Overview

MTHFR is a gene that provides instructions for making an enzyme called methylenetetrahydrofolate reductase. This enzyme plays a crucial role in processing amino acids, the building blocks of proteins. It is particularly important for a process called methylation, which is vital for DNA production and repair. Mutations in the MTHFR gene can lead to its reduced activity, potentially causing health issues like heart disease, mental disorders, and certain types of cancer. However, the relationship between these conditions and MTHFR mutations is complex and not fully understood.

Short Overview

Conditions associated with MTHFR

MTHFR is a gene that provides instructions for making an enzyme called methylenetetrahydrofolate reductase. This enzyme plays a crucial role in processing amino acids, the building blocks of proteins. It is particularly important for a process called methylation, which is vital for DNA production and repair. Mutations in the MTHFR gene can lead to its reduced activity, potentially causing health issues like heart disease, mental disorders, and certain types of cancer. However, the relationship between these conditions and MTHFR mutations is complex and not fully understood.

Gene Function

The MTHFR gene is instrumental in the body's biochemical processes, including the conversion of homocysteine into methionine, a process that helps prevent heart disease and supports protein production. It also aids in the metabolism of folate, a B vitamin, into a usable form for DNA production and cell division. Additionally, the gene is involved in DNA synthesis and repair, and it can regulate the expression of other genes, influencing their activity and function in development and disease prevention.

Mutation and Pathology

MTHFR influences a variety of health conditions and traits. It plays a role in diseases such as heart disease, stroke, and certain types of cancer, as well as in birth defects like spina bifida. Additionally, it affects traits like natural hair color and the body's response to certain medications.

Diagnostics

MTHFR is usually tested in a genetic test when there are high levels of a substance called homocysteine in a person's blood or if there's a family history of heart disease or blood clots. The test can also be done before a baby is born using methods like amniocentesis or chorionic villus sampling. However, having a change or mutation in the MTHFR gene doesn't guarantee health issues, as the effects differ from person to person and depend on other genetic and environmental factors.

Effect of Variations on the MTHFR

Variants are common variations in genes that can significantly impact the health and traits of an individual. This section shows all variants that are located on MTHFR as well as their associated conditions, traits and drugs.

Did you know that gene anomalies are relatively common?

On average, each person has approximately 100 to 400 genes that are not normal (with different genes being affected in different people). However, usually, the matching gene on the other chromosome within the pair is normal, which helps prevent any potential negative consequences. In the broader population, the odds of someone having two copies of the same abnormal gene (and hence, a genetic disorder) are very low. However, this probability is higher for children whose parents are closely related by blood.

doctor_quote

Dr. Wallerstorfer

Conditions caused and influenced by MTHFR

Genetic abnormalities can significantly influence the likelihood of developing a certain condition, either increasing or decreasing the risk. These mutations can alter gene function, which may result in protein malfunction or a lack of protein production. However, even if a genetic mutation increases the risk, it doesn't necessarily mean the condition will develop as environmental and lifestyle factors also play a role.

Did you know the difference between mutations, genetic variations, variants and haplotypes?

Mutations are random changes in the DNA and genetic variations are differences in the DNA among people. Variants are tiny changes in just one piece of the DNA while haplotypes are groups of these changes that usually come together.

doctor_quote

Dr. Wallerstorfer

Traits caused and influenced by MTHFR

Abnormalities in genes can also have a significant impact on an individual's traits, or physical characteristics. These genetic mutations can affect the way certain traits are expressed by modifying the function of the related genes. However, the manifestation of these traits isn't determined by genetics alone. It's also influenced by a combination of environmental factors and interactions with other genes. Thus, while a gene mutation can potentially influence a trait, it doesn't necessarily dictate its final expression.

Variants located on MTHFR

A genetic code of a gene usually has many differences in individual genetic letters or tiny pices of the DNA.

Did you know variants may affect drugs?

