Autor: |
Guéant, Jean-Louis, Guéant-Rodriguez, Rosa-Maria, Anello, Guido, Bosco, Paolo, Brunaud, Laurent, Romano, Corrado, Ferri, Rafaele, Romano, Antonino, Candito, Mirande, Namour, Bernard |
Předmět: |
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Zdroj: |
Clinical Chemistry & Laboratory Medicine; Nov2003, Vol. 41 Issue 11, p1473-1477, 5p, 1 Diagram, 2 Charts |
Abstrakt: |
One-carbon metabolism is under the influence of folate, vitamin B[sub12] and genetic polymorphisms of methylenetetrahydrofolate reductase (MTHFR 677 C→T and 1298 A→C), of methionine synthase (MTR 2756 C→G), methionine synthase reductase (MTRR 66 C→G) and transcobalamin (TCN 776 C →G). The pathogenesis of neural tube defect (NTD) may be related to this metabolism. The influence of the MTHFR 677 C→T polymorphism reported in The Netherlands and Ireland can be questioned in southern Italy, France and Great Britain. MTRR, combined with a low level of vitamin B[sub12], increases the risk of NTD and of having a child with NTD in Canada, while TCN 776 GG and MTRR 66 GG mutated genotypes associated with the MTHFR 677 CC wild-type are predictors of NTD cases in Sicily. Down syndrome (DS) is due to a failure of normal chromosomal segregation during meiosis, possibly related to one-carbon metabolism. MTHFR 677 C→T and MTRR 66 A→G polymorphisms are associated with a greater risk of having a child with DS in North America, Ireland and The Netherlands. In contrast, MTHFR 677 C→T has no influence on DS risk in France and Sicily, while homocysteine and MTR 2756 AG/GG genotypes are predictors of DS risk in Sicily. In conclusion, NTD and DS are influenced by the same genetic determinants of one-carbon metabolism. The distinct data produced in different geographical areas may be explained by differences in the nutritional environment and genetic characteristics of the populations. [ABSTRACT FROM AUTHOR] |
Databáze: |
Complementary Index |
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