Abstract
Methylenetetrahydrofolate reductase (MTHFR) C677T and catechol-O-Methyltransferase (COMT) G158A are associated with a risk of neural tube defects (NTDs) in offspring. This study examined the effect of a MTHFR × COMT interaction on the risk of NTDs in a Chinese population with a high prevalence of NTDs. A total of 576 fetuses or newborns with NTDs and 594 controls were genotyped for MTHFRrs1801133, MTHFRrs1801131, and COMTrs4680 and COMTrs737865. Information on maternal sociodemographic characteristics, reproductive history, and related behavior was collected through face-to-face interviews. Possible interactions between genetic variants of MTHFR and COMT were examined. MTHFR C677T homozygous TT was associated with an elevated risk of total NTDs (odds ratio [OR] = 1.37, 95 % confidence interval [CI] = 0.93–2.03) and of anencephaly (OR = 1.67, 95 % CI = 0.98–2.84) compared with the CC genotype. There was a COMT rs737865 CC × MTHFR rs1801133 TT interaction for total NTDs (OR = 3.02, 95 % CI = 1.00–9.14) and for anencephaly (OR = 3.39, 95 % CI = 0.94–12.18). No interaction was found between COMT rs4680 AA/AG and MTHFR CT/TT genotypes for total NTDs or any subtype of NTD. The interaction of COMT rs737865 and MTHFR C677T was associated with an increased risk of NTDs, especially anencephaly, in a Chinese population with a high prevalence of NTDs.
Similar content being viewed by others
References
Berry RJ et al (1999) Prevention of neural-tube defects with folic acid in China. China-U.S. Collaborative project for neural tube defect prevention. N Engl J Med 341:1485–1490. doi:10.1056/NEJM199911113412001
Bialecka M et al (2012) Association of COMT, MTHFR, and SLC19A1(RFC-1) polymorphisms with homocysteine blood levels and cognitive impairment in Parkinson’s disease. Pharmacogenet Genomics 22:716–724
Blom HJ, Smulders Y (2011) Overview of homocysteine and folate metabolism. With special references to cardiovascular disease and neural tube defects. J Inherit Metab Dis 34:75–81. doi:10.1007/s10545-010-9177-4
Botto LD, Yang Q (2000) 5,10-Methylenetetrahydrofolate reductase gene variants and congenital anomalies: a HuGE review. Am J Epidemiol 151:862–877
Carter TC et al (2011) Evaluation of 64 candidate single nucleotide polymorphisms as risk factors for neural tube defects in a large Irish study population. Am J Med Genet A 155A:14–21
Czeizel AE, Dudas I (1992) Prevention of the first occurrence of neural-tube defects by Periconceptional vitamin supplementation. N Engl J Med 327:1832–1835. doi:10.1056/NEJM199212243272602
Deb R et al (2011) Folate supplementation. MTHFR gene polymorphism and neural tube defects: a community based case control study in North India. Metab Brain Dis 26:241–246. doi:10.1007/s11011-011-9256-8
Finnell RH, Shaw GM, Lammer EJ, Volcik KA (2002) Does prenatal screening for 5,10-methylenetetrahydrofolate reductase (MTHFR) mutations in high-risk neural tube defect pregnancies make sense? Genet Test 6:47–52. doi:10.1089/109065702760093915
Frosst P et al (1995) A candidate genetic risk factor for vascular disease: a common mutation in methylenetetrahydrofolate reductase. Nat Genet 10:111–113. doi:10.1038/ng0595-111
Gellekink H, Muntjewerff JW, Vermeulen SH, Hermus AR, Blom HJ, den Heijer M (2007) Catechol-O-methyltransferase genotype is associated with plasma total homocysteine levels and may increase venous thrombosis risk. Thromb Haemost 98:1226–1231
Godbole K et al (2011) Maternal one-carbon metabolism, MTHFR and TCN2 genotypes and neural tube defects in India Birth defects research Part A. Clin Mol Teratol 91:848–856. doi:10.1002/bdra.20841
Kirke PN et al. (2004) Impact of the MTHFR C677T polymorphism on risk of neural tube defects: case–control study Bmj 328:1535–1536 doi:10.1136/bmj.38036.646030.EE
Kontis D et al (2013) COMT and MTHFR polymorphisms interaction on cognition in schizophrenia: an exploratory study. Neurosci Lett 537:17–22. doi:10.1016/j.neulet.2013.01.012
Li Z, Ren A, Zhang L, Guo Z, Li Z (2006) A population-based case–control study of risk factors for neural tube defects in four high-prevalence areas of Shanxi province. China Paediatr Perinatal Epidemiol 20:43–53. doi:10.1111/j.1365-3016.2006.00694.x
