Experimental studies investigating the effects of exercise on plasma total homocyst(e)ine (H[e]) levels in humans are almost non-existent. H(e) has been demonstrated to represent an independent risk factor for cardiovascular disease. The exact mechanism through which H(e) exerts its effects on the arteries is unknown but it is thought to involve nitric oxide (NO). The present study was designed to assess the effects of acute submaximal exercise on H(e) while levels of NO inhalation were manipulated using an air-filter mask. The study was completed by seven male volunteers, aged 21.6 ± 1.3 yr (X¯ ± SD), V˙O2max: 48.6 ± 7.6 mL × kg−1 × min−1. During two separate occasions the subjects performed a 1-hour bout of submaximal exercise on a stationary cycle ergometer at 60 % of their V˙O2max. The two trials were completed in random order (with and without mask). Data were collected before (PRE) and after (POST) the acute exercise bouts. Plasma H(e) was directly measured by HPLC and NO by quantifying the enzymatic oxidation to nitrite (NO2−) & nitrate (NO3−). Mean H(e) concentrations were 10.89 ± 2.05 nmol/mL (PRE) & 11.21 ± 1.81 nmol/mL (POST) and were not significantly altered by submaximal exercise. When wearing a mask, the correlation of the PRE/POST H(e) differences with the PRE/POST differences in NO3− were 0.77 (P = 0.07). No correlation was found between either H(e) and NO2− or between NO2− and NO3−. However, a significant correlation (r = − 0.86, P = 0.03) was also observed between H(e) and NO2− but only for the post-exercise values when wearing a mask. The results suggest that: (1) plasma H(e) levels are not affected by acute submaximal exercise; (2) there is insufficient evidence to support the view that plasma H(e) levels are being mediated by NO during either rest or exercise.
01 Presented in part at the 46th Annual Meeting of the American College of Sports Medicine, Seattle, WA, June 2 to 5, 1999 (Session C-32).
References
01
Altman J D, Kinn J, Duncker D J.
Effect of inhibition of nitric oxide formation on coronary blood flow during exercise in the dog.
Cardiovasc Res.
1994;
28
119-124
03
Brattström L, Lindgren A, Israelsson B.
Hyperhomocysteinaemia in stroke: prevalence, cause, and relationships to type of stroke and stroke factors.
Eur J Clin Invest.
1992;
22
214-221
04
Celermajer D S, Sorensen K, Ryalls M.
Impaired endothelial function occurs in the systemic arteries of children with homozygous homocystinuria but not in their heterozygous parents.
J Am Coll Cardiol.
1993;
22
854-858
05
De Crée C, Malinow M R, Van Kranenburg G, Geurten P, Longford N T, Keizer H A.
Influence of exercise and menstrual cycle phase on plasma homocyst(e)ine levels in premenopausal women. - A prospective study.
Scand J Med Sci Sport.
1999;
9
272-278
08
Dill D B, Costill D L.
Calculation of percentage changes in volumes of blood, plasma, and red cells in dehydration.
J Appl Physiol.
1974;
37
247-248
10
Gallagher P M, Meleady R, Shields D C.
Homocysteine and risk of premature coronary disease: evidence for a common gene mutation.
Circulation.
1996;
94
2154-2158
11
Harker L A, Slichter S J, Scott C R.
Homocystine-induced arteriosclerosis: the role of endothelial cell injury and platelet response in its genesis.
J Clin Invest.
1976;
58
731-741
13 Ignarro L, Murad F. Nitric oxide. Biochemistry molecular biology, and therapeutic implications. In: Ignarro, L, Murad, F (eds) Advances in pharmacology series. San Diego, CA; Academic Press, Inc. 1995: 1-516
18
Lane N P, Whiting P H, Cole H, De Crée C.
The effects of a sports anti-pollution mask on pulmonary function and free radical formation during sub-maximal exercise (Abstract).
Br J Sports Med.
1999;
33
59
22
Malinow M R, Duell P B, Hess D L.
Reduction of plasma homocyst(e)ine levels by breakfast cereal fortified with folic acid in patients with coronary heart disease.
N Engl J Med.
1998;
338
1009-1015
23
Malinow M R, Kang S S, Taylor L M.
Prevalence of hyperhomocyst(e)inemia in patients with peripheral arterial occlusive disease.
Circulation.
1989;
79
1180-1188
25
McAllister R M, Hirai T, Musch T L.
Contribution of endothelium-derived nitric oxide (EDNO) to the skeletal muscle blood flow response to exercise.
Med Sci Sport Exerc.
1995;
27
1145-1151
27
Nygård O, Vollset S E, Refsum H.
Total plasma homocysteine and cardiovascular risk profile. The Hordaland homocysteine study.
JAMA.
1995;
274
1526-1533
31
Stamler J S, Osborne J A, Jaraki O.
Adverse vascular effects of homocysteine are modulated by endothelium-derived relaxing factor and related oxides of nitrogen.
J Clin Invest.
1993;
91
308-318
34
Stefanick M L, Mackey S, Sheehan M.
Effects of diet and exercise in men and postmenopausal women with low levels of HDL cholesterol and high levels of LDL cholesterol.
N Engl J Med.
1998;
339
12-20
36
Ueland P M, Refsum H.
Plasma homocysteine, a risk factor for vascular disease: Plasma levels in health, disease, and drug therapy.
J Lab Clin Med.
1989;
114
473-501
37
Upchurch G R Jr, Welch G N, Fabian A J.
Homocyst(e)ine decreases bioavailable nitric oxide by a mechanism involving glutathione peroxidase.
J Biol Chem.
1997;
272
17012-17017
40
Wilson J R, Kapoor S.
Contribution of endothelium-derived relaxing factor to exercise-induced vasodilation in humans.
J Appl Physiol.
1993;
75
2740-2744