Methylenetetrahydrofolate reductase G1793A polymorphism and male infertility in a Romanian…

Methylenetetrahydrofolate reductase G1793A polymorphism and male infertility in a Romanian…

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Article_Title: Methylenetetrahydrofolate reductase G1793A polymorphism and male infertility in a Romanian population group
Authors: Marius-Florin FARCAS*, Adrian Pavel TRIFA, Mariela MILITARU,
Flaviu Andrei CSERNIK, Tania CRISAN, Ion Victor POP, Radu Anghel POPP
Affiliation: Department of medical genetics, “Iuliu Hatieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania
Abstract: Folate metabolism is essential for proper cellular function, including DNA methylation. MTHFR provides methyl groups for numerous reactions including DNA methylation. Molecular analysis was performed in a case group of 66 infertile Romanian patients with idiopathic azoospermia or severe oligozoospermia and a control group of 67 Romanian men, to explore the possible association of the G1793A polymorphism and male infertility. Using the polymerase chain reaction – restriction fragment length polymorphism technique (PCR-RFLP), the allele and genotype distribution of SNP G1793A in the MTHFR gene were investigated in both patients and controls. The frequencies of the polymorphism in infertile patients were not significantly higher than those in controls, indicating that this polymorphism would not be a genetic risk factor for male infertility in our study group.
Keywords: homocysteine, folate, azoospermia, DNA methylation, infertility
References: Altmae S, Stavreus-Evers A, Ruiz JR, Laanpere M, Svvanen T, Yngve A, Salumets A, Nilsson TK, Variations in folate pathway genes are associated with unexplained female infertility. Fertility and Sterility, [Epub ahead of print], 2009.
Aston KI, Carrell DT, Genome-wide study of single nucleotide polymorphisms asscociated with azoospermia and severe oligozoospermia, Journal of Andrology, (Epub ahead of print), 2009.
A ZC, Yang y, Zhang SZ, Li N, Zhang W, Single nucleotide polymorphism C677T in the methylenetetrahydrofolate reductase gene might be a genetic risk factor for male infertility for Chinese men with azoospermia or severe oligozoospermia. Asian Journal of Andrology, 9, 57-62, 2007.
Bezold G, Lange M, Peter RU, Homozygous methylenetetrahydrofolate reductase C677T mutation and male infertility. New England Journal of Medicine, 344, 1172-1173, 2001.
Bottiger AK, Hurtig-Wennlof A, Sjostrom M, Yngve A, Nilsson TK, Association of total plasma homocysteine with methylenetetrahydrofolate reductase genotypes 677C>T, 1298 A>C, and 1793G>A and the corresponding haplotypes in Swedish children and adolescents. International Journal of Molecular Medicine, 19, 659-665, 2007.
Chandley A, Chromosome anomalies and Y chromosome microdeletions as causal factors in male infertility. Human Reproduction, 13, 45-50, 1998.
Dohle GR, Halley DJ, Van Hemel JO, van den Ouwel AM, Pieters MH, Weber RF and Govaerts LC, Genetic risk factors in infertile men with severe oligozoospermia and azoospermia. Human Reproduction, 17, 13-16, 2002.
Dohle GR, Veeze HJ, Overbeek SE et al., The complex relationships between cystic fibrosis and congenital bilateral absence of the vas deference: clinical, electrophysiological and genetic data. Human Reproduction, 14, 371-374, 1999.
Ebisch IM, van Heerde WL, Thomas CM et al., C677T methylenetetrahydrofolate reductase polymorphism interferes with the effects of folic acid and zinc sulphate on sperm concentration. Fertility and Sterility, 80, 1190-1194, 2003.
Eskes TK, Homocysteine and human reproduction. Clinical and Experimental Obstetrics and Gynecology, 27, 157-167, 2002.
Foresta C, Moro E and Ferlin A, Y chromosome microdeletions and alterations of spermatogenesis. Endocrinology Reviews, 22, 226-239, 2001.
Frosst P, Blom HJ, Milos R, et al., A candidate genetic risk factor for vascular disease: a common mutation in methylenetetrahydrofolate reductase. Nature Genetics, 10, 111-113, 1995.
Gueant JL, Gueant-Rodriguez RM, Anello G et al., Genetic determinants of folate and vitamin B12 metabolism: a common pathway in neural tube birth defect and Down syndrome? Clinical Chemistry and Laboratory Medicine, 41,1473-1477, 2003.
