Abstract
Failure or severe difficulty in conceiving a child is surprisingly common, worldwide problem. Half of these cases are due to male factors with defects in sperm (1 in 15 men) being the single most common cause. Also about 60–75 % of male infertility cases are idiopathic, since the molecular mechanisms underlying the defects remain unknown. DNA methylation is crucial for spermatogenesis and high methylenetetrahydrofolate reductase (MTHFR) activity in adult testis than other organs in mouse, signifies its critical role in spermatogenesis. According to recent findings there is a correlation of epigenetic regulation of several imprinted genes with disturbed spermatogenesis and fertility. Consequently any change in the MTHFR gene sequence can modify the spermatogenesis including transmission of infertility to the carriers. The aim of the study is to analyze the distribution of the single nucleotide polymorphism C677T in the MTHFR gene in 637 North Indian infertile patients and 364 fertile North Indian men as controls by using PCR–RFLP technique and Chi Square test for statistical analysis. The average MTHFR 677CC, 677CT, 677TT genotype frequencies of total infertile men were 70.17, 24.17, 5.65 % in infertile men and 75.27, 21.7, 2.74 % in controls, respectively. The average frequency of the MTHFR 677T allele was 17.73 % in infertile men as compared to 13.59 % in controls. The statistical difference was significant. Disease risk was found 2.27-folds increased in patients who were carrying T allele. We found an association of C677T polymorphism with male infertility and that it may be a genetic risk factor for male infertility in North Indian population.
Similar content being viewed by others
References
Hull MG et al (1985) Population study of causes, treatment, and outcome of infertility. BMJ 291:1693–1697
de Kretser DM (1997) Male infertility. Lancet 349:787–790
http://www.hfea.gov.uk/cps/rde/xbcr/SID-3F57D79B-12E4689D/hfea/facts_and_figures.pdf. Accessed 15 Feb 2013
http://www.cdc.gov/art/ART2011/PDFs/ART_2011_Clinic_Report-Full.pdf. Accessed 15 Feb 2013
Filipponi D, Feil R (2009) Perturbation of genomic imprinting in oligozoospermia. Epigenetics 4(1):27–30
Andersen AG, Jensen TK, Carlsen E et al (2000) High frequencey of sub-optimal semen quality in an unselected population of young men. Hum Reprod 15:366–372
Maher ER (2005) Imprinting and assisted reproductive technology. Hum Mol Genet 14:R133–R138
Hansen M, Bower C, Milne E, de Klerk N, Kurinczuk JJ (2005) Assisted reproductive technologies and the risk of birth defects—a systematic review. Hum Reprod 20:328–338
Dhillon VS, Shahid M, Husain SA (2007) Associations of MTHFR DNMT3b 4977 bp deletion in mtDNA and GSTM1 deletion, and aberrant CpG island hypermethylation of GSTM1 in non-obstructive infertility in Indian men. Mol Hum Reprod 13:213–222
Ravel C, Chantot-Bastaraud S, Chalmey C, Barreiro L, Aknin-Seifer I et al (2009) Lack of association between genetic polymorphisms in enzymes associated with folate metabolism and unexplained reduced sperm counts. PLoS ONE 4:e6540
Zc A, Yang Y, Zhang SZ, Li N, Zhang W (2007) Single nucleotide polymorphism 677CT in the methylenetetrahydrofolate reductase gene might be a genetic risk factor for infertility for Chinese men with azoospermia or severe oligozoospermia. Asian J Androl 9:57–62
Lee HC, Jeong YM, Lee SH, Cha KY, Song SH et al (2006) Association study of four polymorphisms in three folate-related enzyme genes with non-obstructive male infertility. Hum Reprod 21:3162–3170
Li E (2002) Chromatin modification and epigenetic reprogramming in mammalian development. Nat Rev Genet 3:662–673
Chen Z, Karaplis AC, Ackerman SL, Pogribny IP, Melnyk S et al (2001) Mice deficient in methylenetethrahydrofolate reductase exhibit hyperhomocysteinemia and decreased methylation capacity, with neuropathology and aortic lipid deposition. Hum Mol Genet 10:433–443
Minocherhomji S, Madon PF, Parikh FR (2010) Epigenetic regulatory mechanisms associated with infertility. Obstet Gynecol Int. doi:10.1155/2010/198709
Marques CJ, Carvalho F, Sousa M, Barros A (2004) Genomic imprinting in disruptive spermatogenesis. Lancet 363:1700–1702
Kobayashi H, Sato A, Otsu E, Hiura H, Tomatsu C et al (2007) Aberrant DNA methylation of imprinted loci in sperm from oligospermic patients. Hum Mol Genet 16:2542–2551
Marques CJ, Costa P, Vaz B, Carvalho F, Fernandes S et al (2008) Abnormal methylation of imprinted genes in human sperm is associated with oligozoospermia. Mol Hum Reprod 14:67–74
Khazamipour N, Noruzinia M, Fatehmanesh P, Keyhanee M, Pujol P (2009) MTHFR promoter hypermethylation in testicular biopsies of patients with nonobstructive azoospermia: the role of epigenetics in male infertility. Hum Reprod 24:2361–2364
Singh K, Singh SK, Raman R (2010) MTHFR A1298C polymorphism and idiopathic male infertility. J Postgrad Med 56:267–269
Safarinejad MR, Shafiei N, Safarinejad S (2011) Relationship between genetic polymorphisms of methylenetetrahydrofolate reductase (C677T, A1298C, and G1793A) as risk factors for idiopathic male infertility. Reprod Sci 18:304–315
