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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
Web of Science
PubMed
FullText
FullText_MUG
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Herrmann Markus
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- Abstract:
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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.
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Aged -
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Dietary Supplements -
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Dose-Response Relationship, Drug -
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Female -
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Folic Acid - administration & dosage
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Folic Acid - blood
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Homocysteine - blood
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Homocysteine - drug effects
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Humans -
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Male -
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Middle Aged -
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Natriuretic Peptide, Brain - drug effects
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Peptide Fragments - drug effects
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Sex Factors -
- Find related publications in this database (Keywords)
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homocysteine
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folic acid
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NT-proBNP