Evidence map›Paper›PMID 40347210›Full record

ReviewMolecular and cellular biochemistry2025

Dysregulated homocysteine metabolism and cardiovascular disease and clinical treatments.

Xiangyu Cao, Tingyu Wang, Gaohang Mu, Yupeng Chen, Bo Xiang, Jingze Zhu, Zhenya Shen

Abstract readReview
In one paragraph

Review in Molecular and cellular biochemistry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Effects and Mechanisms ofInternational journal of food science · 2026
    Article
  6. Article
  7. Article
  8. Review
  9. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Xiangyu Cao *Department of Cardiovascular Surgery of the First Affiliated Hospital of Soochow University and Institute for Cardiovascular Science, Soochow University, Suzhou, 215000, People's Republic of China.
Tingyu Wang *Department of Cardiovascular Surgery of the First Affiliated Hospital of Soochow University and Institute for Cardiovascular Science, Soochow University, Suzhou, 215000, People's Republic of China.
Gaohang Mu *Department of Cardiovascular Surgery of the First Affiliated Hospital of Soochow University and Institute for Cardiovascular Science, Soochow University, Suzhou, 215000, People's Republic of China.
Yupeng ChenDepartment of Cardiovascular Surgery of the First Affiliated Hospital of Soochow University and Institute for Cardiovascular Science, Soochow University, Suzhou, 215000, People's Republic of China.
Bo XiangCardiac Surgery Center, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, Affiliated Hospital of University of Electronic Science and Technology, Chengdu, 610072, People's Republic of China.
Jingze ZhuDepartment of Cardiovascular Surgery of the First Affiliated Hospital of Soochow University and Institute for Cardiovascular Science, Soochow University, Suzhou, 215000, People's Republic of China. jingze_zhu@163.com.
Zhenya ShenDepartment of Cardiovascular Surgery of the First Affiliated Hospital of Soochow University and Institute for Cardiovascular Science, Soochow University, Suzhou, 215000, People's Republic of China. uuzyshen@aliyun.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Elevated homocysteine (Hcy) levels, known as hyperhomocysteinemia (HHcy), are recognized as a separate risk factor for cardiovascular disease. Mutations in methylenetetrahydrofolate reductase (MTHFR) and cystathionine beta synthase (CBS)-enzymes pivotal at the juncture of the trans-sulfuration and remethylation pathways-underlie the pathogenesis of HHcy. Although vitamin supplementation has been proven to effectively decrease Hcy levels, there is still uncertainty about whether this reduction translates to a decrease in the incidence rates from cardiovascular diseases (CVDs). This review seeks to explore the linking between Hcy and specific diseases, the role of Hcy in vascular homeostasis, and the research on the possible advantages of therapies designed to lower Hcy levels. Understanding the intricate mechanisms of their metabolism and interactions is essential for pharmacological treatments to mitigate the adverse effects associated with metabolic dysregulation of Hcy. Given the widespread availability and ease of use of Hcy test kits, we strongly advocate for the routine administration of rapid blood tests for individuals at high risk of CVDs, particularly among the elderly population.

Indexed as

Cardiovascular DiseasesHomocysteineHyperhomocysteinemiaAnimalsCystathionine beta-SynthaseHumansMethylenetetrahydrofolate Reductase (NADPH2)Cystathionine beta-SynthaseHomocysteineMethylenetetrahydrofolate Reductase (NADPH2)MTHFR protein, humanCardiovascular diseaseClinical therapyHomocysteineVascular homeostasis

Identifiers

PMID40347210
PMCPMC12476326

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.