisms affect the human requirement for the nutrient choline. FASEB J 2006; 20(9): 1336-1344. 2004; 64 2012 2000; 23 2004; 27 1997; 42 2000; 43 2004; 24 2000; 7 1998; 339 2010; 362 2007; 92 2010; 340 1999; 20 2007; 93 2005; 81 1996; 13 2011; 6 2001; 24 2003; 133 2001; 81 2007; 852 2004; 11 1998; 18 2010; 43 2006; 20 2006; 83 2006; 45 2004; 34 1984; 259 2011; 94 2002; 326 2005; 7 1994; 14 2005; 6 2003; 49 2012; 28 2011; 89 2008; 22 2007; 21 2003; 146 2009; 109 1983; 309 2001; 159 2001; 73 2001; 74 e_1_2_7_6_1 e_1_2_7_5_1 e_1_2_7_4_1 e_1_2_7_3_1 e_1_2_7_9_1 Costa KA (e_1_2_7_20_1) 2005; 81 Yang GQ (e_1_2_7_46_1) 2006; 45 e_1_2_7_8_1 e_1_2_7_7_1 e_1_2_7_19_1 e_1_2_7_18_1 e_1_2_7_17_1 e_1_2_7_16_1 e_1_2_7_40_1 e_1_2_7_2_1 e_1_2_7_15_1 e_1_2_7_41_1 e_1_2_7_14_1 e_1_2_7_13_1 e_1_2_7_43_1 e_1_2_7_12_1 e_1_2_7_44_1 e_1_2_7_11_1 e_1_2_7_45_1 e_1_2_7_10_1 e_1_2_7_47_1 e_1_2_7_26_1 e_1_2_7_48_1 e_1_2_7_27_1 e_1_2_7_28_1 e_1_2_7_29_1 e_1_2_7_30_1 e_1_2_7_25_1 e_1_2_7_31_1 e_1_2_7_24_1 e_1_2_7_32_1 e_1_2_7_23_1 e_1_2_7_33_1 e_1_2_7_22_1 e_1_2_7_34_1 e_1_2_7_21_1 e_1_2_7_35_1 e_1_2_7_36_1 e_1_2_7_37_1 e_1_2_7_38_1 e_1_2_7_39_1 Obeid Rima (e_1_2_7_42_1) 2012 |
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insulin publication-title: Zhonghua Nei Ke Za Zhi – volume: 362 start-page: 1090 issue: 12 year: 2010 end-page: 1101 article-title: Prevalence of diabetes among men and women in China publication-title: N Engl J Med – volume: 11 start-page: S56 year: 2004 end-page: S64 article-title: Role of hyperhomocysteinemia in endothelial dysfunction and atherothrombotic disease publication-title: Cell Death Differ – volume: 13 start-page: 395 issue: 4 year: 1996 end-page: 398 article-title: Betaine, ethanol, and the liver: a review publication-title: Alcohol – volume: 24 start-page: 1403 issue: 8 year: 2001 end-page: 1410 article-title: Fasting plasma homocysteine levels in the insulin resistance syndrome: the Framingham offspring study publication-title: Diabetes Care – volume: 340 start-page: c2181 year: 2010 article-title: Long term treatment with metformin in patients with type 2 diabetes and risk of vitamin B‐12 deficiency: randomised placebo controlled trial publication-title: BMJ – volume: 81 start-page: 440 issue: 2 year: 2005 end-page: 444 article-title: Choline deficiency in mice and humans is associated with increased plasma homocysteine concentration after a methionine load publication-title: Am J Clin Nutr – volume: 24 start-page: 301 issue: 2 year: 2004 end-page: 307 article-title: Betaine as a determinant of postmethionine load total plasma homocysteine before and after B‐vitamin supplementation publication-title: Arterioscler Thromb Vasc Biol – volume: 22 start-page: 2045 issue: 6 year: 2008 end-page: 2052 article-title: Choline metabolism and risk of breast cancer in a population‐based study publication-title: FASEB J – volume: 43 start-page: 148 issue: 2 year: 2000 end-page: 155 article-title: Cardiovascular risk factors clustering with endogenous hyperinsulinaemia predict death from coronary heart disease in patients with type 2 diabetes publication-title: Diabetologia – volume: 14 start-page: 465 issue: 3 year: 1994 end-page: 470 article-title: Treatment of mild hyperhomocysteinemia in vascular disease patients publication-title: Arterioscler Thromb – volume: 83 start-page: 5 issue: 1 year: 2006 end-page: 10 article-title: Is it time to reevaluate methyl balance in humans? publication-title: Am J Clin Nutr – volume: 6 start-page: 15 issue: 1 year: 2005 end-page: 22 article-title: Effects of betaine intake on plasma homocysteine concentrations and consequences for health publication-title: Curr Drug Metab – volume: 309 start-page: 448 issue: 8 year: 1983 end-page: 453 article-title: Homocystinuria: the effects of betaine in the treatment of patients not responsive to pyridoxine publication-title: N Engl J Med – volume: 89 start-page: e336 issue: 4 year: 2011 end-page: 343 article-title: Risk factors for diabetic retinopathy in a rural Chinese population with type 2 diabetes: the Handan eye study publication-title: Acta Ophthalmol – volume: 81 start-page: 645 issue: 5 year: 2001 end-page: 672 article-title: Impaired homocysteine metabolism and atherothrombotic disease publication-title: Lab Invest – volume: 146 start-page: 110 issue: 1 year: 2003 article-title: Effect of folic acid on fenofibrate‐induced elevation of homocysteine and cysteine publication-title: Am Heart J – volume: 20 start-page: 1336 issue: 9 year: 2006 end-page: 1344 article-title: Common genetic polymorphisms affect the human requirement for the nutrient choline publication-title: FASEB J – volume: 22 start-page: 2045 year: 2008 article-title: Choline metabolism and risk of breast cancer in a population‐based