Hague WM, Homocysteine and pregnancy. Best Practice and Research: Clinical Obstetrics and Gynaecology, 367, 1513-1519, 2003.
Herrman W, The importance of hyperhomocysteinemia as a risk factor for diseases: an overview. Clinical Chemistry and Laboratory Medicine, 39, 666-674, 2001.
Jaffe T and Oates RD, Genetic abnormality and reproductive failure. Urologic Clinics of North America, 21, 389-408, 1994.
Lee HC, Jeong YM, Lee SH, Cha KY, Song SH, Kim NK, Lee KW, Lee S, Association study of four polymorphisms in three folate-related enzyme genes with non-obstructive male infertility. Human Reproduction, 21, 3162-3170, 2006.
Lee S, Lee SH, Chung TG, Kim HJ, Yoon TK, Kwak IP, Park SH, Cha WT, Cho SW and Cha KY, Molecular and cytogenetic characterization of two azoospermic patients with X-autosome translocation. Journal of Assisted Reproduction and Genetics, 20, 385-389, 2003.
Lucock M, Folic acid: nutritional biochemistry, molecular biology, and role in disease processes. Molecular Genetics and Metabolism, 71,121-38, 2000.
Mak V and Jarvi KA, The genetics of male infertility. Journal of Urology, 156, 1245-1257, 1996.
Mao R, Fan Y, Chen F, Fu S, Genetic polymorphism of MTHFR G1793A in Chinese populations, European Journal of Epidemiology, 23, 363-368, 2008.
Martin YN, Salavaggione OE, Eckloff BW, Wieben ED, Schaid DJ, Weinshilboum RM, Human methylenetetrahydrofolate reductase pharmacogenomics: gene resequencing and functional genomics, Pharmacogenetics and Genomics, 16, 265-277, 2006.
Nelen WL, Hyperhomocysteinaemia and human reproduction. Clinical Chemistry and Laboratory Medicine, 97, 1092-1098, 2001.
Neumann AS, Lyons HJ, Shen H, Liu Z, Shi Q, Sturgis EM, Shete S, Spitz MR, El-Naggar A, Hong WK, Wei Q, Methylenetetrahydrofolate reductase polymorphisms and risk of squamous cell carcinoma of the head and neck: a case control analysis. International Journal of Cancer, 115(1), 131-136, 2005.
Park JH, Lee HC, Jeong Y-M, Chung T-G, Kim H-J, Kim NK, Lee S-H, Lee S, MTHFR C677T polymorphism associates with unexplained infertile male factors. Journal of Assisted Reproduction and Genetics, 22, 361-368, 2005.
Rady PL, Szucs S, Grady J, Hudnall SD, Kellner LH, Nitowsky H, Tyring SK, Matalon RK, Genetic polymorphism of methylenetetrahydrofolate reductase (MTHFR) and methionine synthase reductase (MTRR) in ethnic populations in Texas; a report of a novel MTHFR polymorphis site, G1793A. American Journal of Medical Genetics, 107(2), 162-168, 2002.
Randolph LM, The Principles of Clinical Cytogenetics, Second Edition, Humana Press Inc., Totowa NJ, 247-265, 2005.
Reijo R, Lee T, Alagappan R et al., Diverse spermatogenic defects in humans caused by Y Chromosome deletions encompassing a novel RNA-binding protein gene. Nature Genetics, 10, 383-393, 1995.
Robertson KD, Wolfe AP. DNA methylation in health and disease. Nature Reviews Genetics, 1(1), 11-19, 2000.
Shi Q, Zhang Z, Li G, Pillow PC, Hernandez LM, Spitz MR, Wei Q, Sex differences in risk of lung cancer associated with methylenetetrahydrofolate reductase polymorphisms. Cancer Epidemiology Biomarkers Prev, 14(6), 1477-1484, 2005.
Siegfried Z, Eden S, Mendelsohn M, Feng X., Tsuberi, BZ, Cedar H, Gene silencing in mammalian cells and the spread of DNA methylation. Nature Genetics, 22, 203-206, 1999.
Singh K, Singh SK, Sah R, et al., Mutation C677T in the methylenetetrahydrofolate reductase gene is associated with male infertility in an Indian population. International Journal of Andrology, 28, 115-119, 2005.
