PMID- 34231458 OWN - NLM STAT- MEDLINE DCOM- 20211208 LR - 20211214 IS - 1001-9294 (Print) IS - 1001-9294 (Linking) VI - 36 IP - 2 DP - 2021 Jun 30 TI - Methylenetetrahydrofolate Reductase Gene Polymorphism C677T is Associated with Increased Risk of Coronary Heart Disease in Chinese Type 2 Diabetic Patients. PG - 103-109 LID - 10.24920/003792 [doi] AB - Objective Chronic cardiovascular diseases induced by long-term poor blood glucose control are the main cause of death in patients with type 2 diabetes mellitus (T2DM). Previous researches report that methylenetetrahydrofolate reductase gene (MTHFR) polymorphisms might influence the occurrence of coronary heart disease (CHD) in T2DM patients. The purpose of this study was to evaluate whether MTHFR C677T and A1298C mutations are associated with the risk of CHD in T2DM patients. Methods A total of 197 subjects with T2DM were studied, of which 95 patients with CHD. The genotypes of MTHFR C677T and A1298C were analyzed by using dideoxy chain-termination method, and compared between patients with CHD and those without CHD. Results We found that the frequency of the 677T allele was significantly higher in T2DM patients with CHD than those without CHD (P=0.011). However, there was no significant difference in any of the examined haplotypes between T2DM patients with and without CHD. Furthermore, the 677T allele was associated with a higher risk of CHD development in diabetic patients with lower homocysteine (Hcy) levels (15 mumol/L) (P=0.491). Conclusion The MTHFR C677T gene polymorphism is associated with the risk of CHD of diabetic patients and could be used as an effective marker for CHD in Chinese diabetic populations with normal Hcy levels. FAU - Wu, Kun Rong AU - Wu KR AD - Department of Clinical Pharmacy, The First Affiliated Hospital of Shandong First Medical University, Jinan 250014, China. FAU - Zhang, Shu Fang AU - Zhang SF AD - School of Pharmaceutical Sciences, Shandong First Medical University (Shandong Academy of Medical Sciences) Tai'an 271000, Shandong, China. FAU - Guan, Zi Wan AU - Guan ZW AD - Department of Clinical Pharmacy, The First Affiliated Hospital of Shandong First Medical University, Jinan 250014, China. FAU - Li, Xiao Li AU - Li XL AD - School of Pharmaceutical Sciences, Shandong First Medical University (Shandong Academy of Medical Sciences) Tai'an 271000, Shandong, China. FAU - Li, Rui AU - Li R AD - Department of Clinical Pharmacy, The First Affiliated Hospital of Shandong First Medical University, Jinan 250014, China. FAU - Yin, Ying AU - Yin Y AD - School of Pharmaceutical Sciences, Shandong First Medical University (Shandong Academy of Medical Sciences) Tai'an 271000, Shandong, China. FAU - Li, Yan AU - Li Y AD - Department of Clinical Pharmacy, The First Affiliated Hospital of Shandong First Medical University, Jinan 250014, China. LA - eng PT - Journal Article PL - China TA - Chin Med Sci J JT - Chinese medical sciences journal = Chung-kuo i hsueh k'o hsueh tsa chih JID - 9112559 RN - EC 1.5.1.20 (Methylenetetrahydrofolate Reductase (NADPH2)) SB - IM MH - China/epidemiology MH - *Coronary Disease/epidemiology/genetics MH - *Diabetes Mellitus, Type 2/genetics MH - Gene Frequency MH - Genetic Predisposition to Disease MH - Humans MH - Methylenetetrahydrofolate Reductase (NADPH2)/genetics MH - Polymorphism, Genetic MH - Risk Factors EDAT- 2021/07/08 06:00 MHDA- 2021/12/15 06:00 CRDT- 2021/07/07 08:44 PHST- 2021/07/07 08:44 [entrez] PHST- 2021/07/08 06:00 [pubmed] PHST- 2021/12/15 06:00 [medline] AID - 1625625999583-1260888014 [pii] AID - 10.24920/003792 [doi] PST - ppublish SO - Chin Med Sci J. 2021 Jun 30;36(2):103-109. doi: 10.24920/003792.