PMID- 35951145 OWN - NLM STAT- MEDLINE DCOM- 20220929 LR - 20221003 IS - 1573-4978 (Electronic) IS - 0301-4851 (Linking) VI - 49 IP - 10 DP - 2022 Oct TI - Effect of methylenetetrahydrofolate reductase C677T polymorphism on serum folate but not vitamin B12 levels in patients with H-type hypertension. PG - 9535-9541 LID - 10.1007/s11033-022-07844-w [doi] AB - BACKGROUND: Hyperhomocysteinemia (HHcy) is a common complication in Chinese hypertensive patients and associated with methylenetetrahydrofolate reductase (MTHFR) C677T polymorphism, folate, and vitamin B12 (Vit B12) status. This study evaluated the associations of MTHFR C677T polymorphism, folate, and Vit B12 with H-type hypertension. METHODS AND RESULTS: 887 eligible patients with essential hypertension were included. Patients were divided into two groups according to the Hcy level, the H-type hypertension group and the normal hypertension group. Related risk factors such as MTHFR polymorphism, folate and Vit B12 status were analyzed in the two groups. Age, gender, SBP, DBP, MTHFR C677T genotype, folate and Vit B12 differed significantly between H-type hypertension and normal hypertension groups (P < 0.05). MTHFR 677TT variant, gender, folate, and Vit B12 were independent risk factors for the occurrence of H-type hypertension. The risk for TT carriers was 8 times higher than that of CC and CT carriers [OR (95% CI) 8.248 (5.274-12.899)]. Male patients had almost fivefold higher odds than female patients [OR (95% CI) 4.923 (2.741-8.842)]. Folate level of patients with H-type hypertension decreased with the C to T substitution of MTFHR C677T gene (P < 0.05), while Vit B12 level was not associated with the gene (P > 0.05). CONCLUSIONS: MTHFR 677TT variant, gender, folate, and Vit B12 were risk factors for the occurrence of H-type hypertension. Folate but not Vit B12 was associated with MTFHR C677T polymorphism in patients with H-type hypertension. Accordingly, the above factors may be considered in the prevention and treatment of hypertension. CI - (c) 2022. The Author(s), under exclusive licence to Springer Nature B.V. FAU - Ma, Lijuan AU - Ma L AD - Department of Pharmacy, Xinjiang Medical University Affiliated First Hospital, Urumqi, 830011, China. AD - The Precision Medicine Center of Xinjiang Medical University, Urumqi, 830011, China. FAU - Li, Jing AU - Li J AD - Department of Pharmacy, Xinjiang Medical University Affiliated First Hospital, Urumqi, 830011, China. FAU - Yuan, Yuan AU - Yuan Y AD - Department of Pharmacy, Xinjiang Medical University Affiliated First Hospital, Urumqi, 830011, China. AD - The Precision Medicine Center of Xinjiang Medical University, Urumqi, 830011, China. FAU - Chen, Wenwen AU - Chen W AD - Department of Pharmacy, Xinjiang Medical University Affiliated First Hospital, Urumqi, 830011, China. FAU - Zhao, Jun AU - Zhao J AD - Department of Pharmacy, Xinjiang Medical University Affiliated First Hospital, Urumqi, 830011, China. xjmufh13046@163.com. AD - The Precision Medicine Center of Xinjiang Medical University, Urumqi, 830011, China. xjmufh13046@163.com. LA - eng GR - 2017YFC0910001/National Key Development Plan for Precision Medicine Research/ PT - Journal Article DEP - 20220811 PL - Netherlands TA - Mol Biol Rep JT - Molecular biology reports JID - 0403234 RN - 0 (Antihypertensive Agents) RN - 0LVT1QZ0BA (Homocysteine) RN - 935E97BOY8 (Folic Acid) RN - EC 1.5.1.20 (Methylenetetrahydrofolate Reductase (NADPH2)) RN - P6YC3EG204 (Vitamin B 12) SB - IM MH - Antihypertensive Agents MH - Female MH - Folic Acid MH - Genotype MH - Homocysteine MH - Humans MH - *Hypertension/genetics MH - Male MH - *Methylenetetrahydrofolate Reductase (NADPH2)/genetics MH - Vitamin B 12 OTO - NOTNLM OT - Folate OT - H-type hypertension OT - Homocysteine OT - Methylenetetrahydrofolate reductase OT - Vitamin B12 EDAT- 2022/08/12 06:00 MHDA- 2022/09/30 06:00 CRDT- 2022/08/11 11:21 PHST- 2022/06/07 00:00 [received] PHST- 2022/08/04 00:00 [accepted] PHST- 2022/08/12 06:00 [pubmed] PHST- 2022/09/30 06:00 [medline] PHST- 2022/08/11 11:21 [entrez] AID - 10.1007/s11033-022-07844-w [pii] AID - 10.1007/s11033-022-07844-w [doi] PST - ppublish SO - Mol Biol Rep. 2022 Oct;49(10):9535-9541. doi: 10.1007/s11033-022-07844-w. Epub 2022 Aug 11.