Homocysteine, the MTHFR 677C>T polymorphism and hypertension: effect modifiers by lifestyle factors and population subgroups

The British Journal of Nutrition
Gemma Ornosa-MartínMichelle M Murphy

Abstract

Evidence linking fasting plasma total homocysteine (tHcy), methylenetetrahydrofolate reductase (MTHFR) 677C>T genotype with hypertension is inconsistent. Differences in B vitamin status, other lifestyle factors, or their consideration in analyses, might explain this. We investigated these associations in the absence of mandatory fortification with folic acid and B vitamin supplement use. A cross-sectional was conducted in 788 adults, aged 18-75 years, randomly selected from 3 Catalonian town population registers. Fasting plasma folate, cobalamin, total homocysteine (tHcy), red blood cell folate, erythrocyte glutathione reductase activation coefficient (EGRAC, functional riboflavin status indicator; increasing EGRAC indicates worsening riboflavin status), MTHFR 677 C>T and solute carrier family 1 (SLC19A1) 80 G>A genotypes were determined. Medical history and lifestyle habits were recorded.Principal tHcy determinants differed between women (age, plasma folate, plasma cobalamin, cigarettes/day) and men (MTHFR 677TT genotype, plasma folate, plasma cobalamin and CT genotype). The MTHFR 677C>T polymorphism-tHcy association (β standardised regression coefficients) was stronger in male smokers (0.52, P < 0.001) compared to nonsmokers ...Continue Reading

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