Recent studies have demonstrated that elevation of erum homocytosis (HC) levels is a risk factor for stroke, coronary artery disease, and peripheral vascular disease. HC levels are largely controlled by the levels of three water-soluble vitamins; folate, B12, and B6 (pyridoxal-5'-phosphate, PLP). We have recently demonstrated that PLP levels are low in patients with rheumatoid arthritis (RA) compared to age-matched controls, and that PLP levels correlate with production of tumor necrosis factor (TNF) by mononuclear cells from these patients (1). In a second recently completed study, we found that patients with RA and low circulating PLP levels had elevated fasing levels of HC and an abnormally high increase in HC after challenge with an oral dose of methionine. These results indicate that patients with RA may have tissue deficiency of PLP and be at risk for the vascular complications of elevated HC.

Project Start
Project End
Budget Start
1997-10-01
Budget End
1998-09-30
Support Year
37
Fiscal Year
1998
Total Cost
Indirect Cost
Name
Tufts University
Department
Type
DUNS #
City
Boston
State
MA
Country
United States
Zip Code
02111
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