MTHFR (methylenetetrahydrofolate reductase) C677T polymorphism and psoriasis.

Authors

VAŠKŮ Vladimír BIENERTOVÁ VAŠKŮ Julie NEČAS Miroslav VAŠKŮ Anna

Year of publication 2009
Type Article in Periodical
Magazine / Source Clinical and Experimental Medicine
MU Faculty or unit

Faculty of Medicine

Citation
Web PubMed
Field Dermatovenerology
Keywords MTHFR Polymorphism Psoriasis Folate DNA methylation
Description The aim of the study was to evaluate possible association of MTHFR C677T gene polymorphism (NM_005957) with psoriasis. Genotypes of MTHFR C677T gene polymorphism were determined in a sample of 654 Caucasian (Czech) subjects. Case group (n = 410) included patients with psoriasis (plaque psoriasis diagnosed in 285 patients, other subtypes of psoriasis were observed in 125 patients). Control group (n = 244) consisted of healthy subjects without individual history of psoriasis, with similar age and gender characteristics. The MTHFR C677T polymorphism genotypes were determined by a polymerase chain reaction and a subsequent restriction analysis with HinfI. The genotypes of C(677)T methylenetetrahydrofolate reductase (MTHFR) gene polymorphism were determined in a sample of 654 Caucasian (Czech) subjects. We proved a significant difference in genotype distribution (P g = 0.03) and allelic frequency (P a = 0.02) between psoriatic and control subjects. The CC (the thermostabile) genotype was significantly more frequent in psoriatic patients compared to controls. But, a significant increase of T allele in MTHFR gene was observed in patients with positive family history of diabetes (P a = 0.02) and in those with a frequent tonsillitis/tonsillectomy (P a = 0.04). No difference was observed between patients with and without positive family history of psoriasis (P a = 0.251). But, when psoriatic patients were described for FHDM, FH-Ps, and PH-T simultaneously, The highest incidence of CT and TT genotypes was calculated for psoriasis patients with positive history of psoriasis and diabetes mellitus together with personal history of repeated tonsillitis/tonsillectomy compared to patients without all these three phenotypes. In conclusion, MTHFR C677T polymorphism is marginally associated with psoriasis. The T allele (thermolabile) appears to be more frequent in psoriasis patients with positive history of psoriasis and diabetes mellitus together with personal history of repeated tonsillitis/tonsillectomy. This could reflect an inborn predisposition in complex regulation in one-carbon moieties transport in psoriatic patients and therefore, MTHFR genotype can be a part of genetic background of psoriasis.

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