Methylenetetrahydrofolate reductase gene polymorphism and childhood stroke.
Genotyping for the methylenetetrahydrofolate reductase gene (MTHFR) has been recommended for part of the evaluation for underlying prothrombotic state in childhood stroke; however, studies are inconclusive regarding the role of this gene and also the role of hyperhomocysteinemia, which is the putative mechanism by which MTHFR polymorphism is related to stroke. The prevalence of MTHFR polymorphism in childhood arterial ischemic stroke and cerebral sinovenous thrombosis was compared with that of a reference population, and prevalence of hyperhomocysteinemia was reviewed. In arterial ischemic stroke, the prevalence of at-risk methylenetetrahydrofolate reductase genotypes was 27%, and in cerebral sinovenous thrombosis it was 13%; the population prevalence was 26%. The odds ratio for at-risk genotype in childhood arterial ischemic stroke was 1.06 (95% confidence interval, 0.22-4.0); in cerebral sinovenous thrombosis, it was 0.42 (95% confidence interval, 0.01-3.6). No tested cases had hyperhomocysteinemia. MTHFR polymorphism and hyperhomocysteinemia were not risk factors in childhood arterial ischemic stroke or cerebral sinovenous thrombosis in the Intermountain West region.
Morita
Denise C
DC
Division of Pediatric Neurology, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah 84158, USA. denise.morita@hsc.utah.edu
Donaldson
Amy
A
Butterfield
Russell J
RJ
Benedict
Susan L
SL
Bale
James F
JF
D002545:Brain Ischemia / Q000453:epidemiology / Q000235:genetics; D016022:Case-Control Studies; D002648:Child; D016208:Databases, Factual; D020022:Genetic Predisposition to Disease; D005838:Genotype; D006801:Humans; D020138:Hyperhomocysteinemia / Q000453:epidemiology / Q000235:genetics; D020765:Intracranial Arterial Diseases / Q000453:epidemiology / Q000235:genetics; D042965:Methylenetetrahydrofolate Reductase (NADPH2) / Q000235:genetics*; D016017:Odds Ratio; D011110:Polymorphism, Genetic; D015995:Prevalence; D012189:Retrospective Studies; D012851:Sinus Thrombosis, Intracranial / Q000453:epidemiology / Q000235:genetics; D015206:Southwestern United States / Q000453:epidemiology; D020521:Stroke / Q000453:epidemiology* / Q000235:genetics*
D042965:Methylenetetrahydrofolate Reductase (NADPH2)