Variants can influence how our body reacts to certain drugs. The presence of specific variants can increase or decrease the efficiency and effectiveness of a drug, impacting how well it works inside our system. Additionally, certain variants can heighten or lessen the toxicity of a drug, thereby affecting the risk of unwanted side effects. They can also alter how a drug is metabolized, which influences the appropriate dosage one should receive.

doctor_quote

Dr. Wallerstorfer

Pharmacogenetics

Variants can significantly influence how our body processes and reacts to drugs. The presence of specific variants can determine the efficiency and effectiveness of a medication, influencing its performance within our system. Additionally, certain variants can modify the drug's toxicity, thereby affecting the likelihood of unwanted side effects. They can also impact how a drug is metabolized, which in turn determines the ideal dosage one should receive. Every individual's response to medication can vary, largely dictated by their genetic makeup. Variations in genes can influence the functions of enzymes, transporters, receptors, and other proteins that interact with drugs. For example, certain genetic variants can alter an enzyme's function, causing it to metabolize a drug too quickly or too slowly. Such variations can either render a treatment ineffective or heighten the risk of side effects.

rs1476413

Drug
Genotype
Level of evidence
Impacts
Summary

METHOTREXATE

CC

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype C/C have increased Drug Effect to METHOTREXATE.

more info

METHOTREXATE

CT

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype C/T have increased Drug Effect to METHOTREXATE.

more info

METHOTREXATE

TT

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype T/T have decreased Drug Effect to METHOTREXATE.

more info

Legend:

Increased

Decreased

No known effect

rs1801131

Drug
Genotype
Level of evidence
Impacts
Summary

CAPECITABINE

GG

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype G/G have increased Drug Effect and increased Side Effects to CAPECITABINE.

more info

CAPECITABINE

GT

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype G/T have increased Drug Effect to CAPECITABINE.

more info

CAPECITABINE

TT

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype T/T have decreased Drug Effect to CAPECITABINE.

more info

CARBOPLATIN

GG

Breakdown

Drug Effect

Side Effects

Dosage

No summary available.

more info

CARBOPLATIN

GT

Breakdown

Drug Effect

Side Effects

Dosage

No summary available.

more info

CARBOPLATIN

TT

Breakdown

Drug Effect

Side Effects

Dosage

No summary available.

more info

CISPLATIN

GG

Breakdown

Drug Effect

Side Effects

Dosage

No summary available.

more info

CISPLATIN

GT

Breakdown

Drug Effect

Side Effects

Dosage

No summary available.

more info

CISPLATIN

TT

Breakdown

Drug Effect

Side Effects

Dosage

No summary available.

more info

CLOZAPINE

GG

Breakdown

Drug Effect

Side Effects

Dosage

No summary available.

more info

CLOZAPINE

GT

Breakdown

Drug Effect

Side Effects

Dosage

No summary available.

more info

CYANOCOBALAMIN

GG

Breakdown

Drug Effect

Side Effects

Dosage

No summary available.

more info

CYANOCOBALAMIN

GT

Breakdown

Drug Effect

Side Effects

Dosage

No summary available.

more info

CYANOCOBALAMIN

TT

Breakdown

Drug Effect

Side Effects

Dosage

No summary available.

more info

FLUOROURACIL

GG

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype G/G have increased Drug Effect and increased Side Effects to FLUOROURACIL.

more info

FLUOROURACIL

GT

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype G/T have increased Drug Effect to FLUOROURACIL.

more info

FLUOROURACIL

TT

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype T/T have decreased Drug Effect to FLUOROURACIL.

more info

FOLIC ACID

GG

Breakdown

Drug Effect

Side Effects

Dosage

No summary available.

more info

FOLIC ACID

GT

Breakdown

Drug Effect

Side Effects

Dosage

No summary available.

more info

FOLIC ACID

TT

Breakdown

Drug Effect

Side Effects

Dosage

No summary available.

more info

METHOTREXATE

GG

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype G/G have increased Side Effects to METHOTREXATE.

