PMID- 17497026 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20100610 LR - 20181113 IS - 1110-7243 (Print) IS - 1110-7251 (Electronic) IS - 1110-7243 (Linking) VI - 2007 IP - 1 DP - 2007 TI - Thermolabile methylenetetrahydrofolate reductase C677T polymorphism and homocysteine are risk factors for coronary artery disease in Moroccan population. PG - 80687 LID - 80687 AB - Increased plasma total homocysteine (tHcy) levels have been shown to be a risk factor for coronary artery disease (CAD). The common methylenetetrahydrofolate reductase C677T (MTHFR C677T) polymorphism has been reported to be a strong predictor of mild hyperhomocysteinaemia (HHcy). We assessed whether this mutation was associated with increased risk of CAD and plasma levels of tHcy. We also evaluated interactions between this polymorphism, mild elevated tHcy levels and conventional risk factors of CAD. Method. Using PCR-RFLP analysis, we studied the frequency of the C677T genotypes and its effect on CAD and on tHcy concentrations in 400 subjects without and with CAD angiographically confirmed. There were 210 subjects with CAD and 190 subjects without CAD. Results. The frequencies of the C677T genotypes were 53% (59.5% in controls versus 48.1% in cases), 34.8% (32.1 in controls versus 37.1 in cases), and 11.8% (8.4% in controls versus 14.8% in cases), respectively, for 677CC, 677CT, and 677TT. The genotype frequencies were significantly different between case and control groups (P < .05). The 677T allele enhances the risk of CAD associated to HHcy (P < .01). In multivariate analysis models, MTHFR C677T polymorphism effect on CAD was masked by other risk factors. HHcy was only and independently influenced by MTHFR polymorphism and smoking habits, and it is a strong predictor of CAD independently of conventional risk factors. Conclusion. Our data suggest that HHcy is strongly and independently associated to CAD risk increase; and MTHFR C677T polymorphism and smoking habits were the main predictors of tHcy levels. The CAD risk increase is mainly associated with mild HHcy in 677TT, whereas in 677CT and 677CC it is mainly associated with the conventional risk factors. FAU - Bennouar, Nawal AU - Bennouar N AD - National League of Cardiology, Biochemistry and Molecular Biology Laboratory, Ibn-Sina Hospital, Rabat 10000, Morocco. FAU - Allami, Abdellatif AU - Allami A FAU - Azeddoug, Houssine AU - Azeddoug H FAU - Bendris, Abdenbi AU - Bendris A FAU - Laraqui, Abdelilah AU - Laraqui A FAU - El Jaffali, Amal AU - El Jaffali A FAU - El Kadiri, Nizar AU - El Kadiri N FAU - Benzidia, Rachid AU - Benzidia R FAU - Benomar, Anwar AU - Benomar A FAU - Fellat, Seddik AU - Fellat S FAU - Benomar, Mohamed AU - Benomar M LA - eng PT - Journal Article DEP - 20070307 PL - United States TA - J Biomed Biotechnol JT - Journal of biomedicine & biotechnology JID - 101135740 PMC - PMC1852902 EDAT- 2007/05/15 09:00 MHDA- 2007/05/15 09:01 PMCR- 2007/03/07 CRDT- 2007/05/15 09:00 PHST- 2006/09/21 00:00 [received] PHST- 2006/12/20 00:00 [revised] PHST- 2007/01/09 00:00 [accepted] PHST- 2007/05/15 09:00 [pubmed] PHST- 2007/05/15 09:01 [medline] PHST- 2007/05/15 09:00 [entrez] PHST- 2007/03/07 00:00 [pmc-release] AID - 10.1155/2007/80687 [doi] PST - ppublish SO - J Biomed Biotechnol. 2007;2007(1):80687. doi: 10.1155/2007/80687. Epub 2007 Mar 7.