Infant C677T MTHFR polymorphism and severe mental retardation
Gary M Shaw1, Laura Jelliffe-Pawlowski, Verne Nelson
1California Birth Defects Monitoring Program, Berkeley, California 94710, USA. gsh@cbdmp.org
Insights
Infants with the MTHFR gene TT genotype showed no increased risk of severe mental retardation overall. However, Hispanic children with TT or CT genotypes had a higher risk, suggesting a potential link to folate metabolism.
Area of Science:
- Genetics and Developmental Biology
- Neuroscience
- Public Health
Background:
- Investigated the association between MTHFR gene polymorphisms and severe mental retardation in infants.
- Focused on the homozygous TT genotype of the MTHFR C677T gene variant.
Purpose of the Study:
- To determine if infants with the MTHFR gene TT genotype have an increased risk of severe mental retardation.
- To explore potential ethnic differences in this association.
Main Methods:
- Case-control study comparing 100 children with severe mental retardation to 743 control infants.
- DNA analysis from newborn screening filter papers for MTHFR C677T genotypes (TT, CT, CC).
Main Results:
- No significant overall difference in TT or CT genotypes between cases and controls.
- Elevated odds ratios (ORs) for TT (1.9) and CT (2.6) genotypes observed in Hispanic children.
- Results remained consistent after excluding cases with structural birth defects.
Conclusions:
- Folate metabolism is crucial for understanding birth defect etiologies.
- Further research into folate, DNA methylation, and mental retardation is warranted.
- The MTHFR gene may play a role in severe mental retardation, particularly in specific ethnic groups.
Background:
We investigated whether infants with homozygous genotype TT of the MTHFR gene were at increased risk of severe mental retardation.
Methods:
One hundred children with severe mental retardation (cases) were investigated from a large geographic-based study of infants born in California in 1992-1993. Cases were compared to 743 randomly selected nonmalformed control infants born in California during 1987-1991. DNA was extracted from newborn screening filter papers. Cases and controls were genotyped TT if homozygous for the MTHFR C677T allele, CT if heterozygous for the C677T allele, and CC if homozygous for the C677 (wild type) allele.
Results:
Overall, case and control infants had similar percentages of TT and CT genotypes. Percentages between cases and controls differed somewhat across race/ethnic groups. Elevated ORs of 1.9 (95% CI: 0.7-5.0) and 2.6 (95% CI: 1.1-5.8) were observed for the TT and CT genotypes, respectively, among Hispanic children. Observed results were not substantially altered for analyses that removed 41 case children who also had structural birth defects.
Conclusions:
Folate-related mechanisms are important to investigate for etiologies of birth defects, and such lines of inquiry may be revealing for mental retardation given the relationships between mental retardation and birth defects and potential relationships between folate, DNA methylation, and mental retardation.
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