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Journal of Child Neurology
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Presence of the 5,10-Methylenetetrahydrofolate Reductase C677T Mutation in Puerto Rican Patients With Neural Tube Defects

Lourdes Garcia-Fragoso, MD

Department of Pediatrics, Neonatology Section, University of Puerto Rico School of Medicine, Medical Sciences Campus, San Juan, Puerto Rico, loufrag{at}yahoo.com

Inés García-García, MD

Department of Pediatrics, Neonatology Section, University of Puerto Rico School of Medicine, Medical Sciences Campus, San Juan, Puerto Rico

Alberto de la Vega, MD

Department of Obstetrics and Gynecology, University of Puerto Rico School of Medicine, Medical Sciences Campus, San Juan, Puerto Rico

Jessicca Renta, MS

Department of Biochemistry, University of Puerto Rico School of Medicine, Medical Sciences Campus, San Juan, Puerto Rico

Carmen L. Cadilla, PhD

Department of Biochemistry, University of Puerto Rico School of Medicine, Medical Sciences Campus, San Juan, Puerto Rico

Folic acid supplementation can reduce the incidence of neural tube defects. The first reported genetic risk factor for neural tube defects is a C677T mutation in the 5,10-methylenetetrahydrofolate reductase gene, resulting in decreased activity of the enzyme. We examined the enzyme mutation role of methylenetetrahydrofolate reductase in the etiology of neural tube defects in our population. The study group consisted of 204 Puerto Rican individuals including 37 pregnant females with a prenatal diagnosis of neural tube defects in their fetuses, 31 newborns, 36 fathers, and 100 healthy adults. The prevalence of the C677T mutation was examined. Homozygosity for the alanine to valine substitution (TT) was observed in 9% of the controls and 19% of the mothers with children with neural tube defects. Our results indicate that the presence of the T allele at the methylenetetrahydrofolate reductase 677 position may increase the risk of giving birth to an infant with a neural tube defect. (J Child Neurol 2002;17:30-32).

Journal of Child Neurology, Vol. 17, No. 1, 30-32 (2002)
DOI: 10.1177/088307380201700107


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