Bezold G, Lange M, Peter RU (2001) Homozygous methylenetetrahydrofolate reductase 677CT mutation and male infertility. N Engl J Med 344:1172–1173
Singh K, Singh SK, Sah R, Singh I, Raman R (2005) Mutation 677CT in the methylenetetrahydrofolate reductase gene is associated with male infertility in Indian population. Int J Androl 28:115–119
Park JH, Lee HC, Jeong YM, Chung TG, Kim HJ et al (2005) MTHFR 677CT polymorphism associates with unexplained infertile male factors. J Assist Reprod Genet 22:361–368
Stuppia L, Gatta V, Scarciolla O, Colosimo A, Guanciali-Franchi P et al (2003) The methylenetethrahydrofolate reductase (MTHFR) 677C>T polymorphism and male infertility in Italy. J Endocrinol Invest 26:620–622
Ebisch IMW, van Heerde WL, Thomas CM, van der Put N, Wong WY et al (2003) 677C>T methylenetetrahydrofolate reductase polymorphism interferes with the effects of folic acid and zinc sulfate on sperm concentration. Fertil Steril 80:1190–1194
Paracchini V, Garte S, Taioli E (2006) MTHFR 677C>T polymorphism, GSTM1 deletion and male infertility: a possible suggestion of a gene/gene interaction? Biomarkers 11:53–60
Tetik A, Aliyeva U, Cetintas VB, Semerci B, Topcuoglu N et al (2008) Influence of methylenetetrahydrofolate reductase (MTHFR) 677C>T and 1298A>C gene polymorphisms on male infertility in Turkish infertile men with azoospermia and oligozoospermia. Eur Urol Suppl 7:92
Gava MM, de Oliveira Chagas E, Bianco B, Christofolini DM, Pompeo AC et al (2011) Methylenetetrahydrofolate reductase polymorphisms are related to male infertility in Brazilian men. Genet Test Mol Biomarkers 15:153–157
Montjean D, Benkhalifa M, Dessolle L, Cohen-Bacrie P, Belloc S et al (2011) Polymorphisms in MTHFR and MTRR genes associated with blood plasma homocysteine concentration and sperm counts. Fertil Steril 95:635–640
Lee S, Jeong YM, Lee SK, Cha KY, Chung TG et al (2003) The 677C>T polymorphism in methylenetetrahydrofolate reductase (MTHFR) gene associates with unexplained male infertility with severe OAT. Fertil Steril 80:229
Heijmans BT, Gussekloo J, Kluft C, Droog S, Lagaay AM et al (1999) Mortality risk in men is associated with a common mutation in the methylenetetrahydrofolate reductase gene (MTHFR). Eur J Hum Genet 7:197–204
Wilcken B, Bamforth F, Li Z, Zhu H, Ritvanen A, Redlund M et al (2003) Geographical and ethnic variation of the 677C>T allele of 5,10 methylenetetrahydrofolate reductase (MTHFR): findings from over 7,000 newborns from 16 areas worldwide. J Med Genet 40:619–625
Frosst P, Blom HJ, Milos R, Goyette P, Sheppard CA, Matthews RG et al (1995) A candidate genetic risk factor for vascular disease: a common mutation in methylenetetrahydrofolate reductase. Nat Genet 10:111–113
Kelly TL, Neaga OR, Schwahn BC, Rozen R, Trasler JM (2005) Infertility in 5,10-methylenetetrahydrofolate reductase (MTHFR)-deficient male mice is partially alleviated by lifetime dietary betaine supplementation. Biol Reprod 72:667–677
World Health Organization (WHO) (1999) Laboratory manual for the examination of human semen and sperm–cervical mucus interaction, 4th edn. Cambridge University, Cambridge
Skibola CF, Smith MT, Kane E, Roman E, Rollinson S, Cartwright RA et al (1999) Polymorphisms in the methylenetetrahydrofolate reductase gene are associated with susceptibility to acute leukemia in adults. Proc Natl Acad Sci USA 96:12810–12815
Jacques PF, Bostom AG, Williams RR, Ellison RC, Eckfeldt JH, Rosenberg IH et al (1996) Relation between folate status, a common mutation in methylenetetrahydrofolate reductase, and plasma homocysteine concentrations. Circulation 93:7–9
Ross SA (2003) Diet and DNA methylation interactions in cancer prevention. Ann N Y Acad Sci 983:197–207
Wei W, Shen O, Qin Y, Niu X, Chuncheng L, Xia Y, Song L, Wang S, Wang X (2010) Idiopathic male infertility is strongly associated with aberrant promoter methylation of methylenetetrahydrofolate reductase (MTHFR). PLoS ONE 5:e13884
Gupta N, Gupta S, Dama M, David A, Khanna G, Khanna A, Rajender S (2011) Strong association of 677C>T substitution in the MTHFR gene with male infertility—a study on an Indian population and a meta-analysis. PLoS ONE 6:e22277
Rybouchkin A, Benijts J, De Sutter P, Dhont M (1997) Disintegration of chromosomes in dead sperm cells as revealed by injection into mouse oocytes. Hum Reprod 12:1693–1698
Chemes HE, Rawe VY (2003) Sperm pathology: a step beyond descriptive morphology, origin, characterization and fertility potential of abnormal sperm phenotypes in infertile men. Hum Reprod 9:405–428
Conflict of interests
The authors do not have any conflicts of interest in this article.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Naqvi, H., Hussain, S.R., Ahmad, M.K. et al. Role of 677C→T polymorphism a single substitution in methylenetetrahydrofolate reductase (MTHFR) gene in North Indian infertile men. Mol Biol Rep 41, 573–579 (2014). https://doi.org/10.1007/s11033-013-2894-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11033-013-2894-7