Homocysteine is an intermediate aminoacid result of the conversion of methi
onine to cysteine. Homocystinuria or the hyperhomocysteinaemia are the most
frequently related disorders of this aminoacid, being the former an. autos
omic recessive alteration, whereas the latter is conditioned by multiple fa
ctors, being the most important the genetic and nutritional factors.
In the last years this alteration has regained special interest because of
its increasing role in the thrombotic pathologies and the identification th
at hyperhomocysteinaemia represents art independent risk factor for the acc
elerated atherogenesis of multiple diseases. In this review physiopathologi
cal aspects and clinical implications of hyperhomocysteinaemia are mentione
d as well as its diagnoses and treatment.