Steegers-Theunissen RP, Van Iersel CA, Peer PG et al., Hyperhomocysteinemia, pregnancy complications, and the timing of investigation. Obstetrics and Gynecology, 104, 336-343, 2004.
Stuppia L, Gatta V, Scarciolla O et al., The methylenetetrahydrofolate reductase (MTHFR) C677T polymorphism and male infertility in Italy. Journal of endocrinological Investigation, 26, 620-622, 2003.
Tamura T, Picciano MF, Folate and human reproduction. American Journal of Clinical Nutrition, 83, 993-1016, 2006.
Varinderpal SD, Mohd S, Syed AH, Associations of MTHFR DNMT3b 4977 bp deletion in mtDNA and GSTM1 deletion, and aberrant CpG island hypermethylation of GSTM1 in non-obstructive infertility in Indian men. Molecular Human Reproduction, 13(4), 213-222, 2007.
Vogt PH, Edelman A, Kirsch S et al., Human Y chromosome azoospermia factors (AZF) mapped to different subregions in Yq11. Human Molecular Genetics, 5, 933-943, 1996.
Van der Put NM, Gabreels F, Stevens EM, Smeitink JA, Trijbels FJ, Eskes TK, van den Heuvel LP and Blom HJ, A second polymorphism common mutation in the methylenetetrahydrofolate reductase gene: an additional risk factor for neural-tube defects? American Journal of Human Genetics, 62, 1044-1051, 1998.
Xu WH, Shrubsole MJ, Xiang YB, Cai Q, Zhao G, Ruan Z, Cheng J, Zheng W, Shu XO, Dietary folate intake, MTHFR Genetic polymorphisms, and the risk of endometrial cancer among Chinese Women, Cancer Epidemiology Biomarkers Prev, 16(2), 281-287, 2007.
Zhu WY, Melera PW, Basal levels of metallothionein I and II expression in mouse embryo fibroblasts enhance growth in low folate through a cell cycle mediated pathway. Cell Biology International, 25, 1261-1269, 2001.
Read_full_article: pdf/20-2010/20-1-2010/SU20-1-10Farcas.pdf
Correspondence: Marius-Florin Farcas, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj Napoca, Faculty of Medicine, Department of Medical Genetics, no.6, Pasteur St., 400349, Cluj Napoca, Romania, email: marius_seraph@yahoo.com

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Article Title: Methylenetetrahydrofolate reductase G1793A polymorphism and male infertility in a Romanian population group
Authors: Marius-Florin FARCAS*, Adrian Pavel TRIFA, Mariela MILITARU,
Flaviu Andrei CSERNIK, Tania CRISAN, Ion Victor POP, Radu Anghel POPP
Affiliation: Department of medical genetics, “Iuliu Hatieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania
Abstract: Folate metabolism is essential for proper cellular function, including DNA methylation. MTHFR provides methyl groups for numerous reactions including DNA methylation. Molecular analysis was performed in a case group of 66 infertile Romanian patients with idiopathic azoospermia or severe oligozoospermia and a control group of 67 Romanian men, to explore the possible association of the G1793A polymorphism and male infertility. Using the polymerase chain reaction – restriction fragment length polymorphism technique (PCR-RFLP), the allele and genotype distribution of SNP G1793A in the MTHFR gene were investigated in both patients and controls. The frequencies of the polymorphism in infertile patients were not significantly higher than those in controls, indicating that this polymorphism would not be a genetic risk factor for male infertility in our study group.
Keywords: homocysteine, folate, azoospermia, DNA methylation, infertility
References: Altmae S, Stavreus-Evers A, Ruiz JR, Laanpere M, Svvanen T, Yngve A, Salumets A, Nilsson TK, Variations in folate pathway genes are associated with unexplained female infertility. Fertility and Sterility, [Epub ahead of print], 2009.
Aston KI, Carrell DT, Genome-wide study of single nucleotide polymorphisms asscociated with azoospermia and severe oligozoospermia, Journal of Andrology, (Epub ahead of print), 2009.
A ZC, Yang y, Zhang SZ, Li N, Zhang W, Single nucleotide polymorphism C677T in the methylenetetrahydrofolate reductase gene might be a genetic risk factor for male infertility for Chinese men with azoospermia or severe oligozoospermia. Asian Journal of Andrology, 9, 57-62, 2007.
