Evidence map›Paper›PMID 33914208›Full record

ArticleJournal of assisted reproduction and genetics2021

MTHFR (methylenetetrahydrofolate reductase: EC 1.5.1.20) SNPs (single-nucleotide polymorphisms) and homocysteine in patients referred for investigation of fertility.

Yves Ménézo, Pasquale Patrizio, Silvia Alvarez, Edouard Amar, Michel Brack, Charles Brami, Jacques Chouteau, Arthur Clement, Patrice Clement, Marc Cohen and 10 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of assisted reproduction and genetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
4.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 30 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 7 institutions in 4 countries.

Yves MénézoLaboratoire Clement, Avenue d Eylau, 75016, Paris, France. yves.menezo@gmail.com.ORCID http://orcid.org/0000-0001-6861-8905
Pasquale PatrizioYale University Fertility Center, Orange, CT, USA.
Silvia AlvarezClinique de la Muette, 75016, Paris, France.
Edouard AmarHopital Américain de Paris, Neuilly-sur-Seine, France.
Michel BrackCentre de Santé Ellasanté, 75008, Paris, France.
Charles BramiHopital Américain de Paris, Neuilly-sur-Seine, France.
Jacques ChouteauLaboratoire Oriade Noviale, 38000, Grenoble, France.
Arthur ClementLaboratoire Clement, Avenue d Eylau, 75016, Paris, France.
Patrice ClementLaboratoire Clement, Avenue d Eylau, 75016, Paris, France.
Marc CohenClinique Natecia, Lyon, France.
Dominique CornetClinique de la Muette, 75016, Paris, France.
Brian DaleLondon Fertility Associates, Harley St, London, UK.
Guiseppe D' AmatoCentro di Fecondazione Assistita di Conversano, Bari, Italy.
Laetitia Jacquesson-FournolsClinique de la Muette, 75016, Paris, France.
Pierre MaresCentre Hospitalo Universitaire, Nimes, France.
Paul NeveuxWellmera AG, 4057, Basel, CH, Switzerland.
Jean Clement SageVINMEC International Hospital, 458 Minh Khai, Hanoi, Vietnam.
Edouard ServyIVF Georgia, Augusta, GA, USA.
To Minh HuongVINMEC International Hospital, 458 Minh Khai, Hanoi, Vietnam.
Geraldine ViotClinique de la Muette, 75016, Paris, France.
Chimie Moléculaire, Macromoléculaire, Matériaux · FRHôpital américain de paris · FRVinmec International Hospital · VNCentre Hospitalier Universitaire de Nîmes · FRHarley-Davidson (United States) · USSanthera Pharmaceuticals (Switzerland) · CHYale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMTHFR, one of the major enzymes in the folate cycle, is known to acquire single-nucleotide polymorphisms that significantly reduce its activity, resulting in an increase in circulating homocysteine. Methylation processes are of crucial importance in gametogenesis, involved in the regulation of imprinting and epigenetic tags on DNA and histones. We have retrospectively assessed the prevalence of MTHFR SNPs in a population consulting for infertility according to gender and studied the impact of the mutations on circulating homocysteine levels.

methodsMore than 2900 patients having suffered at least two miscarriages (2 to 9) or two failed IVF/ICSI (2 to 10) attempts were included for analysis of MTHFR SNPs C677T and A1298C. Serum homocysteine levels were measured simultaneously.

resultsWe observed no difference in the prevalence of different genetic backgrounds between men and women; only 15% of the patients were found to be wild type. More than 40% of the patients are either homozygous for one SNP or compound heterozygous carriers. As expected, the C677T SNP shows the greatest adverse effect on homocysteine accumulation. The impact of MTHFR SNPs on circulating homocysteine is different in men than in women.

conclusionsDetermination of MTHFR SNPs in both men and women must be seriously advocated in the presence of long-standing infertility; male gametes, from MTHFR SNPs carriers, are not exempted from exerting a hazardous impact on fertility. Patients should be informed of the pleiotropic medical implications of these SNPs for their own health, as well as for the health of future children.

Indexed as

Genetic Predisposition to DiseasePolymorphism, Single NucleotideAbortion, SpontaneousFemaleFranceGenotypeHeterozygoteHomocysteineHomozygoteHumansInfertilityMaleMethylenetetrahydrofolate Reductase (NADPH2)Retrospective StudiesHomocysteineMethylenetetrahydrofolate Reductase (NADPH2)MTHFR protein, humanDNA methylationFertilityGametesGender prevalenceHomocysteineMTHFR SNPsRecurrent miscarriages

Identifiers

PMID33914208
PMCPMC8490548
OpenAlexW3158547173

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.