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Updated: May 20, 2026

Midface Hypoplasia and Cranial Base Morphology in Syndromic Craniosynostosis: A Comparative Analysis Study Using a Predictive Regression Model
Published on: November 4, 2025
Infants' MTHFR polymorphisms and nonsyndromic orofacial clefts susceptibility: a meta-analysis based on 17
Yongchu Pan1, Weibing Zhang, Junqing Ma
1Institute of Stomatology, Department of Epidemiology, Nanjing Medical University, Nanjing, China.
Insights
Infants with MTHFR C677T and A1298C gene variants have an increased risk of nonsyndromic orofacial clefts (NSOC), particularly in Asian populations. These MTHFR polymorphisms are confirmed to be involved in NSOC development.
Area of Science:
- Genetics
- Developmental Biology
- Nutritional Biochemistry
Background:
- Methylenetetrahydrofolate reductase (MTHFR) is crucial for folate metabolism.
- MTHFR gene variants are implicated in nonsyndromic orofacial clefts (NSOC) risk.
- Previous studies on MTHFR C677T and A1298C polymorphisms in NSOC yielded conflicting results.
Purpose of the Study:
- To conduct a meta-analysis to clarify the association between MTHFR C677T and A1298C polymorphisms and NSOC risk.
- To provide precise estimations of the risk conferred by these MTHFR variants.
Main Methods:
- A meta-analysis was performed, aggregating data from 17 case-control studies.
- Infants' MTHFR C677T and A1298C polymorphisms were analyzed.
- Stratified analyses were conducted by ethnicity and cleft types.
Main Results:
- Infants' MTHFR C677T variants (CT, TT, CT/TT) were associated with increased NSOC risk in Asians.
- The MTHFR 677T allele showed an elevated risk in Asians.
- The MTHFR A1298C 1298C allele demonstrated a protective effect against NSOC in Caucasians.
Conclusions:
- Infants' MTHFR C677T and A1298C polymorphisms are confirmed to be involved in NSOC development.
- Ethnic differences exist in the association between MTHFR variants and NSOC risk.
- MTHFR C677T variants increase NSOC risk in Asians, while A1298C variants may offer protection in Caucasians.
Abstract:
Methylenetetrahydrofolate reductase (MTHFR), an important enzyme in folate metabolism, is thought to be involved in the development of nonsyndromic orofacial clefts (NSOC). However, conflicting results have been achieved when evaluating the associations between infants' MTHFR C677T and A1298C polymorphisms and the risk of NSOC. To obtain more precise estimations of these associations, a meta-analysis recruiting 17 case-control studies was performed. Among Asians we found that CT heterozygote, TT homozygote, and CT/TT of infants' MTHFR C677T variant could contribute to elevated risks of NSOC, compared with CC wild-type homozygote (OR=1.741, 95% CI=1.043-2.907 for CT vs. CC, OR=2.311, 95% CI=1.313-4.041 for TT vs. CC, and OR=1.740, 95% CI=1.051-2.882 for CT/TT vs. CC, respectively). Similar effect was also observed on MTHFR 677T T allele, when using C allele as a reference in Asians (OR=1.420, 95% CI=1.191-1.693, for T allele vs. C allele). Furthermore, in stratified analysis by types of disease, CT/CC was suggested to confer decreased susceptibility to CL/P under recessive genetic model (OR=0.854, 95% CI=0.730-1.000). For MTHFR A1298C, the MTHFR 1298C allele in the case group of Caucasians was significantly lower than that in the control group, suggesting a protective effect against NSOC in Caucasian populations (OR=0.711, 95% CI=0.641-0.790, for C allele vs. A allele). In conclusion, the meta-analysis provided confirmative evidences that infants' MTHFR C677T and A1298C polymorphisms were involved in the development of NSOC.
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