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Herrmann, M; Stanger, O; Paulweber, B; Hufnagl, C; Herrmann, W.
Effect of folate supplementation on N-terminal pro-brain natriuretic peptide.
Int J Cardiol. 2007; 118(2):267-269 Doi: 10.1016/j.ijcard.2006.07.034
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Herrmann Markus
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Abstract:
Increased plasma homocysteine (HCY) has been suggested as a novel risk factor for chronic heart failure (CHF). This study investigated the effect of a HCY lowering therapy by folic acid (FA) supplementation on N-terminal pro-brain natriuretic peptide (NT-proBNP) in healthy subjects. We treated 61 healthy individuals (median age [25th-75th percentile]: 57 [53-69] years with placebo, 0.4, 1.0 or 5.0 mg FA daily for 2 months. Fasting blood samples were taken after 0, 4 and 8 weeks. Serum HCY, folate, vitamin B12 and NT-proBNP were studied. Baseline HCY, folate and NT-proBNP levels were 13.6 (10.0-16.4) micromol/L, 5.0 (3.8-6.4) microg/L and 40.4 (21.8-67.3) ng/L, respectively. Serum folate increased during supplementation (4 weeks of placebo, 0.4, 1.0, 5.0 mg of FA: -9%, +131%, +150%, +314%; 8 weeks: -72%, +152%, +185%, +62%) and HCY decreased (4 weeks: +2%, -12%, -20%, -15%; 8 weeks: -2%, -9%, -17%, -15%) in the treatment groups. NT-proBNP did not change within groups. Pooling FA treated subjects, individuals with a baseline NT-proBNP above the median of 40 ng/L exhibited a 20% decrease of NT-proBNP (significant on a 10% level) while HCY decreased by 15%. FA supplementation with doses between 0.4 and 5 mg does not affect NT-proBNP in healthy subjects with an NT-proBNP concentration <40 ng/L, but possibly lowers NT-proBNP in individuals with NT-proBNP levels >40 ng/L.
Find related publications in this database (using NLM MeSH Indexing)
Aged -
Dietary Supplements -
Dose-Response Relationship, Drug -
Female -
Folic Acid - administration & dosage
Folic Acid - blood
Homocysteine - blood
Homocysteine - drug effects
Humans -
Male -
Middle Aged -
Natriuretic Peptide, Brain - drug effects
Peptide Fragments - drug effects
Sex Factors -

Find related publications in this database (Keywords)
homocysteine
folic acid
NT-proBNP
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