PMID- 30786773 OWN - NLM STAT- MEDLINE DCOM- 20200311 LR - 20221207 IS - 1525-6006 (Electronic) IS - 1064-1963 (Linking) VI - 42 IP - 1 DP - 2020 TI - Associations of homocysteine status and homocysteine metabolism enzyme polymorphisms with hypertension and dyslipidemia in a Chinese hypertensive population. PG - 52-60 LID - 10.1080/10641963.2019.1571599 [doi] AB - Background: Hypertension (HTN), dyslipidemia and hyperhomocysteinemia (HHcy) are risk factors for cardiovascular disease (CVD).Methods: Hypertensive Chinese subjects (n = 228) were enrolled. MTHFR C667T, MTHFR A1298C, MTR A2756G, and MTRR A66G genotypes were determined. Unconditional logistic regression was performed to determine the associations of serum Hcy status and genotypes with HTN and dyslipidemia.Results: The mean age of hypertensive adults was 65.53 +/- 9.94 years, including 88 (38.6%) men and 140 (61.4%) women. Patients with MTHFR 667TT and MTRR GG carriers showed higher serum Hcy levels (P = 0.019 and 0.018, respectively), which is associated with higher serum triacylglycerols (TAG) and total cholesterol (TC) levels (P = 0.014 and 0.044, respectively) and a higher risk for hypertriglyceridemia (OR = 1.889, 95% CI: 1.105-3.229, P = 0.020). Compared with low Hcy and MTRR 66AA, those with high Hcy and 66AA or 66AG+GG showed higher odd\s of hypertriglyceridemia (MTRR 66AA+ high Hcy: OR: 2.692, 95% CI: 1.189-6.096, Pcombined = 0.018; MTRR 66AG/GG+ high Hcy: OR: 3.433, 95% CI: 1.517-7.772, Pcombined = 0.003, respectively). Patients with high Hcy and MTHFR 667CC, as well as those with low Hcy and 667CT+TT, showed lower odds of uncontrolled SBP (MTHFR 667CC+ high Hcy: OR: 0.338, 95% CI: 0.115-0.996, Pcombined = 0.049; MTHFR 667CT/TT+ low Hcy: OR: 0.421, 95% CI: 0.193-0.921, Pcombined = 0.030) compared to patients with low Hcy and MTHFR 667CC.Conclusions: Serum Hcy status and Hcy metabolism gene polymorphisms (MTHFR C667T and MTRR A66G) may have synergistic effects on the prevalence of HTN and dyslipidemia. FAU - Yuan, Xiaojie AU - Yuan X AD - Department of Epidemiology, School of Public Health, Air Force Medical University, Xi'an, Shaanxi province, China. FAU - Wang, Tingcai AU - Wang T AD - Department of chronic disease control, Gansu Provincial Centre for Disease Control and Prevention, Lanzhou, Gansu province, China. FAU - Gao, Jie AU - Gao J AD - Department of Epidemiology, School of Public Health, Air Force Medical University, Xi'an, Shaanxi province, China. FAU - Wang, Yunchao AU - Wang Y AD - School of Public Health, Gansu University of Traditional Chinese Medicine, Lanzhou, Gansu province, China. FAU - Chen, Yajun AU - Chen Y AD - School of Public Health, Gansu University of Traditional Chinese Medicine, Lanzhou, Gansu province, China. FAU - Kaliannan, Kanakaraju AU - Kaliannan K AD - Laboratory for Lipid Medicine and Technology, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA. FAU - Li, Xiaochun AU - Li X AD - Department of chronic disease control, Center of disease control of Wuwei, Wuwei, Gansu province, China. FAU - Xiao, Jing AU - Xiao J AD - Department of chronic disease control, Center of disease control of Wuwei, Wuwei, Gansu province, China. FAU - Ma, Tianyou AU - Ma T AD - Institute of Endemic Diseases, Environment and Diseases-related Gene of Key Laboratory of Education Ministry, Medical School of Xi'an Jiaotong University, Xi'an, Shaanxi province, China. FAU - Zhang, Lei AU - Zhang L AD - Department of Epidemiology, School of Public Health, Air Force Medical University, Xi'an, Shaanxi province, China. FAU - Shao, Zhongjun AU - Shao Z AD - Department of Epidemiology, School of Public Health, Air Force Medical University, Xi'an, Shaanxi province, China. LA - eng PT - Journal Article DEP - 20190220 PL - England TA - Clin Exp Hypertens JT - Clinical and experimental hypertension (New York, N.Y. : 1993) JID - 9305929 RN - 0 (Triglycerides) RN - 0LVT1QZ0BA (Homocysteine) RN - 935E97BOY8 (Folic Acid) RN - 97C5T2UQ7J (Cholesterol) RN - EC 1.18.1.- (methionine synthase reductase) RN - EC 1.18.1.2 (Ferredoxin-NADP Reductase) RN - EC 1.5.1.20 (MTHFR protein, human) RN - EC 1.5.1.20 (Methylenetetrahydrofolate Reductase (NADPH2)) SB - IM MH - Aged MH - Asian People/genetics MH - Cholesterol/blood MH - Female MH - Ferredoxin-NADP Reductase/*genetics MH - Folic Acid MH - Heterozygote MH - Homocysteine/*blood MH - Humans MH - Hypertension/blood/*genetics MH - Hypertriglyceridemia/blood/*genetics MH - Male MH - Methylenetetrahydrofolate Reductase (NADPH2)/*genetics MH - Middle Aged MH - Polymorphism, Single Nucleotide MH - Risk Factors MH - Triglycerides/blood OTO - NOTNLM OT - Homocysteine OT - blood pressure OT - hypertension OT - serum lipids OT - single nucleotide polymorphisms EDAT- 2019/02/23 06:00 MHDA- 2020/03/12 06:00 CRDT- 2019/02/22 06:00 PHST- 2019/02/23 06:00 [pubmed] PHST- 2020/03/12 06:00 [medline] PHST- 2019/02/22 06:00 [entrez] AID - 10.1080/10641963.2019.1571599 [doi] PST - ppublish SO - Clin Exp Hypertens. 2020;42(1):52-60. doi: 10.1080/10641963.2019.1571599. Epub 2019 Feb 20.