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Methylenetetrahydrofolate reductase deficiency is the most common genetic cause of elevated serum levels of homocysteine (hyperhomocysteinemia). It is caused by genetic defects in MTHFR, which is an important enzyme in the methyl cycle. [1] Common variants of MTHFR deficiency are asymptomatic and have only minor effects on disease risk. [2]
Methylenetetrahydrofolate reductase (MTHFR) is the rate-limiting enzyme in the methyl cycle, and it is encoded by the MTHFR gene. [5] Methylenetetrahydrofolate reductase catalyzes the conversion of 5,10-methylenetetrahydrofolate to 5-methyltetrahydrofolate , a cosubstrate for homocysteine remethylation to methionine .
It is the one-carbon donor for thymidylate synthase, for methylation of 2-deoxy-uridine-5-monophosphate to 2-deoxy-thymidine-5-monophosphate . The coenzyme is necessary for the biosynthesis of thymidine and is the C1-donor in the reactions catalyzed by TS and thymidylate synthase (FAD).
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While MTHFR is a proposed genetic factor for ASD, there is limited clinical evidence from testing for MTHFR gene polymorphisms in the diagnostic setting. [40] The reason for these complications may be due to other modifiers of the folate metabolism pathway or other genes included in the pathway.
In humans it is encoded by the MTR gene (5-methyltetrahydrofolate-homocysteine methyltransferase). [ 5 ] [ 6 ] Methionine synthase forms part of the S-adenosylmethionine (SAMe) biosynthesis and regeneration cycle, [ 7 ] and is the enzyme responsible for linking the cycle to one-carbon metabolism via the folate cycle.
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