Overview
MTHFR encodes an enzyme that plays an important role in folate metabolism and homocysteine regulation.
1p36.22 (Chromosome 1)
Vitamins
Autosomal recessive
30-40% heterozygous
Function & Significance
The MTHFR enzyme catalyzes the conversion of 5,10-methylenetetrahydrofolate to 5-methyltetrahydrofolate, the active form of folate. This is vital for DNA synthesis, repair, and methylation.
๐ฌ Methylation Cycle
MTHFR is essential for:
- DNA methylation (gene regulation)
- Homocysteine breakdown
- Neurotransmitter synthesis
- Detoxification processes
๐งฌ Relevant SNPs
The two most common MTHFR variants:
1:11856378
/
Significance: C677T variant – reduces enzyme activity by 30-70%. Leads to increased homocysteine. TT genotype: higher folate requirement.
1:11854476
/
Significance: A1298C variant – milder effect on enzyme activity. Compound heterozygotes (C677T + A1298C) have an increased risk.
๐ Recommendations for MTHFR Variants
- Folate Supplementation: 400-800 ยตg daily
- Methylfolate: Active form for TT genotype
- Vitamin B12: Supports methylation
- Vitamin B6: Homocysteine breakdown
- Homocysteine Monitoring: Regular blood tests
๐ Data Sources
The information on this page is based on the following scientific sources:
- OMIM: #607093 – Online Mendelian Inheritance in Man
- dbSNP: rs1801133, rs1801131 – SNP Database (NCBI)
- ClinVar: Clinical Variant Database (NCBI)
- PubMed: Folate metabolism research
- NIH: Homocysteine & Methylation Studies
Last Update: February 2026
Associated Risks
-
โค๏ธ Cardiovascular Diseases
Increased homocysteine = risk factor
-
๐คฐ Neural Tube Defects
Important: Folic acid before pregnancy!
-
๐ฉธ Thrombosis
In homozygous carriers
Biological Function
Associated Conditions
Analyzed Markers
C677T variant - Reduced enzyme activity, elevated homocysteine
A1298C variant - Milder effect on enzyme activity