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Miscellaneous Tests
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Homocyst(e)ine
Homocyst(e)ine (NOT homocystine) is an intermediate in the synthesis of cysteine from methionine, via cystathionine. Deficiency of vitamins B12, B6 and/or folic acid can affect the enzyme pathways associated in the formation of cysteine, resulting in an elevated homocysteine in the blood. Numerous studies have shown an association between elevated levels of blood homocysteine and various vascular and cardio-vascular diseases. It is thought that homocysteine may act as a molecular abrasive damaging the inner layer of blood vessels causing an atherosclerotic lesion. Increased levels of homocysteine have been associated with advanced age, hypothyroidism, impaired renal function, and SLE. Medications known to elevate homocysteine are nicotinic acid, L-DOPA, theophylline and methotrexate. Methodology for homocysteine is by Fluorescence Polarization Immuno Assay (FPIA). Reference values established in our laboratory are 5 to 15 umol/L Selected References:
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