study publication-title: FASEB J – year: 2012 article-title: Serum vitamin B12 not reflecting vitamin B12 status in patients with type 2 diabetes publication-title: Biochimie – volume: 93 start-page: 216 year: 2007 end-page: 220 article-title: Levels of homocysteine are increased in metabolic syndrome patients but are not associated with an increased cardiovascular risk, in contrast to patients without the metabolic syndrome publication-title: Heart – volume: 259 start-page: 9508 issue: 15 year: 1984 end-page: 9513 article-title: Methionine metabolism in mammals. distribution of homocysteine between competing pathways publication-title: J Biol Chem – volume: 326 start-page: 105 issue: 1–2 year: 2002 end-page: 112 article-title: Plasmatic homocysteine concentration and its relationship with complications associated to diabetes publication-title: Clin Chim Acta – volume: 27 start-page: S5 year: 2004 end-page: S10 article-title: Diagnosis and classification of diabetes mellitus publication-title: Diabetes Care – volume: 6 start-page: e26747 year: 2011 article-title: Status of B‐vitamins and homocysteine in diabetic retinopathy: association with vitamin‐B12 deficiency and hyperhomocysteinemia publication-title: PLoS One – volume: 34 start-page: 197 issue: 3 year: 2004 end-page: 204 article-title: Correlates of total homocysteine plasma concentration in type 2 diabetes publication-title: Eur J Clin Invest – volume: 7 start-page: 117 issue: 2 year: 2005 end-page: 121 article-title: Homocysteine concentrations in patients with diabetes mellitus—relationship to microvascular and macrovascular disease publication-title: Diabetes Obes Metab – volume: 109 start-page: 313 issue: 2 year: 2009 end-page: 318 article-title: Genetic variants in phosphatidylethanolamine N‐methyltransferase and methylenetetrahydrofolate dehydrogenase influence biomarkers of choline metabolism when folate intake is restricted publication-title: J Am Diet Assoc – volume: 28 start-page: e23 issue: 7‐8 year: 2012 end-page: 26 article-title: Folate and vitamin B12 deficiency and hyperhomocysteinemia promote oxidative stress in adult type 2 diabetes publication-title: Nutrition – volume: 159 start-page: 497 issue: 2 year: 2001 end-page: 511 article-title: Homocysteine and cardiovascular disease in diabetes mellitus publication-title: Atherosclerosis – volume: 21 start-page: 118 year: 2007 end-page: 123 article-title: Effects of metformin or rosiglitazone on serum concentrations of homocysteine, folate, and vitamin B12 in patients with type 2 diabetes mellitus publication-title: J Diabetes Complications – volume: 20 start-page: 738 issue: 5 year: 1999 end-page: 759 article-title: Hyperhomocysteinemia and the endocrine system: implications for atherosclerosis and thrombosis publication-title: Endocr Rev – volume: 73 start-page: 613 issue: 3 year: 2001 end-page: 621 article-title: Determinants of plasma total homocysteine concentration in the frammingham offspring cohort publication-title: Am J Clin Nutr – volume: 7 start-page: 241 issue: 3 year: 2000 end-page: 243 article-title: An efficient extraction method from blood clots for studies requiring both host and viral DNA publication-title: J Viral Hepat – volume: 23 start-page: 1816 issue: 12 year: 2000 end-page: 1822 article-title: Hyperhomocysteinemia in type 2 diabetes: relationship to macroangiopathy, nephropathy, and insulin resistance publication-title: Diabetes Care 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Diabetes represents one of the greatest medical and socioeconomic threats worldwide. The pathogenesis involved is complicated. The effect of methyl... Diabetes represents one of the greatest medical and socioeconomic threats worldwide. The pathogenesis involved is complicated. The effect of methyl donors and... Background Diabetes represents one of the greatest medical and socioeconomic threats worldwide. The pathogenesis involved is complicated. The effect of methyl... |
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SubjectTerms | Adult Aged Aged, 80 and over betaine Betaine - blood Biomarkers - blood Case-Control Studies choline diabetes Diabetes Mellitus, Type 2 - blood Diabetes Mellitus, Type 2 - complications Diabetes Mellitus, Type 2 - genetics Diabetic Angiopathies - genetics Female Genotype homocysteine Homocysteine - blood Humans Male microangiopathy Middle Aged Odds Ratio Phosphatidylethanolamine N-Methyltransferase - genetics polymorphism Polymorphism, Restriction Fragment Length Polymorphism, Single Nucleotide |
Title | Higher homocysteine and lower betaine increase the risk of microangiopathy in patients with diabetes mellitus carrying the GG genotype of PEMT G774C |
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