Lupus & antiphospholipid syndrome

Association of c.+677 C>T (rs1801133) and c.+1298 A>C (rs1801131) methylenetetrahydrofolate reductase (MTHFR) genetic variants with cardiometabolic and disease risk in systemic lupus erythematosus patients: A cross-sectional study

LupusPublished Case-control study

Authors' conclusion

In conclusion, the TC and the TA MTHFR haplotypes are associated with disease risk; meanwhile, the CC c.+677 MTHFR genotype confers lower cardiometabolic risk in Mexican-mestizo SLE patients.

Study context

Population
Unrelated Mexican-mestizo women with systemic lupus erythematosus (SLE) and control subjectsMexican-mestizo women
Participants
199 vs 196
Comparison
SLE vs control subjects
  • SLEn = 199
  • Control subjects (CS)n = 196reference
Outcome
Association of MTHFR c.+677 C>T (rs1801133) and c.+1298 A>C (rs1801131) variants with cardiometabolic risk and clinical disease variables
Methodological detailsFolic acid and homocysteine by immunoassays; genotyping by allelic discrimination
  • Folic acid and homocysteine by immunoassays; genotyping by allelic discrimination

Main finding

As reported in the abstract

MTHFR genotypes/haplotypes and CVD and SLE risk

CC c.+677 genotype and low cardiovascular disease (CVD) risk by Castelli index in SLE, OR

0.42

p = .03

TC haplotype and SLE risk, OR

1.3

p = .03

TA haplotype and SLE risk, OR

1.6

p < .01

CC haplotype as non-risk factor for SLE, OR

0.5

p = .01

Observational data: associations, not effects.

Further findings

OutcomeP value
Folic acid and homocysteine serum levelsSLE vs CS · folic acidP = 0.15
Folic acid and homocysteine serum levelsSLE vs CS · homocysteineP = 0.59

Folic acid and homocysteine serum levels

No significant differences between groups

Original publication

Association of c.+677 C>T (rs1801133) and c.+1298 A>C (rs1801131) MTHFR genetic variants with cardiometabolic and disease risk in systemic lupus erythematosus patients: A cross-sectional study. Lupus. Published 23 May 2024. doi:10.1177/09612033241257158

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