Methylenetetrahydrofolate reductase polymorphism and minor increase of risk for oral cancer
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Updated: Aug 14, 2026

Multi-Gene Single Nucleotide Polymorphism Detection in Gastric Cancer Based on Ion Semiconductor Sequencing Platform
Published on: May 10, 2024
E Vairaktaris1, C Yapijakis, P Kessler
1Department of Maxillofacial Surgery, University of Athens Medical School, Athens, Greece.
Purpose:
We investigated whether the mutant methylenetetrahydrofolate reductase (MTHFR) increases risk for oral cancer. The common germ-line mutation C677T in the MTHFR gene significantly diminishes specific activity of the enzyme, which is responsible for the circulating form of folate. Folate deficiency is associated with increased risk for thrombosis, as well as for several types of cancer, through disruption of DNA methylation, DNA synthesis and deficient DNA repair.
Methods:
We searched for the C677T mutation by restriction fragment analysis of PCR products in DNA samples of 110 patients with oral squamous cell carcinoma and 120 healthy controls of comparable ethnicity, age and sex.
Results:
The number of heterozygotes was significantly different in the two groups (P<0.005), as well as in subgroups of patients with or without a positive family history for cancer, compared to normal controls (P<0.01 and P<0.005, respectively). Furthermore, the subgroup of patients with a positive family history for thrombophilia had a significant increase both in the frequencies of mutant alleles (P<0.01) and heterozygotes (P<0.001) in comparison to normal controls.
Conclusions:
The obtained results suggest that the MTHFR mutation is a minor contributing factor in oncogenesis in the oral region, in conjunction with low dietary uptake of folate.
Insights
The methylenetetrahydrofolate reductase (MTHFR) C677T mutation may slightly increase oral cancer risk, particularly with a family history of cancer or thrombophilia. Low folate intake is also a contributing factor.
Area of Science:
- Genetics
- Oncology
- Nutritional Biochemistry
Background:
- The methylenetetrahydrofolate reductase (MTHFR) enzyme is crucial for folate metabolism.
- The C677T MTHFR gene mutation reduces enzyme activity, potentially leading to folate deficiency.
- Folate deficiency is linked to increased risks of thrombosis and certain cancers due to impaired DNA synthesis and repair.
Purpose of the Study:
- To investigate the association between the MTHFR C677T mutation and the risk of oral cancer.
- To determine if the MTHFR mutation's effect on oral cancer risk is modified by family history of cancer or thrombophilia.
Main Methods:
- Restriction fragment analysis was used to detect the MTHFR C677T mutation in DNA samples.
- The study included 110 patients with oral squamous cell carcinoma and 120 healthy controls.
- Participants were matched for ethnicity, age, and sex.
Main Results:
- A significant difference in heterozygote frequency for the MTHFR C677T mutation was observed between oral cancer patients and controls (P<0.005).
- Patients with a family history of cancer or thrombophilia showed significantly higher frequencies of mutant MTHFR alleles and heterozygotes compared to controls.
- The MTHFR mutation was associated with increased oral cancer risk, especially in those with a positive family history for cancer (P<0.01) or thrombophilia (P<0.001).
Conclusions:
- The MTHFR C677T mutation appears to be a minor factor in oral oncogenesis.
- The risk is likely influenced by interactions with other factors, such as low dietary folate intake.
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