PMID- 10512925 OWN - NLM STAT- MEDLINE DCOM- 19991110 LR - 20190727 IS - 0039-2499 (Print) IS - 0039-2499 (Linking) VI - 30 IP - 10 DP - 1999 Oct TI - The A677V methylenetetrahydrofolate reductase gene polymorphism and carotid atherosclerosis. PG - 2180-2 AB - BACKGROUND AND PURPOSE: The alanine/valine (A/V) polymorphism at codon 677 of the 5,10 methylenetetrahydrofolate reductase (MTHFR) gene correlates with elevated levels of plasma homocysteine and with an increased risk of atherosclerotic cardiovascular disease. Our study was designed to assess the frequency of the A and V alleles in patients with asymptomatic severe carotid artery stenosis (CAS) assessed by extracranial duplex examination in comparison with age- and sex-matched subjects without carotid atherosclerosis. METHODS: Consecutive patients (n=48; 28 men, mean+/-SD age 67.1+/-11. 4 years) with asymptomatic severe (>75%) CAS were compared with subjects without CAS (n=26; 15 men, aged 61.2+/-11.5). The MTHFR genotype was analyzed by polymerase chain reaction followed by HinfI digestion. The chi(2) analysis and t test were used to compare the groups. RESULTS: The frequency of V alleles was significantly higher in the CAS group (0.47) compared with control subjects (0.27, chi(2) test; OR 2.4 [95% CI 1.1 to 5.3]; P<0.02). CONCLUSIONS: Our results indicate that the MTHFR A677V allele is significantly associated with severe CAS. FAU - Bova, I AU - Bova I AD - Stroke Unit, Department of Neurology, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. FAU - Chapman, J AU - Chapman J FAU - Sylantiev, C AU - Sylantiev C FAU - Korczyn, A D AU - Korczyn AD FAU - Bornstein, N M AU - Bornstein NM LA - eng PT - Clinical Trial PT - Controlled Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Stroke JT - Stroke JID - 0235266 RN - 0LVT1QZ0BA (Homocysteine) RN - EC 1.5.- (Oxidoreductases Acting on CH-NH Group Donors) RN - EC 1.5.1.20 (Methylenetetrahydrofolate Reductase (NADPH2)) RN - HG18B9YRS7 (Valine) RN - OF5P57N2ZX (Alanine) SB - IM CIN - Stroke. 2000 Apr;31(4):990-1. PMID: 10754009 CIN - Stroke. 2000 Apr;31(4):990. PMID: 10754661 MH - Aged MH - *Alanine MH - Arteriosclerosis/*genetics MH - Carotid Artery Diseases/*genetics MH - Female MH - Genotype MH - Homocysteine/blood MH - Humans MH - Male MH - Methylenetetrahydrofolate Reductase (NADPH2) MH - Oxidoreductases Acting on CH-NH Group Donors/*genetics MH - *Polymorphism, Genetic MH - Risk Factors MH - *Valine EDAT- 1999/10/08 09:00 MHDA- 2000/05/29 09:00 CRDT- 1999/10/08 09:00 PHST- 1999/10/08 09:00 [pubmed] PHST- 2000/05/29 09:00 [medline] PHST- 1999/10/08 09:00 [entrez] AID - 10.1161/01.str.30.10.2180 [doi] PST - ppublish SO - Stroke. 1999 Oct;30(10):2180-2. doi: 10.1161/01.str.30.10.2180.