“…It has been well established that elevated serum homocysteine level, namely, hyperhomocysteinemia (hHcys), is associated with a wide range of diseases and pathologic processes, including neurologic (Ravaglia et al, 2005;Białecka et al, 2012;Perła-Kaján and Jakubowski, 2012), cardiovascular (Cavalca et al, 2001;Białecka et al, 2012) and kidney (Wu et al, 2012) disease, osteoporosis (McLean et al, 2004), and complications of aging (Yu et al, 2012). With respect to glomerulosclerosis and consequent end-stage renal disease (ESRD), a large body of evidence supports a pathogenic role of hHcys via its effects on extracellular matrix accumulation, mesangial expansion, podocyte injury, local oxidative stress, and inflammation (Yi et al, 2007;Zhang et al, 2010;Li et al, 2013).…”