Liu J et al (2014) Association between maternal COMT gene polymorphisms and fetal neural tube defects risk in a Chinese population Birth defects research Part A. Clin Mol Teratol 100:22–29. doi:10.1002/bdra.23208
Mills JL, McPartlin JM, Kirke PN, Lee YJ, Conley MR, Weir DG, Scott JM (1995) Homocysteine metabolism in pregnancies complicated by neural-tube defects. Lancet 345:149–151
MRC Vitamin Study Research Group (1991) Prevention of neural tube defects: results of the medical research council vitamin study. Lancet 338:131–137
Pan CC, McQuoid DR, Taylor WD, Payne ME, Ashley-Koch A, Steffens DC (2009) Association analysis of the COMT/MTHFR genes and geriatric depression: an MRI study of the putamen. Int J Geriatr Psychiatry 24:847–855. doi:10.1002/gps.2206
Pangilinan F et al (2012) Evaluation of common genetic variants in 82 candidate genes as risk factors for neural tube defects. BMC Med Genet 13:62. doi:10.1186/1471-2350-13-62
Parle-McDermott A et al (2003) Analysis of the MTHFR 1298A C and 677C T polymorphisms as risk factors for neural tube defects. J Hum Genet 48:190–193. doi:10.1007/s10038-003-0008-4
Peerbooms O et al (2012) Evidence that interactive effects of COMT and MTHFR moderate psychotic response to environmental stress. Acta Psychiatr Scand 125:247–256. doi:10.1111/j.1600-0447.2011.01806.x
Posey DL, Khoury MJ, Mulinare J, Adams MJ Jr, Ou CY (1996) Is mutated MTHFR a risk factor for neural tube defects? Lancet 347:686–687
Purcell S et al (2007) PLINK: a tool set for whole-genome association and population-based linkage analyses. Am J Hum Genet 81:559–575. doi:10.1086/519795
Selhub J, Morris MS, Jacques PF (2007) In vitamin B-12 deficiency, higher serum folate is associated with increased total homocysteine and methylmalonic acid concentrations. Proc Natl Acad Sci U S A 104:19995–20000. doi:10.1073/pnas.0709487104
Speer MC, Worley G, Mackey JF, Melvin E, Oakes WJ, George TM (1997) The thermolabile variant of methylenetetrahydrofolate reductase (MTHFR) is not a major risk factor for neural tube defect in American Caucasians. The NTD Collab Group Neurogenet 1:149–150
Suszynska-Zajczyk J, Wroblewski J, Utyro O, Luczak M, Marczak L, Jakubowski H (2014) Bleomycin hydrolase and hyperhomocysteinemia modulate the expression of mouse proteins involved in liver homeostasis. Amino Acids 46:1471–1480. doi:10.1007/s00726-014-1712-4
Tunbridge EM, Harrison PJ, Warden DR, Johnston C, Refsum H, Smith AD (2008) Polymorphisms in the catechol-O-methyltransferase (COMT) gene influence plasma total homocysteine levels. Am J Med Genet B Neuropsychiatr Genet 147B:996–999
Vanderput NMJ et al (1995) Mutated methylenetetrahydrofolate reductase as a risk factor for spina-bifida. Lancet 346:1070–1071. doi:10.1016/S0140-6736(95)91743-8
Wallingford JB, Niswander LA, Shaw GM, Finnell RH (2013) The continuing challenge of understanding, preventing, and treating neural tube defects. Science 339:1222002. doi:10.1126/science.1222002
Wang XW, Luo YL, Wang W, Zhang Y, Chen Q, Cheng YL (2012) Association between MTHFR A1298C polymorphism and neural tube defect susceptibility: a metaanalysis. Am J Obstet Gynecol 206(251):e251–257. doi:10.1016/j.ajog.2011.12.021
Wilcken DE (1997) MTHFR 677C– T mutation, folate intake, neural-tube defect, and risk of cardiovascular disease. Lancet 350:603–604
Yan L, Zhao L, Long Y, Zou P, Ji G, Gu A, Zhao P (2012) Association of the maternal MTHFR C677T polymorphism with susceptibility to neural tube defects in offsprings: evidence from 25 case–control studies. PLoS One 7:e41689
Ye R, Ren A, Zhang L, Li Z, Liu J, Pei L, Zheng X (2011) Tea drinking as a risk factor for neural tube defects in northern China. Epidemiology 22:491–496. doi:10.1097/EDE.0b013e31821b452
Acknowledgments
This work was supported in part by the National Natural Science Foundation of China (Grant Nos. 81202265; 31371523).
Conflict of interest
None declared.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Liu, J., Zhang, Y., Jin, L. et al. Variants in maternal COMT and MTHFR genes and risk of neural tube defects in offspring. Metab Brain Dis 30, 507–513 (2015). https://doi.org/10.1007/s11011-014-9582-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11011-014-9582-8