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Frequency of MTHFR G1793A polymorphism in individuals with early coronary artery disease: cross-sectional study
Antonio Ivo Moritz Neto1, Joel Rolim de Moura, Darlene Camati Persuhn
1Ultratito Clinic, FlorianópolisSanta CatarinaBrazil.
Insights
This study found no link between the MTHFR G1793A polymorphism and early coronary artery disease (CAD) in the studied population. The prevalence of this genetic marker was similar in patients with and without early CAD, indicating it
Area of Science:
- Cardiovascular Genetics
- Molecular Biology
- Atherosclerosis Research
Background:
- Atherosclerotic disease is a leading cause of mortality in Brazil, necessitating the identification and management of its risk factors.
- Elevated plasma homocysteine (hyperhomocysteinemia) is a potential risk factor for vascular diseases.
- Mutations in the methylenetetrahydrofolate reductase (MTHFR) enzyme, involved in homocysteine metabolism, are being investigated for their role in vascular disease.
Purpose of the Study:
- To investigate the prevalence of the G1793A polymorphism in individuals with early coronary artery disease (CAD).
- To determine if the G1793A polymorphism is associated with early-onset CAD or its risk factors.
Main Methods:
- A cross-sectional study comparing 74 early-onset CAD patients with 40 healthy controls.
- DNA extraction from blood samples followed by PCR/RFLP and agarose gel electrophoresis to analyze the G1793A polymorphism.
Main Results:
- The occurrence of G1793A heterozygotes was comparable between the early CAD group (6.25%) and the control group (5%).
- No statistically significant correlation was found between the G1793A polymorphism and the incidence of early CAD in this population.
- The study found no association between the G1793A polymorphism and common risk factors for atherosclerosis.
Conclusions:
- The frequency of the 1793A allele was similar in both the early CAD patient group (3.4%) and the control group (2.5%).
- There is no observed correlation between the G1793A polymorphism and the occurrence of early coronary artery disease in the population studied.
Context And Objective:
Atherosclerotic disease is the leading cause of death in Brazil. It is a complex disease and its prevention involves identification and control of risk factors. Moderately increased plasma homocysteine concentration (hyperhomocysteinemia) has been considered to be a risk factor for several vascular diseases. Mutations in the methylenetetrahydrofolate reductase (MTHFR) enzyme, which is involved in homocysteine metabolism, have been investigated as potential vascular disease risk factors. G1793A polymorphism was described in 2002 and there are few studies analyzing its involvement in diseases. The objective of this study was to investigate the prevalence of G1793A polymorphism in subjects with early coronary artery disease (CAD).
Design And Setting:
Cross-sectional study with control group conducted at a private cardiology clinic and a molecular biology laboratory (Universidade do Vale do Itajaí).
Methods:
We studied 74 early-onset CAD+ patients and 40 CAD- individuals with normal angiography results. DNA was extracted from blood samples. Molecular data were obtained via PCR/RFLP and agarose gel electrophoresis.
Results:
The occurrence of G1793A heterozygotes was similar in the control (5%) and test (6.25%) groups, thus showing that in the population studied there was no correlation between the marker and occurrences of early CAD. There was also no association between the polymorphism and the risk factors for atherosclerosis.
Conclusions:
The frequency of the 1793A allele in the test group (3.4%) was similar to what was found in the control individuals (2.5%). There was no correlation between G1793A polymorphism and occurrences of early CAD in this population.
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