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Parental Genetic Variants, MTHFR 677C>T and MTRR 66A>G, Associated Differently with Fetal Congenital Heart Defect
Qian-Nan Guo1,2,3, Hong-Dan Wang1,3, Li-Zhen Tie4
1The Medical Genetic Center, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou 450000, China.
Insights
Parental MTHFR 677C>T gene variants are linked to non-ventricular septal defect (VSD) congenital heart defects (CHD), while MTRR 66A>G variants are associated with fetal VSD. These findings clarify genetic links in CHD etiology.
Area of Science:
- Genetics
- Developmental Biology
- Public Health
Background:
- Congenital heart defect (CHD) is a leading cause of birth defects globally.
- MTHFR and MTRR genes are implicated in fetal CHD, but their specific roles remain unclear.
- Genetic variations in MTHFR and MTRR may influence CHD susceptibility.
Purpose of the Study:
- To investigate the parental genetic effects of MTHFR and MTRR polymorphisms on fetal CHD.
- To analyze the association of MTHFR 677C>T, MTHFR 1298 A>C, and MTRR 66A>G polymorphisms with fetal CHD subtypes.
Main Methods:
- Case-control study involving parents of fetuses with CHD (VSD and non-VSD groups) and control parents.
- Genotyping of MTHFR 677C>T (rs1801133), MTHFR 1298 A>C (rs1801131), and MTRR 66A>G (rs1801394) polymorphisms using sequencing.
- Statistical analysis to determine the association between polymorphisms and CHD subtypes.
Main Results:
- MTHFR 677C>T polymorphism in either parent was significantly associated with non-VSD fetal CHD (P < 0.05).
- MTRR 66A>G polymorphism in either parent was significantly associated with fetal VSD (P < 0.05).
- No significant association was found for the MTHFR 1298 A>C polymorphism with either CHD subtype.
Conclusions:
- Parental MTHFR 677C>T polymorphism is independently linked to fetal non-VSD.
- Parental MTRR 66A>G polymorphism is independently linked to fetal VSD.
- These specific gene polymorphisms play distinct roles in the development of different types of fetal CHD.
Background:
Congenital heart defect (CHD) is one of the most common birth defects in the world. The methylenetetrahydrofolate reductase (MTHFR) and methionine synthase reductase (MTRR) genes are two of the most important candidate genes for fetal CHD. However, the correlations between the two genes and fetal CHD were inconsistent in various reports. Therefore, this study is aimed to evaluate the parental effects of the two genes on fetal CHD via three genetic polymorphisms, MTHFR 677C>T (rs1801133), MTHFR 1298 A>C (rs1801131), and MTRR 66A>G (rs1801394).
Methods:
Parents with pregnancy history of fetal CHD were divided into two subgroups: ventricular septal defect (VSD) (21) and non-VSD groups (78). VSD, non-VSD, and 114 control parents (controls) were analyzed in this study. Genotyping of these genetic polymorphisms was done by sequencing.
Results:
The MTHFR 677C>T polymorphism of either mothers or fathers was independently associated with fetal non-VSD (P < 0.05) but not VSD, while the MTRR 66A>G polymorphism was independently associated with fetal VSD (P < 0.05) but not non-VSD. No significance was found for MTHFR 1298A>C polymorphism.
Conclusion:
In either maternal or paternal group, the MTHFR 677C>T polymorphism was independently related to fetal non-VSD, while the MTRR 66A>G polymorphism was independently related to fetal VSD.
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Translation
Translation is the process of synthesizing proteins from the genetic information carried by messenger RNA (mRNA). Following transcription, it constitutes the final step in the expression of genes. This process is carried out by ribosomes, complexes of protein and specialized RNA molecules. Ribosomes, transfer RNA (tRNA), and other proteins produce a chain of amino acids—the polypeptide—as the end product of translation.
Translation Produces the Building Blocks of...

