PMID- 24873992 OWN - NLM STAT- MEDLINE DCOM- 20150511 LR - 20140625 IS - 1205-7541 (Electronic) IS - 0008-4212 (Linking) VI - 92 IP - 7 DP - 2014 Jul TI - Differential expression of lipid peroxidation and total antioxidant status in Indian patients with cardiovascular and cerebrovascular disease. PG - 592-7 LID - 10.1139/cjpp-2013-0481 [doi] AB - Data from studies examining lipid peroxidation as a mechanism involved with hyperhomocysteinemia (HHcy)-induced vascular remodeling in patients with occlusive vascular disease have been contradictory. It has not yet been studied in Indians within the context of atherogenesis. Therefore, we measured the levels of homocysteine (Hcy), malondialdehyde (MDA) as a measure of lipid peroxides (LPOs), and total antioxidant status (TAS) in the serum of 167 patients with occlusive vascular disease [coronary artery disease (CAD) = 43; cerebrovascular disease (CVD) = 82; peripheral vascular disease (PVD) = 42]. Each of these groups was further divided into groups of individuals with or without HHcy. In the case of CAD and CVD, patients with HHcy had significantly higher LPOs than those without HHcy (p = 0.009, 0.001, respectively). TAS was significantly lower in CVD patients with HHcy than in those without (p = 0.014). In patients with CAD or CVD, Hcy directly correlated with LPOs (p = 0.002, 0.001, respectively). Lipid peroxidation is a significant mechanism in HHcy-induced vascular remodeling in CAD and CVD, but not in PVD, probably because it is not relevant in thrombosis (38 of 42 patients of PVD had deep-vein thrombosis). To explain the significantly lower TAS in CVD, we hypothesized that CVD patients present very early with grave symptoms, whereas CAD and PVD occur over a longer period of time. Therefore, when CVD presents, TAS is still overwhelmed by HHcy-induced oxidative stress. Hence, adjuvant therapy with antioxidants would benefit patients with CVD. FAU - Bhargava, Seema AU - Bhargava S AD - a Department of Biochemistry, Sir Ganga Ram Hospital, New Delhi 110060, India. FAU - Ali, Arif AU - Ali A FAU - Kankra, Mamta AU - Kankra M FAU - Das, Sabari AU - Das S FAU - Manocha, Anjali AU - Manocha A FAU - Gupta, Flora AU - Gupta F FAU - Srivastava, Lalit Mohan AU - Srivastava LM LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140407 PL - Canada TA - Can J Physiol Pharmacol JT - Canadian journal of physiology and pharmacology JID - 0372712 RN - 0 (Antioxidants) RN - Homocysteinemia SB - IM MH - Antioxidants/*metabolism MH - Cardiovascular Diseases/complications/*metabolism MH - Cerebrovascular Disorders/complications/*metabolism MH - Humans MH - Hyperhomocysteinemia/complications/metabolism MH - India MH - *Lipid Peroxidation MH - Oxidative Stress OTO - NOTNLM OT - hyperhomocysteinemia OT - hyperhomocysteinemie OT - lipid peroxides OT - maladie vasculaire OT - malondialdehyde OT - malondialdehyde OT - peroxydes lipidiques OT - total antioxidant status OT - vascular disease OT - etat antioxydant total EDAT- 2014/05/31 06:00 MHDA- 2015/05/12 06:00 CRDT- 2014/05/31 06:00 PHST- 2014/05/31 06:00 [entrez] PHST- 2014/05/31 06:00 [pubmed] PHST- 2015/05/12 06:00 [medline] AID - 10.1139/cjpp-2013-0481 [doi] PST - ppublish SO - Can J Physiol Pharmacol. 2014 Jul;92(7):592-7. doi: 10.1139/cjpp-2013-0481. Epub 2014 Apr 7.