Related Experiment Video
Updated: May 15, 2026

Cigarette Smoke Exposure in Mice using a Whole-Body Inhalation System
Published on: October 22, 2020
A possible genetic link between MTHFR genotype and smoking behavior.
Michael Linnebank1, Susanna Moskau, Alexander Semmler
1Department of Neurology, University Hospital Bonn, Bonn, Germany. michael.linnebank@usz.ch
Methylenetetrahydrofolate reductase (MTHFR) gene variants are linked to higher homocysteine levels and influence smoking behavior. This association may confound the relationship between MTHFR variants, homocysteine, and vascular disease risk.
Area of Science:
- Genetics and Cardiovascular Health
- Nutrigenomics and Disease Risk
- Epidemiology of Vascular Diseases
Background:
- Hyperhomocysteinemia is a known risk factor for stroke and vascular events.
- Methylenetetrahydrofolate reductase (MTHFR) C677T variant is associated with elevated homocysteine, cardiovascular disease, and stroke.
- MTHFR variants may also be linked to smoking behavior, potentially acting as a confounder.
Purpose of the Study:
- To investigate the association between MTHFR variants (C677T and A1298C) and smoking behavior.
- To examine the relationship between MTHFR variants, smoking status, and plasma homocysteine levels.
- To assess the potential confounding effect of MTHFR variants on the homocysteine-vascular disease link.
Main Methods:
- Analysis of MTHFR C677T and A1298C variants in two independent samples (525 and 535 individuals).
- Comparison of MTHFR variant carrier status between smokers and non-smokers using Chi-squared test and binary regression.
- Measurement and comparison of plasma homocysteine levels between smokers and non-smokers using ANOVA.
Main Results:
- Non-smokers were more likely to be homozygous carriers of wildtype MTHFR alleles (677CC and 1298AA) compared to smokers (21% vs 12%).
- Smokers exhibited higher plasma homocysteine levels (13.9 µmol/L) than non-smokers (12.6 µmol/L).
- Individuals with MTHFR 677TT genotype and who smoked had the highest homocysteine levels, while non-smoking 677CC individuals had the lowest.
Conclusions:
- MTHFR variants and smoking behavior are independently associated with plasma homocysteine levels.
- A significant association exists between MTHFR variants and smoking behavior in the study population.
- The interplay between MTHFR variants and smoking behavior represents a potential confounder in studies of homocysteine and vascular disease.
Related Concept Videos
Pharmacogenetic Phenotypes: Alterations in Pharmacokinetics, Drug Targets and Biologic Milieu
Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase
Human Genetics
The complex relationship between genetics and psychology is observable through common biological components such...
Cancer Prevention
Some...
Behavioral Genetics and Its Designs
The primary methodologies used in behavior genetics include family studies, twin studies, and adoption studies, each providing unique...
Pharmacogenomics: Identification of New Drug Targets
