Polymorphisms in methylenetetrahydrofolate reductase gene are not associated with acute myocardial infarction in a Pakistan population

The objective of the study was to test the association of two polymorphisms of methylenetetrahydrofolate reductase gene, MTHFR C677T; MTHFR AI298C with acute myocardial infarction (AMI). A case-control study involving 308 AMI patients (age 30-74 years; 230 males and 78 females) and 319 age and gender matched normal healthy controls (235 males and 84 females) was carried out on a Pakistani population. Genotyping of the two polymorphisms was done using PCR-RFLP based assays. Fasting levels of plasma homocysteine and other biochemical parameters were determined using kit methods. Plasma homocysteine concentrations were found to be elevated in both cases and controls (18.1 +- 7.7 micro mol/l vs 18.1+- 8.1 micro mol/l, respectively). Compared to Caucasian populations, homozygous variant genotype MTHFR Al 298 C was found to be highly prevalent (27%) in Pakistani population. Neither MTHFR C677T nor MTHFR Al 298 C polymorphism was found to be associated with myocardial infarction (MI). Age-at-onset of MI was significantly affected by MTHFR C677T (TT=39 years vs CT/CC= 49 years; P=0.006). MTHFR polymorphisms appear to have no role in AMI in Pakistani population. (author)