Bezold G, Lange M, Peter RU, Homozygous methylenetetrahydrofolate reductase C677T mutation and male infertility. New England Journal of Medicine, 344, 1172-1173, 2001.
Bottiger AK, Hurtig-Wennlof A, Sjostrom M, Yngve A, Nilsson TK, Association of total plasma homocysteine with methylenetetrahydrofolate reductase genotypes 677C>T, 1298 A>C, and 1793G>A and the corresponding haplotypes in Swedish children and adolescents. International Journal of Molecular Medicine, 19, 659-665, 2007.
Chandley A, Chromosome anomalies and Y chromosome microdeletions as causal factors in male infertility. Human Reproduction, 13, 45-50, 1998.
Dohle GR, Halley DJ, Van Hemel JO, van den Ouwel AM, Pieters MH, Weber RF and Govaerts LC, Genetic risk factors in infertile men with severe oligozoospermia and azoospermia. Human Reproduction, 17, 13-16, 2002.
Dohle GR, Veeze HJ, Overbeek SE et al., The complex relationships between cystic fibrosis and congenital bilateral absence of the vas deference: clinical, electrophysiological and genetic data. Human Reproduction, 14, 371-374, 1999.
Ebisch IM, van Heerde WL, Thomas CM et al., C677T methylenetetrahydrofolate reductase polymorphism interferes with the effects of folic acid and zinc sulphate on sperm concentration. Fertility and Sterility, 80, 1190-1194, 2003.
Eskes TK, Homocysteine and human reproduction. Clinical and Experimental Obstetrics and Gynecology, 27, 157-167, 2002.
Foresta C, Moro E and Ferlin A, Y chromosome microdeletions and alterations of spermatogenesis. Endocrinology Reviews, 22, 226-239, 2001.
Frosst P, Blom HJ, Milos R, et al., A candidate genetic risk factor for vascular disease: a common mutation in methylenetetrahydrofolate reductase. Nature Genetics, 10, 111-113, 1995.
Gueant JL, Gueant-Rodriguez RM, Anello G et al., Genetic determinants of folate and vitamin B12 metabolism: a common pathway in neural tube birth defect and Down syndrome? Clinical Chemistry and Laboratory Medicine, 41,1473-1477, 2003.
Hague WM, Homocysteine and pregnancy. Best Practice and Research: Clinical Obstetrics and Gynaecology, 367, 1513-1519, 2003.
Herrman W, The importance of hyperhomocysteinemia as a risk factor for diseases: an overview. Clinical Chemistry and Laboratory Medicine, 39, 666-674, 2001.
Jaffe T and Oates RD, Genetic abnormality and reproductive failure. Urologic Clinics of North America, 21, 389-408, 1994.
Lee HC, Jeong YM, Lee SH, Cha KY, Song SH, Kim NK, Lee KW, Lee S, Association study of four polymorphisms in three folate-related enzyme genes with non-obstructive male infertility. Human Reproduction, 21, 3162-3170, 2006.
Lee S, Lee SH, Chung TG, Kim HJ, Yoon TK, Kwak IP, Park SH, Cha WT, Cho SW and Cha KY, Molecular and cytogenetic characterization of two azoospermic patients with X-autosome translocation. Journal of Assisted Reproduction and Genetics, 20, 385-389, 2003.
Lucock M, Folic acid: nutritional biochemistry, molecular biology, and role in disease processes. Molecular Genetics and Metabolism, 71,121-38, 2000.
Mak V and Jarvi KA, The genetics of male infertility. Journal of Urology, 156, 1245-1257, 1996.
Mao R, Fan Y, Chen F, Fu S, Genetic polymorphism of MTHFR G1793A in Chinese populations, European Journal of Epidemiology, 23, 363-368, 2008.
Martin YN, Salavaggione OE, Eckloff BW, Wieben ED, Schaid DJ, Weinshilboum RM, Human methylenetetrahydrofolate reductase pharmacogenomics: gene resequencing and functional genomics, Pharmacogenetics and Genomics, 16, 265-277, 2006.
Nelen WL, Hyperhomocysteinaemia and human reproduction. Clinical Chemistry and Laboratory Medicine, 97, 1092-1098, 2001.
Neumann AS, Lyons HJ, Shen H, Liu Z, Shi Q, Sturgis EM, Shete S, Spitz MR, El-Naggar A, Hong WK, Wei Q, Methylenetetrahydrofolate reductase polymorphisms and risk of squamous cell carcinoma of the head and neck: a case control analysis. International Journal of Cancer, 115(1), 131-136, 2005.
