Overview
MTR encodes the enzyme methionine synthase, which requires Vitamin B12 (cobalamin) to convert homocysteine into methionine. This process is essential for DNA methylation and one-carbon metabolism.
1q43 (Chromosome 1)
Vitamins
Complex
G allele ~15-20%
Function & Significance
Methionine synthase is a key enzyme in one-carbon metabolism:
- Homocysteine Remethylation: Converts homocysteine โ methionine
- Vitamin B12 Dependent: Requires cobalamin as a cofactor
- Folate Cycle: Uses 5-methyltetrahydrofolate as a methyl group donor
- DNA Methylation: Provides methionine for S-adenosylmethionine (SAM)
๐ The Methionine Cycle
MTR works together with:
- MTHFR: Provides 5-methyltetrahydrofolate
- MTRR: Reactivates MTR when B12 is oxidized
- Vitamin B12: Essential cofactor
- Folic Acid: Methyl group donor
Important: All three genes (MTHFR, MTR, MTRR) operate in the same metabolic pathway!
๐งฌ Relevant SNPs
The A2756G variant (D919G):
1:236885200
/
Significance: A2756G (D919G) – Aspartate โ Glycine at position 919
โข AA (Wild type): Normal MTR activity
โข GG: Slightly reduced enzyme activity (~10-20%)
โข AG: Intermediate
โ ๏ธ Impact of the G Variant
G carriers (AG or GG) may have:
- Slightly elevated homocysteine: Especially with low B12 levels
- Increased B12 requirement: For optimal MTR function
- Neural tube defect risk: In combination with MTHFR C677T
- Cardiovascular risk: If homocysteine levels are high
Important: The effect is usually mild and primarily relevant during B12 deficiency!
๐ Recommendations for G Carriers
Optimizing B12 metabolism:
- Vitamin B12: Ensure adequate intake (2.5-10 ยตg/day)
- Meat, fish, eggs, dairy products
- Vegans: Supplementation required!
- Prefer methylcobalamin or hydroxocobalamin
- Folic Acid: 400-800 ยตg/day
- Green leafy vegetables, legumes
- With MTHFR variant: use methylated form (5-MTHF)
- Vitamin B6: Supports homocysteine breakdown (alternative pathway)
- Homocysteine Test: Regular monitoring recommended
๐งฌ Gene Combinations
MTR works in synergy with other genes:
- MTR GG + MTHFR 677TT: Higher risk of elevated homocysteine
- MTR GG + MTRR AA: Both are B12-dependent, increased demand
- MTR AA + MTHFR TT: MTR can partially compensate for the MTHFR effect
Conclusion: The combination of several variants is more important than a single one!
๐ Data Sources
The information on this page is based on the following scientific sources:
- OMIM: #156570 – Online Mendelian Inheritance in Man
- dbSNP: rs1805087 – SNP Database (NCBI)
- ClinVar: Clinical variant database (NCBI)
- PubMed: MTR and Homocysteine Research
- Molecular Genetics and Metabolism: B12 metabolism studies
Last Update: February 2026
Biological Function
Associated Conditions
Analyzed Markers
A2756G (D919G) - G-allele: slightly reduced enzyme activity, influences B12 metabolism and homocysteine levels