PMID- 17971357 OWN - NLM STAT- MEDLINE DCOM- 20080229 LR - 20131121 IS - 0961-2033 (Print) IS - 0961-2033 (Linking) VI - 16 IP - 11 DP - 2007 TI - Hyperhomocysteinemia: a cardiovascular risk factor in autoimmune diseases? PG - 852-62 AB - Epidemiological studies conducted over the past 25 years have provided ample support for the association of mild hyperhomocysteinemia (HHcy) with an elevated risk of atherothrombosis. Since autoimmune disorders (AD) are frequently associated with relevant and early signs of atherothrombotic damage not adequately explained by the traditional risk factors involved in the onset of cardiovascular disease (CVD), a large interest has been shown to the putative role of mild HHcy in this setting. On the basis of such considerations, we focused the attention on the relationship between homocysteine (Hcy) and CVD in patients affected with autoimmune diseases, reviewing the most recent literature data and also providing our original experience. Although the large amount of available studies clearly shows that HHcy represents a common finding in patients affected with several autoimmune diseases, the actual role of Hcy in the development of CVD in the course of AD is not clear yet, perhaps, with the only exception of the systemic lupus erythematosus. In the other conditions, the role of Hcy in the pathogenesis of vascular complications is still a matter of debate, as the result of conflicting reports and/or lack of an adequate body of investigation. FAU - Lazzerini, P E AU - Lazzerini PE AD - Department of Clinical Medicine and Immunological Sciences, University of Siena, Siena, Italy. pietroenea@yahoo.it FAU - Capecchi, P L AU - Capecchi PL FAU - Selvi, E AU - Selvi E FAU - Lorenzini, S AU - Lorenzini S FAU - Bisogno, S AU - Bisogno S FAU - Galeazzi, M AU - Galeazzi M FAU - Laghi Pasini, F AU - Laghi Pasini F LA - eng PT - Journal Article PT - Review PL - England TA - Lupus JT - Lupus JID - 9204265 RN - 0LVT1QZ0BA (Homocysteine) SB - IM MH - Adult MH - Atherosclerosis/epidemiology/*etiology/physiopathology MH - Autoimmune Diseases/*complications/physiopathology MH - Cross-Sectional Studies MH - Epidemiologic Research Design MH - Homocysteine/blood/*metabolism MH - Humans MH - Risk Factors RF - 83 EDAT- 2007/11/01 09:00 MHDA- 2008/03/01 09:00 CRDT- 2007/11/01 09:00 PHST- 2007/11/01 09:00 [pubmed] PHST- 2008/03/01 09:00 [medline] PHST- 2007/11/01 09:00 [entrez] AID - 16/11/852 [pii] AID - 10.1177/0961203307084176 [doi] PST - ppublish SO - Lupus. 2007;16(11):852-62. doi: 10.1177/0961203307084176.