more info

METHOTREXATE

GT

Breakdown

Drug Effect

Side Effects

Dosage

No summary available.

more info

METHOTREXATE

TT

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype T/T have decreased Side Effects to METHOTREXATE.

more info

OLANZAPINE

GG

Breakdown

Drug Effect

Side Effects

Dosage

No summary available.

more info

OLANZAPINE

GT

Breakdown

Drug Effect

Side Effects

Dosage

No summary available.

more info

OXALIPLATIN

GG

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype G/G have increased Drug Effect and increased Side Effects to OXALIPLATIN.

more info

OXALIPLATIN

GT

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype G/T have increased Drug Effect to OXALIPLATIN.

more info

OXALIPLATIN

TT

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype T/T have decreased Drug Effect to OXALIPLATIN.

more info

PEMETREXED

GG

Breakdown

Drug Effect

Side Effects

Dosage

No summary available.

more info

PEMETREXED

GT

Breakdown

Drug Effect

Side Effects

Dosage

No summary available.

more info

PEMETREXED

TT

Breakdown

Drug Effect

Side Effects

Dosage

No summary available.

more info

Legend:

Increased

Decreased

No known effect

rs1801133

Drug
Genotype
Level of evidence
Impacts
Summary

CAPECITABINE

AA

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype A/A have increased Side Effects to CAPECITABINE.

more info

CAPECITABINE

AG

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype A/G have increased Side Effects to CAPECITABINE.

more info

CAPECITABINE

GG

Breakdown

Drug Effect

Side Effects

Dosage

No summary available.

more info

CISPLATIN

AA

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype A/A have increased Side Effects to CISPLATIN.

more info

CISPLATIN

AG

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype A/G have increased Side Effects to CISPLATIN.

more info

CISPLATIN

GG

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype G/G have decreased Side Effects to CISPLATIN.

more info

DISULFIRAM

AA

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype A/A have increased Drug Effect to DISULFIRAM.

more info

DISULFIRAM

AG

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype A/G have increased Drug Effect to DISULFIRAM.

more info

DISULFIRAM

GG

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype G/G have decreased Drug Effect to DISULFIRAM.

more info

FLUOROURACIL

AA

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype A/A have increased Drug Effect and increased Side Effects to FLUOROURACIL.

more info

FLUOROURACIL

AG

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype A/G have increased Drug Effect and increased Side Effects to FLUOROURACIL.

more info

FLUOROURACIL

GG

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype G/G have decreased Drug Effect to FLUOROURACIL.

more info

MERCAPTOPURINE

AA

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype A/A have increased Side Effects to MERCAPTOPURINE.

more info

MERCAPTOPURINE

AG

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype A/G have increased Side Effects to MERCAPTOPURINE.

more info

MERCAPTOPURINE

GG

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype G/G have increased Drug Effect to MERCAPTOPURINE.

more info

METHOTREXATE

AA

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype A/A have decreased Drug Effect and increased Side Effects to METHOTREXATE.

more info

METHOTREXATE

AG

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype A/G have decreased Drug Effect and increased Side Effects to METHOTREXATE.

more info

METHOTREXATE

GG

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype G/G have increased Drug Effect and decreased Side Effects to METHOTREXATE.

more info

OXALIPLATIN

AA

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype A/A have increased Drug Effect and increased Side Effects to OXALIPLATIN.

more info

OXALIPLATIN

AG

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype A/G have increased Drug Effect and decreased Side Effects to OXALIPLATIN.

more info

OXALIPLATIN

GG

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype G/G have decreased Drug Effect and decreased Side Effects to OXALIPLATIN.

more info

PEMETREXED

AA

Breakdown

Drug Effect

Side Effects

Dosage

No summary available.

more info

PEMETREXED

AG

Breakdown

Drug Effect

Side Effects

Dosage

No summary available.

more info

PEMETREXED

GG

Breakdown

Drug Effect

Side Effects

Dosage

No summary available.

