Salud Pública de México
Print version ISSN 0036-3634
RODRIGUEZ-GUILLEN, María del Rosario et al. Maternal MTHFR polymorphisms and risk of spontaneous abortion. Salud pública Méx [online]. 2009, vol.51, n.1, pp. 19-25. ISSN 0036-3634. http://dx.doi.org/10.1590/S0036-36342009000100006.
OBJECTIVE: To asses the association between intake of folate and B vitamins and the incidence of spontaneous abortion (SA) according to the maternal methylenetetrahydrofolate reductase (MTHFR) polymorphisms (677 C>T and 1298 A>C). MATERIAL AND METHODS: We conducted a nested case-control study within a perinatal cohort of women recruited in the state of Morelos, Mexico. Twenty-three women with SA were compared to 74 women whose pregnancy survived beyond week 20th. Intake of folate and B vitamins respectively, was estimated using a validated food frequency questionnaire. Maternal MTHFR polymorphisms were determined by PCR-RFLP and serum homocysteine levels by HPLC. RESULTS: Carriers of MTHFR 677TT and 1298AC genotypes respectively showed an increased risk of SA (OR 677TT vs. CC/CT=5.0; 95% CI: 1.2, 20.9 and OR 1298 AC vs. AA=5.5; 95% CI: 1.1, 26.6). CONCLUSIONS: Our results support the role of MTHFR polymorphisms as a risk factor for SA, regardless of dietary intake of B vitamins.
Keywords : MTHFR; 677 C>T and 1298 A>C polymorphisms; spontaneous abortion; Mexico.