2016
DOI: 10.1007/s00018-016-2276-0
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Synthetic combinations of missense polymorphic genetic changes underlying Down syndrome susceptibility

Abstract: Single nucleotide polymorphisms (SNPs) are important biomolecular markers in health and disease. Down syndrome, or Trisomy 21, is the most frequently occurring chromosomal abnormality in live-born children. Here, we highlight associations between SNPs in several important enzymes involved in the one-carbon folate metabolic pathway and the elevated maternal risk of having a child with Down syndrome. Our survey highlights that the combination of SNPs may be a more reliable predictor of the Down syndrome phenotyp… Show more

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Cited by 12 publications
(8 citation statements)
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“…[7] Common MTHFR polymorphisms, namely C677T and A1298C, impair MTHFR stability and activity overall leading to hyperhomocysteinemia and reduced SAM production, and have been largely investigated as maternal risk factors for spontaneous abortion and DS risk. [6,7,[16][17][18][19][20][21][22][23][24][25][26][27][28]34] Previous literature meta-analyses support an association between the maternal MTHFR C677T polymorphism and the risk of birth of a child with DS, [23][24][25] but many questions are still unsolved. Particularly, it is becoming evident that combined MTHFR C677T/ A1298C genotypes give rise to more or less stable MTHFR dimers, and that intracellular levels of folate, SAM, and metabolic cofactors regulate MTHFR protein stability and activity, as well as the promoter methylation and expression levels of the MTHFR gene itself, [7,12,28] also the frequency of MTHFR polymorphisms and their combinations varies among different populations, likely as a result of complex gene-nutrient interactions over time that might have favored certain haplotypes.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…[7] Common MTHFR polymorphisms, namely C677T and A1298C, impair MTHFR stability and activity overall leading to hyperhomocysteinemia and reduced SAM production, and have been largely investigated as maternal risk factors for spontaneous abortion and DS risk. [6,7,[16][17][18][19][20][21][22][23][24][25][26][27][28]34] Previous literature meta-analyses support an association between the maternal MTHFR C677T polymorphism and the risk of birth of a child with DS, [23][24][25] but many questions are still unsolved. Particularly, it is becoming evident that combined MTHFR C677T/ A1298C genotypes give rise to more or less stable MTHFR dimers, and that intracellular levels of folate, SAM, and metabolic cofactors regulate MTHFR protein stability and activity, as well as the promoter methylation and expression levels of the MTHFR gene itself, [7,12,28] also the frequency of MTHFR polymorphisms and their combinations varies among different populations, likely as a result of complex gene-nutrient interactions over time that might have favored certain haplotypes.…”
Section: Discussionmentioning
confidence: 99%
“…In addition, both MTHFR C677T and A1298C polymorphisms have been linked to an increased risk of chromosome malsegregation in lymphocytes of mothers of DS children [15] . Following the original study by James and coworkers, [6] several investigators performed case–control studies to evaluate MTHFR C677T and/or A1298C polymorphisms as maternal risk factors for the birth of a child with DS, but the small sample-size of these studies coupled to differences in allele frequencies, lifestyles and dietary habits among different populations, yielded conflicting results [15–22] …”
Section: Introductionmentioning
confidence: 99%
“…Proper segregation of chromosomes during cell division is essential for precise inheritance of the genomes and the loss of its fidelity often underlies human diseases, such as hereditary syndromes and cancers [ 1 , 2 , 3 ]. During M-phase, spindle microtubules emanate from the microtubule organization centers at the cell poles to capture the chromosomes at a locus termed centromere.…”
Section: Introductionmentioning
confidence: 99%
“…Precise partitioning of chromosomes during mitosis is critical for genomic stability, and the loss of faithfulness during the segregation of genetic and epigenetic information is associated with many human diseases, including cancers and birth defects [1,2]. Chromosome segregation is brought about by the attachment of mitotic spindle microtubules that emanate from centrosomes (or spindle pole bodies) at cell poles to the kinetochores, which are specialized mega-protein complexes assembled onto chromosomal loci called centromeres [3,4].…”
Section: Introductionmentioning
confidence: 99%