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Published on: May 10, 2024
B-vitamins, methylenetetrahydrofolate reductase (MTHFR) and hypertension
Mary Ward1, Carol P Wilson, J J Strain
1Nothern Ireland Centre for Food and Health, University of Ulster, Coleraine BT52 1SA, UK. mw.ward@ulster.ac.uk
Insights
A common gene variant (MTHFR) is linked to hypertension. Riboflavin (vitamin B2) may help manage blood pressure in individuals with this genetic predisposition, offering potential new hypertension treatments.
Area of Science:
- Genetics
- Cardiovascular Medicine
- Nutritional Science
Background:
- Hypertension is a major risk factor for cardiovascular disease (CVD) and stroke.
- A common MTHFR gene polymorphism is associated with elevated homocysteine and CVD risk.
- This MTHFR variant may independently contribute to hypertension development.
Purpose of the Study:
- To investigate the association between the MTHFR gene polymorphism and hypertension.
- To explore the potential role of riboflavin in modulating blood pressure in individuals with the MTHFR 677 TT genotype.
Main Methods:
- Analysis of MTHFR gene polymorphisms.
- Assessment of blood pressure levels.
- Evaluation of riboflavin's effect on blood pressure in specific genotypes.
Main Results:
- The MTHFR gene polymorphism is independently associated with hypertension.
- Riboflavin may modulate blood pressure, particularly in individuals with the homozygous MTHFR 677 TT genotype.
Conclusions:
- The MTHFR genotype may represent a correctable genetic predisposition to hypertension.
- Low-dose riboflavin could be a potential therapeutic strategy for managing hypertension in susceptible individuals.
- These findings have significant implications for hypertension management, given the polymorphism's global prevalence.
Abstract:
Hypertension is a leading risk factor for cardiovascular disease (CVD) and stroke. A common polymorphism in the gene encoding the enzyme methylenetetrahydrofolate reductase (MTHFR), previously identified as the main genetic determinant of elevated homocysteine concentration and also recognized as a risk factor for CVD, appears to be independently associated with hypertension. The B-vitamin riboflavin is required as a cofactor by MTHFR and recent evidence suggests it may have a role in modulating blood pressure, specifically in those with the homozygous mutant MTHFR 677 TT genotype. If studies confirm that this genetic predisposition to hypertension is correctable by low-dose riboflavin, the findings could have important implications for the management of hypertension given that the frequency of this polymorphism ranges from 3 to 32 % worldwide.
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