“…Other studies failed to demonstrate an association between the MTHFR 677C>T polymorphism and DS in France [25,48,49], Italy [27,48,50,51], Ireland [26], Turkey [29], Brazil [32] and Northern India [52]. Coppedè et al [50] concluded that the MTHFR 677C>T polymorphism is not an independent risk factor for a DS offspring at a young maternal age, however, a role for the combined genotypes between the MTH-FR gene and the reduced folate carrier gene (RFC-1) in the risk of DS pregnancies among young Italian women cannot be excluded.…”