more info

PHENYTOIN

AA

Breakdown

Drug Effect

Side Effects

Dosage

Individuals with the genotype A/A have increased Side Effects to PHENYTOIN.

more info

PHENYTOIN

AG

Breakdown

Drug Effect

Side Effects

Dosage

No summary available.

more info

PHENYTOIN

GG

Breakdown

Drug Effect

Side Effects

Dosage

No summary available.

more info

Legend:

Increased

Decreased

No known effect

rs1476413

Drug

METHOTREXATE

Genotype
CC
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype C/C have increased Drug Effect to METHOTREXATE.

More info

Drug

METHOTREXATE

Genotype
CT
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype C/T have increased Drug Effect to METHOTREXATE.

More info

Drug

METHOTREXATE

Genotype
TT
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype T/T have decreased Drug Effect to METHOTREXATE.

More info

Legend:

Increased

Decreased

No known effect

rs1801131

Drug

CAPECITABINE

Genotype
GG
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype G/G have increased Drug Effect and increased Side Effects to CAPECITABINE.

More info

Drug

CAPECITABINE

Genotype
GT
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype G/T have increased Drug Effect to CAPECITABINE.

More info

Drug

CAPECITABINE

Genotype
TT
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype T/T have decreased Drug Effect to CAPECITABINE.

More info

Drug

CARBOPLATIN

Genotype
GG
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

No summary available.

More info

Drug

CARBOPLATIN

Genotype
GT
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

No summary available.

More info

Drug

CARBOPLATIN

Genotype
TT
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

No summary available.

More info

Drug

CISPLATIN

Genotype
GG
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

No summary available.

More info

Drug

CISPLATIN

Genotype
GT
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

No summary available.

More info

Drug

CISPLATIN

Genotype
TT
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

No summary available.

More info

Drug

CLOZAPINE

Genotype
GG
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

No summary available.

More info

Drug

CLOZAPINE

Genotype
GT
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

No summary available.

More info

Drug

CYANOCOBALAMIN

Genotype
GG
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

No summary available.

More info

Drug

CYANOCOBALAMIN

Genotype
GT
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

No summary available.

More info

Drug

CYANOCOBALAMIN

Genotype
TT
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

No summary available.

More info

Drug

FLUOROURACIL

Genotype
GG
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype G/G have increased Drug Effect and increased Side Effects to FLUOROURACIL.

More info

Drug

FLUOROURACIL

Genotype
GT
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype G/T have increased Drug Effect to FLUOROURACIL.

More info

Drug

FLUOROURACIL

Genotype
TT
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype T/T have decreased Drug Effect to FLUOROURACIL.

More info

Drug

FOLIC ACID

Genotype
GG
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

No summary available.

More info

Drug

FOLIC ACID

Genotype
GT
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

No summary available.

More info

Drug

FOLIC ACID

Genotype
TT
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

No summary available.

More info

Drug

METHOTREXATE

Genotype
GG
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype G/G have increased Side Effects to METHOTREXATE.

More info

Drug

METHOTREXATE

Genotype
GT
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

No summary available.

More info

Drug

METHOTREXATE

Genotype
TT
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype T/T have decreased Side Effects to METHOTREXATE.

More info

Drug

OLANZAPINE

Genotype
GG
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

No summary available.

More info

Drug

OLANZAPINE

Genotype
GT
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

No summary available.

More info

Drug

OXALIPLATIN

Genotype
GG
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype G/G have increased Drug Effect and increased Side Effects to OXALIPLATIN.

More info

Drug

OXALIPLATIN

Genotype
GT
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype G/T have increased Drug Effect to OXALIPLATIN.

More info

Drug

OXALIPLATIN

Genotype
TT
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype T/T have decreased Drug Effect to OXALIPLATIN.

More info

Drug

PEMETREXED

Genotype
GG
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

No summary available.

More info

Drug

PEMETREXED

Genotype
GT
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

No summary available.

