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Impact of MTHFR Gene Polymorphisms C677T and A1298C on Congenital Atrial Septal Defect Risk in an Iranian Cohort
Noor Mohammad Noori1,2, Saeedeh Yaghoubi2, Ali Aghighi3
1Children and Adolescent Health Research Center, Resistant Tuberculosis Institute, Zahedan University of Medical Sciences, Zahedan, Iran.
Insights
The MTHFR gene
Area of Science:
- Genetics and Cardiology
Background:
- Congenital heart defects (CHD) are common in newborns.
- Atrial septal defect (ASD) is a frequent form of CHD.
- The MTHFR gene is implicated in CHD etiology.
Purpose of the Study:
- To investigate the association between MTHFR gene polymorphisms (rs1801133 and rs1801131) and ASD in an Iranian population.
- To assess the risk of ASD related to specific MTHFR variants.
Main Methods:
- A case-control study involving 81 children with ASD and 85 controls.
- Genotyping of MTHFR rs1801133 and rs1801131 polymorphisms using PCR-RFLP and ARMS-PCR.
Main Results:
- The MTHFR rs1801131 variant was associated with a reduced risk of ASD.
- The MTHFR rs1801133 variant was associated with an increased risk of ASD.
- Statistical significance was observed across multiple genetic models for both variants.
Conclusions:
- MTHFR gene variants rs1801133 and rs1801131 may play a role in the development of ASD.
- These findings contribute to understanding the genetic factors influencing congenital heart defects.
Background:
Congenital heart defects (CHD) are recognized as the most common heart abnormalities amongst newborns and children, and atrial septal defect (ASD) is recognized as one of the most frequent forms of CHD. Prior studies indicated that the methylenetetrahydrofolate reductase (MTHFR) gene contributes to the etiology of CHD. Therefore, we designed a case-control study to assess the possible role of the MTHFR gene, specifically the C677T (rs1801133) and A1298C (rs1801131) polymorphisms within the Iranian ASD population sample.
Methods:
A total of 166 subjects (81 children diagnosed with ASD and 85 control participants) were enrolled in this research. Samples genotyped for MTHFR rs1801133 and rs1801131 polymorphisms using the PCR-RFLP and ARMS-PCR approaches.
Results:
Our results indicated that rs1801131 variant reduced the risk of ASD in codominant (OR [95%CI]: 0.41[0.21-0.83], P=0.012), dominant (OR[95%CI]: 0.48 [0.25-0.93], p=0.028) and overdominant (OR[95%CI]: 0.44 [0.23-0.81], P=0.009) models. Moreover, rs1801133 variant increased the risk of ASD in codominant (OR[95%CI]: 2.68[1.39-5.16], P = 0.003), dominant (OR [95% CI]: 2.72 [1.43-5.14], P = 0.002), overdominant (OR [95% CI]: 2.50 [1.31-4.78], P = 0.005), and allelic (OR [95% CI]: 2.16 [1.27-3.69], P = 0.004) models.
Conclusions:
Our findings suggest that MTHFR rs1801133 and rs1801131 variants may potentially affect the onset of ASD.
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