PMID- 30001659 OWN - NLM STAT- MEDLINE DCOM- 20201112 LR - 20201112 IS - 1476-4954 (Electronic) IS - 1476-4954 (Linking) VI - 33 IP - 5 DP - 2020 Mar TI - The association of parental methylenetetrahydrofolate reductase polymorphisms (MTHFR 677C > T and 1298A > C) and fetal loss: a case-control study in South Australia. PG - 752-757 LID - 10.1080/14767058.2018.1500546 [doi] AB - Objective: To determine the association between parental MTHFR 677C > T (RS1801133) and 1298A > C (RS1801131), and fetal loss (FL).Design: Case-control study.Setting: Department of Obstetrics and Gynecology, Lyell McEwin Hospital (LMH), and the Women's and Children's Hospital (WCH) in Adelaide, Australia.Patients: A total of 222 couples with FL and 988 couples with uncomplicated pregnancies.Measurements: The main outcomes were FL and hyperhomocysteinemia (HHcy). All couples were tested for MTHFR 677C > T and 1298A > C. Fasting homocysteine was measured in the women with FL.Results: The main finding was a significant difference between the FL group and controls in couples with >/=4 abnormal alleles compared to <4 [p=.0232, OR 1.9 (95% CI 1.1-3.3)]. None of the couples with FL had zero abnormal alleles (both parents 677CC/1298 AA). However, this was also rare amongst the controls. Maternal carriage of both 677C > T and the 1298A > C polymorphisms was similar between the FL group and controls. The prevalence of paternal 677TT/1298AA and 677CC/1298AC was significantly higher in the FL group compared with controls. HHcy was significantly more common in the FL group compared with controls.Conclusion: The presence of parental MTHFR 677C > T and 1298A > C is associated with FL. The association between maternal MTHFR genotypes with FL is less pronounced than in previously published articles investigating first trimester miscarriages. Maternal HHcy is a significant risk factor for FL. FAU - Kos, Britt J P AU - Kos BJP AD - Adelaide Medical School, Robinson Research Institute, University of Adelaide, Adelaide, Australia. AD - Women and Children's Division, Lyell McEwin Hospital, Elizabeth Vale, South Australia, Australia. FAU - Leemaqz, Shalem Y AU - Leemaqz SY AD - Adelaide Medical School, Robinson Research Institute, University of Adelaide, Adelaide, Australia. FAU - McCormack, Catherine D AU - McCormack CD AUID- ORCID: 0000-0002-6209-6904 AD - Women's and Children's Hospital, North Adelaide, Adelaide, Australia. FAU - Andraweera, Prabha H AU - Andraweera PH AUID- ORCID: 0000-0003-2434-8370 AD - Adelaide Medical School, Robinson Research Institute, University of Adelaide, Adelaide, Australia. FAU - Furness, Denise L AU - Furness DL AUID- ORCID: 0000-0002-1075-0257 AD - Adelaide Medical School, Robinson Research Institute, University of Adelaide, Adelaide, Australia. FAU - Roberts, Claire T AU - Roberts CT AUID- ORCID: 0000-0002-9250-2192 AD - Adelaide Medical School, Robinson Research Institute, University of Adelaide, Adelaide, Australia. FAU - Dekker, Gustaaf A AU - Dekker GA AD - Adelaide Medical School, Robinson Research Institute, University of Adelaide, Adelaide, Australia. AD - Women and Children's Division, Lyell McEwin Hospital, Elizabeth Vale, South Australia, Australia. LA - eng PT - Journal Article DEP - 20180919 PL - England TA - J Matern Fetal Neonatal Med JT - The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians JID - 101136916 RN - EC 1.5.1.20 (MTHFR protein, human) RN - EC 1.5.1.20 (Methylenetetrahydrofolate Reductase (NADPH2)) SB - IM MH - Abortion, Spontaneous/*genetics MH - Adult MH - Case-Control Studies MH - Female MH - Humans MH - Methylenetetrahydrofolate Reductase (NADPH2)/*genetics MH - Polymorphism, Single Nucleotide MH - Pregnancy OTO - NOTNLM OT - Fetal loss OT - MTHFR OT - hyperhomocysteinemia OT - methylenetetrahydrofolate reductase OT - pregnancy loss EDAT- 2018/07/14 06:00 MHDA- 2020/11/13 06:00 CRDT- 2018/07/14 06:00 PHST- 2018/07/14 06:00 [pubmed] PHST- 2020/11/13 06:00 [medline] PHST- 2018/07/14 06:00 [entrez] AID - 10.1080/14767058.2018.1500546 [doi] PST - ppublish SO - J Matern Fetal Neonatal Med. 2020 Mar;33(5):752-757. doi: 10.1080/14767058.2018.1500546. Epub 2018 Sep 19.