Abstract
An elevated level of plasma homocysteine, sulfur containing amino acid generated through demethylation of methionine has been widely accepted as a risk factor for cardiovascular disease (CVD). The increase can result from genetic and/or nutrient related disturbances in the remethylation or transsulfuration pathways for homocysteine metabolism. A common mutation (C677T) in the gene encoding for the enzyme 5, 10-methylenetetrahydrofolate reductase (MTHFR) or deficiency of the B vitamins namely folic acid, B12, B6 can lead to hyperhomocysteinemia.
In the present study, we have investigated the incidence of the (C677T) MTHFR polymorphism in the North Indian males. 141 angiographically proven coronary artery disease (CAD) patients and 55 age and sex matched healthy volunteers were examined for the association between MTHFR gene polymorphism and CAD. The MTHFR genotyping was performed using polymerase chain reaction (PCR) followed by restriction-isotyping with Hinf 1 endonuclease. A trend for higher ‘T’ allele frequency (0.19) was observed in patients than in controls (0.16). However no significant association was found between C677T mutation and CAD severity. The lack of statistical significance could be due to the small sample size studied. Hence a larger study including various ethnic groups is warranted.
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Langman, L.J. and Cole, D.E.C. (1990) Homocysteine: Cholesterol of the 90s. Clinica Chimica Acta 286, 63–80.
Pandey, R., Gupta, S., Lal, H., Mehta, H.C. and Aggarwal, S.K. (2000) Hyperhomocysteinemia and cardiovascular disease. The nutritional perspectives. Indian J. Clin. Biochem. 15 (Suppl.), 20–30.
DeVigneaud, V.E. (1952) Trail of research in sulfur chemistry metabolism and related fields. Ithaca New York, Cornell University Press.
Rees, M.M., Rodgers, G.M. (1993) Homocysteinemia: association of a metabolic disorder with vascular disease and thrombosis. Throm. Res. 71, 337–359.
Gerristen, T. and Waisman, H.A. (1964) Homocystinuria an error in the metabolism of methionine. Pediatrics 33, 413–420.
Ma, J., Stampfer, M.J., Hennekens, C.H., Frost, P., Selhub, J., Horsford, J., Malinow, M.R., Willett, W.C. and Rozen, R. (1996) Methylenetetrahydrofolate reductase polymorphism, plasma foliate, homocysteine and risk of myocardial infarction in US physicians. Circulation 94, 2410–2416.
Carson, N.A.J. and Neil, D.W. (1962) Metabolic abnormalities detected in a survey of mentally backward individuals in Northern Ireland. Arch. Dis. Child. 37, 505–513.
McCully, K.S. (1969) Vascular pathology of homocysteinemia, implication for the pathogenesis of arteriosclerosis. Am. J. Pathol. 56, 111–128.
Jacobsen, D.W. (1998) Homocysteine and vitamins in cardiovascular disease. Clin. Chem. 44, 1833–1843.
Ueland, P.M. and Refsum, H. (1989) Plasma homocysteine a risk factor for vascular disease: Plasma levels in health, disease and drug therapy. J. Lab. Clin. Med. 114, 473–501.
Goyettte, P., Pai, A., Milos, R., Frost, P., Tran, P., Chen, Z., Chan, M. and Rozen, R. (1998) Gene structure of human and mouse methylenetetrahydrofolate reductase (MTHFR). Mammalian Genome 9, 652–656.
Nygard, O., Vollset, S.E., Refsein, H., Stensvold, I., Tverdal, A., Nordrehaug, J.E., Ueland, M. and Kvale, G. (1995) Total plasma homocysteine and cardiovascular risk profile. The Hordaland homocysteine study. JAMA. 274, 1526–1533.
Nygard, O., Refsum, H., Ueland, P.M., Stensvold, I., Nordrehaug, J.E. and Kvale, G. (1997) Coffee consumption and plasma total homocysteine: the Hordaland homocysteine study. Am. J. Clin. Nutr. 65, 136–143.
Parzer, S. and Mannhalter, C. (1991) A rapid method for the isolation of genomic DNA from citrated whole blood. Biochem. J. 273, 229–231.
Goyette, P., Frosst, P., Rosenbaltt, D.S. and Rozen, R. (1995) Seven novel mutations in the methylenetetrahydrofolate reductase gene and genotype/phenotype correlations in severe methylenetetrahydrofolate reductase deficiency. Am. J. Hum. Genet. 56, 1052–1059.
Bernard, P.S., Lay, M.J. and Wittwer, C.T. (1998) Integrated amplification and detection of the C677T point mutation in the methylenetetrahydrofolate reductase gene by flourescence resonance energy transfer and profile melting curves. Anal. Biochem. 255, 101–107.
Frosst, P., Blom, H.J., Milos, R., Goyette, P., Sheppard, C.A., Matthews, R.G., Boers, G.J.H., Heijer, M.D., Kluitmans, L.A.J., Heuvel, L.P. and Rozen, R.A. (1995) Candidate genetic risk factor for vascular disease: a common mutation in methylenetetrahydrofolate reductase. Hum. Gen. 10, 111–113.
Chacko, K.A. (1998) Plasma Homocysteine levels in patients with Coronary Heart Disease. Indian Heart J. 50, 295–299.
Reinhardt, D., Sigusch, H.H., Vogt, S.F., Farker, K., Muller, S. and Hoffman, A. (1998) Absence of methylenetetrahydrofolate reductase gene and the risk of coronary artery disease. Eur. J. Clin. Invest. 28, 20–23.
Lalouschek, W., Aull, S., Serles, W., Schnider, P., Mannhalter, T.L., Deceker, L. and Zeiler, K. (1999) Genetic and non-genetic factors influencing plasma homocysteine levels in patients with ischemic cerebrovascular disease and in healthy control subjects. J. Lab. Clin. Med. 133, 575–581.
McAndrew, E., Brandt, J.T., Pearl, D.K. and Prior, T.W. (1996) The incidence of the gene for thermolabile methylene tetrahydrofolate reductase in African Americans. Thromb. Res. 83, 195–198.
Stevenson, R.E., Schwartz, C.E., Du, Y.Z. and Adams, M.J. (1997) Differences in methylene tetrahydrofolate reductase genotypes frequencies, between whites and blacks. Am. J. Hum. Gen. 60, 229–230.
Morita, H., Taguchi, J., Kurihara, H., Kitaoka, M., Kaneda, H., Kurilara, Y., Maemura, K., Shindo, T., Minamino, T., Ohno, M., Yamaoki, K., Ogasawara, K., Aizawa, T., Suzuki, S. and Yazaki, Y. (1997) Gene polymorphism of 5,10-methylenetetrahydrofolate reductase as a coronary risk factor. J. Cardiol. 29, 309–315.
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Vasisht, S., Gulati, R., Narang, R. et al. Polymorphism (C677T) in the 5,10-methylenetetrahydrofolate reductase (MTHFR) gene: A preliminary study on north Indian men. Indian J Clin Biochem 17, 99–107 (2002). https://doi.org/10.1007/BF02867949
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DOI: https://doi.org/10.1007/BF02867949