Effective homocysteine metabolism may protect South African blacks against coronary heart disease

Am J Clin Nutr. 1995 Oct;62(4):802-8. doi: 10.1093/ajcn/62.4.802.

Abstract

L-Methionine (0.1 g/kg body wt) was administered to young white [n = 18; mean (+/- SD) age 20.0 +/- 1.0 y] and black [n = 12; mean (+/- SD) age 22.0 +/- 1.3 y] volunteers who had a similar lifestyle and who did not differ significantly from each other with respect to plasma folate or vitamin B-12 concentrations. Blacks, however, had significantly lower plasma pyridoxal-5'-phosphate concentrations compared with whites (P < 0.001). Fasting plasma homocysteine concentrations in blacks and whites were not significantly different. The mean (+/- SD) maximum increase in plasma homocysteine concentration measured after methionine loading was significantly lower (P < 0.01) in blacks (11.0 +/- 3.6 mumol/L) than in whites (18.0 +/- 6.2 mumol/L). Six weeks of vitamin supplementation (1.0 mg folic acid, 400 micrograms vitamin B-12, and 10 mg pyridoxine/d) reduced the mean (+/- SD) fasting plasma homocysteine concentration from 9.6 +/- 3.5 to 7.2 +/- 1.6 mumol/L in whites (P < 0.05) and from 8.4 +/- 2.4 to 5.6 +/- 1.4 mumol/L in blacks (P < 0.01). The mean (+/- SD) maximum increase in plasma homocysteine concentration after methionine loading declined from 18.0 +/- 6.2 to 11.1 +/- 2.3 mumol/L (P < 0.01) in whites, but vitamin supplementation did not have a significant effect on the methionine-load test in black volunteers. A significant race-by-time interaction shows that blacks metabolized homocysteine more effectively than did whites, which may partly explain their relative resistance against coronary heart disease despite a high prevalence of obesity, hypertension, and smoking.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Black People* / genetics
  • Coronary Disease / ethnology*
  • Coronary Disease / genetics
  • Folic Acid / blood
  • Homocysteine / blood
  • Homocysteine / genetics
  • Homocysteine / metabolism*
  • Humans
  • Male
  • Methionine / administration & dosage
  • Methionine / blood
  • Methionine / metabolism*
  • South Africa / epidemiology
  • Vitamin B 12 / blood
  • Vitamins / administration & dosage
  • White People* / genetics

Substances

  • Vitamins
  • Homocysteine
  • Folic Acid
  • Methionine
  • Vitamin B 12