Folate, vitamin B12, homocysteine and polymorphisms in folate metabolizing genes in children with congenital heart disease and their mothers

Background/Objectives: The objective of the study was to assess the role of variations in serum folate, vitamin B12, homocysteine and the presence of genetic polymorphisms as risk factors for congenital heart disease (CHD) in children. Subjects/Methods: A total of 32 children with CHD, and their mot...

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Veröffentlicht in:European journal of clinical nutrition 2017-12, Vol.71 (12), p.1437-1441
Hauptverfasser: Elizabeth, K E, Praveen, S L, Preethi, N R, Jissa, V T, Pillai, M R
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container_issue 12
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container_title European journal of clinical nutrition
container_volume 71
creator Elizabeth, K E
Praveen, S L
Preethi, N R
Jissa, V T
Pillai, M R
description Background/Objectives: The objective of the study was to assess the role of variations in serum folate, vitamin B12, homocysteine and the presence of genetic polymorphisms as risk factors for congenital heart disease (CHD) in children. Subjects/Methods: A total of 32 children with CHD, and their mothers and 32 normal children and their mothers formed the study and control groups, respectively. Serum folate, vitamin B12 and homocysteine as well as genetic polymorphisms MTHFR C677→T, MTHFR A1298→C, MTR A2756→G and MTRR A66→G were assessed. Results: Low serum folate and genetic polymorphisms MTHFR C677→T and MTRR A66→G among children and their mothers and high homocysteine among mothers were noted as risk factors for CHD ( P
doi_str_mv 10.1038/ejcn.2017.135
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Subjects/Methods: A total of 32 children with CHD, and their mothers and 32 normal children and their mothers formed the study and control groups, respectively. Serum folate, vitamin B12 and homocysteine as well as genetic polymorphisms MTHFR C677→T, MTHFR A1298→C, MTR A2756→G and MTRR A66→G were assessed. Results: Low serum folate and genetic polymorphisms MTHFR C677→T and MTRR A66→G among children and their mothers and high homocysteine among mothers were noted as risk factors for CHD ( P &lt;0.05). Vitamin B12 levels were normal and showed no association. Presence of MTHFR C677→T and MTRR A66→G, both concurrently among children as well as mothers and simultaneously among mother–child pairs, showed several fold increase in the risk for CHD. On multivariate analysis, the risk factors noted for CHD were presence of MTHFR C677→T among children and their mothers and MTRR A66→G among mothers. Analyses for nutrient–gene interaction revealed significant associations between low serum folate and high serum homocysteine levels, and the presence of selected genetic polymorphisms. Conclusions: Low serum folate, high homocysteine and presence of selected genetic polymorphisms among children and their mothers were noted as risk factors for CHD. Nutrient–gene interaction being a modifiable risk factor, the study recommends the use of peri-conceptional folate supplementation with vitamin B12 sufficiency for primary prevention of CHD.</description><identifier>ISSN: 0954-3007</identifier><identifier>EISSN: 1476-5640</identifier><identifier>DOI: 10.1038/ejcn.2017.135</identifier><identifier>PMID: 28876333</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>45 ; 45/77 ; 631/61/212 ; 692/308/2056 ; Adult ; Analysis ; Cardiovascular disease ; Cardiovascular diseases ; Case-Control Studies ; Child ; Child, Preschool ; Children ; Clinical Nutrition ; Complications and side effects ; Congenital diseases ; Congenital heart defects ; Congenital heart disease ; Coronary artery disease ; Cyanocobalamin ; Diet therapy ; Dietary supplements ; Distribution ; Epidemiology ; Ferredoxin-NADP Reductase - genetics ; Folic acid ; Folic Acid - blood ; Gene polymorphism ; Gene-Environment Interaction ; Genetic aspects ; Genetic polymorphisms ; Genetic Predisposition to Disease ; Health aspects ; Health risk assessment ; Heart Defects, Congenital - blood ; Heart Defects, Congenital - genetics ; Heart diseases ; Homocysteine ; Homocysteine - blood ; Humans ; Infant ; Internal Medicine ; Measurement ; Medicine ; Medicine &amp; Public Health ; Metabolic Diseases ; Methylenetetrahydrofolate reductase ; Methylenetetrahydrofolate Reductase (NADPH2) - genetics ; Mothers ; Multivariate analysis ; Nutrients ; original-article ; Pediatric research ; Physiological aspects ; Polymorphism ; Polymorphism, Single Nucleotide ; Prenatal influences ; Public Health ; Risk analysis ; Risk Factors ; Socioeconomic Factors ; Supplements ; Vitamin B ; Vitamin B 12 - blood ; Vitamin B12 ; Vitamin B12 deficiency ; Young Adult</subject><ispartof>European journal of clinical nutrition, 2017-12, Vol.71 (12), p.1437-1441</ispartof><rights>Macmillan Publishers Limited, part of Springer Nature. 