More info

Drug

PEMETREXED

Genotype
TT
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

No summary available.

More info

Legend:

Increased

Decreased

No known effect

rs1801133

Drug

CAPECITABINE

Genotype
AA
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype A/A have increased Side Effects to CAPECITABINE.

More info

Drug

CAPECITABINE

Genotype
AG
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype A/G have increased Side Effects to CAPECITABINE.

More info

Drug

CAPECITABINE

Genotype
GG
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

No summary available.

More info

Drug

CISPLATIN

Genotype
AA
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype A/A have increased Side Effects to CISPLATIN.

More info

Drug

CISPLATIN

Genotype
AG
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype A/G have increased Side Effects to CISPLATIN.

More info

Drug

CISPLATIN

Genotype
GG
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype G/G have decreased Side Effects to CISPLATIN.

More info

Drug

DISULFIRAM

Genotype
AA
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype A/A have increased Drug Effect to DISULFIRAM.

More info

Drug

DISULFIRAM

Genotype
AG
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype A/G have increased Drug Effect to DISULFIRAM.

More info

Drug

DISULFIRAM

Genotype
GG
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype G/G have decreased Drug Effect to DISULFIRAM.

More info

Drug

FLUOROURACIL

Genotype
AA
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype A/A have increased Drug Effect and increased Side Effects to FLUOROURACIL.

More info

Drug

FLUOROURACIL

Genotype
AG
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype A/G have increased Drug Effect and increased Side Effects to FLUOROURACIL.

More info

Drug

FLUOROURACIL

Genotype
GG
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype G/G have decreased Drug Effect to FLUOROURACIL.

More info

Drug

MERCAPTOPURINE

Genotype
AA
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype A/A have increased Side Effects to MERCAPTOPURINE.

More info

Drug

MERCAPTOPURINE

Genotype
AG
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype A/G have increased Side Effects to MERCAPTOPURINE.

More info

Drug

MERCAPTOPURINE

Genotype
GG
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype G/G have increased Drug Effect to MERCAPTOPURINE.

More info

Drug

METHOTREXATE

Genotype
AA
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype A/A have decreased Drug Effect and increased Side Effects to METHOTREXATE.

More info

Drug

METHOTREXATE

Genotype
AG
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype A/G have decreased Drug Effect and increased Side Effects to METHOTREXATE.

More info

Drug

METHOTREXATE

Genotype
GG
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype G/G have increased Drug Effect and decreased Side Effects to METHOTREXATE.

More info

Drug

OXALIPLATIN

Genotype
AA
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype A/A have increased Drug Effect and increased Side Effects to OXALIPLATIN.

More info

Drug

OXALIPLATIN

Genotype
AG
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype A/G have increased Drug Effect and decreased Side Effects to OXALIPLATIN.

More info

Drug

OXALIPLATIN

Genotype
GG
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype G/G have decreased Drug Effect and decreased Side Effects to OXALIPLATIN.

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Drug

PEMETREXED

Genotype
AA
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

No summary available.

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Drug

PEMETREXED

Genotype
AG
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

No summary available.

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Drug

PEMETREXED

Genotype
GG
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

No summary available.

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Drug

PHENYTOIN

Genotype
AA
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

Individuals with the genotype A/A have increased Side Effects to PHENYTOIN.

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Drug

PHENYTOIN

Genotype
AG
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

No summary available.

More info

Drug

PHENYTOIN

Genotype
GG
Level of evidence
Impacts

Breakdown

Drug Effect

Side Effects

Dosage

Summary

No summary available.

More info

Legend:

Increased

Decreased

No known effect

Gene Function & Mechanism

The MTHFR gene plays a crucial role in our bodies, participating in several biochemical processes. It is involved in the conversion of certain substances into others, which are essential for various functions. The gene also has a significant role in the production of proteins and other compounds that our bodies need. Here are some of the key functions of the MTHFR gene:

  • Homocysteine Metabolism: The MTHFR gene is responsible for the conversion of homocysteine into methionine. This process is vital as high levels of homocysteine can lead to heart disease and other health problems, while methionine is an essential amino acid that our bodies use to make proteins and other important compounds.

