Association of the methylene-tetrahydrofolate reductase gene rs1801133 C677T variant with serum homocysteine levels, and the severity of coronary artery disease

This study aimed to investigate whether the single nucleotide polymorphism C677T (rs1801133) of the methylene-tetrahydrofolate reductase (MTHFR) gene was associated with the risk of coronary artery disease (CAD) and circulating homocysteine (Hcy) levels in Tunisian population. 310 angiografically di...

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Veröffentlicht in:Scientific reports 2020-06, Vol.10 (1), p.10064-10064, Article 10064
Hauptverfasser: Bouzidi, Nadia, Hassine, Majed, Fodha, Hajer, Ben Messaoud, Mejdi, Maatouk, Faouzi, Gamra, Habib, Ferchichi, Salima
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container_title Scientific reports
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Hassine, Majed
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Ben Messaoud, Mejdi
Maatouk, Faouzi
Gamra, Habib
Ferchichi, Salima
description This study aimed to investigate whether the single nucleotide polymorphism C677T (rs1801133) of the methylene-tetrahydrofolate reductase (MTHFR) gene was associated with the risk of coronary artery disease (CAD) and circulating homocysteine (Hcy) levels in Tunisian population. 310 angiografically diagnosed CAD patients and 210 controls were enrolled in this study. The MTHFR C677T (rs1801133) polymorphism was genotyped, and the Hcy concentrations were measured. The severity of CAD was evaluated using the Gensini scoring system. Compared to the CC genotype, the TT genotype confers a higher risk for CAD severity with an OR = 9.07 and 95% CI = 3.78–21.8. The T allele was the predisposing allele for CAD and that it was probably associated with CAD severity. The area under the ROC curve for Hcy was 0.764 (95% CI 0.660 to 0.868, p = 0.001). The receiver operating characteristics curve (ROC) for Hcy showed its useful prediction of CAD. Hcy levels were not significantly associated with CAD severity expressed by Gensini Score (GS). The MTHFR C677T (rs1801133) polymorphism influences circulating Hcy levels. The MTHFR C677T polymorphism and hyperhomocysteinemia could have an important role in the prediction of the presence and not the severity expressed by GS of CAD.
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The MTHFR C677T (rs1801133) polymorphism was genotyped, and the Hcy concentrations were measured. The severity of CAD was evaluated using the Gensini scoring system. Compared to the CC genotype, the TT genotype confers a higher risk for CAD severity with an OR = 9.07 and 95% CI = 3.78–21.8. The T allele was the predisposing allele for CAD and that it was probably associated with CAD severity. The area under the ROC curve for Hcy was 0.764 (95% CI 0.660 to 0.868, p = 0.001). The receiver operating characteristics curve (ROC) for Hcy showed its useful prediction of CAD. Hcy levels were not significantly associated with CAD severity expressed by Gensini Score (GS). The MTHFR C677T (rs1801133) polymorphism influences circulating Hcy levels. 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The MTHFR C677T polymorphism and hyperhomocysteinemia could have an important role in the prediction of the presence and not the severity expressed by GS of CAD.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>32572074</pmid><doi>10.1038/s41598-020-66937-3</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects 631/45/147
692/4019/2776
692/4019/592/2727
692/53
Adult
Aged
Alleles
Cardiovascular disease
Case-Control Studies
Coronary artery
Coronary Artery Disease - blood
Coronary Artery Disease - genetics
Coronary vessels
Female
Gene polymorphism
Genetic Association Studies
Genetic Predisposition to Disease
Genotype
Health risk assessment
Heart diseases
Homocysteine
Homocysteine - blood
Humanities and Social Sciences
Humans
Hyperhomocysteinemia
Male
Methylenetetrahydrofolate reductase
Methylenetetrahydrofolate Reductase (NADPH2) - genetics
Middle Aged
multidisciplinary
Polymorphism
Polymorphism, Single Nucleotide
ROC Curve
Science
Science (multidisciplinary)
Severity of Illness Index
Single-nucleotide polymorphism
Tetrahydrofolic acid
Tunisia
Young Adult
title Association of the methylene-tetrahydrofolate reductase gene rs1801133 C677T variant with serum homocysteine levels, and the severity of coronary artery disease
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