Park JH, Lee HC, Jeong Y-M, Chung T-G, Kim H-J, Kim NK, Lee S-H, Lee S, MTHFR C677T polymorphism associates with unexplained infertile male factors. Journal of Assisted Reproduction and Genetics, 22, 361-368, 2005.
Rady PL, Szucs S, Grady J, Hudnall SD, Kellner LH, Nitowsky H, Tyring SK, Matalon RK, Genetic polymorphism of methylenetetrahydrofolate reductase (MTHFR) and methionine synthase reductase (MTRR) in ethnic populations in Texas; a report of a novel MTHFR polymorphis site, G1793A. American Journal of Medical Genetics, 107(2), 162-168, 2002.
Randolph LM, The Principles of Clinical Cytogenetics, Second Edition, Humana Press Inc., Totowa NJ, 247-265, 2005.
Reijo R, Lee T, Alagappan R et al., Diverse spermatogenic defects in humans caused by Y Chromosome deletions encompassing a novel RNA-binding protein gene. Nature Genetics, 10, 383-393, 1995.
Robertson KD, Wolfe AP. DNA methylation in health and disease. Nature Reviews Genetics, 1(1), 11-19, 2000.
Shi Q, Zhang Z, Li G, Pillow PC, Hernandez LM, Spitz MR, Wei Q, Sex differences in risk of lung cancer associated with methylenetetrahydrofolate reductase polymorphisms. Cancer Epidemiology Biomarkers Prev, 14(6), 1477-1484, 2005.
Siegfried Z, Eden S, Mendelsohn M, Feng X., Tsuberi, BZ, Cedar H, Gene silencing in mammalian cells and the spread of DNA methylation. Nature Genetics, 22, 203-206, 1999.
Singh K, Singh SK, Sah R, et al., Mutation C677T in the methylenetetrahydrofolate reductase gene is associated with male infertility in an Indian population. International Journal of Andrology, 28, 115-119, 2005.
Steegers-Theunissen RP, Van Iersel CA, Peer PG et al., Hyperhomocysteinemia, pregnancy complications, and the timing of investigation. Obstetrics and Gynecology, 104, 336-343, 2004.
Stuppia L, Gatta V, Scarciolla O et al., The methylenetetrahydrofolate reductase (MTHFR) C677T polymorphism and male infertility in Italy. Journal of endocrinological Investigation, 26, 620-622, 2003.
Tamura T, Picciano MF, Folate and human reproduction. American Journal of Clinical Nutrition, 83, 993-1016, 2006.
Varinderpal SD, Mohd S, Syed AH, Associations of MTHFR DNMT3b 4977 bp deletion in mtDNA and GSTM1 deletion, and aberrant CpG island hypermethylation of GSTM1 in non-obstructive infertility in Indian men. Molecular Human Reproduction, 13(4), 213-222, 2007.
Vogt PH, Edelman A, Kirsch S et al., Human Y chromosome azoospermia factors (AZF) mapped to different subregions in Yq11. Human Molecular Genetics, 5, 933-943, 1996.
Van der Put NM, Gabreels F, Stevens EM, Smeitink JA, Trijbels FJ, Eskes TK, van den Heuvel LP and Blom HJ, A second polymorphism common mutation in the methylenetetrahydrofolate reductase gene: an additional risk factor for neural-tube defects? American Journal of Human Genetics, 62, 1044-1051, 1998.
Xu WH, Shrubsole MJ, Xiang YB, Cai Q, Zhao G, Ruan Z, Cheng J, Zheng W, Shu XO, Dietary folate intake, MTHFR Genetic polymorphisms, and the risk of endometrial cancer among Chinese Women, Cancer Epidemiology Biomarkers Prev, 16(2), 281-287, 2007.
Zhu WY, Melera PW, Basal levels of metallothionein I and II expression in mouse embryo fibroblasts enhance growth in low folate through a cell cycle mediated pathway. Cell Biology International, 25, 1261-1269, 2001.
*Correspondence: Marius-Florin Farcas, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj Napoca, Faculty of Medicine, Department of Medical Genetics, no.6, Pasteur St., 400349, Cluj Napoca, Romania, email: marius_seraph@yahoo.com