  • Folate Metabolism: The MTHFR gene also plays a key role in the metabolism of folate, a type of B vitamin. It helps convert folate into a form that the body can use. This process is important for the production of DNA and other genetic material, and for the division of cells.

  • DNA Synthesis and Repair: The MTHFR gene is involved in the process of DNA synthesis and repair. It helps ensure that our genetic information is accurately copied and maintained. This function is crucial for preventing mutations and maintaining the health of our cells.

  • Regulation of Gene Expression: The MTHFR gene can influence how other genes in our bodies are expressed. This means it can turn on or off the activity of other genes, affecting how they function. This role is important in many biological processes, including development and disease prevention.

Gene expression

MTHFR is a gene that provides the body with instructions to make an enzyme called methylenetetrahydrofolate reductase. This enzyme plays a crucial role in processing amino acids, the building blocks of proteins. Specifically, it's involved in a chemical reaction that converts the amino acid homocysteine to another amino acid, methionine. The body uses methionine to make proteins and other important compounds. Therefore, the expression of MTHFR is vital for maintaining normal levels of these amino acids and ensuring proper protein synthesis.

Prompoters and Inhibitors

Promoters and inhibitors play a crucial role in the functioning of MTHFR, a gene that helps our body process amino acids. Certain nutrients, like folate and vitamin B12, act as promoters, enhancing the gene's activity. On the other hand, inhibitors, such as lead and mercury, can reduce the gene's function. Lifestyle factors like stress and poor diet can also act as inhibitors. Understanding these promoters and inhibitors can help manage the gene's activity, contributing to better health outcomes.

Protein Structure

The proteins produced by MTHFR are like tiny machines in our body, each with a specific job. They have two main parts, or "domains". The first part, called the catalytic domain, is like the engine of the machine, driving the chemical reactions that help our bodies use certain vitamins. The second part, the regulatory domain, is like the machine's control panel, adjusting how fast or slow the reactions happen. Together, these two parts ensure that the MTHFR proteins work efficiently and effectively in our bodies.

Protein Interactions

The proteins produced by MTHFR, a gene in our bodies, work closely with other proteins to perform vital tasks. They primarily interact with proteins involved in a process called methylation, which is like a switch that turns parts of our genes on or off. This interaction helps our bodies to use vitamins and minerals effectively, and to break down and remove harmful substances. If these proteins don't work together properly, it can lead to health problems. Therefore, the interaction of MTHFR proteins with other proteins is crucial for maintaining our health.

Gene interaction

The MTHFR gene does not work in isolation, but interacts with several other genes in the body. These interactions are crucial for various biological processes, including the metabolism of certain vitamins and the regulation of homocysteine levels. Understanding these interactions can provide insights into the role of MTHFR in health and disease. Here are some key gene interactions involving MTHFR:

  • MTRR: This gene works closely with MTHFR in the regulation of homocysteine levels. A mutation in either gene can disrupt this process, leading to elevated homocysteine levels, which is associated with heart disease and stroke.

  • CBS: This gene interacts with MTHFR in the process of converting homocysteine to cysteine. If there is a mutation in this gene, this process can be impaired, leading to an accumulation of homocysteine.

  • DHFR: This gene plays a role in the same metabolic pathway as MTHFR. It helps convert folic acid into a form that the body can use. Mutations in this gene can affect the function of MTHFR.

Did you know that proteins and genes can have the same name?

In most cases, a gene codes for a specific protein, meaning the primary function of a gene is to provide instructions for producing a protein. Due to this intimate relationship, scientists often use the same name for both the gene and the protein it codes for.

