“…Further studies focusing on the genetic analysis of the genes involved in homocysteine methionine metabolism are needed. An enzyme, methionine synthase, is also associated with homocysteine metabolism, and a polymorphism, a 2756A>G mutation, has been identified (Leclerc et al, 1996), but several studies have failed to demonstrate any association of this polymorphism with NTDs (Van der Put et al, 1997; Morrison et al, 1998; Christensen et al, 1999). Another enzyme, methionine synthase reductase, which is responsible for maintaining the methionine synthase in its active state, has recently been cloned (Leclerc et al, 1998).…”