2017</rights><rights>COPYRIGHT 2017 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Dec 2017</rights><rights>Macmillan Publishers Limited, part of Springer Nature. 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c660t-481cb075044f0d0e45a7ab6da01274d64b61553357c57e5e0f94feb5045142d63</citedby><cites>FETCH-LOGICAL-c660t-481cb075044f0d0e45a7ab6da01274d64b61553357c57e5e0f94feb5045142d63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27926,27927</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28876333$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Elizabeth, K E</creatorcontrib><creatorcontrib>Praveen, S L</creatorcontrib><creatorcontrib>Preethi, N R</creatorcontrib><creatorcontrib>Jissa, V T</creatorcontrib><creatorcontrib>Pillai, M R</creatorcontrib><title>Folate, vitamin B12, homocysteine and polymorphisms in folate metabolizing genes in children with congenital heart disease and their mothers</title><title>European journal of clinical nutrition</title><addtitle>Eur J Clin Nutr</addtitle><addtitle>Eur J Clin Nutr</addtitle><description>Background/Objectives: The objective of the study was to assess the role of variations in serum folate, vitamin B12, homocysteine and the presence of genetic polymorphisms as risk factors for congenital heart disease (CHD) in children. Subjects/Methods: A total of 32 children with CHD, and their mothers and 32 normal children and their mothers formed the study and control groups, respectively. Serum folate, vitamin B12 and homocysteine as well as genetic polymorphisms MTHFR C677→T, MTHFR A1298→C, MTR A2756→G and MTRR A66→G were assessed. Results: Low serum folate and genetic polymorphisms MTHFR C677→T and MTRR A66→G among children and their mothers and high homocysteine among mothers were noted as risk factors for CHD ( P &lt;0.05). Vitamin B12 levels were normal and showed no association. Presence of MTHFR C677→T and MTRR A66→G, both concurrently among children as well as mothers and simultaneously among mother–child pairs, showed several fold increase in the risk for CHD. On multivariate analysis, the risk factors noted for CHD were presence of MTHFR C677→T among children and their mothers and MTRR A66→G among mothers. 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Analyses for nutrient–gene interaction revealed significant associations between low serum folate and high serum homocysteine levels, and the presence of selected genetic polymorphisms. Conclusions: Low serum folate, high homocysteine and presence of selected genetic polymorphisms among children and their mothers were noted as risk factors for CHD. Nutrient–gene interaction being a modifiable risk factor, the study recommends the use of peri-conceptional folate supplementation with vitamin B12 sufficiency for primary prevention of CHD.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>28876333</pmid><doi>10.1038/ejcn.2017.135</doi><tpages>5</tpages></addata></record>
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subjects 45
45/77
631/61/212
692/308/2056
Adult
Analysis
Cardiovascular disease
Cardiovascular diseases
Case-Control Studies
Child
Child, Preschool
Children
Clinical Nutrition
Complications and side effects
Congenital diseases
Congenital heart defects
Congenital heart disease
Coronary artery disease
Cyanocobalamin
Diet therapy
Dietary supplements
Distribution
Epidemiology
Ferredoxin-NADP Reductase - genetics
Folic acid
Folic Acid - blood
Gene polymorphism
Gene-Environment Interaction
Genetic aspects
Genetic polymorphisms
Genetic Predisposition to Disease
Health aspects
Health risk assessment
Heart Defects, Congenital - blood
Heart Defects, Congenital - genetics
Heart diseases
Homocysteine
Homocysteine - blood
Humans
Infant
Internal Medicine
Measurement
Medicine
Medicine & Public Health
Metabolic Diseases
Methylenetetrahydrofolate reductase
Methylenetetrahydrofolate Reductase (NADPH2) - genetics
Mothers
Multivariate analysis
Nutrients
original-article
Pediatric research
Physiological aspects
Polymorphism
Polymorphism, Single Nucleotide
Prenatal influences
Public Health
Risk analysis
Risk Factors
Socioeconomic Factors
Supplements
Vitamin B
Vitamin B 12 - blood
Vitamin B12
Vitamin B12 deficiency
Young Adult
title Folate, vitamin B12, homocysteine and polymorphisms in folate metabolizing genes in children with congenital heart disease and their mothers
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