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Dr. Wallerstorfer

Diagnostics

MTHFR is diagnosed through a specific blood test that checks for changes or mutations in the MTHFR gene. This test is typically ordered when a person has elevated homocysteine levels in their blood or a family history of cardiovascular disease or blood clots. The diagnosis can also be made prenatally through amniocentesis or chorionic villus sampling. It's important to note that the presence of a mutation doesn't necessarily mean a person will develop health problems. The impact of MTHFR mutations varies greatly among individuals and is influenced by other genetic and environmental factors.

Living with

Variations in the MTHFR gene can lead to a reduced ability to process folate, a type of B vitamin, which is crucial for cell growth and reproduction. This can increase the risk of certain health conditions, such as heart disease, stroke, and certain types of cancer. Additionally, these variations can also lead to higher levels of an amino acid called homocysteine in the blood, which has been linked to heart disease. Pregnant women with these variations may have a higher risk of having a child with birth defects. However, lifestyle factors such as diet and exercise can help manage these risks.

Did you know genetic tests are affordable?

Genetic tests, once regarded as a luxury due to their high costs, have become significantly more affordable. This change has been made possible through advancements in technology and increased competition in the market. Now, anyone curious about their genetic makeup and potential health risks can access this information at an affordable price. This development provides unprecedented insights into individual genetics.

doctor_quote

Dr. Wallerstorfer

When to test MTHFR

A test for MTHFR, a gene associated with processing certain nutrients, is typically conducted when a person has a family history of heart disease or stroke, or if they've experienced repeated miscarriages. It may also be recommended if a person has high levels of homocysteine, a type of amino acid, in their blood. This test helps doctors understand if a genetic variation in MTHFR could be contributing to these health issues.

Did you know the common mutations?

Mutations in the MTHFR gene are quite common, with some studies suggesting that up to 40% of the population may have at least one mutation. The two most common mutations, known as C677T and A1298C, are found in approximately 10-15% and 20-30% of the population, respectively. However, the prevalence of these mutations can vary significantly among different ethnic groups.

doctor_quote

Dr. Wallerstorfer

Genes tested together with MTHFR

The MTHFR gene is often tested in conjunction with other genes to provide a more comprehensive understanding of an individual's genetic makeup. These additional tests can help identify potential health risks and guide treatment strategies. The genes commonly tested alongside MTHFR include COMT, APOE, and Factor V Leiden. Each of these genes plays a unique role in the body and can influence health in different ways.

  • COMT: This gene is responsible for breaking down certain chemicals in the body, including ones that affect mood and pain perception. Testing for it can help identify potential issues related to mood disorders and chronic pain conditions.

  • APOE: This gene is involved in fat metabolism and is linked to heart disease and Alzheimer's disease. Testing for it can provide insights into an individual's risk for these conditions.

  • Factor V Leiden: This gene mutation can increase the risk of developing abnormal blood clots. Testing for it can help determine an individual's risk for blood clotting disorders.

Each of these genes can contribute to an individual's overall risk profile for developing breast and ovarian cancer, and understanding these risks can be crucial in the management of one's health. It is important to consult a healthcare professional to discuss any concerns related to genetic testing and cancer risk.

Did you know that pharmacogenomics is a thing?

Genetic testing can offer insights into how your body metabolizes specific medications, leading to more personalized and effective treatment plans. The genetic tests designed for this purpose are known as pharmacogenomic tests. Pharmacogenomics is the study of how genes influence an individual's response to drugs.

doctor_quote

Dr. Wallerstorfer

History

The study of MTHFR began in the mid-20th century, when scientists first identified its role in processing amino acids, the building blocks of proteins. In the 1980s, researchers discovered that mutations in the MTHFR gene could lead to health problems. This sparked a wave of research into the gene's function and its impact on human health. By the 1990s, scientists had identified two common mutations that could increase the risk of certain health conditions. In the early 2000s, research expanded to explore the gene's role in mental health and its potential impact on the effectiveness of certain medications. Today, the study of MTHFR continues to evolve, with ongoing research aimed at understanding its complex role in human health and disease.

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