A candidate genetic risk factor for vascular disease: a common mutation in methylenetetrahydrofolate reductase

Hyperhomocysteinaemia has been identified as a risk factor for cerebrovascular, peripheral vascular and coronary heart disease 1–4 . Elevated levels of plasma homocysteine can result from genetic or nutrient-related disturbances in the trans-sulphuration or re-methylation pathways for homocysteine m...

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Veröffentlicht in:Nature genetics 1995-05, Vol.10 (1), p.111-113
Hauptverfasser: Frosst, P, Blom, H.J, Milos, R, Goyette, P, Sheppard, C.A, Matthews, R.G, Boers, G.J.H, den Heijer, M, Kluijtmans, L.A.J, van den Heuve, L.P, Rozen, R
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container_issue 1
container_start_page 111
container_title Nature genetics
container_volume 10
creator Frosst, P
Blom, H.J
Milos, R
Goyette, P
Sheppard, C.A
Matthews, R.G
Boers, G.J.H
den Heijer, M
Kluijtmans, L.A.J
van den Heuve, L.P
Rozen, R
description Hyperhomocysteinaemia has been identified as a risk factor for cerebrovascular, peripheral vascular and coronary heart disease 1–4 . Elevated levels of plasma homocysteine can result from genetic or nutrient-related disturbances in the trans-sulphuration or re-methylation pathways for homocysteine metabolism 1,5–7 . 5,10-Methylenetetrahydrofolate reductase (MTHFR) catalyzes the reduction of 5,10-methylenetetrahydrofolate to 5-methyltetra-hydrofolate, the predominant circulatory form of folate and carbon donor for the re-methylation of homocysteine to methionine. Reduced MTHFR activity with a thermolabile enzyme has been reported in patients with coronary and peripheral artery disease 5,6 . We have identified a common mutation in MTHFR which alters a highly-conserved amino acid; the substitution occurs at a frequency of approximately 38% of unselected chromosomes. The mutation in the heterozygous or homozygous state correlates with reduced enzyme activity and increased thermolability in lymphocyte extracts; in vitro expression of a mutagenized cDNA containing the mutation confirms its effect on thermolability of MTHFR. Finally, individuals homozygous for the mutation have significantly elevated plasma homocysteine levels. This mutation in MTHFR may represent an important genetic risk factor in vascular disease.
doi_str_mv 10.1038/ng0595-111
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Elevated levels of plasma homocysteine can result from genetic or nutrient-related disturbances in the trans-sulphuration or re-methylation pathways for homocysteine metabolism 1,5–7 . 5,10-Methylenetetrahydrofolate reductase (MTHFR) catalyzes the reduction of 5,10-methylenetetrahydrofolate to 5-methyltetra-hydrofolate, the predominant circulatory form of folate and carbon donor for the re-methylation of homocysteine to methionine. Reduced MTHFR activity with a thermolabile enzyme has been reported in patients with coronary and peripheral artery disease 5,6 . We have identified a common mutation in MTHFR which alters a highly-conserved amino acid; the substitution occurs at a frequency of approximately 38% of unselected chromosomes. The mutation in the heterozygous or homozygous state correlates with reduced enzyme activity and increased thermolability in lymphocyte extracts; in vitro expression of a mutagenized cDNA containing the mutation confirms its effect on thermolability of MTHFR. Finally, individuals homozygous for the mutation have significantly elevated plasma homocysteine levels. 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Elevated levels of plasma homocysteine can result from genetic or nutrient-related disturbances in the trans-sulphuration or re-methylation pathways for homocysteine metabolism 1,5–7 . 5,10-Methylenetetrahydrofolate reductase (MTHFR) catalyzes the reduction of 5,10-methylenetetrahydrofolate to 5-methyltetra-hydrofolate, the predominant circulatory form of folate and carbon donor for the re-methylation of homocysteine to methionine. Reduced MTHFR activity with a thermolabile enzyme has been reported in patients with coronary and peripheral artery disease 5,6 . We have identified a common mutation in MTHFR which alters a highly-conserved amino acid; the substitution occurs at a frequency of approximately 38% of unselected chromosomes. The mutation in the heterozygous or homozygous state correlates with reduced enzyme activity and increased thermolability in lymphocyte extracts; in vitro expression of a mutagenized cDNA containing the mutation confirms its effect on thermolability of MTHFR. Finally, individuals homozygous for the mutation have significantly elevated plasma homocysteine levels. 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The mutation in the heterozygous or homozygous state correlates with reduced enzyme activity and increased thermolability in lymphocyte extracts; in vitro expression of a mutagenized cDNA containing the mutation confirms its effect on thermolability of MTHFR. Finally, individuals homozygous for the mutation have significantly elevated plasma homocysteine levels. This mutation in MTHFR may represent an important genetic risk factor in vascular disease.</abstract><cop>New York</cop><pub>Nature Publishing Group US</pub><pmid>7647779</pmid><doi>10.1038/ng0595-111</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record>
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subjects 5,10-methylenetetrahydrofolate reductase
Adult
Agriculture
Aminoacid disorders
Animal Genetics and Genomics
Base Sequence
Biological and medical sciences
Biomedical and Life Sciences
Biomedicine
Cancer Research
DNA, Complementary
Enzyme Stability
Errors of metabolism
Escherichia coli - metabolism
Female
Gene Function
Homocysteine - metabolism
Human Genetics
Humans
hyperhomocysteinemia
Kidney - metabolism
letter
Liver - metabolism
Lymphocytes - metabolism
Male
man
Medical sciences
Metabolic diseases
Methylenetetrahydrofolate Reductase (NADPH2)
Middle Aged
Molecular Sequence Data
MTHFR gene
Mutagenesis, Site-Directed
Mutation
Oxidoreductases Acting on CH-NH Group Donors - deficiency
Oxidoreductases Acting on CH-NH Group Donors - genetics
Quebec
Risk Factors
Temperature
vascular disease
Vascular Diseases - epidemiology
Vascular Diseases - genetics
title A candidate genetic risk factor for vascular disease: a common mutation in methylenetetrahydrofolate reductase
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