Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

The Correlation between Methylation Disorders Caused by the MTHFR Polymorphism and the Folates (Folic Acid, 5-MTHF) Metabolism, in Coronary Artery Disease Patients Diagnosed by Invasive Coronary Angiography—Preliminary Results

Version 1 : Received: 12 July 2023 / Approved: 13 July 2023 / Online: 14 July 2023 (09:46:28 CEST)

How to cite: Pietruszyńska-Reszetarska, A.; Pietruszyński, R.; Majsterek, I.; Popławski, T.; Skrzypek, M.; Kolesińska, B.; Waśko, J.; Watała, C.; Kapusta, J.; Irzmański, R. The Correlation between Methylation Disorders Caused by the MTHFR Polymorphism and the Folates (Folic Acid, 5-MTHF) Metabolism, in Coronary Artery Disease Patients Diagnosed by Invasive Coronary Angiography—Preliminary Results. Preprints 2023, 2023070974. https://doi.org/10.20944/preprints202307.0974.v1 Pietruszyńska-Reszetarska, A.; Pietruszyński, R.; Majsterek, I.; Popławski, T.; Skrzypek, M.; Kolesińska, B.; Waśko, J.; Watała, C.; Kapusta, J.; Irzmański, R. The Correlation between Methylation Disorders Caused by the MTHFR Polymorphism and the Folates (Folic Acid, 5-MTHF) Metabolism, in Coronary Artery Disease Patients Diagnosed by Invasive Coronary Angiography—Preliminary Results. Preprints 2023, 2023070974. https://doi.org/10.20944/preprints202307.0974.v1

Abstract

Background: The presence of single nucleotide polymorphisms in the gene encoding key en-zyme in the folate pathway methyltetrahydrofolate reductase (MTHFR), causes methylation disorders associated with CAD development. Methods: Study group: 42 patients with CAD con-firmed by coronary angiography. Controls: 16 patients without CAD symptoms or significant coronary artery stenosis, based on invasive coronary angiography or multislice computed to-mography with coronary artery calcification scoring. Real-time PCR genotyping was assessed using TaqMan™ probes. Folic acid and 5-MTHF concentrations in blood serum were determined by LC-MS. Results: c.[1286A>C];[1286A>C] MTHFR polymorphism occurred significantly more often in (CAD+) patients compared to (CAD-) cohort and to the European population. The con-centration of 5-MTHF and folic acid in the subgroups of patients with methylation disorders di-vided by genotypes and (CAD+) was lower compared to (CAD-). Conclusions: The homozygous c.1286 A>C MTHFR variant can be considered as CAD genetic marker. In the subjects with the c.1286 A>C heterozygous and homozygous genotypes, lower concentrations of methyltetrahy-drofolate (5-MTHF) were observed. 5-MTHF can be considered as a biomarker of CAD. Identifi-cation of people at high risk of CAD using genetic tests can contribute to personalized therapy using active (methylated) form of folic acid (5-MTHF) in CAD patients with MTHFR polymor-phisms.

Keywords

methylation, 5-MTHF, folic acid, gene polymorphism, coronary artery disease, biomarker

Subject

Medicine and Pharmacology, Cardiac and Cardiovascular Systems

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