Mutation C677T of Methylenetetrahydrofolate Reductase Gene Is Not Associated with Coronary Artery Disease, but Possibly with Albuminuria, in Type 2 Diabetic Patients
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Valtteri Wirta
, Xiao-Hong Huang , Ole Wirta , Vappu Rantalaiho , Amos Pasternack , Hannu Jokela , Timo Koivula and Terho Lehtimäki
Abstract
The missense mutation in the 677th nucleotide (C677T) of methylenetetrahydrofolate reductase gene causes substitution of valine (V) for alanine (A) resulting in three genotypes VV, VA and AA. The VV genotype causes hyperhomocysteinemia and may be a risk factor for coronary artery disease. We determined genotypes by polymerase chain reaction and subsequent restriction fragment length analysis and compared them in 84 patients with type 2 diabetes and in 115 non-diabetic subjects with and without coronary disease. Fractional urinary excretion rate of albumin was assessed by nephelometry. The VV, VA, and AA frequencies in the diabetic and in the control groups were 0.095, 0.357, 0.548 and 0.061, 0.417, 0.522, respectively (p = NS, diabetic vs. controls, χ2 test). Genotype frequencies did not differ in either diabetic or control subjects between those with or those without coronary disease (χ2 test). The fractional urinary excretion rate of albumin (mean ±SD) in diabetic patients with the VV genotype i.e. 1.59 ± 0.71 was lower (Kruskall-Wallis test p = 0.002) than in the other genotypes i.e. VA 5.98 ± 9.75 and AA 3.75 ± 4.77, respectively (post-hoc Mann-Whitney test VV vs. VA p = 0.005 and VV vs. AA p = 0.054, respectively). We found that in patients with type 2 diabetes the methylenetetrahydrofolate reductase VV genotype was associated with a low urinary albumin excretion but not with coronary artery disease or diabetes per se.
Copyright © 1999 by Walter de Gruyter GmbH & Co. KG
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Articles in the same Issue
- Human Genomics: The Basis of the Medicine of Tomorrow. Recent Progress in Molecular Biology Technology. First IFCC-Roche Conference – Singapore, 15–18 March 1998
- Does Clinical Chemistry Have a Future?
- The Human Genome Project: From Mapping to Sequencing
- The Human Genome Project and the Role of Genetics in Health Care
- Mutation Detection and Mutation Databases
- Population Genomics: Laying the Groundwork for Genetic Disease Modeling and Targeting
- Oligonucleotide-Based Gene Therapy for Cardiovascular Disease
- Signal Transduction Pathways and Modulation of Gene Activity
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- Automation of Polymerase Chain Reaction-Based Systems for Detection of Hepatitis C Virus RNA
- A Simple PCR with Different 3′ Ends of the Third Primer for Detection of Defined Point Mutations: HCV Genotyping as an Example
- Two Quantitative Methods for Imaging Samples in Molecular Biology
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- Cholesteryl Ester Transfer Protein Mutations, Protein Activity and HDL-Cholesterol Concentration
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